OB Final Exam

Rhogam timing

28 weeks and after

The nurse is assessing the respirations of several newborns. The nurse would notify the health care provider for the newborn with which respiratory rate at rest? 38 breaths per minute 46 breaths per minute 54 breaths per minute 68 breaths per minute

68 breaths per minute

When assessing a postpartum woman, the nurse would find which factor to be most significant in identifying possible postpartum hemorrhage? pulse rate blood pressure cardiac output hematocrit

pulse rate

Celestone

fetal lung maturity

A group of nursing students are analyzing the fetal circulation. After the session, the students correctly point out which fetal structure contains the highest concentration of oxygen? umbilical artery umbilical vein ductus arteriosus pulmonary vein

umbilical vein

When assessing a client with suspected breast cancer, which of the following would the nurse expect to find? Painful lump Absence of dimpling Regularly shaped mass Nipple retraction

nipple retraction

A primipara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction would be most appropriate to aid in relieving her discomfort? "Express some milk from your breasts every so often to relieve the distention." "Remove your bra to relieve the pressure on your sensitive nipples and breasts." "Apply ice packs to your breasts to reduce the amount of milk being produced." "Take several warm showers daily to stimulate the milk let-down reflex."

"Apply ice packs to your breasts to reduce the amount of milk being produced."

A 42-year-old woman is scheduled for a mammogram. Which of the following would the nurse include when teaching the woman about the procedure? "The room will be darkened throughout the procedure." "Each breast will be firmly compressed between two plates." "Make sure to refrain from eating or drinking after midnight." "A small needle will be inserted to get a sample for evaluation."

"Each breast will be firmly compressed between two plates."

A client who has had a mastectomy is to undergo breast reconstruction with augmentation. After teaching the client about the procedure, the nurse determines that the teaching was successful based on which client statement? "The implants will be placed directly under my skin." "Once implanted, the implants are good for the rest of my life." "I'll use the same technique for breast self-exam as before." "My implants will feel softer than normal breast tissue."

"I'll use the same technique for breast self-exam as before."

A nurse is conducting a class on breast cancer prevention. Which statement would the nurse most likely include in the discussion? "Most often a lump is felt before it is seen." "Early breast cancer usually has some symptoms." "If the mass is not painful, it is usually benign." "If lump is palpable, it has been there for some time."

"If lump is palpable, it has been there for some time."

A woman is suspected of having abruptio placentae. Which of the following would the nurse expect to assess as a classic symptom? Painless, bright-red bleeding "Knife-like" abdominal pain Excessive nausea and vomiting Hypertension and headache

"Knife-like" abdominal pain

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station? -2 -1 0 +1

0

A nurse is preparing to administer heparin 3500 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.7 mL

A nurse is preparing to administer ampicillin 500 mg over 30 min. Available is 500 mg ampicillin in 50 mL dextrose 5% in water (D5W). The nurse should set the pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

100 mL/hr

A woman has just given birth to a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify what findings as normal?

2 arteries 1 vein

A woman is in labor with her second child. She knows that she will want epidural anesthesia, and she has already signed her consent form. What must the nurse do before the woman receives the epidural? Review the woman's medical history and laboratory results, and interview her to confirm all information is accurate and up to date. Place the woman in the fetal position on the table, and keep her steady so that she won't move during the procedure. Administer a fluid bolus through the IV line to reduce the risk of hypotension. Prepare a sterile field with the supplies and medications that will be needed.

Administer a fluid bolus through the IV line to reduce the risk of hypotension.

When assessing the following women, which would the nurse identify as being at the greatest risk for preterm labor? Woman who had twins in a previous pregnancy Client living in a large city close to the subway Woman working full time as a computer programmer Client with a history of a previous preterm birth

Client with a history of a previous preterm birth

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately? Respiratory rate of 16 breaths per minute Diminished deep tendon reflexes Urine output of 45 mL/hour Alert level of consciousness

Diminished deep tendon reflexes

A nurse is caring for a client for whom estrogen replacement therapy has been recommended for pelvic organ prolapse. Which nursing intervention is the most appropriate for the nurse to implement before the start of the therapy? Discuss the effective dose of estrogen required to treat the client. Evaluate the client to validate her risk for complications. Discuss the dietary modifications following therapy. Discuss the cost of estrogen replacement therapy.

