OB Final
A postpartal mother complains of "afterpains" while breastfeeding her baby. The best nursing intervention should be: a. Administer an analgesic b. Gently ask her to stop breastfeeding c. Massage the fundus d. Assess her VS
a. Administer an analgesic
A nurse who is assessing a pregnant type 1 diabetic pt should monitor her for which of the following? Select all that apply: a. Multiple gestation b. Hypolipidemia c. UTI d. Maternal hypertension e. Metabolic acidosis
c. UTI e. Metabolic acidosis
A positive coombs test is indicative of Select one or more: a. Rh incompatibility b. Utero-placental insufficiency c. Fetal well-being d. ABO incompatibility e. Twin gestation
a. Rh incompatibility d. ABO incompatibility
A woman has been diagnosed with a ruptured ectopic pregnancy. Which of the following S&S is characteristic of this diagnosis? a. Marked hypothermia b. Severe N&V c. Dark red rectal bleeding d. Tachycardia e. Sharp unilateral pain
d. Tachycardia e. Sharp unilateral pain
A 38 week gestation client with pre-eclampsia is receiving magnesium sulfate and Pitocin IV for induction of labor. What is the expected effect of magnesium sulfate on this client? a. She will have lower BP b. She will have no seizures c. She will experience seizures d. She will be sedated
b. She will have no seizures
One nursing diagnosis for a post partum client is risk for intrauterine infection r/t vaginal delivery. Which of the following goals should the nurse include in her care plan? Select all that apply: a. She will have a stable WBC count b. She will have a normal temp c. She will take 2-3 sitz baths each day d. The mother will drink adequate quantities of fluids e. She will have normal-smelling vaginal discharge
a. She will have a stable WBC count b. She will have a normal temp e. She will have normal-smelling vaginal discharge
A 24 week gravid client is stating that " I have had a terrible headache for the past 2 days". What is the most appropriate action for the nurse to perform first? a. Take the woman's BP b. Ask her whether she has any acute stressors c. Inquire whether she has any allergies d. Assess the woman's fundal height
a. Take the woman's BP
The newborn nursery nurse is working with a client who is planning to place her infant for adoption. When considering the legal issues of this situation, rather than ethical aspects, the nurse should look to: a. The rules and regulations b. Motives, attitudes, and culture c. What is good for the individual d. Values and beliefs
a. The rules and regulations
Physiological anemia in pregnant women indicates that Select one: a. They have low hemoglobin r/t increase in plasma volume b. They have low hemoglobin prior to pregnancy c. They have low hemoglobin r/t nutritional deficiency d. They have low hemoglobin r/t increased hematocrit level
a. They have low hemoglobin r/t increase in plasma volume
Which of the following factors could delay uterine involution in a postpartum client? Select all that apply: a. Uterine infection b. The use of epidural anesthesia c. Distended urinary bladder d. Prolonged labor e. Grand multipara
a. Uterine infection c. Distended urinary bladder d. Prolonged labor e. Grand multipara
You are providing breast feeding instructions to a postpartum client. To prevent breast engorgement you should instruct the client to Select all that apply: a. Teach breastfeeding techniques soon after delivery and continue support b. Alternate breast feeding with bottle feeding to rest the breast c. Wear a supportive bra d. Apply warm compresses if breasts feel full e. Encourage her to breast feed her infant frequently
a. Wear a supportive bra d. Apply warm compresses if breasts feel full e. Encourage her to breast feed her infant frequently
You are providing discharge teaching to a client who underwent evacuation of her hydatidiform molar pregnancy. Which response by the client indicates understanding of the teaching? a. "it is better for us to try to get pregnant as soon as possible as the chances of recurrence are minimal." b. "I will need to see the doctor regularly for follow up." c. " I am so sad that I lost this baby." d." I will need chemotherapy treatment after this."
b. "I will need to see the doctor regularly for follow up."
