maternity exams and quizzes

The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments are covered by REEDA? Select all that apply. A. Perineal coloration B. Degree of laceration C. Amount of swelling D. Approximation of the suture line E. Description of pain

A, C, D

A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the following signs/symptoms is the nurse observing? Select all that apply. A. Excessive sucking B. Lethargy C. Prolonged periods of sleep D. Increased tone E. Tachypnea

A, D

Standards of practice are guidelines that determine the scope and practice of nurses. Which of the following are included aspects of states nursing practice acts? Select all that apply: A. Types of nursing titles and nursing licenses B. Concept analysis C. Evidence based practice D. Authority, power, and composition of a nursing board E. Educational program standards

A, D, E

A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the following interventions should the nurse suggest? A. Massage the breast while breastfeeding B. Change the newborn's position when you feel pain C. Apply mineral oil to the nipples D. Keep the nipples covered between feedings

B

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take? A. Place a hot pack to the perineum B. Apply an ice pack to the affected area C. Offer a warm sitz bath D. Provide a squeeze bottle of antiseptic solution

B

A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? A. "Apply breast milk to the nipples and allow them to air dry." B. "Use the various infant positions for feedings." C. "Take a warm shower right after feedings." D. "Apply cold compresses between feedings."

B

A nurse wishes to improve their cultural sensitivity while working with patients. Which action by the nurse would best indicate progress toward this goal? A. Demonstrate good knowledge of different cultural health beliefs B. Effectively respond to the needs of people of different cultures C. Interact respectfully with patients who have differing health beliefs D. Recognize that they will never be the expert in other cultures

B

Fetal heartrate monitoring of a full-term breech presentation fetus may show ______. A. Acceleration B. Early decelerations C. Variable decelerations D. Moderate variability

B

How many after weeks of gestation is a post-term newborn baby delivered? A. 35 weeks B. 42 weeks C. 37 weeks D. 40 weeks

B

The client, who is 12 days postpartum, telephones the clinic and tells the nurse that she is concerned that she may have an infection because her vaginal discharge has been creamy white A. Take your temperature and let me know if it is elevated. B. A creamy, white discharge 10 days postpartum is normal. C. You need to come to the clinic as soon as possible. D. You'll need an antibiotic; which pharmacy do you use?

B

The nurse educator on a postpartum unit is gathering information on a new delayed bathing procedure. She's found several journal articles, watched recordings from multiple pediatric providers, and asked her local AHWONN leadership for documentation on the topic. What is the nurse educator doing? A. Implementing the nursing process B. Evidenced based research C. Conducting a case study D. Performing a concept analysis

B

The nurse finds documentation in the 4-hour-old newborn's medical record that states, "Clamping of the umbilical cord was delayed until cord pulsations ceased." When assessing and collecting additional information about the newborn, what effect should the nurse find as a result of the delayed cord clamping? A. Increased level of newborn alertness after birth B. An increase in the newborn's hemoglobin and hematocrit C. More rapid expulsion of meconium by the newborn D. An increase in the newborn's initial temperature

B

The nurse is discussing contraception with a couple before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend? A. Emergency Contraceptives B. Oral estrogen/progesterone pill C. Depo-Provera D. Natural Family planning

B

The nurse is reviewing the paperwork for a new patient who is seeing the health-care provider for the first time. What finding would alert the nurse to the presence to the tension-building phase of intimate partner violence (IPV)? A. History of black eyes B. Patient reports that his partner has a bad temper and tries to stay out of his way during this time C. Patient states that he has a great relationship with his partner D. Denies use of drugs or alcohol

B

The perinatal nurse is providing care to a 32-year-old G1 TPAL 0000 at 34 weeks' gestation. Her blood pressure is 170/100 mm Hg, reflexes are +3, urine is 2+ for protein, and the patient is complaining of a headache. An intravenous solution of magnesium sulfate is begun with an hourly dose of 2 g. Which laboratory value would be assessed most carefully by the nurse? A. Gamma-glutamyl transpeptidase B. Liver enzymes C. Neutrophil count D. Hematocrit

B

Universal screening for IPV is defined by which of the following statements? A. Every patient is screen who has numerous high risk factors for IPV B. Every patient is screened, whether they present with indicators or not C. Every patient is screen who has a history of IPV D. Every patient is screen when they present with indicators

B

A newborn nursery nurse notes that a 36-hour-old baby's body is jaundiced. Which of the following nursing interventions will be most therapeutic? A. Maintain a warm ambient environment. B. Have the mother feed the baby frequently C. Have the mother hold the baby skin to skin. D. Place the baby naked by a closed sunlit window.