Evaluate the client to validate her risk for complications.

Triage N/V Urinary freq Facial edema and epigastric pain

Facial edema and epigastric pain

While assessing a postpartum client who gave birth about 12 hours ago, the nurse evaluates the client's bladder and voiding. The nurse determines that the client may be experiencing bladder distention based on which finding?

Fundus boggy to the right of the umbilicus

In securing a health history of a 65-year-old woman, which clinical manifestation described by the client would the nurse suspect is related to pelvic organ prolapse? Chronic abdominal pain Heavy feeling or dragging in vagina Uterine cramping and backache Weight gain and edema of ankles

Heavy feeling or dragging in vagina

In a woman who is suspected of having a ruptured ectopic pregnancy, the nurse would expect to assess for which of the following as a priority? Hemorrhage Jaundice Edema Infection

Hemorrhage

Oxytocin

High risk Importance of EFM

High risk patient that should get genetic testing

Hx of major disease

HSV I and II

I: oral II: genital

What measures can a nurse take to reduce the risk of hypoglycemia in a newborn?

Initiate early and frequent breastfeeding Begin skin-to-skin (kangaroo) care for the newborn Dry the newborn off immediately after birth to prevent chilling

Surgical Abortion - Rh negative mom

Need rhogam

When assessing fetal heart rate, the nurse finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which of the following would the nurse do next? Have the woman change her position. Administer oxygen. Notify the health care provider. Continue to monitor the pattern every 15 minutes.

Notify the health care provider.

The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse includes interventions focusing on which of the following because of the woman's increased risk? Oligohydramnios Preeclampsia Post-term labor Chorioamnionitis

Preeclampsia

A nurse is developing the plan of care for a small-for-gestational-age newborn. Which action would the nurse determine as a priority? Preventing hypoglycemia with early feedings Observing for newborn reflexes Promoting bonding between the parents and the newborn Monitoring vital signs every 2 hours

Preventing hypoglycemia with early feedings

Risk related to macro

Shoulder dystocia

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find? Sporadic vaginal bleeding accompanied by chronic pelvic pain Heavy leukorrhea with vulvar pruritus Menstrual irregularities and hirsutism on the chin Stress incontinence with feeling of low abdominal pressure

Stress incontinence with feeling of low abdominal pressure

A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which of the following would the lead the nurse to suspect that the client is having an adverse effect associated with this drug? Gastrointestinal bleeding Blurred vision Tachycardia Sweating

Tachycardia

A 24-year-old primigravida client at 39 weeks' gestation presents to the OB unit concerned she is in labor. Which assessment findings will lead the nurse to determine the client is in true labor? The contraction pains are 2 minutes apart and 1 minute in duration. The client reports back pain, and the cervix is effacing and dilating. The contraction pains have been present for 5 hours, and the patterns are regular. After walking for an hour, the contractions have not fully subsided.

The client reports back pain, and the cervix is effacing and dilating.

A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. The nurse interprets these changes as reflecting which of the following? Early decelerations Variable decelerations Prolonged decelerations Late decelerations

Variable decelerations

Amniotomy

artificial rupture of membranes

Prior to infusing medication into an epidural catheter inserted into a laboring mother, which vital sign is a priority? Temperature Pain level Respiratory rate Blood pressure

blood pressure

Testing at first prenatal visit

blood type/palio and rh Urine

The nurse recognizes that maternal factors can increase the chance of a large-for-gestational-age newborn. When reviewing maternal history, the nurse would interpret which factors as placing a newborn at risk for being LGA? Select all that apply. diabetes multiparity history of postdates gestation female fetus history of microsomic infant

diabetes multiparity history of postdates gestation

Sx of hyperventilation

diaphragmatic breathing

Difficulty voiding PP

displacement of uterus from midline increased risk for PPH causes uterine atony

Positive signs of pregnancy

evidence (ultrasound, fetal movement felt by clinician, auscultation of FHR via doppler)