A client who is at 8 weeks of gestation tells the nurse that she is not sure she is happy about being pregnant (ambivalent feeling). Which of the following responses should the nurse make? a. "I will inform the provider that you are having these feelings." b. "It is normal to have these feelings during the first few months of pregnancy." c. "You should be happy that you are going to bring new life into the world." d. "I am going to make an appointment with the counselor for you to discuss these thoughts."
b. "It is normal to have these feelings during the first few months of pregnancy."
Once oogenesis is complete, the resultant gamete cell contains how many chromosomes? a. 47 b. 23 c. 45 d. 46
b. 23
A postpartal mother verbalizes that she does not want to breast feed her newborn son. What actions should you take to suppress milk production? Select all that apply: a. Encourage her to pump the breast to empty the breast b. Apply ice packs to the breast c. Apply warm compresses to the breast d. Advise her to wear a supportive bra e. Administer medications to suppress breast milk production
b. Apply ice packs to the breast d. Advise her to wear a supportive bra
A new nurse is being taught about the symptoms of neonatal abstinence syndrome. Which of the statements by the new nurse indicates understanding of the teaching? Select all that apply: a. The newborn will have decreased muscle tone b. The newborn will have continuous high-pitched cry c. The newborn will sleep for 3-4 hours after feeds d. The newborn will have difficulty feeding e. The newborn will have jitteriness and tremors
b. The newborn will have continuous high-pitched cry d. The newborn will have difficulty feeding e. The newborn will have jitteriness and tremors
Elevated AFP levels may indicate that Select one or more: a. The fetus may have heart defects b. The pregnancy is twin gestation c. The fetus may have Rh incompatibility d. The fetus is normal e. The fetus may have spinal anomalies
b. The pregnancy is twin gestation e. The fetus may have spinal anomalies
The patient is having contractions every 5-7 minutes for the last six hours. What factors would you use to determine whether this is true labor? Select all that apply. a. The patient has 3 previous children and says shes in labor b. The station of the fetus is +1 c. The patient is complaining of low abdominal pain d. The contractions are increasing in intensity and duration e. The cervix is 50% effaced and 5cm dilated
b. The station of the fetus is +1 d. The contractions are increasing in intensity and duration e. The cervix is 50% effaced and 5 cm dilated
The nurse is assessing the fetal monitor tracing and suspects variable decels. Which of the following actions should the nurse take at this time? Select one or more: a. Apply the oxygen saturation electrode to the mother b. Turn the woman on her side c. Administer oxygen via face mask d. Provide caring labor support
b. Turn the woman on her side c. Administer oxygen via face mask
The fetus receives all oxygen and nutrients from the mother through Select one: a. Amniotic sac b. Umbilical vein c. Umbilical arteries d. Aorta
b. Umbilical vein
A woman is in the 3rd 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. Uterus rising in the abdomen and feeling globular c. Rapid cervical dilation to ten CM d. Assessment of FHR e. Lengthening of the umbilical cord
b. Uterus rising in the abdomen and feeling globular e. Lengthening of the umbilical cord
A 32 week gestation client was last seen in the prenatal clinic at 28 weeks gestation. Which of the following should the nurse bring to the attention of the provider? a. Respiratory rate change from 16 rpm to 20 rpm b. Weight change from 128 lbs to 138 lbs c. BP change from 120/80 10 118/78 d. Pulse rate change from 88 bpm to 92 bpm
b. Weight change from 128 lbs to 138 lbs
Which of the following clients is at highest risk for developing a hypertensive illness of pregnancy? a. a G3 P1102, age 38 with hx of scoliosis b. a G1 P0000, age 41 with hx of DM c. a G3 P1011, age 20 with hx of celiac disease d. a G2 P0101, age 34 with hx of rheumatic fever