C

A client is on magnesium sulfate for severe pre-eclampsia. The nurse must notify the attending physician regarding which of the following findings? A. Patellar and biceps reflexes of +3. B. Urinary output of 30 mL/hr. C. Respiratory rate of 16 rpm D. Serum magnesium level of 9 g/dL.

D

A 5-minute-old newborn in a delivery room has a good cry, HR 88, well flexed, good reflex irritability, and blue extremities with a completely pink body. What Apgar score would the nurse document for this newborn? ______________

8

A mother-baby nurse assesses newborns for their risk of developing hypoglycemia. Which infant would the nurse assess as being at highest risk? A. Infant with cold stress B. Infant with heat stress C. Delayed feedings after birth D. Infant delivered by cesarean section

A

A nurse assesses a woman's temperature 6 hours after a vaginal birth and finds it to be 100.1°F (38°C). What action by the nurse is best? A. Let her know this is normal and encourage the woman to drink plenty of fluids. B. Have the woman cough and deep breathe C. Prepare to administer acetaminophen (Tylenol). D. Document the findings and notify the provider.

A

A nurse assesses an infant using the Premature Newborn Pain Profile (PIPP) and gives the baby a score of 19. What action by the nurse is most appropriate? A. Administer morphine (Astramorph). B. Give an oral sucrose solution. C. Provide nonnutritive sucking. D. Swaddle and cuddle the infant.

A

A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client A. Shortness of breath B. Reduced menstrual flow C. Breast tenderness D. Dysmenorrhea

A

A nurse working with a pregnant patient who is a recent immigrant to the United States notes that her husband rarely accompanies her to prenatal visits, and when he does, he sits in the waiting room. What action by the nurse is best? A. Ask the patient what role men in her culture play in pregnancy. B. Ask the patient why her husband doesn't seem involved. C. Encourage the man to participate to support his wife. D. Research the couple's cultural background and health beliefs.

A

A patient is in the family planning clinic to learn about her cycle and the best times to get pregnant. What information should the nurse plan to teach her? A. An ovum can be fertilized for up to 24 hours after ovulation. B. Pregnancy can only occur during the follicular phase. C. There are no physiological signs that demonstrate ovulation. D. You can't easily get pregnant if your cycles are irregular.

A

Follicle stimulating Hormone has what main function? A. Stimulates growth and development of the graafian follicle B. Stimulates proliferation of the endometrial lining C. Stimulates development of the corpus luteum D. Prepares uterus for fertilized ovum

A

Four babies are in the newborn nursery. The nurse pages the neonatologist to see the baby who exhibits which of the following? A. Intercostal retractions B. Acrocyanosis C. Erythema toxicum D. Vernix caseosa.

A

The nurse is assisting the primary care provider with a vacuum-assisted delivery because of a prolonged second stage of labor. The nurse will inform the primary care provider when which guideline of the procedure is met? A. The "three-pull rule" has been achieved. B. Patient is under full anesthesia status. C. Signs of fetal compromise have resolved. D. Extension of the episiotomy is performed.

A

The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse A. Fundus 3 cm below the umbilicus, lochia serosa. B. Fundus 1 cm above the umbilicus, lochia rosa. C. Fundus 2 cm below the umbilicus, lochia rubra. D. Fundus 2 cm above the umbilicus, lochia alba.

A

What is not a symptoms of necrotizing enterocolitis? A. Frequent feedings B. Blood in stool C. Increase in abdominal size D. Lack of bowel movements

A

Lactation Amenorrhea is an effective birth control method but requires what requires which conditions? Select all that apply A. Amenorrhea for 6 months B. The women uses condoms with lactation amenorrhea C. The infant is exclusively breastfeeding D. Only effective for 1 year post party E. The women has resumed their menstrual cycle every 28 days

A, C

A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? (Select all that apply.) A. Verifying that a client understands what is done during a hysterosalpingography B. Discussing treatment options for family planning C. Informing members of the health care team that a client is requesting no male providers can care for her unless another female is present D. Reporting that a health team member on the previous shift did not provide care as prescribed E. Assisting a client to make a decision about their care based on the nurse's recommendations

A, B, C, E

Which of the following hormones are crucial during the menstrual cycle? Select all that apply. A. Estrogen B. Follicle stimulating hormone C. Prolactin hormone D. Leutenizing hormone E. Human Chorionic gonadotropin

A, B, D

A patient in labor receives high-level regional anesthesia, which inhibits her ability to push during the second state of labor. The primary care provider will use forceps to aid in the delivery of the fetus. Which conditions need to be present for this to be successful? Select all that apply. A. Cephalopelvic disproportion must not be present. B. Membranes have ruptured C. Patient is GBS negative D. Full bladder E. Informed consent must be obtained.

