Quiz #13

A nurse manager is interviewing a potential candidate for employment in the perinatal clinic. During the interview, the nurse manager asks the nurse about her understanding of family-centered care. Which statement by the interviewee demonstrates understanding of this concept?

"Sensitivity to and respect for the family's culture is important."

The nurse is teaching a couple about the pros and cons of genetic testing. Which statement by the nurse best describes the limits of genetic testing?

"Some genetic tests can give a probability for developing a disorder."

A client who is breast-feeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?

"The baby's sucking releases a hormone that causes the uterus to contract."

When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?

"The best contraceptive is one that you will use correctly and consistently."

A nurse is teaching postpartum client and her partner about caring for their newborn's umbilical cord site. Which statement by the parents indicates a need for additional teaching?

"The cord stump should change from brown to yellow."

After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students make which statement?

"The rate includes accidental causes for deaths."

A woman has been in labor for some time, but her membranes have not yet ruptured. Artificial rupture of membranes is being considered. Which assessment findings would support the decision to perform the procedure? Select all that apply.

- cervical dilation of 4 cm - fetal head at -2 station

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

- cervical dilation of 6cm - contractions every 2-3 minutes

After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which contraceptive methods as mechanical barrier methods? Select all that apply.

- condom - cervical cap - cervical sponge - diaphragm

A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks pregnant and asks, "What's happening with my baby?" Which information would the nurse integrate into the response? Select all that apply.

- continued sexual differentiation - digestive system becoming more active

A nurse is completing the assessment of a woman admitted to the labor and birth suite. Which information would the nurse expect to include as part of the physical assessment? Select all that apply.

- contraction pattern - membrane status - fundal height measurement

A nurse is preparing a class for a group of women at a family planning clinic about contraceptives. When describing the health benefits of oral contraceptives, which benefits would the nurse most likely include? Select all that apply.

- reduced risk for endometrial cancer - improvement in acne - protection against PID

During a prenatal class for a group of new mothers, the nurse is describing the hormones produced by the placenta. What hormones would the nurse include? Select all that apply.

- relaxin - progestin - estirol - human chorionic somatomammotropin

A newborn is experiencing cold stress. Which findings would the nurse expect to assess? Select all that apply.

- respiratory distress - hypoglycemia - jaundice

A nurse suspects that a pregnant client may be experiencing abruptio placenta based on assessment of which finding? Select all that apply.

- rigid uterus - dark red vaginal bleeding - absent fetal heart tones

A nurse is reviewing the medical record of a pregnant client. The nurse suspects that the client may be at risk for dystocia based on which factor?

- short maternal stature - maternal age over 35 - breech fetal presentation

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? Select all that apply.

- significant difficulty breathing - tachycardia - pulmonary edema - bleeding with bruising

A nurse is conducting a refresher program for a group of nurses about chemotherapy used for breast cancer. After teaching the group about the different types of chemotherapeutic agents used to treat breast cancer, the nurse determines that the teaching was successful when the group identifies which agent as an example of a selective estrogen receptor modulator (SERM)? Select all that apply.

- tamoxifen - raloxifene

A client comes to the clinic for an evaluation. After assessing the client, the nurse suspects that the client may be experiencing uterine prolapse. Which finding would the nurse most likely report when notifying the primary care provider about the suspicion? Select all that apply.

- urge to defecate - nocturnal urinary frequency - abdominal pressure - dyspareunia

A woman comes to the clinic reporting vaginal discharge. The nurse suspects trichomoniasis based on which symptoms? Select all that apply.

- urinary frequency - yellow/green discharge

A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. When preparing the client's preoperative plan of care, which area would the nurse most likely address as the priority?

body image

After a normal labor and birth, a client is discharged from the hospital 12 hours later. When the community health nurse makes a home visit 2 days later, which finding would alert the nurse to the need for further intervention?

frequent scant voidings

Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:

further, more definitive evaluations to conclude anything.

