Parent Child EXAM 1 (Chapters 1, 2, 3, 5, 6, 7, 8, 10, 14, 20, 21, & 22)

A pregnantt client from a non-dominatn culture explains that milk and dairy products cannot be consumed for 2 months during pregnancy because of the need to fast for her religion. Which response should the nurse make after learning this information?

"There are other food sources where you can obtain the nutrients that are in milk"

A nurse is conducting a family assessment. Which behavior would suggest to the nurse that the family is well?

A mother states she has grown up since giving birth to her children

The nurse is caring for a woman in a prenatal clinic who thinks she might be pregnant. Which assessment is a probable sign of pregnancy?

A positive pregnancy test

During pregnancy, which situation would interfere with mother-child bonding?

A woman's father has been very ill during the pregnancy

To prepare his 4-year-old son for a new baby, a father should use which statement?

"A new baby will make our family bigger but not change our love for you"

The nurse teaches a pregnant client from a non-dominant culture that the health care provider wants the client to rest for several hours every afternoon. Which client statement indicates that teaching has been effective?

"I need to lie down after lunch and not get up until it's time to prepare dinner"

The nurse instructs a pregnant patient with sickle cell anemia on ways to prevent a crisis. Which patient statement indicates that teaching has been effective?

"I should drink eight glasses of water every day"

The nurse is teaching a client about sildenafil citrate prescribed for erectile dysfunction. Which client statement indicated that teaching has been effective?

"I should report to my health care provider an erection that lasts longer than 4 hours"

The nurse instructs a pregnant patient on ways to reduce unintentional injuries while pregnant. Which patient statement indicates that teaching has been effective?

"I should wear a seat belt when in a motor vehicle at all times"

The nurse instructs a pregnant patient on the need to increase foods containing folic acid. Which patient statement indicates that teaching has been effective?

"I will add spinach to my salad every evening"

During a hospital admission, an 8-year-old of Polish heritage tells you he is angry because so many people have asked him how to pronounce his name. What would be your best response?

"I will make in your nursing care plan how to say it correctly"

A nurse is teaching a pregnant woman how to perform Kegel exercises. The nurse determines that the teaching was effective based on which statement by the woman?

"I'll squeeze the muscles around my vagina, as if I'm stopping my urine stream"

A pregnant woman is considering a home birth. Which statement by the woman would lead the nurse to determine that the woman is a good candidate for this birth setting?

"I'm interested in learning as much as I can about birth and what I need to do"

A woman tells you that both she and her husband like to continue sexual relations during her menstrual period. They have a monogamous relationship. She asks you if this will harm her. Which of the following would be the best response?

"If this is satisfying for you and your partner, then there is no harm in it"

A pregnant adolescent asks you if her boyfriend (father of the baby) can come into the examining room with her. Based on his needs, which of the following would be the best response?

"If you want him to come in"

A nurse is teaching a pregnant patient about the importance of practicing perineal exercises during pregnancy. The nurse determines that the teaching was successful based on which patient statement?

"My muscles will be able to stretch more easily during labor"

Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility?

"Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum"

A patient with vaginismus has attended counseling to treat the disorder. Which patient statement indicates that treatment has been effective?

"Sex is not a bad thing but can be enjoyed with my husband"

A nurse is teaching a group of pregnant women about different methods to manage pain during childbirth. The nurse determines that the teaching was successful when the group identifies which information as a principle underlying these methods?

Abdominal breathing allows the uterus to expand freely

After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding?

Abnormal uterine shape

The nurse is planning an educational session for community members to address the issue of school-age child mortality. Which topic should the nurse identify as the highest priority for this population?

Accidents

The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? (Select all that apply)

Highlight the importance of good nutrition Include health promotion activities for both men and women Remind about safe sex practices to reduce sexually transmitted infections

An extended family is experiencing a crisis. Excessive work demands have caused the primary parents to work longer hours, but the grandmother who usually watches the children after school is recovering from hip replacement surgery. What can the nurse suggest to help this family through this period of time?

Identify another extended family member to assist while the grandmother recovers

A child is diagnosed with an X-linked dominant inheritance disorder. What should the nurse explain to the parents about this disorder?

It appears in every generation

What is an advantage of a cervical cap over a diaphragm?

It can be left in place longer

Which of the following is true of pelvic rocking during pregnancy?

It helps to relieve backache

How can pelvic inflammatory disease (PID) affect fertility?

It interferes with the transport of ova because of tubal scarring

A pregnant woman diagnosed with diabetes should be instructed to perform which action?

Notify the primary care provider if unable to eat because of nausea and vomiting

A family of a mother, father, and a 6-year-old boy was recently enlarged to include a new baby sister. What type of family does this represent?

Nuclear

Which statement correctly defines the term "perinatal death rate"?

Number of deaths per 1000 live births beginning when the fetus reaches 500 g and ending 28 days after birth

A woman with an artificial mitral valve develops heart failure at the 20th week of pregnancy. Which measure would the nurse stress with her during the remainder of the pregnancy?

Obtaining enough rest

The nurse reminds a patient in active labor to perform cleansing breaths. Why should the nurse encourage the patient to do this type of breathing?

Prevents hyperventilation

The nurse is identifying nursing diagnoses appropriate for a pregnant patient who is substance dependent. Which diagnosis should the nurse identify as applicable to this patient's needs?

Risk for injury to self and fetus related to chronic substance dependency

A pregnant woman asks about the advantages of a hospital birth. Which information would the nurse most likely include in the response?

Security of knowing emergency equipment is on hand

A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?

She has a family history of thromboembolism

A 40-year-old pregnant woman states she has little time for pregnancy exercises. Which of the following exercises would you stress as important for her to do?

Sims' resting position to reduce varicosities

A 24-year-old woman is the mother of an 8-month-old baby. The woman's father lives nearby in a nursing home. Which type of family does this represent?

Single parent

The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? (Select all that apply)

Smaller families More employed mothers More single-parent families

A recently separated mother is overwhelmed with caring for three children under the age of 5 years. The oldest child has been recently diagnosed with muscular dystrophy. Which health care providers should the nurse consult to help the mother? (Select all that apply)

Social worker Physical therapist

The nurse has been hired to provide care to patients on a maternal and child unit. What will the nurse use as a guide to legally provide care to this patient population?

Standards of practice

The nurse is assessing the health history of a male partner. Which data is most likely to be related to an infertility problem?

Employment as a taxi driver

A client reports feeling increased levels of stress and anxiety before a routine ultrasound. What is an appropriate action by the nurse?

