Ante/ Intra/ Postpartum and Neonatal Care (PART 1)

A nurse is teaching a client who was admitted with preterm labor about terbutaline. Which of the following client statements indicates an understanding of the teaching? A. "This medication is used to stop my contractions" B. "This medications is used to prevent vaginal bleeding" C. "This medication will promote blood flow to my baby" D. "This medication will cause my blood sugar to drop"

A. "This medication is used to stop my contractions"

The nurse is caring for a client who has just been told she is pregnant for the first time. The nurse knows that the woman should anticipate which emotion during the first trimester? A. Ambivalence about the pregnancy B. Coming to the realization of parenthood C. Attempting to differentiate self from the developing fetus. D. Enjoying the nurturing role

A. Ambivalence about the pregnancy

A nurse is preparing to teach a group of clients who are pregnant about some of the common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? SATA A. Breast tenderness B.Excessive salivation C. Epistaxis D. Dysuria E. Right upper quadrant pain

A. Breast tenderness B. Excessive salivation C. Epistaxis

A 22 year old client reports to the pre-natal clinic for her 32 week gestational visit. Which of the following comments made by the client must be reported to the physician? A. I couldn't get my weeding ring on this morning because my fingers are so swollen B. I always seem to be so much hotter than everyone else C. My feet are swelling in the hot weather we've been having D. My breasts are swollen and tender

A. I could't get my weeding ring on this morning because my fingers are so swollen

A nurse is preparing to perform a non-stress test. Which position would the nurse recommend that the client be placed in? A. Lateral position B. Supine position C. Semi-Fowler's position D. High Fowler's position

A. Lateral position

The nurse knows that folic acid reduces the incidence of neural tube defects in a fetus. Which foods are high in this mineral? A. Strawberries B. Milk C. Dark leafy green vegetable D. Lentils

A. Strawberries C. Dark leafy green vegetables D. Lentils

The nurse is caring for a pregnant client who is in labor and receiving epidural anesthesia. Which position should the nurse avoid when positioning this client? A. Supine B.Semi-Fowler's C. Right side lying D. Left side lying

A. Supine

The nurse knows that which of the following is true about twins for any given pregnancy? A. The chance of conception of monozygotic twins is not dependent on race or heredity B. Monozygotic twins occur when two eggs are fertilized by sperm C. Dizygotic twins are always the same sex D. Dizygotic twins are never the same sex

A. The chance of conception of monozygotic twins is not dependent on race or heredity

A nurse is assessing a client at 26 weeks gestation who complains of occasional contractions. Which of the following factors increases the client's risk of preterm labor? SATA A. UTI B. Multifetal pregnancy C. Maternal age of less than 30 years D. Diabetes mellitus E. Prepregnancy BMI of 20

A. UTI B. Multifetal pregnancy D. Diabetes mellitus

Immediately after a pregnancy client's membranes rupture, which nursing action is a priority? A. Monitoring the fetal heart rate B. Beginning antibiotic administration C. Putting the waterproof pad under the client D. Placing the client in Trendelenburg position

A. monitoring the fetal heart rate

The urine of a client who is 6 months pregnant tests positive for albumin. The nurse correctly considers that the client is developing which complication of pregnancy? A. Preeclampsia B. Liver impairment C. Amniotic embolism D. Gestational diabetes

A. preeclampsia

A pregnancy client of 12 weeks gestation asks the nurse when she can start feeling the fetal movements. The nurse should tell the mother that it begins at ___ weeks gestation. A. 10-14 B. 16-20 C. 20-24 D. 26-30

B. 16-20

During the first three months of pregnancy, the need for insulin in an insulin dependent diabetic will often: A. Increase B. Decrease C. Remain the same as pre-pregnancy D. Be variable depending on the patient

B. Dependent

A new mother states that she is afraid to have a bowel movement because she remembers the discomfort she explained after delivering her other child. The nurse should encourage her to: A. Eat low roughage and drink plenty of water B. Eat fresh fruits and vegetables, drink plenty of water, and ambulate C. Eat small amounts of food for several days so she will be less likely to have a bowel movement until her perineum heals D. Eat whatever she wishes, take a mild laxative, and keep up the Kegel exercises.

B. Eat fresh fruits and vegetables, drink plenty of water and ambulate

A nurse is caring for a client who has an intrauterine device (IUD). The client reports abrupt, sharp, lower abdominal pain and bright red vaginal bleeding. The nurse should identify that these are findings of which following conditions? A. Missed abortion B. Ectopic pregnancy C. Placenta previa D. Hydatidiform mole

B. Ectopic Pregnancy

A nurse is teaching a client who is pregnant about the variables that are scored during a biophysical profile (BPP) Which of the following variables should the nurse include? Select all that apply A. Fetal Weight B. Fetal breathing movement C. Fetal tone D. Fetal station E. Amniotic fluid volume