A nurse is teaching a new mother about breast-feeding. The nurse determines that the teaching was successful when the woman identifies which hormone as responsible for milk let-down?

oxytocin

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which intervention would the nurse identify as the priority?

pain relief measures

A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which sign would confirm the pregnancy?

palpable fetal movement

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

penile vasodilation

A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. "I've also been waking up at night feeling really hot and sweating. The nurse interprets these findings as:

perimenopause.

A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which would the nurse include as a mandatory requirement for the diagnosis?

persistent anger

A nurse is preparing an inservice education program for a group of nurses about dystocia involving problems with the passenger. Which problem would the nurse most likely include as the most common?

persistent occiput posterior position

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as:

pica.

A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

placenta.

Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which condition?

placental insufficiency

A nurse is assessing a postpartum woman. Which finding would lead the nurse to suspect that a postpartum woman is having a problem?

pulse rate of 110 beats/minute

The partner of a woman who has given birth to a healthy newborn says to the nurse, "I want to be involved, but I'm not sure that I'm able to care for such a little baby." The nurse interprets this as indicating which stage?

reality

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

recurrent pelvic infections

A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds integrating understanding that this most likely is due to which factor?

relaxed cardiac sphincter

A client has an abnormal Pap smear that is classified as ASC-US. Based on the nurse's understanding of this classification, the nurse would expect which procedure?

repeat Pap smear in 4 to 6 months

When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes?

respiratory and cardiovascular

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

respiratory depression

A woman who has undergone a right modified-radical mastectomy returns from surgery. The nurse would focus immediate interventions on which area as the priority?

respiratory function

After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?

sexual intercourse

A nurse is developing a teaching plan for a postpartum woman who is breast-feeding about sexuality and contraception. Which information would the nurse most likely include? Select all that apply.

- use of a water-based lubricant to ease vaginal discomfort - possibility of increased breast sensitivity during sexual activity - possibility of increased breast sensitivity during sexual activity

A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy? Select all that apply.

- uses ibuprofen daily - drink wine 3 to 4 times/week

A nurse is completing a continuing education program about the male and female reproductive organs. After reviewing the information, the nurse demonstrates understanding of the information by identifying which structures as male accessory organs? Select all that apply.

- vas deferens - prostate gland - bulbourethral glands

A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which signs? Select all that apply.

- weight loss - increased respiratory rate - fever - pale skin

After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. When responding to the client, the nurse integrates understanding of what information?

Fetal circulation carries highly oxygenated blood to vital areas first.

The nurse is explaining fetal circulation to a pregnant woman during an early prenatal visit. The nurse emphasizes the difference in her baby's circulation from the woman's circulation. The nurse determines that the teaching was successful when the woman describes which reason for the difference?

Fetal circulation carries rich, oxygenated blood to vital areas first.

A client is admitted in the healthcare facility with pelvic inflammatory disease (PID). When reviewing the client's history, which of the following would the nurse identify as a risk factor?

Frequent douching

Which measure would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?

Provide opportunities for them to hold the newborn.

A client asks the nurse, "I read an article on the internet that was talking about integrative medicine. What is that?" Which response by the nurse would be most appropriate?

"It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective."

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?

"It's difficult to predict how your labor will progress, but we'll be there for you the entire time."

Which statement best indicates that a client has taken self-care measures to reduce her risk for cervical cancer?

"My partner always uses a condom when we have sexual intercourse."

A nurse is assessing a child with Klinefelter syndrome. What would the nurse expect to assess? Select all that apply.

- long arms - gynecomastia

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as:

-2 station

Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as:

a good time to initiate breast-feeding.

The nurse is reviewing the medical records of several clients. Which client would the nurse expect to have an increased risk for developing osteoporosis?

a thin woman with small bones

A nurse is describing the hormones involved in the menstrual cycle to a group of young adult women who are planning to get pregnant. The nurse determines the teaching was successful when the group identifies the follicle-stimulating hormone as being secreted by the:

anterior pituitary gland.

