Maternal Exams
A
98. The nurse is concerned that a pregnant patient is using cocaine. What should the nurse suggest to the HCP to confirm this suspicion? a. Urinalysis b. Electrocardiogram c. Complete blood count d. Stool test for occult blood
C
A client who's in the transition phase reports her pain medication that was given 3 hours ago is no longer effective and she wants more meperidine. What is the best response from the nurse? a. Since is over 3 hours, we can give it b. It is too early for the medication to be given again c. Your stage of labor makes giving another dose unsafe d. I will get permission from the healthcare provider
A
A new mother asks you how soon she can breastfeed after delivery. Which would be your best answer? a. Immediately after birth b. After the infant is allowed to rest c. Once the infant has a first feeding of formula d. In 24 hours after her infant is given water
C
A new mother does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. What should the nurse explain to the mother to allay her fears? a. Only people who are known by the staff are allowed in b. Keeping the baby in the mother's room at all times is the best approach c. Both the mother and the infant have ID wristbands on that match d. Security questions anyone before permitting them access to the hospital
B
A newborn is prescribed to receive vitamin K 0.5 IM. What should the nurse do when administer it to the newborn? a. Administer to deltoid muscle b. Administer to anterolateral muscle c. Provide medication immediately before breastfeeding d. Notify the physician for swelling and irritation at the injection site
D
A nonstress test is an assessment test based on which phenomenon? a. Braxton-hicks contractions cause fetal heart rate alterations b. Fetal heart rate slows in response to a uterine contraction c. Fetal movement causes an increase in maternal heart rate d. Fetal heart sounds increase in connection with fetal movement
B
A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method? a. Diabetes mellitus b. Trisomy 21 c. Phenylketonuria d. Impetigo
D
A nurse is assessing a postpartum woman. Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period? a. She sits and rocks her infant for long intervals b. She is eager to talk about her birth experience c. She has not asked for anything for pain all day d. She did her perineal care independently
D
A nurse is reviewing a journal article about fetal development and the formation of various body systems. When reading about the development of the digestive system the nurse finds information related to the developmental abnormality of omphalocele. The nurse demonstrates understanding of this by identifying which situation as the reason for an omphalocele? a. Fetus suffered bowel obstruction at an early point in life b. Fetal abdomen formed with a smaller internal cavity than normal c. Intestines formed without sufficient nerve innervation for contraction d. Intestines failed to return to the abdominal cavity during intrauterine life
A
A nurse is teaching a pregnant woman how to perform Kegel exercise. The nurse determines that the teaching was effective based on which statement by the woman? a. Ill squeeze my muscles around my vagina as if I'm stopping my urine stream b. I should clasp my hands on my abdomen and push c. I need to tighten my perineal muscles and hold for 10 seconds d. I should tighten my abdominal muscles while whistling
C
A nurse is working with a pregnant woman to develop a birth plan with her partner, the couple decides early in the pregnancy to give birth at home. Which information would be most important for the nurse to reinforce when discussing the birth plan with the couple to achieve a positive outcome? a. Sticking with the plan as outlined b. Ensuring adequate supplies are available c. Being flexible with the plan's components d. Focusing on a specific goal.