B. Fetal breathing movement C. Fetal tone E. Amniotic fluid volume

A pregnant client of 30 weeks gestation got admitted to prevent preterm birth. Which of the following medication should the nurse expect to administer? A. Prostaglandins B. Magnesium sulfate C. Methergine D. Oxytocin

B. Magnesium Sulfate

A nurse is assisting a new mother who was just discharged and notes that the baby's father has positioned a car seat for the infant in the front seat of the car. Which of the following instructions is most appropriate for the nurse to relay to the parents? A. Move the car seat to the back seat and secure it facing forward. B. Move the car seat to the back seat and secure it facing backward C. Leave the car seat in the front seat but ensure that the seatbelt is tight around the base D. Tell the parents that they need to use a different car seat

B. Move the car seat to the back seat and secure it facing backward.

The practical nurse is working in a prenatal clinic. What does the nurse know is true about ovulation? A. The egg will survive for up to 5 days after ovulation B. Ovulation typically occurs on day 12-16 before the start of the next menstrual cycle. C. Ovulation is accompanied by pain and thick cervical mucus D. The woman's body temperature falls 0.3 degrees F during ovulation

B. Ovulation typically occurs on day 12-16 before the start of the next menstrual cycle

A nurse is caring for a client who is in labor and has HIV. Which of the following procedures should the nurse identify as being safe for this client? (Select all that apply) A. Vacuum extraction B. Oxytocin infusion C. Use of forceps D. Cesarean birth E. Internal fetal monitoring

B. Oxytocin infusion D. Cesarean birth

A nurse is performing an examination of a pregnant client in labor. The nurse notes the umbilical cord protruding from the vagina. Which of the following is an initial nursing action? A. Inform physician B. Place client in Trendelenburg's position C. Gently push cord into vagina D. Transport the patient to labor room immediately

B. Place client in Trendelenburg's position

A nurse is caring for a client who is suspected to have an ectopic pregnancy. Which of the following findings should the nurse identify as a manifestation of ectopic pregnancy? A. No alteration in menses B. Shoulder pain C. Progesterone level higher than the expected reference range D. Report of severe leg cramps

B. Shoulder pain

A woman who is in labor is being treated for pre- eclampsia. How can the nurse determine if the woman develops eclampsia? A. The client develops albuminuria B. The client has a seizure C. The client's hands and face become swollen D. There are no fetal tones

B. The client has a seizure

The nurse massages the uterus of a postpartum client. Which assessment finding is the best indication that the intended effect of this nursing action has been achieved? A. Postpartal pain is relieved B. The uterus becomes firm C. The client passes clots from the vagina

B. The uterus becomes firm

A nurse is teaching the parents of a newborn about treatment measures for their newborn's plagiocephaly. Which of the following instructions should the nurse include? A. "Place your baby on her tummy while she is sleeping during the day" B. "Keep your baby's head in the same position during all activities" C. "Place the prescribed helmet on your baby's head for 23 hours a day" D. "Keep your baby in an infant swing for several hours during the day"

C. "Place the prescribed helmet on your baby's head for 23 hours a day"

The nurse is caring for a new mother who is breastfeeding her first baby. The nurse should tell the new mother that the colostrum will change to milk within: A. 6 Hours B. 24 Hours C. 2-3 days D. 7 Days

C. 2-3 Days

A nurse is preparing to administer Methergine to a client to treat postpartum hemorrhage. Before administering the drug, priority action of the nurse is to check: A. Intake and output B. Level of consciousness C. Blood pressure D. Lung sounds

C. Blood pressure

The nurse is assisting a breastfeeding mother. The nurse knowns that all of the following are true EXCEPT: A. The mother caloric intake should increase by 500 calories while breast feeding B. Medications the mother is taking may pass through the breast milk to the baby C. Breast feeding of a newborn should occur every 6 hours D. Newborns will have about eight wet diapers each day.

C. Breast feeding of a newborn should occur every 6 hours

The nurse is caring for a new mother who is sensitive to certain foods. Knowing that certain foods can pass through the breast milk to the infant, the nurse advises the mother to avoid which foods that have a tendency to cause allergic reactions in the infants? SATA A. Beef B. Chicken C. Eggs D. Peanuts E. Shellfish

C. Eggs D. Peanuts E. Shellfish

A pregnant client with known HIV infection is admitted to the hospital in active labor. Which method for assessing the fetus is most appropriate for the nurse to perform at this time? A.Fetal scalp sampling B. Chorionic villi sampling C. External fetal monitoring D. Internal fetal monitoring

C. External fetal monitoring

A nurse is teaching a client who is at 24 weeks of gestation and scheduled for an amniocentesis procedure. Which of the following client statements indicates an understanding of the teaching? A. I will lie on my right side during this test B. I cannot eat or drink anything for 24 hours prior to this procedure C. I must urinate prior to the procedure D. I will be given medication to put me to sleep during this procedure

C. I must urinate prior to the procedure

A nurse is caring for a client who is pregnant and experiencing backaches. Which of the following measures should the nurse tell the client to take to help relieve backaches? A. Soak in a hot tub once a day. B. Perform Kegel exercises twice a day. C. Perform the pelvic rock exercise every day. D. Position the knees higher than the hips when sitting. E. Sleep in a supine position