Which action is a priority when caring for a woman during the fourth stage of labor?

assessing the uterine fundus

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

beginning resuscitative measures

While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of:

respiratory distress syndrome.

The nurse is assessing a preterm newborn's fluid and hydration status. Which finding would alert the nurse to possible overhydration?

bulging fontanels

The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?

getting telephone consent with two people listening to the verbal consent

The nurse is providing care to a newborn who was born at 36 weeks' gestation. Based on the nurse's understanding of gestational age, the nurse identifies this newborn as:

late preterm.

The nurse is auscultating a newborn's heart and places the stethoscope at the point of maximal impulse at which location?

lateral to the midclavicular line at the fourth intercostal space

The nurse is inspecting the external genitalia of a male newborn. Which finding would alert the nurse to a possible problem?

limited rugae

A nurse is conducting a class for expectant parents about newborns. As part of the class the nurse describes newborns with birth-weight variations. The nurse identifies which variation if the newborn weighs 5.2 lb (2,358 g) at any gestational age?

low birth weight

A nurse has been invited to be a guest speaker for a female high school health class about the menstrual cycle and reproduction. When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle?

luteininzing hormone

A mother brings her 12-year old daughter to the clinic for a visit. The daughter has just started menstruating. As part of the visit, the nurse explains the menstrual cycle and ovulation, including the events that led up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation?

luteinizing hormone

A nurse is reviewing the medical record of a newborn who has been diagnosed with bronchopulmonary dysplasia. Which factor would the nurse most likely identify as being associated with this condition?

male gender

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 order next?

mammogram

When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction?

moderate

A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which cause?

mother's birth canal

When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as:

movement of sperm from the testes and fluid into the urethras.

The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation?

nasal flaring

A nurse is participating in an online continuing education course that addresses maternal and newborn health. The nurse is engaging in an interactive activity that requires checking off the causes associated with pregnancy-related mortality. Which condition if checked by the nurse as a cause indicates the need to go back and review the information?

precipitous labor

The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse includes interventions focusing on which area because of the woman's increased risk?

preeclampsia

A nurse is developing the plan of care for an SGA newborn. Which action would the nurse determine as a priority?

preventing hypoglycemia with early feedings

After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after birth?

prolactin

When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

proliferative

When preparing a woman with suspected vulvar cancer for a biopsy, the nurse expects that the lesion would most likely be located at which area?

labia majora

A pregnant client comes to the emergency department experiencing preterm labor with ruptured membranes. After obtaining the client's history, the nurse would identify which factor as most likely contributing to the possibility of a poor outcome for this client?

lack of prenatal care

A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm this suspicion?

laparoscopy

A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make?

"By the time you are 12 weeks pregnant, this frequent urination should really decrease, but it is likely to return toward the end of your pregnancy."

After teaching the parents of a newborn with retinopathy of prematurity (ROP) about the disorder and treatment, which statement by the parents indicates that the teaching was successful?

"Can we schedule follow-up vision screenings with the pediatric ophthalmologist now?"

A woman telephones her health care provider and reports that her water just broke. Which suggestion by the nurse would be most appropriate?

"Come to the clinic or emergency department for an evaluation."

A woman is to have a Pap test. When teaching the woman about this test, the nurse would emphasize which instruction to the client?

"Do not douche for 48 hours before the test."

A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?

"Forget about what's happened in the past, and focus on the now."

A nurse working as part of a genetics testing team is describing advances in genetics to a group of nurses. After the discussion, the nurse determines that additional information is needed based on which statement made by the group?

"Genetic diagnosis is now available as early as the second trimester."

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?

fundal height measurement

A woman with hyperemesis gravidarum asks the nurse about suggestions to minimize nausea and vomiting. Which suggestion would be most appropriate for the nurse to make?