C
A patient is 28 weeks pregnant and is demonstrating signs of placental insufficiency. The HCP prescribes betamethasone. When teaching the patient about this drugs purpose, which information would the nurse include? a. It stops premature labor b. It improves function of the placenta c. It potentiates the formation of surfactant d. It improves immunologic function of the fetus
D
A patient who learned of being 9 weeks pregnant asks the nurse to explain the changes occurring in her body. The woman states I'm really interested in learning what is happening, so I can do the best for my body. Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time? a. Anxiety b. Impaired coping c. Deficient knowledge d. Readiness for enhanced knowledge
B
A postpartum woman has a history of thrombophlebitis. Which action would help the nurse determine if she is developing this postnatally? a. Ask her if she feels any warmth in her legs b. Assess calf for redness and edema c. Take her temp every 4 hours d. Palpate her feet for tingling and numbness
D
A pregnant adolescent asks if she should take a prepared childbirth course. Which of the following would be your best response? a. Adolescents generally do not do well in such courses b. Adolescent labor is so different that the course material will not apply c. Because cesarean birth is likely, the material would probably not be used d. Woman of any age are well advised to begin labor prepared for the event
B
A pregnant adolescent has many questions and concerns about the pregnancy and birthing process. What should the nurse recommend to this patient? a. Talk to her mother b. Attend childbirth classes c. Obtain books from the library d. Ask the HCP the questions
A
A pregnant patient has an anthropoid pelvis. How should the nurse explain this finding to the patient? a. Transverse narrow b. Ideal for childbearing c. Similar to shape in a male d. Has weaker bones than normal
A
A pregnant patient is diagnosed with hyperthyroidism. For which medication should the nurse prepare teaching for this patient? a. Methimazole b. Cephalosporin c. Levothyroxine d. Propylthiouracil
D
A pregnant patient is planning to give birth to the baby at home. Which patient statement indicates to the nurse that this patient is a good candidate for this birthing option? a. All women in my family had easy labors b. I want to have a baby without boring prenatal care c. I know nothing about birth, so a hospital intimidates me d. I have no health problems and follow good self-care practices
A
A pregnant patient with a history of premature cervical dilation undergoes cervical cerclage. What outcome indicates the procedure has been successful? a. The client delivers a full-term fetus at 39 weeks b. The client's membranes spontaneously rupture at week 30 of gestation c. The client experiences minimal vaginal bleeding throughout the pregnancy d. The client has reduced shortness of breath and abdominal pain during the pregnancy
D
A pregnant woman asks about the advantages of hospital birth. Which information is the nurse most likely to include in the response? a. What was right for her mother will surely be right for her b. A hospitals primary function is promotion of health c. Having anesthesia in a hospital setting will shorten labor d. Security of knowing emergency equipment is on hand
D
A pregnant woman experiences frequent leg cramps. Which measure would the nurse include in her teaching plan to provide her with relief? a. Elevating her leg on two pillows b. Bending her knee and dorsiflexing her foot c. Plantar flexing her foot and wiggling her toes d. Extending her knee and dorsiflexing her foot
C
A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? a. Performing a vaginal examination to assess the extent of bleeding b. Helping the woman remain ambulatory to reduce bleeding c. Assessing fetal heart tones by use of an external monitor d. Assessing uterine contractions by an internal pressure gauge
B
A pregnant woman is diagnosed with hyperthyroidism and is prescribed propylthiouracil as a part of the treatment plan. When teaching the woman about this medication and its effect on the fetus, which information would the nurse include? a. This drug is relatively safe and shouldn't cause your baby any problems b. Your baby might be born with an enlarged thyroid gland c. Your baby has an increased risk for developing diabetes d. The drug could lead to problems with blood clotting in your baby.