A, B, E

A 40-week-gestation neonate is in the first period of reactivity. Which of the following actions should the nurse take at this time A. Place the newborn under the overhead warmer B. Encourage breastfeeding C. Perform a Ballard Gestational age assessment D. Notify the pediatrician of the finding

B

A 45-year-old female who has been sexually assaulted asks the nurse about the possibility of becoming pregnant. What is the best nursing response? A. "There is little chance of this occurring due to your age." B. "Emergency contraception is available dependent on how many hours since the abuse occurred." C. "Emergency contraception can be given based on the results of a pregnancy test." D. "If the pregnancy test result comes back negative, there is no need for additional follow-up."

B

A 6-month-old child is being seen in the pediatrician's office. The child was born preterm and remained in the neonatal intensive care unit for the first 5 months of life. The child is being monitored for 5 chronic problems. Which of the following problems are directly related to the prematurity and treatments in the NICU. A. Hypothryroid B. Bronchopulmonary dysplasia. C. Seizure disorder D. hypoglycemia

B

A baby is born to a type 1 diabetic mother. Which of the following laboratory values would the nurse expect the neonate to exhibit? A. Hemoglobin 8 g/dL B. Plasma glucose 30 mg/dL. C. White blood cell count 2,000/mm3 D. Red blood cell count 1 million/mm3

B

A baby with hemolytic jaundice is being treated with fluorescent phototherapy. To provide safe newborn care, which of the following actions should the nurse perform? A. Tightly swaddle the baby in a baby blanket B. Cover the baby's eyes with eye pads. C. Turn the lights off for ten minutes every hour. D. Clothe the baby in a shirt and diaper only

B

A breastfeeding woman has been counseled on how to prevent engorgement. Which of the following actions by the mother shows that the teaching was effective? A. She pumps her breasts after each feeding B. She feeds her baby every 2-3 hours C. She feeds her baby 10 minutes on each side D. She supplements each feeding with formula

B

A female patient is scheduled to have a hysterosalpingogram, for which condition is the reason for this test? A. Huntington's disease B. Infertility C. Preeclampsia D. Poly cystic ovarian syndrom

B

A nurse is assessing a newborn who is jittery, diaphoretic, and hypothermic, and has poor feeding. What laboratory value would the nurse correlate with this condition? A. Hematocrit: 50% B. Blood glucose: 32 mg/dL C. Bilirubin: 5 mg/dL D. White blood cell count: 15,000/mm3

B

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended? A. Client report of increased thirst B. Fundus palpable to right of midline C. Client report of frequent uterine contractions D. Less than 2.5 cm of rubra lochia on perineal pad

B

With regard to rubella and Rh issues, nurses should be aware that: A. Rh immune globulin boosts the immune system and thereby enhances the effectiveness of vaccinations. B. Women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy for at least 1 month after vaccination. C. Rh immune globulin cannot be administered intravenously because it can interfere with breastfeeding. D. Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus.

B

Your patient is trying to become pregnant and you are discussing the following signs and symptoms to be aware of to indicate that ovulation will occur soon and the time to have A. 1-2 days after the ceasing of the menstrrual bleed B. When they perform a urine test that indicates the presence of LH C. When there is a sudden drop in basal body temperature D. When your patient notices thick whitish cervical mucus

B

A few hours following a spontaneous vaginal delivery, the nurse is providing perineal care to a patient after the initial post-delivery void. What clinical observations would warrant additional follow up? Select all that apply. A. Fundus midline following voiding B. Boggy fundus C. Extensive ecchymosis with profuse bloody drainage D. Voided 150 ml with a few small size clots E. Slight edema to the vulva and perineum