"Drink fluids in between meals rather than with meals."

A nurse is conducting a class for pregnant women who are in their third trimester. The nurse is reviewing information about the emotional changes that occur in the postpartum period, including postpartum blues and postpartum depression. After reviewing information about postpartum blues, the group demonstrates understanding when they make which statement about this condition?

"Getting some outside help for housework can lessen feelings of being overwhelmed."

A nurse is observing a new mother interacting with her newborn. Which statement would alert the nurse to the potential for impaired bonding between mother and newborn?

"He looks like a frog to me."

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?

"I've been having bleeding off and on that's irregular and sometimes heavy."

A nurse is conducting a class on breast cancer prevention. Which statement would the nurse most likely include in the discussion?

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

The nurse is teaching a couple about X-linked disorders because they are concerned that they might pass on hemophilia to their children. Which response indicates the need for further teaching?

"If the father doesn't have it, then his kids won't either."

A nurse is teaching new parents about bathing their newborn. The nurse determines that the teaching was successful when the parents make which statement?

"We should avoid using any kind of baby powder."

A woman is scheduled to undergo fetal nuchal translucency testing. Which statement would the nurse include when describing this test?

"You'll have an intravaginal ultrasound to measure fluid in the fetus."

Which statement would the nurse include when teaching a pregnant woman about chorionic villi sampling?

"You'll have an ultrasound first and then the test."

A newborn has been diagnosed with retinopathy of prematurity. The nurse is teaching the parents about this condition. Which statement would the nurse most likely include in the teaching?

"You'll need to schedule follow-up eye examinations with the pediatric ophthalmologist."

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?

"You'll need to stay in bed while you're having this procedure."

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?

0 station

A biophysical profile has been completed on a pregnant woman. The nurse interprets which score as normal?

9

After teaching a group of pregnant women about fetal development, the nurse determines that the teaching was successful when the women identify which element as essential for fetal lung development?

amniotic fluid

While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?

Aspirate the oral and nasal pharynx with a bulb syringe.

While changing a female newborn's diaper, the nurse observes a mucus-like, slightly bloody vaginal discharge. Which action would the nurse do next?

Document this as pseudo menstruation.

A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's level is decreased?

Down syndrome

A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's level is decreased?

Down syndrome

A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time?

Encourage her to turn, cough, and deep breathe at frequent intervals.

The health care provider orders PGE2 for a woman to help evacuate the uterus following a spontaneous abortion. Which action would be most important for the nurse to do?

Maintain the client supine for 1/2 hour after administration.

A nurse is describing X-linked recessive disorders to a group of women undergoing genetic testing. The nurse determines that the teaching was successful when the group states which information?

No male-to-male transmission occurs.

When assessing fetal heart rate, the nurse finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which action would the nurse perform next?

Notify the health care provider.

Just after delivery, a newborn's axillary temperature is 94° F (34.4° C). What action would be most appropriate?

Rewarm the newborn gradually.

Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth?

Show the newborn to the parents as soon as possible while explaining the defect.

A nurse is preparing a presentation for a group of neonatal nurses on congenital clubfoot. The nurse determines that the presentation was successful when the group makes which statement?

The exact cause of clubfoot is not known.

A woman comes to the clinic because she has been unable to conceive. When reviewing the woman's history, the nurse would least likely identify which factor as a possible risk?

age of 25 years

A nurse is conducting a continuing education program for a group of nurses working in the perinatal unit. After reviewing information about the maternal bony pelvis with the group, the nurse determines that the teaching was successful based on which statement by the group?

The pelvic outlet is associated with the true pelvis.

The nurse is assessing a pregnant woman in the second trimester. Which tasks would indicate to the nurse that the client is incorporating the maternal role into her personality?

The woman acknowledges the fetus as a separate entity within her.

The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during the follicular phase of the ovarian cycle that the nurse should include in the teaching session on ovulation with the client?

Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?

calcium gluconate

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

candidiasis.

A woman at 10 weeks gestation comes to the clinic for an evaluation. Which finding might lead the nurse to suspect gestational trophoblastic disease?

fundal height measurement of 18 cm

A nurse is developing a teaching plan for the parents of a newborn. When describing the neurologic development of a newborn to the parents, the nurse would explain that the development occurs in which fashion?

center to outsie

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn?

cephalhematoma

A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

cervical dilation

The fetus of a nulliparous woman is in a shoulder presentation. The nurse would most likely prepare the client for which type of birth?

cesarean

A nurse is assisting with the delivery of a newborn. The fetal head has just emerged. Which action would be performed next?

checking for the cord around the neck

A nurse is reviewing the results of four clients who have undergone amniocentesis. Which client would the nurse recommend that the health care provider see first?

client at 38 weeks' gestation with fetal heart rate of 110 and green amniotic fluid sample

A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?

congenital anomalies

A a nurse is conducting a presentation for a group of pregnant women about measures to prevent toxoplasmosis. The nurse determines that additional teaching is needed when the group identifies which measure as preventative?

cooking all meat to an internal temperature of 140° F

A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

covering the newborn's eyes while under the bililights

The nurse administers Rho(D) immune globulin to an Rh-negative client after delivery of an Rh-positive newborn based on the understanding that this drug will prevent her from:

developing Rh sensitivity.

The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first?

development of breast buds

When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century?

development of free-standing birth centers

The nurse prepares to assess a newborn who is considered to be large for gestational age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

difficulty in arousing to a quiet alert state

A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client's preoperative plan of care as the priority?

disturbed body image

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which medication to be ordered?

docusate

A nurse is making a home visit to a postpartum woman who delivered a healthy newborn 4 days ago. The woman's breasts are swollen, hard, and tender to the touch. The nurse documents this finding as:

engorgement

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:

erratic.

A woman who delivered a healthy newborn several hours ago asks the nurse, "Why am I perspiring so much?" The nurse integrates knowledge that a decrease in which hormone plays a role in this occurrence?

estrogen

The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

evaporation

A group of nurses are reviewing information about the changes in the newborn's lungs that must occur to maintain respiratory function. The nurses demonstrate understanding of this information when they identify which event as occurring first?

expansion of the lungs

When assessing a family for possible barriers to health care, the mother reports several problems she has been having when coming to her local clinic. The nurse would consider which reported problem as having the greatest impact on this family's health care?

family finances

After teaching a group of young women how to reduce their risk for ovarian cancer, the nurse determines that additional teaching is needed when the group identifies which element?

feminine hygiene sprays

A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition?

fetopelvic disproportion

A nurse is auscultating the chest of a client at 16 weeks' gestation. The nurse immediately notifies the health care provider about which finding?

heart rate 25 bpm above baseline

The nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern?

hemoglobin level of 10.1 g/dL

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

hemorrhage

A pregnant woman needs an update in her immunizations. Which vaccination would the nurse ensure that the woman receives?

hepatitis B

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:

improve survival rates.

A nurse teaches a postpartum woman about her risk for thromboembolism. The nurse determines that additional teaching is required when the woman identifies which as a factor that increases her risk?

increase in red blood cell production

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which factor would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus?

increased amniotic fluid volume

Which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy?

increased lordosis

A client experienced prolonged labor with prolonged premature rupture of membranes. The nurse would be alert for which condition in the mother and the newborn?

infection

After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require:

no treatment.

A client expresses concern that her 2-hour-old newborn is sleepy and difficult to awaken. The nurse explains that this behavior indicates:

normal progression of behavior.