Encourage the client to meditate for a few minutes

A woman wants to exercise during her pregnancy. After teaching the woman about maintaining safety when exercising, the nurse determines the need for additional teaching when the woman identifies which activity as appropriate to do?

Engaging in pushing as an exercise

The nurse is monitoring a pregnant patient who is receiving intravenous magnesium sulfate for eclampsia. During the last assessment, the nurse was unable to elicit a patellar reflex. What should the nurse do?

Stop the current infusion

A woman telephones the nurse after taking an ovulation suppressant for 3 months to state that she has forgotten to take her pill two mornings in a row. What would be the best advice to give her regarding this?

Take two pills not and use a second method of contraceptive for the remainder of the month

The nurse is concerned that a patient is developing polyhydramnios. What did the nurse assess in this patient? (Select all that apply)

Tense uterus Extreme shortness of breath Difficulty hearing fetal heart rate Uterus larger than expected for gestation week

A female patient is willing to alter nutrition and activity status in an attempt to conceive. What teaching should the nurse provide to support this patient's desire? (Select all that apply)

Exercise for 30 minutes each day Ingest vegetables that are high in fiber Consciously reduce everyday stressors Add brown rice and dark bread to the diet

A pregnant patient is concerned about a sharp pain that is felt in the lower abdomen when making a quick move. What action should the nurse take to help this patient?

Explain that the sharp pain is tension on a uterine ligament

A client family recently moved to the United States. They live with their relatives, who were already residing in the United States. This is an example of which family form?

Extended

A married couple has 3-year-old twins. They own a dog. The father's mother lives with them. The father is a professor; the mother has resigned from her position as a legal secretary to be the children's primary caregiver. Which type of family does this represent?

Extended

Which definition best explains the term "subfertility/infertility"?

Failure to achieve pregnancy after 1 year of unprotected intercourse

The female partner of a young couple is concerned about what the results of fertility tests might reveal. Which nursing diagnosis should the nurse use to plan care for this patient?

Fear related to possible outcome of subfertility studies

What is a positive sign of pregnancy?

Fetal movement felt by examiner

An adolescent tells the nurse that it is taboo in his family to use credit cards. The nurse would interpret this to mean that

The adolescent's parents do not use credit cards

A pregnant patient enrolls in an expectant parent class during the second trimester of pregnancy. Which material should the nurse prepare to reinforce after these classes conclude? (Select all that apply)

The birth process Newborn nutrition Types of birth settings

A pregnant patient with a history of premature cervical dilation undergoes cervical cerclage. Which outcome indicates that this procedure has been successful?

The client delivers a full-term fetus at 39 weeks' gestation

The nurse is caring for a patient who desires to become pregnant within a few months. Which outcome regarding folic acid intake would be appropriate for this patient?

The client will begin taking 400 mg of folic acid every day

The nurse is running an education program for early grade-school children. Which topic would address the number one cause of death for this age group?

The importance of crossing streets safely

The nurse is making a home visit to a family with a child born with a genetic abnormality. Which observation in the home indicates to the nurse that the parents are adjusting to the newborn's health problems?

The mother holds the baby during the visit

A pregnant woman asks you how the uterine arteries will be able to supply blood to the uterus after the uterus increases four times its pre-pregnant size. You would explain that this will happen easily because of which of the following?

The normally twisted and coiled uterine vessels uncoil and elongate

The nurse is planning outcomes of care for a family whose infant was born with a birth defect. Which outcome statement would be the most appropriate for this family?

The parents will seek information regarding the birth defect

A patient who is newly pregnant and her spouse have decided to use the Bradley method of childbirth. Which outcome indicates that this couple is adhering to the principles of this birthing method?

The patient performs muscle-toning exercises

A woman is aware that she is the carrier of a sex-linked recessive disease (hemophilia A); her husband is free of the disease. What frequency of this disease could she expect to see in her children?

There is a 50% chance her male children will inherit the disease

A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications of this finding, what should the nurse include?

This finding should not cause fertility issues

A woman calls the clinic to report that she has had some cramping and spotting since the insertion of her IUD three days ago. Which instruction would be most appropriate?

"Consider this normal, because your IUD is newly inserted"

A woman who is blind because of retinopathy of prematurity delivers a girl weighing 6 lb, 12 oz 2 weeks early according to her due date. Which statement would lead you to suspect that she needs some additional health teaching?

"I hope retinopathy of prematurity in not inherited"

The nurse assessing a patient in active labor notes that the patient's respiratory rate is 36 breaths/minute and shallow. From this information, what should the nurse determine as being the status of the patient's cervical dilation?

4 to 6 cm

At her 16-week checkup, a client's blood pressure is slightly decreased from her pre-pregnancy level. The nurse evaluates this change based on which statements concerning blood pressure during pregnancy?

A decrease in the second trimester may occur because of placental growth

An adolescent female patient asks the nurse questions about menstruation. What should the nurse include when instructing the patient?

A prostaglandin inhibitor best relieves pain

The nurse prepares a couple to have a karyotype performed. What describes a karyotype?

A visual representation of the chromosome pattern of an individual

A woman has been diagnosed as having gestational hypertension. Which symptoms for this condition is the most typical?

Blood pressure elevation

A woman tells the nurse she has difficulty achieving orgasm. Orgasm in females results mainly from which stimulus?

Clitoral stimulation

The nurse is visiting a family new to a community. The mother has a disability and the adolescent child is being treated for anorexia. What will the nurse do first when assessing this family?

Construct an ecomap

While providing care to a child, the nurse informs the parents about the treatment plans and helps the parents make decisions about the child's care needs. What do the nurse's actions support?

Empowerment

A nurse is providing care in an organization that supports the maternal and child care continuum. Which type of patient care area is an example of this approach?

Family-centered care

A pregnant woman confides in you, "I want to deliver in home because our car is in bad shape and might break down on the way to the hospital." Her comment is likely to reflect which of the following?

Fear of having an emergency delivery before reaching the hospital

The nurse needs to assess a patient for biologic gender. Which of the following factors would be most important to assess?

Hair distribution

To assess the sociocultural aspects of the family of an adolescent in an ambulatory clinic, what would you try to find out more about?

His family structure

A pregnant woman's husband wants to act as her coach during labor. You would explain a coach's role to him as a(n)

Important participant in a successful labor

A nurse is providing care to a woman who is to undergo surgery to remove fibroid tumors. The nurse teaches the woman about the procedure and what to expect after it. The nurse determines that the teaching was successful when the woman identifies which situation as most likely to occur after the surgery?