C. Perform the pelvic rock exercise every day. D. Position the knees higher than the hips when sitting

A client's Rh antibody titer indicated that she has not been sensitized to the Rh factor. The nurse should anticipate that which of the following will be given after the delivery? A. Bromocriptine mesylate (Parlodel) B. Oxytocin C. Rho (D) immune globulin (RhoGam) D. Rubella virus vaccine

C. Rho (D) immune globulin (RhoGam)

A home health nurse visits a postpartum client with a breast abscess. The client has purulent drainage from one breast and is receiving antibiotic therapy. Which information is most appropriate for the nurse to give the client to help prevent the spread of the infectious microorganisms? A. Take your antibiotics until the drainage is gone B. Keep your breasts supported in a tight bra C. Shower daily and wash your hands frequently D. Apply warm compresses at least four times a day.

C. Shower daily and wash your hands frequently.

An infant is delivered after a rapid labor and delivery. The mother requests the infant be allowed to stay with her for as long as possible before being taken to the nursery. What nursing action takes priority in the immediate postpartum period? A. Assigning the APGAR score B. Applying identification bracelets and obtaining footprints C. Suctioning with a bulb syringe D. Swaddling the infant in warm blankets

C. Suctioning with a bulb syringe

A nurse is teaching a client who is pregnant about supine hypotension. Which of the following information should the nurse include as a cause of this condition? A. An increase in blood volume during pregnancy B. Exertion from the uterus on the diaphragm C. The weight of the uterus on the vena cava D. An increase in the viscosity of the blood

C. The weight of the uterus on the vena cava

A laboring woman prefers to lie in the supine position during labor. The nurse instructs her that this is not a good position during labor for what reason? A. This position will cause the mother to experience more back pressure B. This position will prevent the baby from descending down into her pelvis C. This position may cause her blood pressure to drop, causing the baby's heart rate to decline. D. This position will cause her contractions to come too quickly, not giving her a chance to rest between contractions.

C. This position may cause her blood pressure to drop, causing the baby's heart rate to decline

A nurse is reviewing postpartum nutrition needs with a client who is breastfeeding. Which of the following statements by the client indicated an understanding of the instructions? A. "I can continue to smoke as long as I do it 30 minuted prior breastfeeding" B. "I should take folic acid to increase my milk supply" C. "I will continue adding 200 calories per day to my diet" D. "I will continue taking my vitamins while I am breastfeeding"

D. "I will continue taking my vitamins while I am breastfeeding"

A nurse is caring for a newborn who has necrotizing enterocolitis (NEC). Which of the following findings should the nurse recognize as a risk factor for this condition? A. Macrosomia B. Transient tachypnea of the newborn (TTN) C. Maternal gestational hypertension D. Gestational age of 35 weeks

D. Gestational age of 35 weeks

Folic acid is important before and during pregnancy because folic acid: A. Helps to regulate blood glucose B. Facilitates maternal absorption of calcium C. Promotes blood clotting in the mother and newborn D. Helps to prevent neural tube defects in the newborn

D. Helps to prevent neural tube defects in the newborn

The nurse is working in a clinic and is taking to a pregnant woman about using a seat belt during the second trimester of pregnancy. The client's comment that would indicate she needs further teaching is: A. I should use both lap and shoulder belts B. The lap belt should go under my belly across my hips C. The shoulder belt should go across the shoulder, chest and upper abdomen D. I should only wear the shoulder belt to prevent abdominal injury

D. I should only wear the shoulder belt to prevent abdominal injury

The nurse is working in labor and delivery and is caring for a full term client in labor whose midwife has just determined that the client's cervix is dilated to 6 cm. During a contraction, the client states that she is feeling the urge to push. What should be the nurse's first reponse? A. Tell her to push B. Turn her to a left lateral side lying position C. Call the midwife D. Instruct her to pant during each contraction

D. Instruct her to pant during each contraction

A nurse is assessing an infant who has heart failure to thrive. Which of the following findings should the nurse anticipate in this infant? A. The infant's movements will be highly coordinated B. The infant's muscles will be tense with increased tone. C. The infant will exhibit increased crying episodes. D. The infant will avoid making eye contact.

D. The infant will avoid making eye contact.

A client of 30 weeks gestation as placenta previa. Which of the following should NOT be performed by the nurse? A. Monitor fetal heart rate B. Provide side lying position C. Monitor maternal vital signs D. Vaginal examination

D. Vaginal examination

A nurse in a clinic receives a phone call from a client who asks about using a home pregnancy test. Which of the following should the nurse provide to the client? " A.You should wait at least 8 weeks after your last menstrual period to test for pregnancy. B. You should stop taking any prescribed medications for at least 24 hours prior to the test. C. You should not eat or drink for at least 8 hours prior to the test. D. You should perform the test the first time you urinate in the morning

D. You should perform the test the first time you urinate in the morning