Accurate assessment of food intake

food journal

When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would point out which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain? ductus venosus ductus arteriosus umbilical vein foramen ovale

foramen ovale

A client is considering breast augmentation. What would the nurse recommend to the client to ensure that there are no malignancies? mammogram mastopexy ultrasound breast biopsy

mammogram

During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next? mammogram hormone receptor status fine-needle aspiration genetic testing for BRCA genes

mammogram

A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion? use of oral contraceptives between ages 18 and 25 onset of painless, bright red postmenopausal bleeding menopause occurring at age 46 use of intrauterine device for 3 years

onset of painless, bright red postmenopausal bleeding

Ptyalism

overproduction of saliva associated with N/V in first trimester

5 Ps

passenger passage power placenta psychology

Vascular volume increase for what reason

placental perfusion

Resting tone between contractions

should go below 20 mm Hg

The nurse is caring for a client in the early stages of labor. What maternal history factors will alert the nurse to plan for the possibility of a small-for-gestational-age (SGA) newborn? Select all that apply. smoking during pregnancy hypotension upon admission asthma exacerbations during pregnancy drug use pregnancy weight gain of 25 lb (11 kg)

smoking during pregnancy asthma exacerbations during pregnancy drug use

After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which of the following as characteristic of stress incontinence? Feeling a strong need to void Passing a large amount of urine Most common in women after childbirth Sneezing may be an initiating stimulus

sneezing may be an initiating stimulus

Sx of gonorrhea in men

white/yellow/green dischagre burning with urination inflammation pain in the testicles

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

250 mL/hr

A nurse is caring for a 25 year old client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 110 lb. How many mg should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

250 mg

A nurse is preparing to administer lorazepam 1.5 mg PO to a client. The amount available is lorazepam 0.5 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3 tablets

At what age should a woman with no risk factors begin mammography screening for breast cancer?

40

A nurse is preparing to instill 960 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

40 mL/hr

LGA babies (grams)

4000 g highest 10th percentile

The nurse is teaching a prenatal class on potential problems during pregnancy to a group of expectant parents. The risk factors for placental abruption (abruptio placentae) are discussed. Which comment validates accurate learning by the parents? "I need a cesarean section if I develop this problem." "If I develop this complication, I will have bright red vaginal bleeding," "Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain." "Since I am over 30, I run a much higher risk of developing this problem."

"Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain."

The nurse is caring for a 52-year-old woman whose sisters and mother died of breast cancer. The client states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be the nurse's best response? "We call this drug a chemotherapy agent." "Tamoxifen prevents osteoporosis." "I would recommend raloxifene." "Tamoxifen reduces the incidence."

"Tamoxifen reduces the incidence."

A nurse is preparing to administer celecoxib 200 mg PO daily divided into two equal doses. Available is celecoxib 50 mg capsules. How many capsules should the nurse administer with each dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 capsules

A nurse is preparing to administer amoxicillin 2 gm/day PO divided into two doses. The amount available is amoxicillin 500 mg tablets. How many tablets should the nurse administer with each dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 tablets

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2.5 mL

The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS? 1,000 cells/mm3 700 cells/mm3 450 cells/mm3 200 cells/mm3

200 cells/mm3

You are calculating your patient's intake for your 8 hour shift. He has had the following: IV fluids of 0.9% sodium chloride (NaCl) at 100 mL/hr; 3 doses of Potassium Chloride 10 mEq each mixed in 100 mL bags of 0.9% sodium chloride (NaCl); 12 oz of water; 10 oz of milk; and 8 oz of coffee. What is the total intake for this patient? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2000 mL

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as: 3 2 1 0 3 3 1 2 2 3 4 1 1 1 3 4 2 1 3 1

41113

A nurse is caring for a female client in the postpartum phase. The client reports "afterpains." Which intervention should the nurse complete first? Administer pain medications. Assess client vital signs. Assist the client in emptying her bladder. Encourage the client to stop breastfeeding until the pains stop.

Administer pain medications.

A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure? Offer warm blankets. Encourage the woman to void. Apply an ice pack to the site. Offer a warm sitz bath.

Apply an ice pack to the site.

A primigravida client in the second stage of labor has been moaning, screaming, and generally vocal throughout her labor. Her husband is distraught seeing his wife this way and asks the nurse for more pain medication for her. What is the nurse's best response? Assist the client with breathing and imagery techniques in an attempt to calm her down. Reassure the first-time father that his wife will be fine, and offer to stay with her while he takes a walk. Page the obstetrician to evaluate the client's pain, and administer an appropriate increase in her pain medication. Ask the client to describe the intensity of her pain on a scale of 0 to 10.