b. a G1 P0000, age 41 with DM
A woman is a carrier for Hemophilia A, an x-linked recessive illness. Her husband has normal genotype. The nurse can advise the couple that the probability of their daughter having the disease is: a. 25% probability b. 75% probability c. 0% probability d. 50% probability
c. 0% probability
A 26 year old first time pregnant mother is low risk and is very interested in being involved with care decisions and learning all she can about pregnancy and childbirth. Which type of healthcare provider would the nurse recommend for prenatal care and birth? a. A family practice resident b. A physician's assistant c. A certified nurse-midwife d. An obstetrician
c. A certified nurse-midwife
Following amniotomy, the nurse would carry out which of the following interventions as important nursing actions? Select all that apply. a. Check for crowning b. Monitor for HTN c. Place clean underpads on the bed d. Observe and document the color and consistency of the fluid e. Check the FHR
c. Place clean underpads on the bed d. Observe and document the color and consistency of the fluid e. Check the FHR
The United States has a high infant mortality rate and preterm labor and delivery of low-birth-weight infants can be linked to the lack of prenatal care. The nurse suspects which of the following as a reason why many clients are unable to obtain prenatal care? a. All uninsured pregnant women are eligible for Medicaid b. Many healthcare providers are willing to provide care in subsidized clinics c. Prenatal care services and providers are not available in certain areas d. Healthcare and other services are well coordinated for needy clients
c. Prenatal care services and providers are not available in certain areas
You are providing explanation to the client regarding the role sedation during the latent phase of the labor process by saying: a. True labor contractions will not stop by providing sedation b. If contractions continue without cervical effacement and dilation, the fetus is at risk for hypoxia c. Sedation helps to provide needed rest and allows time for the uterine contractions to be more coordinates to enhance progress of labor d. Sedation will stop uncoordinated contractions and will provide info whether a C/S is needed
c. Sedation helps to provide needed rest and allows time for the uterine contractions to be more coordinated to enhance progress of labor
What is the mode of heat loss in a newborn who is not dried completely after birth? a. conduction b. convection c. evaporation d. radiation
c. evaporation
The nurse is reviewing breast feeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? a. Over the shoulder b. Supine c. Chin supported d. Cradle
d. Cradle
Fatigue is pregnancy is common, especially in early and late pregnancy? True or False
True
The nurse working in an outpatient clinic assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply. a. 24 weeks gestation, fundal height at the umbilicus b. 17 weeks gestation, denies feeling of fetal movement c. 27 weeks gestation, salivates excessively d. 34 weeks gestation, experiences uterine cramping e. 37 weeks gestation, complaints of hemorrhoidal pain
a. 24 weeks gestation, fundal height at the umbilicus d. 34 weeks gestation, experiences uterine cramping
Postpartum assessment of a client delivered by C/S include Select all that apply: a. Auscultate the abdomen b. Assess the central venous pressure c. Assess the nipple integrity d. Auscultate the lung fields e. Palpate the fundus
a. Auscultate the abdomen c. Assess the nipple integrity d. Auscultate the lung fields e. Palpate the fundus
A nurse in a prenatal clinic is caring for a client in her first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. This is interpreted as? Select all that apply: a. Client has delivered one newborn at term b. Client has no preterm labor c. Client has three active labors d. Client has had two prior pregnancies e. Client has one living child
a. Client has delivered one newborn at term d. Client has had two prior pregnancies e. Client has one living child b. Client has no preterm labor ??