B
A primipara woman at 30 weeks gestation, has no family support and frequently calls the HCP office with questions. Which report by the woman would alert the nurse she is having complications related to the pregnancy and needs to come into the clinic for further assessment? a. Having a hard time having bowel movements and feeling like the anal area is swollen b. Feeling of achy, cramping in vaginal area accompanied by bleeding that has saturated 1 pad/hour c. Experiencing some shortness of breath after walking up 5 flights of stairs d. Having some discharge from nipples that has never happened before
C
A woman asks how she can judge that her infant is receiving sufficient breast milk. What would be the most appropriate response? a. You need to weigh the infant before and after each feeding b. The infant should sleep at least 3 hours between feedings c. The infant should gain weight and have six wet diapers a day d. The infant should not become constipated
A
A woman asks the nurse if she can take an OTC vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that make them important for pregnancy nutrition is: a. Folic acid b. Vitamin b12 c. Vitamin c d. Potassium
A
A woman at 32 weeks gestation is admitted in preterm labor. On the nurse's admission assessment, which of the following findings would cause the nurse to question the administration of a tocolytic agent? a. Cervical dilation of 5cm b. Strong, regular contractions c. Fetus in a breach presentation d. A spontaneous abortion in an earlier pregnancy
D
A woman develops gestational diabetes. Which assessment should she make daily? a. Test her urine for protein with chemical reagent strip b. Measure her abdominal diameter with a tape measure c. Measure her uterine height by hand-span distance d. Measure serum for glucose level by finger prick
D
A woman has been diagnosed as having gestational hypertension. Which symptom for this condition is the most typical? a. Increased perspiration b. Weight loss c. Susceptibility to infection d. Blood pressure elevation
C
A woman in early pregnancy is concerned because she is nauseated every morning. Which measure would be best to help relieve this? a. Take a teaspoon of baking soda before breakfast b. Delay toothbrushing until noon c. Delay breakfast until midmorning d. Take two aspirin on arising
A
A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. What would be the most likely cause of these symptoms? a. Premature separation of the placenta b. Preterm labor that was undiagnosed c. Placenta previa obstructing the cervix d. Possible fetal death or injury
A
A woman in labor is at risk for abruptio placentae. Which assessment would most likely lead the nurse to suspect that this has happened? a. Sharp fundal pain and discomfort between contractions b. Painless vaginal bleeding and a fall in blood pressure c. Pain in a lower quadrant and increased pulse rate d. An increased blood pressure and oliguria
C
A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare for? a. Bed rest for the next 4 weeks b. Intravenous administration of a tocolytic c. Immediate surgery d. Internal uterine monitoring
C
A woman is in labor with her second child. She knows that she will want epidural anesthesia and has already signed the consent form. What must the nurse do before the woman receives the epidural? a. Review the medical history and lab results, interview her to confirm all information is accurate and up to date b. Place the woman in the fetal position on the table and keep her steady so that she wont move during the procedure c. Administer iv fluid bolus through the iv to reduce risk of hypotension d. Prepare a sterile field with the supplies and medications that will be needed
B
A woman of normal weight asks you what an ideal weight gain is during pregnancy. Which of the following would be your answer? a. She should not gain over 20 pounds b. 25-35 pounds is ideal c. The amount of weight gain isn't important d. Any gain over 30 pounds is ideal
A
A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information? a. Sickle cell anemia is recessively inherited b. Sickle cell anemia has more than one polygenic inheritance pattern c. Sickle cell anemia is dominantly inherited d. Sickle cell anemia is not inherited, it occurs following a malaria infection
C
A woman who has small breasts is afraid that she will not have enough breast milk. Which of the following is the nurse's best response to this? a. No woman has to worry about milk production as long as she feeds the baby frequently b. Have you discussed this concern with your physician? Your breasts don't seem very big c. This is a common concern. The size of the breasts however does not reflect the number of milk glands present d. If you're worried you can begin to supplement the baby's diet with formula beginning on the second day.