B, C

A group of student nurses are reviewing the Nurse Practice Act. Which statements indicate that teaching has been effective? Select all that apply. A. "Nurse Practice Acts are the same across the United States." B. "Roles and responsibilities are specified by type of license." C. "Criteria for renewal of professional license." D. "Describes required elements for professional nursing programs." E. You are covered by the hospital as the nurse even if they responsibilities are outside the nurse practice act

B, C, D

A 25-year-old female is seeking information from the clinic nurse about usage of a cervical cap for birth control. Which of the following are correct responses by the nurse? Select all that apply. A. "It is easy to apply." B. "This type of method must be prescribed and fitted by the health-care provider." C. "If you have any significant weight gain or weight loss you will need to be refitted for a new one" D. "No spermicide is needed for application." E. "The cap requires that you insert it into your vagina to cover the cervix."

B, C, E

A nurse is assessing a patient who has reported intimate partner violence (IPV). Which information supports findings that the patient is now in the "honeymoon phase" of abuse? Select all that apply. A. "Patient's partner is pacing nervously outside the treatment room." B. "Patient reports that everything is going to be okay, since the partner has agreed to stop." C. "Patient states that I just keep angering my partner." D. "Patient shows the nurse a new ring their partner gave them." E. "Physical exam reveals recent bruises on arms."

B, D

A nurse is providing counseling to a patient who has been prescribed an oral contraceptive (OC) but is not sexually active. What benefits would OCs provide to the patient? Select all that apply. A. "Reduces the occurrence of deep vein thorombosis." B. "Resolving symptoms of dysmenorrhea." C. "Minimizes the risk of STI." D. "Reduces the risk of reproductive cancers." E. "Weight control."

B, D

A nurse is reviewing research studies. Based on the concept of evidence-based practice, which type of research designs would be considered to be Level 1 and a higher level of evidence? Select all that apply. A. "Committee report." B. "Randomized clinical trial (RCT)." C. "Expert opinion." D. "Meta-analysis." E. "Case studies."

B, D

Methods of cervical ripening include: A. Magnesium B. Cytotec C. Breastfeeding D. Foley balloon catheter E. Intercourse

B, D, E

A client just delivered the Velamentous placenta. The nurse know that this placenta will exhibit the following characteristics: A. An inner ring created by a fold in the chorion and amnion B. One primary placenta that is attached by blood vessels to a 2nd lobe C. Has an umbilical cord that is formed a distance away from the placenta with the vessels being exposed D. Has the cord inserted on the periphery or edge of the placenta.

C

A new mother requests that prophylactic eye medication not be given to her newborn as she is concerned about the impact on the maternal bonding experience. How should the nurse respond to this concern? A. Document the mother's request and do not administer the medication. B. Tell the mother that the medication is required to be given at this time. C. Allow some time for the mother-infant to bond and then administer the medication. D. Suggest that the medication be withheld until the newborn is transferred to the nursery.

C

A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. "An IUD should be replaced annually during a pelvic exam." B. "I cannot get an IUD until after I've had a child." C. "If i decide to get pregnant, the IUD can come out and my fertility will be bak to normal" D. "A change in the string length of my IUD is expected."

C

A nurse is observing a mother who has just had a spontaneous vaginal delivery. Which observation would alert the nurse to a potential concern related to maternal-infant bonding? A. The new mother states that she is hungry. B. The new mother states that she is very tired. C. The new mother avoids looking at the baby when placed on her abdomen. D. The placenta has yet to be delivered.

C

A nurse is providing information relative to breastfeeding to a new mother. Which maternal assessment finding would be a contraindication to the mother selecting breastfeeding? A. Type 2 diabetic with a hemoglobin A1c noted at 7%. B. History of one miscarriage. C. Currently being treated for epilepsy D. BMI indicates that the patient is clinically obese.

C

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching? A. I will change positions of my baby while feeding B. I will breastfeed every two hours C. I will apply ice packs to my breast after feeding D. I will massage my breast while I breastfeed

C

A nurse is providing teaching relative to barrier methods of birth control to a group of patients attending a medical clinic. Which of the following statements indicates that teaching has been effective? A. "There is no learning curve required for use of this method." B. "These methods do not provide protection against STDs." C. "This type of method requires a planned action." D. "Patients who have latex allergies will not be able to use this type of method." E. "Emergency contraception is not needed as the barrier method is 100% effective."

C

A nurse is reviewing medical records for patients who will be seen in the obstetrical clinic. Which pelvic types should the nurse anticipate may lead to a problem with a planned vaginal delivery? A. "Gynecoid." B. "Anthropoid." C. "Platypelloid." D. "Retroverted."