A nurse is discussing risk factors for UTIs with a newly licensed nurse. Which of the following conditions should the nurse include in her teaching? Select all that apply: a. Epidural anesthesia b. Urinary bladder catheterizations c. Frequent pelvic exams d. Hx of UTIs e. Vaginal birth
a. Epidural anesthesia b. Urinary bladder catheterizations c. Frequent pelvic exams d. Hx of UTIs
A prenatal lab finding of your client indicated that her blood group is O and Rh negative. She will require further follow up to identify a potential problem that could affect her unborn baby such as a. Erythroblastosis Fetalis b. Congenital anomalies c. Ectopic pregnancy d. Placenta previa
a. Erythroblastosis Fetalis
A nurse is caring for a postpartum mother who delivered her third infant 2 days ago. Which of the following are suggestive of postpartum depression? Select all that apply: a. Fatigue b. Insomnia c. Euphoria d. Flat affect e. Hallucinations
a. Fatigue b. Insomnia d. Flat affect
A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and SOB. The nurse should instruct the client to do which of the following? a. Go to the nearest ER to be evaluated b. Wait for the physician to return a telephone call to the client c. Eat smaller meals more frequently to prevent gastric distension d. Stop taking the pills and use a non-hormonal contraceptive method
a. Go to the nearest ER to be evaulated
A 12-week pregnant client presents to the emergency department with abdominal cramps and scant dark red bleeding. Which of the following S&S should the nurse assess this client for? Select all that apply a. HTN b. Referred shoulder pain c. Fetal heart dysarrhythmias d. Headache e. Tachycardia
a. HTN d. Fetal heart dysarrhythmias d. Headache e. Tachycardia
Which statement made by the laboring client indicate a need for further teaching? a. I will need an epidural as this is my first pregnancy b. My partner can help me stay focused and relaxed c. I could take sips of water or ice chips throughout labor d. Labor could be long and difficult sometimes
a. I will need an epidural as this is my first pregnancy
Second stage of labor Select all that apply: a. Indicates delivery of the baby b. Indicates delivery of the placenta c. the latent phase of the labor process d. Lasts about 1-2 hours e. Lasts about 8-12 hours
a. Indicates delivery of the baby d. Lasts about 1-2 hours
A nursing student who is pregnant asks the antenatal nurse why childbearing is considered a developmental crisis for a family. What should be included in a response by the nurse? a. It is a period of physical, psychological, and social change causing a sense of disorganization b. The family had already mastered the tasks of this maturational stage. c. It is a stressful, unexpected event caused by external factors d. It is an abnormal experience in the process of growth and development
a. It is a period of physical, psychological, and social change causing a sense of disorganization
Which of the following are expected findings of a 32 week gestational age newborn who weighs 1200 grams? Select all that apply? a. Lanugo b. Long nails c. Weak grasp reflex d. Translucent skin e. Chubby cheeks
a. Lanugo c. Weak grasp reflex d. Translucent skin
3rd stage of labor includes the following Select one or more: a. Lasts about 5-30 minutes b. Continuation of Pitocin drip if the mother is on the drip c. Absence of contractions d. Increased pain e. Increased vaginal bleeding
a. Lasts about 5-30 minutes b. Continuation of Pitocin drip if the mother is on the drip e. Increased vaginal bleeding
Which nursing action should take priority when caring for a client with suspected ectopic pregnancy? a. Monitor VS b. Obtain surgical consent c. Administer oxygen d. Provide emotional support
a. Monitor VS
During initial physical assessment of a newborn, the nurse is holding the newborn in a semi-sitting position and allows the newborn's head a trunk to fall backward. This is done to elicit what reflex? a. Moro reflex b. Grasp reflex c. Rooting reflex d. Tonic neck reflex
a. Moro reflex
A G2 P2002 who is 6 hours postpartum after a normal spontaneous vaginal delivery is assessed. The fundus is firm at the umbilicus, there is heavy lochia rubra, and the perineal sutures are intact. What action should the nurse take at this time? a. Notify the primary health care provider b. Massage the woman's fundus c. Do nothing. This is normal findings. d. Take the woman to the bathroom to void
a. Notify the primary health care provider