Insertion of an intrauterine device

A patient with diabetes who is in the second trimester of pregnancy notes that the usual dose of insulin to maintain blood glucose levels has been increasing over the last few weeks. What should the nurse explain to the patient about insulin during pregnancy?

Insulin resistance develops because of human placental lactogen hormone and other hormones

Before signing the consent form for a myomectomy, the patient asks why an intrauterine device (IUD) is being inserted because the goal is to become pregnant. What should the nurse respond to the patient?

It prevents the uterine sides from touching and forming new adhesions

A pregnant patient is diagnosed with hyperthyroidism. For which medication should the nurse prepare teaching for this patient?

Methimazole

For which patient assessment finding would an intrauterine device (IUD) be contraindicated?

Misshapen uterus

A 33-week gestation infant dies after 1 week of life in the neonatal intensive care unit. The infant's death rate would be classified under which statistical category?

Neonatal death

The nurse is caring for a mother who has just given birth to twins of 28 weeks' gestation, each weighing 2 kg. What is the health risk for the mother and the twins?

Neonatal death

The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance?

Orange juice

A girl comes from a large family that you analyze as being extended. In planning hospital care for her, which factor would be most important for you to consider?

Organizing nursing care at times other than visiting hours

The nurse is determining the topics to include in an educational program to meet the 2020 National Health Goals for sexuality and reproductive health. What should the nurse include when planning this program? (Select all that apply)

Outline dafe sex practices Review skills to use to negate unwanted sexual advances Stress the importance of abstinence when teaching adolescent patients Explain the advantages of obtaining the human papillomavirus vaccination

A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. What would be the most likely cause of these symptoms?

Premature separation of the placenta

A woman develops HELLP syndrome. During labor, which prescription would the nurse question?

Prepare her for epidural anesthesia

Early in pregnancy, frequent urination results mainly from which cause?

Pressure on the bladder from the uterus

A man needs to bring a semen specimen in for analysis. Which of the following instructions would you give him?

Protect it against chilling

A pregnant patient slipped and fell on an icy sidewalk a few weeks ago. During labor, the patient is experiencing extreme pain at the region of the symphysis pubis. What should be done to help this patient?

Provide additional pain medication

A woman who is 7 weeks' pregnant is admitted with vaginal bleeding. She reports she never should have raised her arms above her head. Based on your knowledge, what is your best response?

Recognize her cultural beliefs and explain in a nonjudgemental manner the potential causes of miscarriage

The nurse is reviewing medication orders for a pregnant patient diagnosed with a urinary tract infection. Which medication order should the nurse question for this patient?

Tetracycline

The nurse is visiting a client from a non-dominant culture who was recently discharged from the hospital for complications of pregnancy. Which outcome of care would be appropriate for this client?

The client will understand signs of the complications developing again

Which observation indicates to the nurse that a family is not functioning in a healthy way?

The father does not share his concerns so his wife will not worry about them

A pregnant client from a non-dominant culture arrives 2 hours late for a scheduled sonogram. What does the client's behavior indicate to the nurse?

Time orientation may be different for the client's culture

A patient who is 36 weeks pregnant has been taking phenytoin for a seizure disorder. Which supplement should the nurse anticipate being prescribed for this patient?

Vitamin K

The nurse suspects that an adolescent from the inner city stereotypes other people. Which statement did the client make that caused the nurse to come to this conclusion?

"All people who live in the suburbs drive big cars"

A new mother with a spinal cord injury is questioning whether she should breastfeed. Which of the following would be the best response?

"Breastfeeding is best for the baby, and you should be successful at it"

A woman of 16 weeks' gestation telephones the nurse because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do?

"Come to the health facility with any vaginal material passed"

A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been "eating for two" so the baby is healthy. How should the nurse respond to the patient?

"Elevated blood glucose levels in the first trimester have been linked to congenital anomalies"

The nurse instructs a patient on the use of a vaginal estrogen/progestin ring for contraception. Which patient statement indicates that additional instruction is needed?

"I am to take the ring out overnight"

A pregnant patient is planning to give birth to the baby at home. Which patient statement indicates to the nurse that this patient is a good candidate for this birthing option?

"I have no health problems and follow good self-care practices"

The nurse is concerned that a pregnant patient is not adjusting emotionally to being pregnant. Which statement indicates that the patient may need additional counseling?

"I need to get right back to work after delivery"

The nurse instructs a couple on the process of basic fertility testing. Which patient statements indicate that teaching has been effective? (Select all that apply)

"The quality of the sperm will be looked at" "The sperm will be tested for adequate number" "A test will be done to determine if ovulation is occurring" "It will be determined if the sperm and eggs are able to meet correctly"

Both people is a married couple carry the recessive gene for cystic fibrosis. When asked about the incidence of any children developing the disorder, what should the nurse respond?

"There is a 1 in 4 chance"

An adolescent is diagnosed with pelvic inflammatory disease. It is believed to have been caused by abdominal adhesions after an appendectomy. What should the nurse explain to the patient about future success with fertility?

"There's scarring that will make it really difficult for the eggs to pass through the tubes"

After reviewing the various types of contraception available and discussing the pros and cons about each with the nurse, a young woman decides to use a spermicidal cream. When teaching the woman about this type of contraceptive, the nurse would instruct the woman to insert the cream at which time frame before intercourse?

1 hour

A woman who has a recessive gene for sickle cell anemia marries a man who also has a recessive gene for sickle cell anemia. Their first child is born with sickle cells anemia. The chance that their second child will develop this disease is

1 in 4

A nurse is working with a woman who is using the calendar method to determine her safe days. The nurse would instruct the woman to subtract

18 from her shortest period and 11 from her longest

A couple is undergoing fertility testing. The male partner is scheduled for semen analysis. When teaching the male partner about this procedure, the nurse should instruct him to refrain from sexual intercourse for which time frame before the analysis?

2 to 4 days

A nurse is teaching a woman how to use the basal body temperature method of contraception. The nurse determines that the teaching was successful when the woman identifies that she should refrain from having sexual intercourse at which time?

3 days after she records a slight drop in her temperature followed by an increase

While assessing a family, the nurse constructs a genogram. The nurse uses this tool to achieve which result?

A visual representation of the relationships of family members

A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic to have her diaphragm fit checked after which occurrence?