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?\

nothing by mouth

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?

one who had a previous cesarean birth via a low transverse incision

The nurse is assessing a 12-year-old girl who has had her first menses. When reviewing the client's history, which event would the nurse expect to have most likely occurred last?

onset of menses

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 suspicion?

onset of painless, red postmenopausal bleeding

A preterm newborn has received oxygen therapy during his 3-month stay in the NICU. As the newborn is prepared to be discharged home, the nurse anticipates a referral for which specialist?

ophthalmologist

The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary because:

oxygen demands need to be reduced.

A woman with gestational hypertension experiences a seizure. Which intervention would the nurse identify as the priority?

oxygenation

After teaching a group of prospective new parents about the different perinatal education methods, the nurse determines that the teaching was successful when the parents identify which method as the Bradley method?

partner-coached method

A woman who is HIV-positive is receiving HAART and is having difficulty with compliance. To promote adherence, which area would be most important to assess initially?

the woman's beliefs and education

The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason?

to facilitate maternal-infant bonding

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating:

transition phase of the first stage of labor.

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of a:

trisomy numeric abnormality.

A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating?

uterus becomes globular

A nurse is conducting a refresher class for a group of nurses working in the prenatal clinic. After reviewing fetal development with the group, the nurse determines that the teaching was successful when the group identifies which barrier to other sperm after fertilization?

zona pellucida

When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?

blood pressure 90/50 mm Hg

A battered pregnant woman reports to the nurse that her husband has stopped hitting her and promises never to hurt her again. Which response by the nurse would be most appropriate?

"Remember, the cycle of violence often repeats itself."

A 42-year-old woman is scheduled for a mammogram. Which statement would the nurse include when teaching the woman about the procedure?

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

When the nurse is assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention?

"How swollen do your ankles appear before you go to bed?

A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?

"I have a toddler and preschooler at home who need my attention."

A client is being discharged after having a right-sided modified radical mastectomy. After teaching the client about ways to minimize lymphedema, the nurse determines that the teaching was successful based on which client statement?

"I need to avoid wearing tops that have elastic in the sleeves."

A client is diagnosed with fibrocystic breast disease. After teaching the client about this condition, the nurse determines that the teaching was successful based on which client statement?

"I need to cut out drinking coffee like I'm used to doing."

After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which statement would indicate the need for additional teaching?

"I should take up jogging to make sure I exercise enough."

A postpartum woman who is breast-feeding tells the nurse that she is experiencing nipple pain. After teaching the woman about possible suggestions, the nurse determines that more teaching is needed when the woman makes which statement?

"I use of a mild analgesic about 1 hour before breast-feeding."

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

"I will be sure to avoid getting pregnant for at least 1 year."

A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman makes which statement?

"I'll drink several glasses of water."

A nurse is conducting a presentation to a local women's community group about strategies to promote health and wellness and prevent illness. After the presentation, the nurse determines that the teaching was successful based on which statement by the group when describing health?

"It is complete physical, mental, and social well-being."

A nurse is integrating information about family-centered care when developing a teaching plan for a pregnant woman and her family. Which statement by the woman indicates to the nurse that the teaching was effective?

"It's not just me affected by the baby. My whole family will be affected."

A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching?

"It's okay for my husband and me to have sexual intercourse."

A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional roller-coaster." Which response by the nurse would be most appropriate?

"Mood swings are completely normal during pregnancy."

During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?

"This fluid acts as a cushion to help to protect your baby from injury."

A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which description would be most appropriate to include?

"This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position."

A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?

"Try elevating your legs when you sit."

A woman who gave birth 24 hours ago tells the nurse, "I've been urinating so much over the past several hours." Which response by the nurse would be most appropriate?

"Your body is undergoing many changes that cause your bladder to fill quickly."

A nurse is teaching a woman with mild preeclampsia about important areas that she needs to monitor. The nurse determines that the teaching was successful based on which statement by the woman? Select all that apply.

- "I should check my blood pressure twice a day." - "I should complete a fetal kick count each day." - "I'll call my health care provider if I have burning when I urinate."

A nurse is teaching a client how to perform Kegel exercises. Which directives would the nurse include? Select all that apply.