A nurse in an infertility clinic is providing care to a couple who have been unable to conceive for 18 months. Which of the following data should be included in the assessment? Select all that apply: a. Occupation b. Menstrual history c. Childhood infectious diseases d. Hx of falls e. Recent blood transfusions
a. Occupation b. Menstrual history c. Childhood infectious diseases
During a postpartum assessment, the nurse assesses the calves of the client. The nurse is checking for which of the following S&S? Select all that apply. Select all that apply: a. Redness b. Discharge c. Pain d. Warmth e. Ecchymosis
a. Redness c. Pain d. Warmth
The nurse is assessing a client 6 hours after a normal vaginal delivery. The priority assessment should be Select one: a. Check the lochia b. Assess the fundus c. Check her VS d. Assess for DVT
b. Assess the fundus
Which of the following actions would be appropriate for the nurse to delegate to a doula (labor assistant)? Select one or more: a. Monitor and regulate IV fluids b. Assist the mother with her breathing c. Check the mother's blood pressure d. Assess the FHR e. Give the laboring mother a back rub
b. Assist the mother with her breathing e. Give the laboring mother a back rub
A nurse is preparing to administer a prophylactic eye ointment to the newborn. What medication should she get ready to administer? a. Nystatin b. Erythromycin c. Cefotaxime d. Silver nitrate
b. Erythromycin
A deceleration of the FHR from 145 to 80 bpm with contractions followed by a rapid return to baseline rate is most likely indicative of a. Uteroplacental insuficiency b. Fetal head compression c. Severe fetal hypoxia d. Umbilical cord compression
b. Fetal head compression
The nurse is evaluating the involution of a woman 3 days post partum. Which of the findings would the nurse evaluate as normal? a. Fundus 3cm below umbilicus, lochia serosa b. Fundus 2cm below umbilicus, lochia rubra c. Fundus 2cm above umbilicus, lochia alba d. Fundus 1 cm above umbilicus, lochia rosa
b. Fundus 2cm below umbilicus, lochia rubra
A vaginal exam of a laboring mother shows 5 cm dilated, 90& effaced, and at station -2. Which of the following has the nurse palpated to determine the station? a. Bulging fetal membranes b. Head at pelvic outlet c. Closed cervix d. Thin cervix
b. Head at pelvic outlet
In anticipation of potential complication during the 2nd trimester of pregnancy, the nurse teaches an 18-week gestational client to call the office is she experiences which of the following? a. Puffy feet b. Headache and decreased urine output c. Backache d. Hemorrhoids and vaginal discharge
b. Headache and decreased urinary output
Discharge care instructions given to the parents regarding cord care of a newborn should include a. cleaning the cord with hydrogen peroxide at each diaper change b. Keeping the cord dry, with the diaper folded below the cord c. Cleaning the cord with water at each diaper change d. Cover the cord with small gauze at all times
b. Keeping the cord dry, with the diaper folded below the cord
The fetal head is determined to be presenting in a complete flexed position. The L&D nurse should most probably anticipate which type of labor and delivery? a. Precipitous labor b. Normal labor and spontaneous vaginal delivery c. Prolonged labor and possible C/S d. Vacuum assisted vaginal delivery
b. Normal labor and possible C/S
Common discomforts of pregnancy associated with CV system include: a. DM b. Postural hypertension c. Respiratory distress d. Varicosities e. Edema
b. Postural hypertension d. Varicosities e. Edema
A client who is receiving epidural analgesia is given IV fluid bolus to? a. Promote urine output b. Prevent hypotension c. Prevent oligohydramnios d. Prevent respiratory depression
b. Prevent hypotension
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, the nurse finds the uterus to be firm, midline, and at the level of the umbilicus. The findings are? a. Evidence of possible vaginal hematoma b. Indication of cervical or perineal laceration c. A normal postural discharge of lochia d. Abnormally excessive lochia rubra flow
c. A normal postural discharge of lochia
A 36 week pregnant client is presented to the L & D unit with history of sudden severe abdominal pain and moderate dark colored bleeding. Contractions are strong, every 2 min apart lasting about 60 seconds. She has a history of cocaine use during pregnancy. You suspect the client is presenting with? a. Ectopic pregnancy b. Rupture of the uterus c. Abruptio placenta d. Placenta previa