A weight gain of 10 lbs (4.5 kg)

A pregnant patient has chosen to give birth in a hospital that is designated as mother friendly. What information should the nurse teach the patient to expect when admitted for the birth of her baby? (Select all that apply)

Accurate information about procedures, drugs, and tests Support for making informed choices about what is best for the baby

The nurse is visiting a family with a toddler and a school-age child. Which teaching should the nurse provide to the parents that would be appropriate for both children?

Actions to ensure safety

Down syndrome may occur because of a translocation defect. This means the

Additional chromosome was inherited because it was attached to a normal chromosome

In planning care for a pregnant adolescent, which of the following would be most age appropriate?

Allow her to weigh herself at clinic visits

A woman tells the nurse that she is going to use a home pregnancy test to determine whether she is pregnant. Which precautions should the nurse give her?

Arrange for prenatal care if the test is positive

A woman who is Rh negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that

As long as she receives Rho(D) immune globulin, there is no limit

The nurse is caring for a child with Down Syndrome (Trisomy 21). This is an example of which type of inheritance?

Chromosome nondisjunction

Which nursing action supports a 2020 NationHealth Goal that addresses cultural diversity?

Discussing breastfeeding with a pregnant client who is Hispanic

The nurse is assisting a pregnant patient learn gating control mechanisms to control pain during labor. Which techniques will the nurse teach the patient? (Select all that apply)

Distraction Reducing anxiety Cutaneous stimulation

During an assessment, a patient who is 5 months pregnant tells the nurse that she has to change her diet because she is just becoming too fat. Which nursing diagnosis should the nurse use to guide interventions for the patient at this time?

Disturbed body image

The nurse encourages a woman with gestational diabetes to maintain an active exercise period during pregnancy. Prior to this exercise period, the nurse would advise her to take which action?

Eat a sustaining-carbohydrate snack

When counseling potential parents about genetic disorders, which statement would be appropriate?

Environmental influences may affect multifactorial inheritance

A boy tells you that his family celebrates the Fourth of July by eating out at a local restaurant. He tells you this is a better way to celebrate the holiday than having a picnic like his neighbors. This statement is an example of

Ethnocentrism

During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breast-feeding for first-time mothers. Which Quality & Safety Education for Nurses competency does this nurse's action support?

Evidence-based practice

A nurse is providing care to a couple with an infant who was born with a congenital condition. When working with these parents, which information would be most appropriate to provide?

Experiences the mother had during pregnancy are probably unrelated

What makes the area of family nursing a difficult arena to provide care at times?

Family members who might not agree on treatments and a plan of care

Which question should the nurse ask when assessing the sociocultural aspects of a client's family?

Family structure

After an examination, an advanced practice nurse confirms that a patient is pregnant. What did the nurse assess in this patient? (Select all that apply)

Fetal movement felt by the nurse Visualization of the fetus by ultrasound Fetal heart rate separate from the patient's

An adolescent describes her menstrual pattern to you. Which of the following observations is typical of a usual menstrual pattern?

Flow usually lasts 4 to 6 days

A nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these goals?

Health promotion and disease prevention

A patient comes into the family planning clinic and requests a prescription for birth control pills. Which assessment finding indicates that an ovulation suppressant would not be the best contraceptive method for the patient?

History of thromboembolism

A pregnant woman has told you she is fearful of delivering in a hospital because of the possibility of infection. You would analyze her comment in relationship to which true statement below?

Hospital births are conducted with more safeguards for sterility than home births tend to use

A pregnant woman tells the nurse she often has allergic responses to drugs. She is concerned that she will be allergic to her fetus and her body will reject the pregnancy. The nurse's reply would be based on which statement?

Immunologic activity is decreased during pregnancy

The nurse is beginning an assessment with a pregnant client from a non-English-speaking culture. The interpreter is having difficulty understanding what the client is trying to say and the client is becoming frustrated. Which nursing diagnosis would be the most appropriate for this situation?

Impaired verbal communication

A nurse is reviewing the statistical outcomes related to fetal deaths nationwide and notes that the numbers have changed over the last several decades. The best explanation would be:

Improved prenatal care has reduced the numbers of fetal deaths

A postpartum patient asks the nurse when the subdermal hormone implant for contraception can be inserted. What should the nurse respond to this patient?

In 6 weeks

The nurse is caring for a boy who states that his mother is a psychologist while his father is unemployed. His mother is the one who reminds him to take his medicine and also comforts his sister when she cries. Analyzing this description of his parents' roles, you would conclude that his

Mother is the provider and nurturer

The nurse is preparing to assess a pregnant client who is a member of non-English-speaking culture. Which areas should the nurse assess to address cultural diversity? (Select all that apply)

Pain Time Touch Communication

The nurse works in a maternal and child care area that supports health promotion. Which activities will the nurse perform to support this philosophy of health care? (Select all that apply)

Patient teaching Family counseling New mother advocacy

The results of a pregnant patient's quadruple screen were positive, and an amniocentesis was performed. The amniocentesis report states no genetic anomalies present. What should the nurse do to assist this patient understand the test results?

Reassure that the report of the amniocentesis is valid

A nurse is providing teaching to a parenting class on childhood mortality prevention. Which topic would be the priority for the nurse to include?

Seat belt safety

A patient who is 16 weeks pregnant is passing pieces of body tissue along with blood clots and dark red blood from the vagina. What should the nurse direct the patient to do at this time?

Seek immediate medical attention and bring the expressed vaginal material

A nurse is assessing a pregnant woman in her second trimester and obtains a urine sample for analysis. When reviewing the results, which finding would cause the nurse to be concerned?

Serum creatinine: 1.2 mg/100 mL (106 mmol/L)

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

Stereotyping

The nurse is caring for a 41-year-old patient who is pregnant with her first child. What can the nurse suggest to reduce the development of varicosities from the pregnancy? (Select all that apply)

Take walk breaks Rest in the Sims' position Rest with the legs on a foot stool

The nurse is planning an education session on contraceptives for a group of adolescent high school students. What does the nurse need to do when planning this session?

Teach about contraceptive options while avoiding indirect encouragement of sexual activity

After an assessment, a couple planning marriage decides to schedule an appointment for genetic counseling in several months. Which information from the assessment would support this couple's decision? (Select all that apply)

The male and female are second cousins The male and female are both of Mediterranean descent The female's sister gave birth to a baby with Down Syndrome

A pregnant patient is observed talking with another patient holding an infant in the clinic waiting room. What does this observation indicate to the nurse?