Ask the client to describe the intensity of her pain on a scale of 0 to 10.

The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next? Continue to monitor the FHR because this pattern is benign. Perform a vaginal exam to assess cervical dilation and effacement. Stay with the client while reporting the finding to the physician. Administer oxygen after turning the client on her left side.

Continue to monitor the FHR because this pattern is benign.

After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. In planning a response, the nurse integrates understanding of which of the following? Fetal blood is thicker than that of adults and needs different pathways. Fetal circulation carries highly oxygenated blood to vital areas first. Fetal blood has a higher oxygen saturation and circulates more slowly. Fetal heart rates are rapid and circulation time is double that of adults.

Fetal circulation carries highly oxygenated blood to vital areas first.

After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position? Supine Side-lying Sitting Knee-chest

Knee-chest

Postterm pregnancy risk

LGA cesarean PPH dystocia birth trauma infection shoulder dystocia low apgar disproportion

A group of nursing students are reviewing the various medications used for pain relief during labor. The students demonstrate understanding of the information when they identify which agent as the most commonly used opioid? Butorphanol Nalbuphine Fentanyl Meperidine

Meperidine

A couple reports that their condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy? Inject a spermicidal agent into the woman's vagina immediately. Obtain emergency contraceptives and take them immediately. Douche with a solution of vinegar and hot water tonight. Take a strong laxative now and again at bedtime.

Obtain emergency contraceptives and take them immediately.

A woman at 34 weeks' gestation presents to labor and delivery with vaginal bleeding. Which finding from the obstetric examination would lead to a diagnosis of placental abruption (abruptio placentae)? Onset of vaginal bleeding was sudden and painful Fetus is in a breech position Sonogram shows the placenta covering the cervical os Uterus is soft between contractions

Onset of vaginal bleeding was sudden and painful

Conservative treatment options available for women with pelvic organ prolapse are: Pessaries and PFM exercises External pelvic fixation devices Weight gain and yoga Firm panty-and-girdle garments

Pessaries and PFM exercises

Which of the following data on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy? Use of oral contraceptives for 5 years Ovarian cyst 2 years ago Recurrent pelvic infections Heavy, irregular menses

Recurrent pelvic infections

Which of the following activities will increase a woman's risk of cardiovascular disease if she is taking oral contraceptives? Eating a high-fiber diet Smoking cigarettes Taking daily multivitamins Drinking alcohol

Smoking cigarettes

A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which definition? Cancer is confined to the body of the uterus. The malignancy is localized. Cancer extends outside the uterus. The malignancy involves the uterine body and cervix.

The malignancy is localized.

The nursing instructor is illustrating the circulatory flow between the mother and fetus. The instructor determines the session is successful when the class correctly chooses which structure with which route? The one umbilical artery carries oxygen-rich blood to the fetus from the placenta. The two umbilical arteries carry waste products from the placenta to the fetus. The one umbilical vein carries oxygen-rich blood to the fetus from the placenta. The two umbilical veins carry waste products from the fetus to the placenta.

The one umbilical vein carries oxygen-rich blood to the fetus from the placenta.

A group of nursing students are preparing a presentation depicting the fetal circulation. The instructor determines the presentation is successful when the students correctly illustrate which route for the ductus arteriosus? The left to right heart atria The aorta to the pulmonary veins The right ventricle to the aorta The pulmonary artery to the aorta

The pulmonary artery to the aorta

A young woman has been referred for a colposcopy by the health care provider. The nurse is educating the woman on the procedure. Which information about the colposcopy should the nurse provide? The procedure may be painful. The results of the Papanicolaou test were abnormal; therefore, this procedure must be done. Sexual intercourse should be avoided for 2 weeks. There may be some pain while urinating for up to 1 week after the test.

The results of the Papanicolaou test were abnormal; therefore, this procedure must be done.

How does fetal circulation differ from circulation after birth? Fetal blood flow bypasses the right atrium and goes directly to the right ventricle. In utero, blood through the pulmonary artery is only 50% of the post-delivery blood flow. The ductus arteriosus carries the majority of the blood circulating from the left atrium to the left ventricle directly to the aorta. The umbilical vein carries oxygenated blood, while deoxygenated blood is carried by the umbilical arteries.