c. Abruptio placenta
Which of the following would be the highest priority of the nurse caring for a laboring patient? a. Assuring her partner is with her in the room b. Assessing pain and providing pain relief measures c. Assessing the FHR frequently d. Checking the I&O every hour
c. Assessing the FHR frequently
The nurse is developing a plan of care for a post partum client during the 'taking hold phase'. Which of the following should the nurse include in her care plan? a. Encourage the mother to take a nap b. Provide the mother with a nutritious meal c. Assure her that she us an excellent mother d. Assist the mother with activities of daily living
c. Assure her that she is an excellent mother
The nurse is reviewing car seat safety with the parents of a newborn. The best method to secure a car seat safely in the car should be: a. Front seat, rear-facing b. Front seat, forward facing c. Back seat, rear-facing d. Back seat, forward-facing
c. Back seat, rear-facing
A pregnant client with history of placenta previa is admitted to the L & D suit at 39 weeks of gestation. Which of the orders will you question the physician as inappropriate? Select all that apply a. Monitor for vaginal bleeding b. Monitor the FHR c. Check the dilation and effacement by vaginal exam d. Check the VS e. Start Pitocin drip
c. Check the dilation and effacement by vaginal exam e. Start Pitocin drip
A 25 year old client is admitted with the following hx: 12 weeks pregnant, vaginal bleeding, no FHR detected on ultrasound. The nurse would expect the provider to write an order to prepare the client for which of the following? a. Cervical cerclage b. Amniocentesis c. D & C d. NST
c. D & C
The nurse is assessing the uterine fundus of a client 8 hours after c/S and finds it firm, round, 2cm above the umbilicus and displaced to the right. The most appropriate intervention you should do is a. Notify the physician b. Massage the fundus c. Encourage the client to empty the bladder and reassess the fundus d. Check the lochia for excessive bleeding
c. Encourage the client to empty the bladder and reassess the fundus
A woman who is 36 weeks pregnant is undergoing a NST. A positive NST is indicative of a. Fetal distress b. The fetus is premature c. Fetal well-being d. The woman is in labor
c. Fetal well-being
The nurse is assessing a client who states "I think I am in labor". Which of the following findings would positively confirm the client's belief? a. She is contracting q 5 minutes x 60 seconds b. Her membranes have ruptured c. Her cervix is dilated from 2 - 4 cm d. The fetal head is engaged
c. Her cervix is dilated from 2-4cm
What signs of thrombophlebitis should a nurse include in her discharge teaching of a postpartal client? a. Muscle soreness after exercise? b. New areas of ecchymosis c. Localized calf tenderness, heat and swelling d. Enlarged varicose veins in the lower limbs
c. Localized calf tenderness, heat and swelling
The nurse is providing single peri-menopausal woman with contraceptive counselling. The woman has four sex partners and smokes 1 packs of cigarettes a day. Which of the following methods is best suited for this client? a. NuvaRing b. Intrauterine device c. Male condom d. Oral contraceptives
c. Male condom
Assessment findings of the C/S incision wound of a client two days after delivery indicates the following: red, edematous, and tender to touch. The best initial nursing action would be" a. Clean the incision site with Betadine (providine iodine) and change the dressing b. Document your findings c. Notify the physician d. Check the VS
c. Notify the physician
Which finding should the nurse expect when assessing a client with placenta previa? a. Severe headache b. History of pelvic inflammatory disease c. Painless vaginal bleeding d. Previous premature delivery
c. Painless vaginal bleeding
What feature in fetal circulation allows blood to bypass the fetal lungs? a. Patent ductus venosus b. Foramen ovale c. Patent ductus arteriosus d. Foramen of Magenda
c. Patent ductus arteriosus
A pregnant client asks about the functions of the placenta. What items of information should the nurse include in the teaching plan? Select all that apply. a. The fluid provides the fetus with a stable thermal environment b. Fetal and maternal blood mix in the placenta to exchange nutrients c. Substances are exchanged by the placenta without mixing maternal and fetal blood d. The placenta filters fetal urine e. The placenta filters alcohol from the mother's blood f. Fetal respiration, nutrition, and excretion are carried out by the placenta