C

A nurse manager is evaluating staff members on their cultural competence. Which action best demonstrates this characteristic? A. Attends workshops on cultural diversity and health practices B. Participates in community health cultural events C. Plans care with the family members within their cultural beliefs D. Uses family members as interpreters to make them feel important

C

A preterm labor client, 30 weeks' gestation, who ruptured membranes 4 hours ago is being given IM dexamethasone (Decadron). When she asks why she is receiving the drug, the nurse replies: A. "To decrease the pain from the contraction B. "To help to stop your labor contractions." C. "To help to mature your baby's lungs." D. "To prevent an infection in your uterus

C

A small-for-gestational-age (SGA) newborn is admitted to the NICU. The nurse notes that the baby's head circumference is in the 68th percentile for gestational age, but the baby's weight is under the 10th percentile. The baby also has a scaphoid abdomen and long fingernails. How does the nurse classify this baby in the handoff report? A. Cold-stressed infant B. Intrauterine growth retardation The terminology "intrauterine growth retardation" is no longer used. C. Asymmetrical intrauterine growth restriction D. Nonbrain-sparing SGA

C

Based on this fetal heart rate tracing, what is the priority intervention? A. Prepare the operating room for an emergency cesarean delivery. B. Increase the Pitocin rate to increase her contraction frequency. C. Change the patient's position and provide IV fluid. D. Call the OB resident to the room for a cervical exam

C

New parents are concerned that after initially breastfeeding their baby 2 hours after being born, she is sleeping soundly and will not awaken. What action by the nurse is most appropriate? A. Stimulate the baby to wake her up. B. Document the neonate's behavior in the chart. C. Reassure the parents that this is normal. D. Call the rapid response team.

C

What action by the nurse is most important in the newborn to prevent hypothermia? A. Dress the infant in warm clothing and place in a warmer. B. Bathe the infant in warm water before giving to the mother. C. Dry the infant and place on the mother's bare chest. D. Turn the delivery room temperature up to 85°F (29.4°C).

C

While performing an initial assessment on the full-term infant whose parents are Asian, the nurse notes the skin discoloration illustrated. What should be the nurse's interpretation of this finding? A. Hurriedly placing the infant supine can cause this bruising. B. Note it is a common occurrence with breech deliveries C. This is a normally occurring skin variation in newborns. D. The infant was bruised during or after the delivery

C

You are taking vital signs on your patient who is a multiparous patient and is now 30 hours postpartum, she reports a lot of cramping with breastfeeding and you first take her vital signs. You obtain the following vital signs: blood pressure 123/72 mm Hg, heart rate 63, respirations 15, and temperature 100.2°F. What actions to you take based on these findings? A. Notify the provider of the beginning of an infection B. Ask her if she wants the PRN acetaminophen medication that is ordered C. Massage the uterus to determine if it is firm D. Assess the lochia to determine the amount of bleeding

C

Your client is staring on OCP and you are teaching your client about ACHES. This ensures that you address all but which of the following risk? A. Thromboembolism B. Cardiovascular accident C. Hypotension D. Blood clots

C

A client is in the third stage of labor. Which of the following assessments should the nurse make/observe for? Select all that apply A. Maternal complaints of intense rectal pressure. B. Rapid cervical dilation to ten centimeters. C. Uterus rising in the abdomen and feeling globular. D. Fetal heart assessment after each contraction. E. Lengthening of the umbilical cord

C, E

A full-term neonate has brown adipose fat tissue (BAT) stores that were deposited during the latter part of the third trimester. What does the nurse understand is the function of BAT stores? A. To provide calories for neonatal growth between feedings. B. To promote melanin production in the neonatal period C. To protect the bony structures of the body from injury D. To provide heat production when the baby is hypothermic

D

A newborn is placed under a radiant heat warmer. The nurse knows that thermoregulation presents a problem for newborns because: A. Their normal flexed posture favors heat loss through heat retention. B. Their renal function is not fully developed, and heat is lost in the urine C. Their small body surface area favors more rapid heat loss than does an adult's body surface area D. They have a relatively thin layer of subcutaneous fat that provides poor insulation

D

A nulliparous woman has been admitted to the labor and birth unit. Her Bishop score is 4. What medication does the nurse plan to administer? A. Betamethasone (Celestone) B. Hydromorphone (Dilaudid) C. Misoprostol (Cytotec) D. Oxytocin (Pitocin)