The patient is role-playing

A married couple is beginning genetic counseling. What should the nurse instruct the couple regarding expectations from this process? (Select all that apply)

The results will be provided to the couple only The results will be provided as quickly as possible The married couple makes the decision to participate in the process The married couple will sign informed consent forms for procedures

A patient sustains a vaginal tear during the labor and delivery process and is experiencing profuse vaginal bleeding. What should the nurse instruct the patient about his injury?

This injury will heal rapidly

A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method?

Trisomy 21

The nurse is concerned that a pregnant patient is using cocaine. What should the nurse suggest to the health care provider to confirm this suspicion?

Urinanalysis

Following reproductive tract surgery, assessment of urinary status is important because the

Uterus pass just behind the uterine arteries

An adolescent female who has recently started menstruating asks for a highly reliable birth control method. Which method should the nurse discuss with the patient?

Vaginal foam for her and a condom for her partner

You construct an ecomap for a family. An ecomap is a

Visual representation of the family's relationship to the community

The nurse is asked to schedule a hysterosalpingogram. Which question would be most important for the nurse to ask the woman before scheduling the procedure?

When do you expect your next menstrual flow?

A woman in a prenatal clinic tells the nurse that her pregnancy was unplanned and unwanted. At what point does the average woman change her mind about an unwanted pregnancy?

When quickening occurs

A woman who is blind will return home after 5 days of hospitalization. When discussing her plan of care of her newborn, which of the following areas would cause you to be most concerned?

Whether her home is childproofed

The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient statement indicates that instruction has not been effective?

"I need to have the diaphragm checked if my weight changes by 30 lbs"

A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement?

"It can be done with frozen donor sperm"

A pregnant woman needs to increase the amount of milk she drinks daily. Early in pregnancy, which statement would probably be most effective as a health teaching measure?

"Milk will strengthen your fingernails as well as be good for the baby"

A nurse is assessing a pregnant woman who has come to the clinic for a follow up visit. During the visit the nurse assesses the woman for evidence that she is working through the developmental tasks and adjusting psychologically. Which statement would the nurse interpret as indicating that the woman is adjusting positively?

"My mother and I are closer than ever before"

A female patient being treated for infertility is completing the third course of clomiphene citrate. What information should the nurse prepare for the patient in the event this course does not result in conception?

Additional options to achieve conception

Which trend is currently influencing maternal and child healthcare?

An expansion of community based services

During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question?

Analyze for herb-drug interactions

A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child. The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother?

Ask extended family members to help out during this time

You see a 3-year-old girl in an ambulatory clinic because she has a bad cold. Her mother tells you the girl's problem was caused by her being affected by "mal ojo." What would be the best action?

Ask her mother what symptoms her daughter is experiencing

When a woman is admitted to the labor-and-delivery unit, her husband says he is going to work and asks you to call when the baby is born. Your best response to this husband would be to

Ask him if he knows that he can stay with his wife during labor

During a family assessment, the nurse learns that the male parent smokes. What should the nurse do with this information to support the 2020 National Health Goals?

Ask if the male parent has made any efforts towards smoking cessation

During an assessment, a pregnant client tells the nurse that "white foods" are not consumed in the client's culture. What should the nurse do first after learning this information?

Ask the client to define "white foods"

A pregnant patient is diagnosed with placenta previa. Which action should the nurse implement immediately for this patient?

Assess fetal heart sounds with an external monitor

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission?

Assessing fetal heart tones by use of an external monitor

A client is discussing her desires for childbirth with the nurse. She is from Russia originally, but in the discussion of her care plan she states she wants to "birth the American way, with an epidural." What term should the nurse use to describe the statement by the client?

Assimilation

A pregnant patient learns that her fetus has a genetic anomaly that will affect cognitive and muscoskeletal development. The patient is meeting with her spouse and the nurse and wants to know what options are available to them. What is the first thing that the nurse needs to do to help this couple with decision making?

Assist the couple in identifying their values

A patient with asthma who is 32 weeks' pregnant is concerned that the health care provider has reduced the doses of asthma maintenance medications. How should the nurse respond to this patient's concern?

Asthma medication may reduce labor contractions and should be reduced

A woman is being admitted to the obstetric unit for severe preeclampsia. When assigning room placement, which area would be the most appropriate?

At the end of the hallway

A pregnant adolescent has many questions and concerns about the pregnancy and birthing process. What should the nurse recommend to this patient?

Attend childbirth classes

The nurse determines that a pregnant patient is at risk for developing a deep vein thrombosis. What should the nurse instruct the patient to reduce the risk of this potential complication? (Select all that apply)

Avoid standing in one position Do not cross the legs at the knee Do not wear knee-high stockings

A woman is planning to take an expectant parents' class during pregnancy. Material you would expect her to learn in this type of course would include which of the following?

Beginning newborn care

A nurse is working with a pregnant woman to develop a birth plan with her partner. The couple decides early in the pregnancy to give birth at home. Which information would be most important for the nurse to reinforce when discussing the birth plan with the couple to achieve a positive outcome?

Being flexible with the plan's components

A pregnant woman asks you about the advantages of an alternative birthing center. You would explain to her that

Birth is viewed as a wellness event

The nurse is reviewing the plan of care for a pregnant patient experiencing a threatened miscarriage. Which outcome would be appropriate for this patient?

Bleeding spontaneously stops within 24 to 48 hours

Two parents were both married once before. The father has two children from his previous marriage, and the mother has one child from her previous marriage. When they combine their families, they become which type of family?

Blended

A pregnant patient asks the nurse to explain the Lamaze philosophy of childbirth. What should the nurse include when responding to this patient's request? (Select all that apply)

Breathing patterns blocks pain sensations It is based on the gating control theory of pain relief Actions that are not medically necessary should be avoided

The nurse is designing a plan of care for a pregnant client with inflammatory bowel disease. What should be included in this client's plan? (Select all that apply)

Carefully measure the patient's weight with each prenatal visit Ensure that the patient is taking anti-inflammatory medication as prescribed

What makes the area of maternal-child health nursing a more extensive area for consideration of legal issues than other areas of nursing?

Caring for a fetus, an unseen client

A woman at 32 weeks' gestation is admitted in preterm labor. On the nurse's admission assessment, which of the following findings would cause the nurse to question the administration of a tocolytic agent?

Cervical dilation of 5 cm

A patient in the second trimester of pregnancy is diagnosed with cervical cancer. For which treatment should the nurse instruct the patient as causing the least harm to the developing fetus?