c. Substances are exchanged by the placenta without mixing maternal and fetal blood e. The placenta filters alcohol from the mother's blood f. Fetal respiration, nutrition, and excretion are carried out by the placenta
A nurse caring for an infant diagnosed with hyperbilirubinemia and is receiving phototherapy. Which of the following priority findings are a concern for you? a. Conjunctivitis b. Baby skin discoloration c. Sunken fontanelle d. Lethargic and not feeding well e. Maculopapular rash
c. Sunken fontanelle d. Lethargic and not feeding well
The nurse determines that which of the clients in the infertility clinic needs to be seen first? a. a 27 year old woman being seen for an initial infertility exam b. a 34 year old man in for semen analysis results c. a 32 year old woman taking hCG who reports severe abdominal pain d. a 30 year old woman in for a pregnancy test following implantation as part of in vitro fertilization
c. a 32 year old woman taking hCG who reports severe abdominal pain
A nurse discusses teratogens with a client during prenatal counseling. The client demonstrates understanding by making which statement? a. "After 12 weeks the placenta protects the fetus from teratogens." b. "The fetus is at greatest risk for developing anomalies during the first 16 weeks of pregnancy." c. "I should stop taking all medications while I am pregnant." d. "Exposure to teratogens poses the greatest risk during the first eight weeks."
d. "Exposure to teratogens poses the greatest risk during the first eight weeks."
On the third postpartum day you find your client crying in her room. She verbalizes that she is overwhelmed and not sure whether she is able to care for her new baby. What is the most appropriate reply? a. "This is nothing new with new mothers. You will feel better in a couple of days." b."Are you worried about the care/lack of care you received here? Lets talk about it." c. "There is nothing to cry about. You will be fine." d. " Many new mothers have similar feelings of confusion and inadequacy. Would you like to talk about them?"
d. "Many new members have similar feelings of confusion and inadequacy. Would you like to talk about them?"
Which of the hormone elevations will indicate a high probability that a client is pregnant? a. Prolactin b. Luteinizing hormone c. Oxytocin d. Chorionic gonadotropin
d. Chorionic gonadotropin
The nurse has determined that a client is at 20 weeks gestation. Which of the following findings has the nurse noted? a. Client's cervix has begun to dilate b. Client has recurring bouts of N & V c. Client experienced lightening that morning d. Client's fundal height is at the umbilicus
d. Client's fundal height is at the umbilicus
A multigravid post partum woman reports severe abdominal cramping whenever she nurses her baby. Which of the following responses is appropriate? a. Suggest that the woman bottle feed the baby for a few days b. Instruct her to massage her fundus during nursing her baby c. Instruct the patient to feed using an alternative position d. Discuss the action of breastfeeding hormones
d. Discuss the action of breastfeeding hormones
A 26-week gestation woman is diagnosed with severe preeclampsia with HELLP syndrome. The nurse will assess for which of the following S&S? a. Low serum creatinine b. Bloody stools c. High serum protein d. Epigastric pain
d. Epigastric pain
A nurse is assisting the anesthesiologist with the insertion of an epidural catheter. Which of the following positions should the nurse assist her into? a. Trendelenberg position b. Recumbent position c. Lithotomy position d. Fetal position
d. Fetal position
You are teaching potential mothers about complications of uncontrolled diabetes in a growing fetus. It will be accurate for you to say a. Hyperglycemia in early pregnancy can cause large for gestational baby b. Hyperglycemia in early pregnancy can lead to maternal hypertension c. Hyperglycemia in early pregnancy can cause small for gestational baby d. Hyperglycemia in early pregnancy can lead to congenital anomalies in the baby
d. Hyperglycemia in early pregnancy can lead to congenital anomalies in the baby
As the labor progresses the uterine contractions should a. Increase in duration & decrease in frequency b. Increase in intensity & duration c. Increase in frequency & duration d. Increase in intensity, frequency, and duration