B
A woman who is 4 months pregnant asks what can be done to alleviate frequent heart palpitations and leg cramps. Which nursing diagnosis would be applicable to the patient at this time? a. Pain related to severe complications of pregnancy b. Health seeking behaviors related to ways to relieve discomfort of pregnancy c. Risk for ineffective breathing pattern related to pressure of the growing uterus d. Impaired urinary elimination related to inability to excrete creatine from the muscles
C
A woman's husband expresses concern about the risk of paralysis from an epidural block being given to his wife. Which would be the most appropriate response by the nurse? a. An injury is unlikely because of expert professional care given b. I have never read or heard of this happening c. The injection is given in the space outside the spinal cord d. The injection is given at the third of route thoracic vertebrae, so paralysis is not a problem
C
After delivery of the placenta, a patient's uterus is sluggish to contract. What should the nurse prepare to do to assist the patient at this time? a. Administer IV fluids b. Measure blood pressure Q15 c. Administer oxytocin as prescribed d. Prepare to administer blood products as prescribed
C
An 18-year-old pregnant woman asks the nurse why she has to have a routine alpha-fetoprotein serum level drawn. The nurse explains that this: a. Is a screening test for placental function b. Tests the ability of her heart to accommodate the pregnancy c. May reveal chromosomal abnormalities d. Measures the fetal liver function
D
An adolescent patient delivers an 8-lb baby after being in labor for 12 hours. During the postpartum period, which assessment is priority for the nurse to complete? a. Endometritis b. Thrombophlebitis c. Amniotic embolus d. Postpartum hemorrhage
C
At her 16-week checkup. A client's blood pressure is slightly decreased from her pre-pregnancy level. The nurse evaluates this change based on which statements concerning blood pressure during pregnancy? a. Normally blood pressure increases steadily throughout pregnancy b. Blood pressure remains stable until decreasing the day of the birth c. A decrease in the second trimester may occur because of placental growth d. Blood pressure progressively decreases throughout the entire pregnancy
A
At midpoint during pregnancy, you review beginning signs of labor with a patient. One of the beginning sings of labor you would review is a. Sudden gush of clear fluid from the vagina b. Excessive fatigue and headache c. Sharp, right sided abdominal pain d. An increased pulse rate and upper abdominal pain
A
During a home visit, a new mother is concerned that after three meconium stools the newborn has a bright green stool. What should the nurse explain to the mother? a. This is a normal finding b. This is most likely a symptom of diarrhea c. The baby may be developing an allergy to breast milk d. The child will need to be isolated until the stool can be cultured
B
During a physical assessment, the nurse palpates a pregnant patients fundus at the level of the umbilicus. What statement should the nurse make the patient about this assessment finding? a. You're at 12 weeks of your pregnancy b. You're at 20 weeks of pregnancy c. You're at 36 weeks of your pregnancy d. You can go into labor at any time now
D
During an assessment a patient that's 5 months pregnant tells the nurse that she has to change her diet because she is becoming too fat. Which nursing diagnosis should the nurse use to guide interventions for the patient at this time? a. Powerlessness b. Imbalanced nutrition c. Deficient knowledge d. Disturbed body image
B
During the active stage of labor, a patient's membranes spontaneously rupture. Which action should the nurse do first after this occurs? a. Turn the patient onto the left side b. Assess fetal heart rate for fetal safety c. Test a sample of the amniotic fluid for protein d. Instruct to bear down with the next contraction
B
During the interview portion of her prenatal visit, a woman reports she thinks she may have a vaginal infection. When questioned, she reports the discharge is thick, greenish yellow and she is very uncomfortable. She reports she thinks its yeast. How should the nurse reply? a. You are describing gonorrhea b. Yeast is thick, cheesy, white discharge so we will need to evaluate it during the pelvic exam c. You have an std d. You may have chlamydia, so we will need to perform a pelvic exam
A
Early in pregnancy, frequent urination results mainly from which cause? a. Pressure on the bladder from the uterus b. Increased concentration of urine c. Addition of fetal urine to maternal urine d. Decreased glomerular selectivity
D
If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor? a. A shallow deceleration occurring with the beginning of contractions b. Variable decelerations, too unpredictable to count c. Fetal baseline rate increasing at least 5 mmhg with contractions d. Fetal heart rate declining late with contractions and remaining depressed