The umbilical vein carries oxygenated blood, while deoxygenated blood is carried by the umbilical arteries.

A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent? First Second Third Fourth

Third

The nurse is instructing the postpartum client who plans to bottle-feed her newborn about measures to prevent breast engorgement when she is discharged. Which of the following measures should the nurse include in the teaching plan? Decreasing her fluid intake for the first week at home Wearing a tight-fitting supportive bra 24 hours daily Take a diuretic to release the extra fluid in the breasts Manually express the milk that is accumulating

Wearing a tight-fitting supportive bra 24 hours daily

Upon assessing the newborn's respirations, which finding would cause the nurse to notify the primary care provider? coughing and sneezing in the newborn short periods of apnea that last 10 seconds in a pink newborn a respiratory rate of 15 breaths per minute with nasal flaring a respiratory rate of 45 breaths per minute with acrocyanosis

a respiratory rate of 15 breaths per minute with nasal flaring

Antidote to mag toxicity

calcium gluconate

A nurse is caring for a woman who has just been diagnosed with cervical carcinoma in situ. The nurse should prepare the women for which treatment? uterine artery embolization (UAE) hysterectomy cervical conization with follow-up Papanicolaou test and colposcopy internal and external radiation therapy

cervical conization with follow-up Papanicolaou test and colposcopy

Post mastectomy

check vitals

Genetic testing after multiple miscarriages

chromosomal patterns

When you are interviewing a client with uterine fibroids, what subjective data would you expect to find in her history? Cyclic migraine headaches Urinary tract infections Chronic pelvic pain Chronic constipation

chronic pelvic pain

A nurse prepares a woman with an abnormal Papanicolaou test result for further diagnostic evaluation. Which procedure would the nurse expect to be done? colposcopy herpes simplex virus (HSV) testing transvaginal ultrasound endometrial biopsy

colposcopy

Which of the following would lead the nurse to suspect that a postpartum woman is experiencing a problem? Elevated white blood cell count Acute decrease in hematocrit Increased levels of clotting factors

cute decrease in hematocrit

A nurse is conducting an in-service program for a group of staff nurses working at the women's health center. After teaching the group about genital fistulas, the nurse determines that the teaching was successful when the group identifies which as a major cause of genital fistulas? radiation therapy congenital anomaly female genital cutting Bartholin gland abscess

female genital cutting

A client receives an epidural anesthetic. Which medication would the nurse anticipate the primary care provider will prescribe if the client develops moderate hypotension? betamethasone methylergonovine atropine Ephedrine

epinephrine

After teaching a group of students about genital fistulas, the instructor determines that the teaching was successful when the students identify which of the following as a major cause? Radiation therapy Congenital anomaly Female genital cutting Bartholin's gland abscess

female genital cutting

When planning the care for a client during the first 24 hours postpartum, the nurse expects to monitor the client's pulse and blood pressure frequently based on the understanding that the client is at risk for which condition? hemorrhoids hemorrhage thromboembolism cervical laceration

hemorrhage

Cervical ripening agents

induce labor

Risk for rupture more than 24 hours

infection

A nurse is conducting a presentation for a local women's group about pelvic organ prolapse. When describing the different types, which information would the nurse incorporate into the description of a cystocele? sagging of the rectum, pushing against or into the posterior vaginal wall protrusion of the bladder wall through the anterior vaginal wall bulging of the small intestine through the posterior vaginal wall downward movement of the uterus through the pelvic floor and into the vagina

protrusion of the bladder wall through the anterior vaginal wall

A male client visits a fertility clinic after one year of attempting unsuccessfully to impregnate his wife. What is a risk factor associated with male infertility? no or few sperm cells produced 2 to 5 ml of semen ejaculated sperm density about 20 million/ml morphology of sperm within normal limits

no or few sperm cells produced

HSV with active lesions

no vaginal birth

Rhogram

nonsensitized rh - mom with rh+ baby

The purpose of a circulatory shunt, such as the ductus arteriosus, is to: allow blood to bypass the fetal heart, which does not function as a pump until birth. allow fetal blood and maternal blood to mix freely. direct blood flow to the lungs to supply nutrients necessary for growth and maturation. permit oxygenated blood to supply the most important fetal organs.

permit oxygenated blood to supply the most important fetal organs.