d. Increase in intensity, frequency, and duration
A client has severe pre-eclampsia. The fetus of the client should be assessed for a. Severe anemia b. Hypoprothrombinemia c. Cardiac failure d. Intrauterine growth restriction
d. Intrauterine growth restriction
A nurse is teaching a group of new parents about proper techniques of bottle feeding. Which of the following instructions should the nurse provide? a. Burp the newborn after every 10 min b. Hold the newborn close to a supine position c. Refrigerate any unused formula d. Keep the nipple full of formula during feeding to avoid baby ingesting air
d. Keep the nipple full of formula during feeding to avoid baby ingesting air
A Type 1 diabetic pregnant woman is seen for preconception counseling. The nurse should emphasize that during the 1st trimester the woman may experience which of the following? a. S&S of hydramnios b. A need to be hospitalized for fetal testing c. An increased risk for hyperglycemic episodes d. Need for less insulin than she normally injects
d. Need for less insulin than she normally injects
While providing instructions about the need to take iron supplements during pregnancy, the nurse should instruct the client to take the iron supplements with? a. Ice water b. Low fat or whole milk c. Tea or coffee d. Orange juice
d. Orange juice Helps to enhance absorption
After delivering a large for gestational age infant, the nurse notices bright red blood continuously trickling from the client's vagina. Her fundus is firm and midline. The nurse suspects the most likely cause of bleeding to be a. Hematoma b. Retained fragments from conception c. Uterine atony d. Perineal lacerations
d. Perineal lacterations
A pregnant woman is admitted to the ER after an automobile accident. She has no obvious external injuries. The nurse monitors the woman for which of the following complications? Select all that apply. a. Transverse fetal lie b. Placenta Previa c. Severe preeclampsia d. Preterm labor e. Placental abruption
d. Preterm labor e. Placental abruption
One of the priority concerns of caring for a newborn immediately after birth is? a. Initiating breast feeding b. Giving Vitamin K injection c. Initial physical assessment d. Prevent heat loss by covering the newborn's head with a cap
d. Prevent heat loss by covering the newborn's head with a cap
The 3rd stage of labor has just ended for a client who decided to bottle feed her baby. Which of the following hormones will increase sharply at this time? a. Estrogen b. Human chorionic gonadotropin c. Human placental lactogen d. Prolactin
d. Prolactin
A newborn's initial assessment shows the following. What is the appropriate action? Head circumference - 34 cm, chest circumference - 32 cm, HR 150/min, and RR 45/min a. Refer the newborn for psychomotor retardation b. Provide oxygen therapy for respiratory distress c. Refer the physician stating the HR is too high d. Record the finding as normal and take no further action
d. Record the finding as normal and take no further action
A client has just been transferred to the postpartum unit from L & D. Which of the following nursing care goals is of highest priority? a. She will ambulate to the bathroom every 2 hours b. She will breast feed her baby every 2 hours c. She will consume a normal diet d. She will have moderate lochial flow
d. She will have moderate lochial flow
There is an increased risk of falls with pregnant women due to Select one or more: a. Poor muscle tone b. Fatigue c. Advancing age d. The hormone Relaxin e. A shift in center of gravity due to enlarging fetus
d. The hormone Relaxin e. A shift in center of gravity due to enlarging uterus
After delivery the nurse examines the umbilical cord and documents the cord is normal. This means the cord has: a. Two arteries and two veins b. One artery and one vein c. One artery and two veins d. Two arteries and one vein
d. Two arteries and one vein Remember "AVA"
A women thinks she is pregnant and visits her obstetrician for confirmation of pregnancy. What are the positive signs of pregnancy? Select one: a. Linea Nigra, positive urine dip test, verbalizing quickening b. N&V, weight gain, uterine growth c. Positive heart beat, Chadwicks sign, positive urine dip test d. Uterine growth, fetal heart sounds, Cholasma e. Positive fetal heart, visualization of fetus, examiner feeling fetal movements.
e. Positive fetal heart, visualization of fetus, examiner feeling fetal movements.