Chemotherapy

A family of a dual-parent employment with two school-age children has moved into a community. During the home visit, the nurse overhears the children talking about something on the Internet being more interesting than school work. What type of information would be beneficial for the nurse to share with the parents at this time?

Community activities planned specifically for after school

When reviewing normal menstruation with an early adolescent, the nurse would teach that during the second half of a typical menstrual cycle, the endometrium of the uterus becomes

Corkscrew-like because of progesterone stimulation

The nurse has completed a fertility assessment on a couple and is preparing outcomes for care. Which statement indicates that the couple wants to continue with the process, regardless of the outcome?

Couple desires to continue with testing after it is determined that one partner is fertile

If a woman is 3 months pregnant, which finding related to breast changes would the nurse expect to assess?

Darkened breast areolae

A young client tells the nurse that it is taboo to date before the age of 18 years. How should the nurse interpret this client's statement?

Dating before the age of 18 years is not permitted

A patient who has unprotected intercourse has obtained the morning after pill but has not yet taken the prescribed dosage. What nursing diagnosis should the nurse identify as appropriate for the patient at this time?

Decisional conflict

A young married woman tells you that she is going to have tubal ligation because there are two people with mental retardation in her husband's family, and she is afraid this problem will surface in her children. Which of the following nursing diagnoses would best apply to this couple?

Deficient knowledge of genetically inherited disorders

The term gender role refers to

Demonstrated sexual behaviors

While caring for a pregnant woman of Middle Eastern descent, a nurse attempts to mold the client's choices to fit what the nurse calls the "American way." When questioned, the nurse reports that it is best and easier to plan and deliver care this way. This is cultural

Destructiveness

Which of the following may be a strength of the single-parent type of family?

Development of a special parent-child relationship

Which of the following may occur in the blended type of family at a greater level than other types of families?

Disagreement about childbearing practices

When a woman is asked how she feels about staying home with her children, she responds, "My husband and I have decided that he will work and I will manage the home." According to Duvall, this couple is fulfilling which family task?

Division of labor

When caring for a woman in her sixth month of pregnancy, the client reports her plans to nurse her baby for at least 2 to 3 years like the rest of the women in her family. Based upon the nurse's knowledge, the nurse should

Document her report but do nothing as this is a cultural belief that should be respected

A nurse is interviewing a couple who has come for a preconception visit. The couple asks the nurse about inheritance and how it occurs. When describing the concept of genes and inheritance, the nurse explains that a gene is expressed when paired with another gene for the same trait is called

Dominant

A pregnant patient is diagnosed with preterm labor. What should the nurse teach the patient to help prevent the reoccurrence of preterm labor? (Select all that apply)

Drink 8 to 10 glasses of fluid each day Report any signs of ruptured membranes Remain on bed rest except to use the bathroom

A patient with heart disease who is 28 weeks pregnant asks the nurse why office appointments have been scheduled every week for the next 4 weeks. What should the nurse respond to the patient?

During weeks 28 and 32, blood volume peaks, and heart function can be affected

The nurse is planning an education session for pregnant adolescents. Which topics should the nurse include that incorporate the 2020 National Health Goals for pregnant women with special needs? (Select all that apply)

Effects of alcohol on the developing fetus Abstinence from illicit drugs while pregnant Impact of cigarette smoking on the developing fetus

The nurse is preparing an education session on the 2020 National Health Goals to prevent complications of pregnancy. What should the nurse include as the best preventative measure to eliminate complications of pregnancy?

Encourage all pregnant patients to have prenatal care

The nurse is visiting a family who has a child with a genetic disorder. The oldest daughter in the family is planning marriage within the next few months. Which intervention should the nurse include that would support the 2020 National Health Goals for genetic disease?

Encourage the daughter to have genetic counseling

The nurse working in the maternity care area is planning actions to support the 2020 National Health Goals regarding the preparation of patients for childbirth. Which action should the nurse select to support these goals?

Enroll in classes to become a childbirth instructor

The nurse is providing care to a new mother and infant according to the Quality & Safety Education for Nurses competency approach. Which action should the nurse perform to demonstrate the skill for the competency of safety?

Ensure the mother and newborn have intact identification bands

A nurse is reviewing the medical record of a client who has undergone genetic testing. The record reveals the client's complete set of genes, recorded as 46XX. The nurse interprets this as indicating the client's

Genome

The nurse notes that statistics on maternal mortality had improved but are again becoming elevated. What does the nurse realize as a reason for this change in maternal mortality rates?

Gestational hypertension

A couple, both age 22, want to know what they can do to improve the chances of conceiving. What should the nurse respond to this couple?

Have coitus every other day

A pregnant woman's husband does not voice concerns at prenatal visits. Which observation would lead the nurse to suspect that the husband is emotionally involved in the pregnancy?

He walks around furniture as if his abdomen is enlarged

What is a current trend in child health care?

Health promotion rather than health restoration is stressed

After an assessment, a pregnant patient asks the nurse questions about her changing uterus and body. Which nursing diagnosis would be appropriate for the patient at this time?

Health-seeking behaviors related to reproductive functioning

A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will

Increase a degree

When caring for the couple in which the wife is considering tubal ligation because she is concerned about her children inheriting her husband's family's mental retardation, a primary nursing intervention would be to

Increase the couple's knowledge about genetic inheritance

A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?

Increasing the number of women receiving prenatal care

The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient?

Ineffective tissue perfusion related to vasoconstriction of blood vessels

A family with a 13-year-old child who has cystic fibrosis is having a stressful time since the father is currently unemployed while the mother works full-time. The ill child has been acting out at school. He is "sick of taking medications and doing chest expansion exercises" and "just wants to be like all the other kids." There are two stepbrothers living in the home creating problems of their own. At the moment, the ill child has a respiratory rate of 32 breaths/minute and has a productive cough with bilateral rales in both lung bases. The nurse assessing this family will document which priority NANDA related to the current family dynamics?

Interrupted family processes

Which statement best describes the pattern of maternal mortality since World War II?

Is has steadily decreased

The nurse is preparing instruction about the menstrual cycle for adolescent patients. What will the nurse include about changes in the uterine endometrium during the second half of the cycle?

It is corkscrew-like because of progesterone stimulation

A patient becomes concerned upon learning for the need to have a karyotype performed. What should the nurse explain to this patient about the test? (Select all that apply)

It photographs and displays chromosomes It reveals diseases present on chromosomes

Which of the following may occur in nuclear families at a greater level than in some other types of families?