A nurse is reviewing a postpartum woman's history and labor and birth record. The nurse determines the need to closely monitor this client for infection based on which factor? labor less than 3 hours hemoglobin of 11.5 mg/dl (115 g/L) placenta removed via manual extraction multiparity

placenta removed via manual extraction

A nurse is caring for a client who gave birth vaginally 2 hours ago. What postpartum complication can the nurse assess within the first few hours following birth? postpartum infection postpartum blues postpartum hemorrhage postpartum depression Differences btx PP blues / depression / psychosis

postpartum hemorrhage

A postpartum woman reports hearing voices and says, "The voices are telling me to do bad things to my baby." The clinic nurse interprets these findings as suggesting postpartum psychosis. anxiety disorder. depression. blues.

psychosis

A nurse is providing teaching about lifestyle modifications to address a client's pelvic organ prolapse. The nurse understand that the majority of these changes focus on: reducing intra-abdominal pressure increasing muscle tone providing mechanical support preventing incontinence

reducing intra-abdominal pressure

N/V in early pregnancy: education

small frequent meals drink between meals

Probable signs of pregnancy

subjective found on physical assessment (pregnancy test, braxton hicks, abdominal enlargement, ballotement, goodell's sign, chadwick's sign, hegar's sign)

Presumptive signs of pregnancy

subjective percieved by the mother (fatigue, n/v, fetal movement, uterine enlargement, breast enlargement, breast tenderness, amenorrhea, hyperpigmentation of the skin)

Surfactant

surface-tension reducing lipoprotein allows alveoli to open

Which action would the nurse emphasize when teaching postmenopausal women about ways to reduce the risk of osteoporosis? swimming daily taking vitamin A using hormone replacements taking calcium supplements

taking calcium supplements

A client with advanced breast cancer who has had both chemotherapy and radiation therapy is to start endocrine therapy. Which agent would the nurse expect the client to receive? trastuzumab tamoxifen cortisone Estrogen

tamoxifen

A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy using a selective estrogen receptor modulator (SERM). Which agent would the nurse expect the client to receive? tamoxifen letrozole exemestane Cortisone

tamoxifen

Postpartum fever

temperature over 100.4

Vaccines in pregnancy

tetanus (tdap) influenza

A nurse in the sexual health clinic is assessing a male adolescent client, who is homosexual, for sexually transmitted infection (STI) risk factors. Which factor would the nurse identify as presenting the highest risk for STIs? risky sexual behaviors the number of sexual partners the age of the client his sexual orientation

the age of the client

A pregnant client asks the nurse how the fetus breathes if it is floating in the amniotic fluid. The best explanation by the nurse is: the fetus receives oxygen through the umbilical vein. the fetus breathes by exchanging gases in the lungs. the fetus breathes by receiving blood from the maternal circulation. the fetus receives oxygen through the umbilical artery.

the fetus receives oxygen through the umbilical vein.

Fundal checks

top of pubic bone to top of uterus (fundus)

TTN

transient tachypnea of the newborn rapid breathing

A client was in labor for more than 36 hours and now reports urine leaking from her vagina. On examination the nurse would be inspecting for: urethrovaginal fistula vesicovaginal fistula urge incontinence fistula rectovaginal fistula

urethrovaginal fistula

Which of the following is a presumptive sign or symptom of pregnancy? Restlessness Elevated mood Urinary frequency Low backache

urinary frequency

A nurse is caring for a client with postpartum hemorrhage. What should the nurse identify as the significant cause of postpartum hemorrhage? uterine atony hemorrhoid diuresis iron deficiency

uterine atony

Which factor in a client's history would alert the nurse to an increased risk for postpartum hemorrhage? multiparity, age of mother, operative birth size of placenta, small baby, operative birth uterine atony, placenta previa, operative procedures prematurity, infection, length of labor

uterine atony, placenta previa, operative

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Applying the guidelines from the American Cancer Society, the nurse would emphasize which recommendation? yearly mammograms for women starting at age 40 clinical breast examinations every 2 years for women over age 30 breast self-examination at least yearly for women over age 20 mammograms every 3 years for women between the ages of 20 and 39 years

yearly mammograms for women starting at age 40