D

A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate? A. Moderate swelling of the labia B. Blood pressure 130/84 mm Hg C. Moderate lochia rubra D. Fundus three fingerbreadths above the umbilicus and to the right

D

A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times? A. 1 hour following intercourse B. On days 13-17 after the menstrual cycle C. before going to bed D. Every morning before arising

D

A nurse is observing a patient in the emergency department who is being admitted for a UTI R/O sepsis and is also being triaged for suspected intimate partner violence (IPV). The patient is a 65-year-old female who lives with her daughter and states that she stays in her room most of the time while at home, has no visits from friends, and is not allowed to leave the house alone. What type of IPV does the nurse suspect? A. Emotional B. Economic C. Threats D. Isolation

D

A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions is incorrect? A. Validate the signature is authentic. B. Verify the client understands the surgical procedure. C. Confirm that the consent is voluntary. D. Establish that the client is able to pay for the surgical procedure.

D

A nurse is taking care of a postpartum patient. Based on this image, what priority action should the nurse include in the plan of care? A. Encourage adequate fluids and exercise to prevent constipation B. Use of a back brace for reinforcement C. Continue to take prenatal vitamins D. Reinforce the importance of body mechanics during the postpartum experience and to avoid situps

D

A nurse is working with a family that uses multiple complementary and alternative medicine (CAM) modalities. What action by the nurse is best? A. Assess how these practices reflect religious beliefs. B. Inform the family that most of these practices do not work. C. Allow the family to continue these practices as desired. D. Provide evidence-based information about the therapies.

D

A woman gave birth 12 hours ago. The patient complains of severe abdominal cramping when she breastfeeds her infant. The perinatal nurse should document this condition as which of the following? A. Bladder distension B. Diastasis recti abdominis C. Uterine atony D. Afterpains

D

After orienting a new patient to their room on labor and delivery, the nurse asks the patient if she has a birthing plan that outlines her wishes and needs for her delivery for the staff. By doing so, the nurse is following what basic ethical principle? A. Justice B. Benefice C. Nonmaleficence D. Autonomy

D

The birth of a baby, weight 4,500 grams, was complicated by shoulder dystocia. Which of the following neonatal complications should the nursery nurse observe for? A. Leg deformities B. Buccal abrasions C. Fractured radius D. Erb's palsy

D

The nurse receives a laboratory report result showing that the blood glucose is 48 mg/dL for a full-term newborn. Which action should be taken by the nurse? A. Have the infant breastfeed immediately B. Call the responding doctor to report the finding C. Feed the infant immediately with 10% dextrose formula D. Document the finding in the medical record

D

The perinatal nurse providing care to a laboring woman recognizes a nonreassuring fetal heart rate tracing. Which of the following is the most appropriate initial action by the nurse? A. Document the fetal heart rate and variability. B. Request that the provider apply a fetal scalp electrode. C. Decrease the rate of the intravenous solution. D. Assist the woman to a left lateral position.

D

The physician has ordered oxytocin (Pitocin) for induction for 4 gravidas. In which of the following situations should the nurse refuse to comply with the order A. Primigravida who is 14 years old. B. Multigravida with cerebral palsy. C. Multigravida who has type 1 diabetes D. Primigravida with a transverse lie.

D

What action by the nurse is most important to prevent hemorrhagic disease of the newborn? A. Assess daily hemoglobin and hematocrit levels. B. Handle the infant gently to prevent injury. C. Coordinate laboratory sticks to minimize blood loss. D. Administer vitamin K1 phytonadione (AquaMEPHYTON).

D

What type of lighting is most used in NICUs? A. Blue Lighting B. Task lighting C. Accent lighting D. Ambient lighting

D

Which observation made by the nurse indicates potential concern for a newborn who is being discharged from the hospital? A. The infant has been wrapped in a blanket. B. The mother states that she has never given a bath to a newborn. C. The mother states that she is only going to breastfeed her infant. D. The car seat has been placed in a forward-facing position in the front seat.

D

Which of the following is the most effective at preventing pregnancy? A. Lactation Amenorhea B. Condom C. Oral Contraceptive Pills D. Intrauterine device

D

After pregnancy and birth, a mother may notice a condition called diastasis recti abdominis, which is a(n) ____________________ of the rectus muscle.

separation