Lack of support people in crisis

During a routine prenatal examination, a pregnant patient's urine is found to have a trace amount of glucose. What does this finding indicate to the nurse?

Lactose may be spilling into the urine

A pregnant client from a non-dominant culture arrives for a prenatal examination and is escorted to an examination room. When asked to remove clothing and wear an examination gown, the client hesitates. What should the nurse do to endure cultural sensitivity in preparation for the examination?

Leave the room

Which change in insulin is most likely to occur in a woman during pregnancy?

Less effective than normal

To teach a pregnant woman effleurage, which of the following would you include?

Lightly tracing a pattern on her abdomen with her fingertips

What would be the physiologic basis for a placenta previa?

Low placental implantation

When assessing newborns for chromosomal disorders, which assessment would be the most suggestive of a problem?

Low-set ears

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone?

Luteinizing hormone

A woman who had pulmonary tuberculosis a year ago is now pregnant. Which instruction would the nurse include in her teaching plan?

Maintain a high intake of calcium

The nurse is preparing to instruct a pregnant patient with a history of tuberculosis on care needed while pregnant. What should the nurse include when teaching this patient?

Maintain a high intake of calcium

The nurse has been working with a family on actions that strengthen loyalty between all members. Which health family behavior has been the focus of the nurse's interventions?

Maintenance of motivation and morale

A woman develops gestational diabetes. Which assessment should she make daily?

Measure her serum glucose level by a finger prick

A client from a non-dominant culture is in the second stage of labor and is not demonstrating any manifestations of pain. What should the nurse do to support this client?

Measure the pain level with a pain rating scale

For which reasons would a nurse review infant mortality statistics in the United States? (Select all that apply)

Measures the quality of pregnancy care Reviews information on overall nutrition Determines infant health and available care Provides an index of the country's general health

A new mother asks the nurse if all of the baby's injections can be given in one visit because the mother is losing income from missing work because of the office visits. What does this new mother's issue indicate to the nurse?

Missing work does not support the baby's health maintenance visits

The nurse determines that a small nuclear family has achieved the family task of division of labor. What did the nurse assess in this family to come to this conclusion?

Mother cares for children while father works outside of the home

The nurse is caring for a school-age child whose mother works two jobs, father is away from the home during the week truck driving, and older brother has a part-time after school job. The child will be hospitalized for several weeks for chemotherapy treatments. Which nursing diagnosis should the nurse identify as being appropriate for this family?

Parental role conflict

The nurse is planning expected outcomes for a female patient who will be celebrating her 40th birthday in a few months. Which outcome would be appropriate for this patient?

Patient will schedule a mammogram shortly after her 40th birthday

Which medication would you expect to see prescribed for a pregnant woman with an artificial heart valve shortly before or during labor?

Penicillin

A patient received a scheduled dose of depot medroxyprogesterone acetate (DMPA) 6 weeks ago. Today, the patient reports that a regular menstrual cycle is two weeks late. What is the first thing that should be done for this patient?

Perform a pregnancy test

When assessing a newborn identified genetically as 46XY21+, what can the nurse expect to note on the assessment findings? (Select all that apply)

Poor muscle tone Palmar crease Protruding tongue

An adolescent delivers an 8-lb boy after 12-hour labor. In the postpartal period, assessing for which of the following would be the priority?

Postpartal hemorrhage

After an examination, a pregnant patient is diagnosed with a cystocele. How should the nurse explain this finding to the patient?

Pouching of the bladder into the vaginal wall

A nurse is doing a literature search on maternal mortality and finds that direct causes comprise the majority of maternal deaths. Direct causes are noted to be unpredictable reasons. Which action would be most appropriate to implement that would have the greatest impact on reducing these numbers?

Practicing high standards of infection control

A woman is pregnant and has asthma. Her primary care provider has told her to continue taking prednisone during her pregnancy, but she is concerned the drug may be teratogenic. What advice would be best to give her regarding this?

Prednisone is considered safe in the doses prescribed by her care provider

A pregnant client has an Rh-negative blood type. Following the birth of the client's infant, the nurse administers Rho(D) immune globulin. The purpose of this is to

Prevent maternal D antibody formation

The nurse is completing an assessment of a family with a preschool-age child. Which areas should the nurse focus on when instructing the parents on tasks needed during this stage of family development? (Select all that apply)

Prevention of accidental injuries Importance of child's socialization

During a family assessment, it is identified that the mother is unemployed but stays at home to prepare meals, monitor medication doses, and comfort the children with emotional issues. The father works outside of the home and pays the bills. Which terms should the nurse use to document the role of the father in this family? (Select all that apply)

Provider Financial manager

Which description best explains the hysterosalpingogram procedure?

Radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix

A woman who attends your prenatal clinic has a thoracic-level spinal cord injury from a skiing accident. She is confined to a wheelchair for ambulation. Which of the following would you urge her to do during pregnancy?

Raise her buttocks off the wheelchair seat hourly

An indwelling urinary catheter is inserted for a woman with a high spinal cord injury who has has a cesarean birth. As you walk her into her room, you notice her face is reddened and she says she has a sharp headache. You take her blood pressure and discover it is 160/120. Which of the following would you do first?

Raise her head and assess the catheter for blockage

A male patient is considering a vasectomy. Which information should the nurse instruct the patient about this procedure? (Select all that apply)

Sexual intercourse can resume in a week The procedure can be done as an outpatient Use a birth control method until a negative sperm report occurs

A patient asks you if it will be all right to continue sexual relations during her pregnancy. Which of the following would be the best advice?

Sexual relations can be continued safely during a normal pregnancy

A woman in labor is at risk for abruptio placentae. Which assessment would most likely lead the nurse to suspect that this has happened?

Sharp fundal pain and discomfort between contraction

The nurse is concerned that a pregnant patient is experiencing abruptio placentae. What did the nurse assess in this patient?

Sharp fundal pain and discomfort between contractions

A pregnant adolescent is angry she was denied permission to deliver her baby at an alternative birthing center. You would recognize the reason for this refusal based on which of the following?

She is at high risk for pelvic disproportion

Which information is important for a woman to understand before undergoing a scheduled tubal ligation?

She must think of the procedure as irreversible

When using the contraceptive patch, a client should understand that it

Should be applied to the abdomen, buttocks, or back

A young adult who is mildly cognitively challenged is pregnant and concerned that if her baby is floating in water inside her, it will drown. Which of the following teaching strategies would you use to explain how it is safe for the baby to be in fluid in utero?