B
If constipation is a problem for a woman during pregnancy, which measure would be best to recommend? a. Mineral oil b. Increased fiber intake c. Stopping prenatal vitamins temporarily d. Eating more meat products
B
If the monitor pattern of uteroplacental insufficiency were present, which action would the nurse do first? a. Help the woman to sit up in a semi-fowlers position b. Turn her or ask her to turn to her side c. Administer oxygen 3-4 L by NC d. Ask her to pant with the next contraction
D
Immediately following an epidural block, a woman's blood pressure suddenly falls to 90/50 the nurses first action would be to: a. Raise the head of the bed b. Ask her to inhale deeply at least 5 times c. Administer oxygen by facemask d. Turn her on her left side and raise the legs
B
Implantation generally occurs at which place on the uterus? a. Lower anterior surface b. Upper posterior surface c. Directly over the cervical os d. Directly over an opening to a fallopian tube
A
Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the following topics would you expect to include in the teaching plan? a. Ways the pregnant adolescent can learn to cook her own food b. Ways to obtain good pregnancy nutrition in restaurants c. Ways to remember to take an iron supplement daily d. Nutritional advantages of fresh food vs frozen foods
C
On inspecting a newborns abdomen which finding would you note as abnormal? a. Abdomen slightly protuberant b. Liver is palpable in right quadrant c. Bowel sounds are present at 2-3 per minute d. Clear drainage at the base of the umbilical cord
D
On the first day postpartum, a new mother is concerned that her milk hasn't come in. the nurse would explain to her that: a. Most mothers do have milk by 1 day postpartum b. She will not have breast milk until 7 days postpartum c. Her infant must not be sucking well, or she would have milk by now d. Breast milk normally comes in on the third or fourth postpartum day
A
The nurse is teaching a pregnant patient with cardinal movements of labor. What should the nurse explain that occurs once the fetal head presses on the sacral nerves at the pelvic floor? a. The fetal head bends forward onto the chest b. The fetal head rotates into a transverse position c. The head extends so that the face and chin are born d. The shoulders move into an anteroposterior position
C
The fetus of a woman in labor is in a vertex presentation and at a -1 station. The nurse would interpret this to mean that the fetal head is: a. At the ischial spines b. Engaged c. Floating d. Crowning
A
The nurse assesses a postpartum woman's perineum and notices her lochia discharge is moderate in amount and red. The nurse would record this as what type of lochia? a. Lochia rubra b. Lochia serosa c. Lochia normalia d. Lochia alba
D
The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance? a. Meals high in iron b. Milk c. Legumes d. Orange juice
C
The nurse instructs a pregnant patient on the need to increase foods containing folic acid. Which patient statement indicates that teaching has been effective? a. Eating an extra orange, a day is important b. I need to drink two glasses of milk per day c. I will add spinach to my salad every evening d. Cabbage and cauliflower are important for me to eat
A
The nurse instructs a pregnant patient with sickle cell anemia on ways to prevent a crisis. Which patient statement indicates the teaching has been effective? a. I should drink eight glasses of water everyday b. I should take an iron supplement everyday c. I should make sure I stand for at least 4 hours everyday d. I should avoid sitting with my legs elevated during the day
D
The nurse instructs the client about skin massage and the gate-control theory of pain. Which statement would be appropriate for the nurse to include for the client understanding of the nonpharmacological pain relief methods? a. The gate control mechanism is located at the pain site b. Pain perception is decreased if anxiety is present c. The gate control mechanism opens so all the stimuli pass through to the brain d. This is a technique to prevent the painful stimuli from entering the brain
A
The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the patterns of sole creases? a. Creases on 2/3 of the foot b. Heel creases but no anterior creases c. Longitudinal but no horizontal creases d. Creases covering ¼ of the foot
C
The nurse is completing a physical assessment with a patient who has just learned of being pregnant. The patients last menstrual cycle was august 15the. When should the nurse instruct the patient that the baby will be due? a. July 15 b. July 27 c. May 22 d. April 15
B
