114 Maternal NB PrepU Quiz

A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess?

"Knife-like" abdominal pain with vaginal bleeding

A client who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems? Select all that apply:

-Chromosomal defects -Neural tube defects -Sex of the fetus

The nurse is teaching a woman who is 18 weeks pregnant about normal findings. Which findings are expected at this time? Select all that apply:

-Fundal height of approximately 18 cm -Quickening

A nurse is providing education to a woman about screening for breast cancer. The woman has no symptoms and no family history of breast cancer. Which recommendation would the nurse make based on the guidelines from the American Cancer Society?

Annual mammogram beginning at age 40

Which feature would alert the nurse that the client is in the transition phase of labor?

Beginning urge to bear down

A nurse is conducting a healthy-living workshop with a group of female college students. Which method of contraception should the nurse recommend as a means of preventing both pregnancy and sexually transmitted infections?

Condoms

The heart rate of a newly born neonate is regular at 142 bpm. What should the nurse do next?

Document this as a normal neonatal finding

A breastfeeding client informs the nurse that she is unable to maintain her milk supply. What instruction should the nurse give to the client to improve milk supply?

Empty the breasts frequently

A man 50 years of age has a long history of diabetes, which is poorly controlled. What does diabetes greatly increase the man's risk of experiencing?

Erectile dysfunction

A 23-year-old woman comes to the free clinic stating "I think I have a lump in my breast. Do I have cancer?" The nurse instructs the patient that a diagnosis of breast cancer is confirmed by what?

Fine needle aspiration

A nurse assesses a client during the third stage of labor. Which assessment findings indicate that the client is experiencing postpartum hemorrhage?

Heart rate 120 beats/minute, Respiratory rate 28 breaths/minute, blood pressure 80/40 mm Hg

A primigravid client at 8 weeks gestation tells the nurse that since having had sexual relations with her new partner 2 weeks ago, she has noticed flu-like symptoms, enlarged lymph nodes, and clusters of vesicles on her vagina. The nurse refers the client to a primary health care provider because the nurse suspects which sexually transmitted infection?

Herpes genitalis

A nurse is preparing a presentation about cervical cancer for a local women's group. Which risk factor for the development of cervical cancer would the nurse include?

Infection with human papilloma virus (HPV)

A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is:

Irregular vaginal bleeding

The nurse is planning care for a neonate to prevent neonatal heat loss immediately after birth. To conserve heat and help the infant maintain a stable temperature, the nurse should:

Place the infant skin to skin with the mother

The client at 18 weeks gestation states "I feel a fluttering sensation, kind of like gas." The nurse understands that the client is describing what occurrence?

Quickening

Ovulation is:

Release of an ovum from the ovary

A primigravid client is admitted to the labor and delivery area where the nurse evaluates her. Which assessment finding may indicate the need for cesarean birth?

Umbilical cord prolapse

Which instruction regarding sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm are no longer present

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding?

slight vaginal bleeding