Show her an illustration of a fetus in utero

A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information?

Sickle cell anemia is recessively inherited

A patient who is 6 months pregnant is complaining of a lumbar backache. What actions should the nurse suggest to help this patient? (Select all that apply)

So pelvic rocking Walk with head high Rest and elevate the feet

A woman who is severely hearing impaired has just given birth to a male infant. You notice she poorly articulates all syllables of words. You would suggest which of the following?

Speaking and singing to her child as she gives care

Why is fertility testing initiated with sperm analysis of the male partner?

Sperm analysis is one of the easiest tests to complete

The nurse identifies the diagnosis of "Anxiety related to absence of significant other" as appropriate for a pregnant patient. For which assessment finding is this diagnosis appropriate?

Spouse is in the military and is stationed in the Middle East

A family consists of a mother, father, 3-year-old twins, and a new baby. According to Duvall's stages of family life, this family would be classified as being at which of the following?

Stage III family: family with preschool children

A newly wed young adult patient tells the nurse that she hopes to become pregnant soon. What should the nurse recommend to this patient to support the 2020 National Health Goals for pregnancy? (Select all that apply)

Stop smoking Eat a healthy diet Limit alcohol intake

A woman you meet is interested in childbirth preparation. She asks why tailor sitting is recommended as an exercise for pregnancy. Your response would be that it

Stretches perineal muscles

A patient recovering from a surgical pregnancy termination returns for a post-procedure examination. The patient tells the nurse that she is relieved that the procedure is over but that she is feeling sad. What should the nurse do to assist the patient at this time?

Suggest the patient talk with a counselor

The estrogen content in the contraceptive pill performs which action?

Suppresses follicle-stimulating hormone (FSH)

A postpartum patient with systemic lupus erythematosus asks why symptoms of the disease are worse now that the baby has been born. What should the nurse explain to the patient?

Symptoms may be worse because corticosteroid levels are returning to normal

An adolescent develops gestational hypertension and is confined to bed rest at home. Considering the developmental tasks of adolescence, which problem is most likely to worry her?

The difficulty determining what kind of person she is

The nurse is evaluating outcomes about a family's ability to care for an adolescent child who is recovering from a spinal cord injury. Which statements indicate that this family is transitioning in a healthy manner? (Select all that apply)

The father states the child's accident has brought the family closer together The mother states the ability to provide care for the child is becoming easier

The nurse is evaluating care provided to a patient in the third trimester of pregnancy who has been diagnosed with gestational hypertension. Which finding indicates that treatment has been successful for this patient?

Urine protein 0

The nurse is planning an education seminar on safer sexual practices for a group of young adults. Which information should the nurse include in this teaching? (Select all that apply)

Use a latex condom for intercourse Void immediately after having sex Avoid sex with intravenous drug users Inspect your sexual partner for lesions in the genital area

Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the following topics would you expect to include in the teaching plan?

Ways to remember to take an iron supplement daily

The nurse instructs a patient on cervical mucus changes that occur during ovulation. Which statement indicates that teaching has been effective?

"When the mucus is thin and watery, then ovulation is occurring"

A nursing student asks an experienced nurse to explain the role of evidence-based practice on the maternal child unit. Which statement by the experienced nurse is most appropriate?

"Women have been able to be successful at having natural birth after a cesarean birth"

A pregnant adolescent asks you if she should take a prepared childbirth course. Which of the following would be your bet response?

"Women of any age are well advised to begin labor prepared for the event"

A male is diagnosed as being infertile, but he wants to have children with his spouse. Which response should the nurse provide to this patient?

"You need to consider donor-alternative insemination"

A pregnant woman is diagnosed with hyperthyroidism and is prescribed propylthiouracil as part of the treatment plan. When teaching the woman about this medication and its effect on the fetus, which information would the nurse include?

"Your baby might be born with an enlarged thyroid gland"

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation?

A diaphragm and spermicide

Which actions should the nurse perform when supporting the goals of maternal and child health care? (Select all that apply)

Advocates protecting the rights of the mother and fetus Teaches family members interventions to improve health Assesses family members for strengths and specific needs or challenges

The nurse is beginning an assessment to determine a couple's chances of having offspring with genetic abnormalities. What should the nurse include in this assessment? (Select all that apply)

Age of the female member of the couple Diseases in the family that span three generations Ethnic background of both members of the couple Minimal expression of a previously undiagnosed disorder

A woman in labor has brought a butcher knife with her and insists on putting it under her hospital mattress to "cut the labor pain." Your best response to this practice would be to

Allow her to keep the knife under her mattress during labor

An Rh-negative woman at 6 weeks gestation is scheduled for a medically induced termination. Which outcomes should the nurse identify as appropriate for this patient? (Select all that apply)

Attended contraceptive counseling Received RH0 (D) immune globulin Scheduled post-procedure sonogram

The nurse is preparing discharge instructions for a pregnant patient experiencing preterm rupture of membranes. What should the nurse include in this teaching? (Select all that apply)

Avoid douching Measure oral temperature twice a day

A patient with type 2 diabetes mellitus is planning to become pregnant within the next several months. What should the nurse instruct the patient to support the 2020 National Health Goals of reducing the complications of pregnancy from diabetes?

Avoid episodes of hyperglycemia

A preadolescent patient, a member of a single-parent family, has abdominal pain and the health care provider suspects that an appendectomy might need to be performed. The patient's father is asking for a second opinion, whereas the mother tells the nurse to do whatever needs to be done to help the patient. What does the nurse need to assess before moving forward with planning care for this patient?

Identify the custodial parent

A husband is worried he has an inadequate sperm count. Which circumstance would be most important for the nurse to ask about during his health history?

If he works at a desk job

A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare?

Immediate surgery

More nurses are stepping into the role of the advance practice nurse. Which nurse's role would be to provide care for children under the age of 18?

Pediatric nurse practitioner

The term used to guide the cultural aspects of nursing care and respect individual differences is

Transcultural nursing

The student nurse views a boy from a large extended family as poor because his father is unemployed. Considering his family structure, in what way might he view the student nurse as "poor"?

You are unmarried and live alone

You help take vaginal cultures on a woman at a prenatal visit. When inserting a culture applicator for this procedure, it would be important to slant the applicator

downward and backward

You care for a patient who has a retroverted uterus. You would explain that this means her

entire uterus is tipped backward