Maternal Ch 2

A woman in active labor begins to recite a lullaby to "call the baby outside." Which action by the nurse caring for this woman is most appropriate at this time?

Allow the woman to perform a ritual

The RN and UAP are caring for children from various cultures. which action by the UAP will cause the RN to intervene

following the traditions of the UAPs own culture with each client

The fluid-filled, inner membrane sac surrounding the fetus is which structure?

* the hormones produces that ready the fetus for extraurterine life * the placenta produces hormone that ready support fetal growth * the placenta protects the fetus from an immune attack created by mother

The case manager is looking over the inpatient census on her floor to determine which client would be the best candidate for discharge with home health care follow-up. Which client would the case manager recommend to the physician for discharge?

10 yr old boy with an infected laceration on his leg who has been treated with IV antibiotics for 3 days

A nursing instructor is explaining the stages of fetal development to a group of nursing students. The instructor determines the session is successful after the students correctly choose which time period as representing the pre-embryonic stage?

2 weeks after fertilization to the end of the 8th week

You see a 3 year old girl in ambulatory clinic because she has a bad cold. Her mother tells you the girl's problem was caused by her being affected by "mal ojo".What would be the best response?

Ask her mother what symptoms she is experiencing

When a woman is admitted to the labor and delivery unit, her husband says he is going to work and asks you to call when the baby is born. Your best response to this husband would be to

Ask him if he knows that he can stay with his wife during labor

A couple who has been married for 10 years chose to postpone having children until their professional careers were established. They now feel ready to start a family. after many months of trying they are consulting with a fertility expert. The nurse should anticipate that this couple could be experiencing which NANDA due to the negative aspect of postponing pregnancy?

ineffective childbearing process Rationale: Ineffective childbearing process applies to human beings

A couple wants to start a family. They are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. They are seeing a nurse practitioner for preconceptual counseling. What would the nurse practitioner tell them about cystic fibrosis?

it is an autosomal recessive disorder

Which question would be most important for a nurse to ask a G2P1 client who has a child with sickle cell anemia?

Did you and your partner get genetic testing?

The home care nurse is teaching home health assistants about home visit safety. which statement by the home health assistant would require intervention by the nurse

I have become a member of the family, so I eat meals with them sometimes.

A woman has presented to the clinic with her sick school-aged child. The child's mother reports she rarely has enough money to meet the health care needs of her chronically ill child. What information should be provided to the woman

Medicaid may be available to low income parents and their children

A couple had decided not to circumcise their newborn for nonreligious reasons. What is the appropriate response from the nurse?

OK great I will let the physician know

A woman who is from the Philippines becomes upset when the nurse brings in an interpreter, rather than using her cousin as the translator. Which would be the best reason for using an official interpreter in this case?

There may be cultural limitations that change how the information is being interpreted.

A mother has come to the clinic with her 13-year-old daughter to find out why she has not started her menses. After a thorough examination and history, genetic testing is prescribed to rule out which abnormality?

Turner syndrome

A nurse assesses that a 15-year-old female client has not developed secondary sexual characteristics, is short in stature, and has a webbed neck. The nurse identifies this as being most likely related to which diagnosis

Turner syndrome

A pregnant client asks the nurse if the fetus can be tested for Down syndrome. Which statement by the nurse is most appropriate?

Yes, a chromosomal analysis can be done to assess for Down syndrome

Fetal circulation differs from the circulatory path of the newborn infant. In utero the fetus has a hole connecting the right and left atria of the heart. This allows oxygenated blood to quickly pass through the major organs of the body. What is this hole called

foramen ovale

A woman is in the second stage of labor, 8-cm dilated and 90% effaced. She keeps very quiet without expressing any outward signs of pain. Which intervention by the nurse would be most appropriate in this situation?

allow the woman to labor according to her cultural beliefs

The fluid-filled, inner membrane sac surrounding the fetus is which structure?

amnion

The home care nurse visits a pregnant client who speaks very little of the dominant language. At the visit her spouse, who is fluent in the dominant language is not present. Which intervention is the most appropriate?

call a telephone interpreter and conduct the visit

Which body system is most affected throughout the embryonic and fetal period by teratogens?

central nervous system

The home care nurse is visiting with a pt and family for the 1st time Which initial action can the nurse take to build trust with the client and family

communicate in an organized and professional manner

The school nurse is presenting a lecture to adolescents to teach them how conception occurs. Which statement by the nurse would accurately describe this process?

conception usually occurs when the ovum is in the outer third of the fallopian tube

A home care nurse is visiting a pregnant client from the Arab culture. During the health history husband frequently answers questions for the client. How should the nurse respond

continue with the health history

A 7 yr pt on a ventilator who is being cared for at home is admitted to the hospital for the 4th time in a 6 week period for respiratory complications. what is the priority nursing diagnosis for this client

deficient knowledge

When assessing newborns for chromosomal disorders, which assessment would be most suggestive of a problem?

low set ears

A Native American/First Nations mother has just arrived in the L & D department in active labor. Following the birth, which cultural practice may the nurse help arrange? ×

making arrangements for the mother to take home placenta after the birth

The nurse is assessing an infant girl at her 1st well baby visit, the nurse also observes the actions of the six year old brother and parents who share that she was the best anniversary present they received this year. Which type of family will the nurse conclude these individuals represent/

nuclear

Amniotic fluid is produced throughout the pregnancy by the fetal membranes. Amniotic fluid has 4 major functions. what is one of these functions/

physical protection

Transcultural nursing

planning care compatible with the clients health belief system

The camp nurse is reviewing the health information of the participants at a school age camp for children with diabetees.What topic would be most appropriate for this group?

self administration of insulin

Spermatozoa begin their cellular division in what part of the male reproductive system?

seminiferous tubules

In developing a plan of care for a 5-year-old child with Down syndrome, what should be a priority for the nurse in meeting the expected growth and development outcomes for this child?

the child is enrolled in kindergarten

A nurse is caring for a couple during a prenatal clinic visit. Which assessment finding would lead the nurse to suggest counseling for the couple?

the mother suggests the prior two miscarriages were an emotional struggle for her

A nurse is providing home care to a pregnant woman who is on bed rest. The woman who has 2 other children. During her assessment the RN asks the woman how she occupies her time. what is the best rationale for this question?

to engage that the woman is not engaging in activities that would disrupt her rest

A 33-year-old pregnant client asks the nurse about testing for birth defects that are safe for both her and her fetus. Which test would the nurse state as being safe and noninvasive

ultrasound