The nurse is explaining the process of fertilization to a patient who has just learned of being pregnant. On which day during pregnancy should the nurse explain the embryo implants on the uterine surface? a. Four days after fertilization b. 8-10 days after fertilization c. 14th day of typical menstrual cycle d. 10 days after the start of the menstrual flow
C
The nurse is identifying nursing diagnosis appropriate for a pregnant patient who is substance dependent. Which diagnosis should the nurse identify as applicable to this patient's needs? a. Impaired home maintenance related to sensory challenge b. Risk for disruption of social interaction related to unclear speech c. Risk for injury to self and fetus related to chronic substance dependency d. Readiness for enhanced family coping, related to commitment to have a child in the face of a disabling condition
C
The nurse is monitoring a pregnant patient who is receiving IV magnesium sulfate for eclampsia. During the last assessment, the nurse was able to elicit a patellar reflex. What should the nurse do? a. Check fetal heart rate b. Measure blood pressure c. Stop the current infusion d. Increase the infusion rate
D
The nurse is preparing to assess the nutritional status of a patient who is 8 weeks pregnant. What is the most effective way for the nurse to assess the patient's food intake thus far in the pregnancy? a. Asses the skin status for hydration and color b. Ask the patient to describe total intake for a week c. Assess a list that the patient describes as a good diet d. Ask the patient to describe intake for the last 24 hours
C
The nurse is reviewing medication orders for a pregnant patient diagnosed with a urinary tract infection. Which medication order should the nurse question for this patient? a. Ampicillin b. Amoxicillin c. Tetracycline d. Cephalosporin
C
The nurse is reviewing the plan of care for a pregnant patient experiencing a threatened miscarriage. Which outcome would be appropriate for this patient? a. Bed rest is maintained until all bleeding stops b. Less than one perineal pad is saturated per hour c. Bleeding spontaneously stops within 24-48 hours d. Normal coitus is returned one week after the episode
B
The nurse is visiting a family who has a child with a genetic disorder. The oldest daughter in the family is planning marriage within the next few months. Which intervention should the nurse include that would support the 2020 health goals for genetic disease? a. Counsel the daughter to have no kids b. Encourage her to get genetic counseling c. Discuss voluntary sterilization options prior to marriage d. Explain that the chance of genetic anomalies in children is slim
B
The nurse prepares a couple to have a karyotype performed. What describes a karyotype? a. A blood test will reveal an individual's homozygous tendencies b. A visual representation of the chromosome pattern of an individual c. The gene carried on the X or Y chromosome d. The dominant gene will exert influence over a correspondingly located recessive gene
C
The nurse records the newborns apgar score at birth. A normal 1-minute apgar score is: a. 1 to 2 b. 5 to 9 c. 7 to 10 d. 12 to 15
A
The nurse teaches the pregnant patient the manifestations associated with complications while pregnant. Which statement indicates that additional patient teaching is needed? a. Pain with urination is expected during pregnancy b. I should call the doctor if I have any vaginal bleeding c. A sudden rush of fluid means that my membranes have ruptured d. I should not worry if I vomit once a day for the first 12 weeks
B
Using the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation a. 3 2 1 2 1 b. 4 2 2 1 1 c. 3 2 1 1 1 d. 4 1 1 1 1
C
What advice would you give to a woman who is 4 pregnant and owns a cat? a. Give it away until after delivery b. Be careful that it doesn't scratch her c. Ask someone else to change the cat litter d. Refrain from cleaning the cat's dish
B
What is a positive sign of pregnancy? a. Positive pregnancy test b. Fetal movement felt by examiner c. Hegars sign d. Uterine contractions
A
What should the nurse include when counseling potential parents about genetic disorders? a. Environmental influences may affect multifactorial inheritance b. Genetic disorders primarily follow mendelian laws of inheritance c. All genetic disorders involve a similar number of abnormal chromosomes d. The absence of genetic disorders in both families eliminates the possibility of having a child with a genetic disorder
B
What would be the physiologic basis for a placenta previa? a. A loose placental implantation b. Low placental implantation c. A placenta with multiple lobes d. A uterus with a midseptum
A C E
When assessing a newborn identified genetically as 46XY21+, what can the nurse expect to note on the assessment findings? Select all that apply a. Poor muscle tone b. Wide lower jaw c. Palmar crease d. High hair line e. Protruding tongue
D
