OB FINAL PT 1

29. Susan is at her 20-week obstetrics visit. Which new development can the nurse accurately tell Susan normally occurs in the fetus at 20 weeks?

C)Eyebrows and scalp hair are present.

11. Which physician's use of antiseptic in surgery, which greatly improved the survival rate of his patients, led to general acceptance of the germ theory by physicians in Europe and the United States?

C)Joseph Lister

12. The period surrounding birth, from conception through pregnancy and birth, is called:

C)perinatal

8. Statistics show that more than 44 million people in the United States do not have insurance. What percentage of this population are children?

C. 25%

14. Which physician is recognized as the father of pediatrics?

A) Arthur Jacobi

28. Using a condom is considered what type of birth control method?

A) Barrier

13. Today it is possible to know many things about a child before the child is born. What test would you administer to reveal the gender of the fetus and certain abnormalities early in pregnancy?

A) Ultrasound

16. A systematic approach to identification of patient needs and management of patient care defines which practice model?

A)Case management

38. Early in pregnancy, frequent urination results mainly from which of the following?

A)Pressure on the bladder from the uterus

21. 48As part of your role as a school nurse, you are conducting a drug education program in a fourth-grade class. This is an example of nursing in

A)Primary prevention

6. The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis. Which of the following laboratory/diagnostic tools would likely be used to help determine the diagnosis of this child?

A)Purified protein derivative test

18. The most common infection for women after delivery in the 1700s was:

A)Reproductive tract infection

25. A teenager in the clinic is refusing to eat during her pregnancy because she does not want to "get fat". What information should the nurse provide on the outcomes of the infant related to poor maternal weight gain?

A)The infant will be small and could have problems

3. The nurse is discussing the respiratory system of children with a group of peers. One of the nurses makes the statement that if an older child inhales a foreign body, the inhaled object is more likely to be drawn into the right bronchus rather than the left. Which of the following is the most correct reason for this occurrence?

A)The left bronchus is shorter and wider than the right.

35. The structure to supply the fetus with nutrients is which of the following?

B) Placenta

10. What two major developments greatly influenced the way maternity care is practiced in the United States?

B)Development of anesthesia and acceptance of the germ theory

2. Which of the following is the most accurate regarding the structure and function of the infant or child's respiratory system?

B)Most infants are nasal breathers rather than mouth breathers

26. What is the correct direction to provide on the way to take oral contraceptives (chpt 4)

B)Same time of day, each day

33. The fetal structure with the highest oxygen concentration is which?

B)Umbilical vein

5. The nurse is caring for a child admitted with asthma. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

B)Wheezing

9. Which of the following is the best statistical indicator of the adequacy of prenatal care?

B. Maternal mortality rate

37. The blood volume in pregnant women increases by what percent?

C) 40-45 percent

1. The nurse is collecting data on a child with a diagnosis of tonsillitis. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

C) Erythema of the soft palate

40. Monica is 36 weeks pregnant. Which complaint by Monica requires immediate additional assessment by the nurse midwife?

C)"I have been leaking clear, vaginal fluid."

39. As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. This phenomenon probably happens because

C)Blood is trapped in the vena cava in a supine position

34. What are the two fetal membranes?

C)Chorion and amnion

31. At 37 weeks gestation a patient calls the labor and delivery floor and thinks she is in labor. What statement should the nurse recognize as an assessment finding for true labor?

C)Contraction, regular and lasting longer and stronger

19. Which of the following may be a strength of the single parent type of family (Chapter 2)

C)Development of a special parent-child relationship

15. Morbidity rates among children are most highly associated with which cause?

C)Environmental factors

32. At what day after fertilization is the embryo fully implanted into the uterus wall?

D) Day 10

24. The nurse explains to a pregnant client, who is anemic, that she will need to take vitamins with iron during her pregnancy. What are food would you include on the patient's diet plan?

D) Meats

17. The physician most likely to provide care to a pregnant woman during her prenatal period and her labor/delivery is what type of physician?

D) Obstetrician

20. An adolescent believes that people from the Bronx are stupid. What does this type of belief represent?

D) Stereotyping

23. You are counseling new parents on the best ways to help their newborn develop its senses. You advise them to

D)Buy brightly colored toys

27. You are counseling women on birth control choices. Which woman is the best candidate for an IUD? A woman who:

D)Has one partner, her husband and 3 children

30. A fetus is able to maintain blood circulation in-utero by the presence of circulatory shunts. The ductus arteriosus in-utero shunts blood from:

D)The pulmonary artery to the aorta

22. You are counseling a pregnant woman as to the best option for delivering her baby. She is 25 years old, has one other child, and is in a low-risk pregnancy. You advise her that the best option for delivery is

D)There is no evidence of any superiority among settings

7. The nurse caring for the child with asthma weighs the child daily. Which of the following is the most important reason for doing a daily weight on this child?

D)To determine fluid losses

4. The most common cause of acute bronchiolitis is which of the following

D)Viral infections

36. The hormone responsible for the initiation of lactation is what?

D. Prolactin