When caring for a newborn several hours after birth, the nurse assesses the newborns respiratory rate. In a normal newborn, this would be: a. 12-16 breaths per minute b. 16-20 breaths per minute c. 20-30 breaths per minute d. 30-60 breaths per minute
D
When doing a health assessment, at which location would the nurse expect to palpate the fundus in a woman on the second postpartum day and how should it feel? a. Fundus height 4 cm below umbilicus midline b. Fundus two fingerbreadths above symphysis pubis and hard c. Fundus 4 cm above symphysis pubis and firm d. Fundus two fingerbreadths below umbilicus and firm
A
When palpating for fundal height on a postpartum woman, which technique is preferred? a. Placing one hand on the base of the uterus, one on the fundus b. Placing one hand on the fundus, one on the perineum c. Resting both hands on the fundus d. Palpating the fundus with only fingertip pressure
D
Which change in insulin is most likely to occur in a woman during pregnancy? a. Enhanced secretion from normal b. Not released because of pressure on the pancreas c. Unavailable because it is used by the fetus d. Less effective than normal
A
Which finding would lead the nurse to suspect that a woman is developing a postpartum complication? a. An absence of lochia b. Red colored lochia for the last 24 hours c. Lochia that is the color of menstrual blood d. Lochia appearing pinkish-brown on the fourth day
A
Which food below is not a good source of iron? a. Milk b. Legumes c. Grains d. Beef
C
Which information would the nurse emphasize in the teaching plan for postpartum woman who is reluctant to begin taking warm sitz bath? a. Sitz baths cause perineal vasoconstriction and decreased bleeding b. The longer a sitz bath is continued, the more therapeutic it becomes c. Sitz baths increase the blood supply to the perineal area d. Sitz baths may lead to increased postpartum infection
B
Which of the following is an advantage of breastfeeding for the infant? a. Breastmilk is more difficult to digest, so it makes the infant feel fuller longer b. Breastmilk contains antibodies and thus decreases the possibility of GI illness c. It takes less effort for an infant to suck at a breast than from a bottle d. Breastmilk leads to firmer stools, increasing bowel tone
C
Which of the following is true of pelvic rocking during pregnancy? a. It should hurt or it will be ineffective b. It stretches perineal muscles c. It helps relieve backache d. It may cause mild abdominal cramping
D
Which of the following supports why a preterm fetus is usually more affected by medication given at birth than a full-term fetus? a. Affinity of the preterm fetus to drugs that are fat soluble b. Affinity of the preterm fetus to drugs that are strongly bound to protein c. Inability of the preterm fetus to use drugs with a molecular weight over 1000 d. Inability of the immature liver to metabolize or inactivate drugs
B
Which of the following would you suggest to a pregnant woman who follows a vegetarian diet? a. Include at least one serving of meat daily b. Anticipate needing a vitamin b12 supplement during pregnancy c. Be careful not to eat more than 4 servings of fruit daily d. Discontinue a vegetarian diet for the remainder of pregnancy
D
Which possible outcome would be a major disadvantage of any pain relief method that also affects awareness of the mother? a. The fathers coaching role may be disrupted at times b. The infant may show increased drowsiness c. The mother may have continued memory loss postpartum d. The mother may have difficulty working effectively with contractions
D
Which two tests are generally performed on urine at a prenatal visit? a. Protein and sodium b. pH and glucose c. occult blood and protein d. protein and glucose
B
While conducting Leopold maneuvers, the nurse determines that the fourth maneuver does not need to be done. What information caused the nurse to make this decision? a. The fetus is in the cephalic presentation b. The fetus is not in cephalic presentation c. The nurse palpated angular bumps and nodules d. The nurse palpated a round and hard mass that moves freely
B
a woman has come to the clinic for her first prenatal visit. Which method would be the most effective way for the nurse to initiate data gathering for a health history? a. Ask her to complete a written questionnaire concerning her past and present status b. Conduct an interview in a private room to obtain her health history c. Wait until she is in the exam room and prepared for a physical exam d. Ask her some basic questions in the waiting room before taking her to the exam room
C
linked recessive disease (hemophilia A) her husband is free of the disease. What frequency of this disease could she expect to see in her children? a. All male children will inherit it b. All female children will be carriers like she is c. There is a 50% chance her male children will inherit the disease d. There is a 50% change her female children will inherit the disease