- "Squeeze your rectal muscles as if you are trying to avoid passing flatus." - "Contract and relax your pubococcygeal muscles rapidly 10 times."

A nurse is reviewing the medical record of a woman diagnosed with vulvar cancer. Which information would the nurse identify as a risk factor for this cancer? Select all that apply.

- 55 years of age - HSV-type 2 exposure - history of breast cancer - obesity

A nurse is developing a teaching plan about nutrition for a group of pregnant women. Which recommendations would the nurse include in the discussion? Select all that apply.

- Avoid using diuretics. - Participate in physical activity. - Eat three meals with snacking.

A nurse is conducting a class for a group of nurses new to the labor and birth unit about labor and the passage of the fetus through the birth canal. As part of the class, the nurse explains that specific diameters of the fetal skull can affect the birth process. Which diameter would the nurse identify as being most important? Select all that apply.

- Biparietal - Suboccipitobregmatic

A nurse is preparing a class on newborn adaptations for a group of soon-to-be parents. When describing the change from fetal to newborn circulation, which information would the nurse most likely include? Select all that apply.

- Closure of the ductus venosus eventually forces closure of the ductus arteriosus. - Decrease in right atrial pressure leads to closure of the foramen ovale. - Onset of respirations leads to a decrease in pulmonary vascular resistance. - Increase in pressure in the left atrium results from increases in pulmonary blood flow.

A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). What information would the nurse need to stress to the group? Select all that apply.

- ECs are birth control pills in higher, more frequent doses. - ECs provide little protection for future pregnancies. - ECs are not to be used in place of regular birth control.

A nursing group is examining their hospital's maternal outcomes for the previous 5 years. Which identified factors have contributed to the decline in the maternal mortality rate? Select all that apply.

- Increased participation of women in prenatal care - Use of ultrasound to detect disorders - Better management of hemorrhage and infection - Closer monitoring for complications associated with hypertension of pregnancy

A nurse is reading a journal article about genetic inheritance. Information on which condition would the nurse most likely read about in the section on autosomal recessive disorders? Select all that apply.

- PKU - Tay-Sachs - cystic fibrosis

A pregnant woman admitted to the labor and birth suite undergoes rapid HIV testing and is found to be HIV-positive. Which action would the nurse expect to include when developing a plan of care for this woman? Select all that apply.

- administering zidovudine at the onset of labor. - avoidance of scalp electrodes for fetal monitoring - refraining from obtaining fetal scalp blood for pH testing

During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

- becoming pregnant - having regular pelvic exams - engaging in regular exercise

A nurse is conducting a refresher program for a group of nurses working in the newborn nursery. After teaching the group about variations in newborn head size and appearance, the nurse determines that the teaching was successful when the group identifies which variation as normal? Select all that apply.

- caput succedaneum - molding - cephalhematoma

The nursing student correctly identifies African Americans to have consistently higher infant mortality rates than other ethnic groups. What factors that contribute to this problem can nurses have the greatest impact upon? (Check all that apply.)

- discouraging use of tobacco and non-prescribed medications during pregnancy - encouraging regular maternal prenatal visits - nutritional teaching prior to and during pregnancy

A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment findings? Select all that apply.

- dull low backache - dysuria

A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client's medical record, what would the nurse expect to find? Select all that apply.

- dysuria - dysmenorrhea - lower abdominal tenderness - discomfort with cervical motion

A nurse is assessing a client diagnosed with pelvic inflammatory disease (PID). Which findings would the nurse most likely assess? Select all that apply.

- dysuria - negative pregnancy history - tenderness with cervical motion - oral temperature of 102F

A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes. Which factors would the nurse expect to include as possible precipitating factors for a recurrent outbreak? Select all that apply.

- emotional stress - exposure to UV light - sexual intercourse - use of corticosteroids

A nurse is preparing a presentation for a group of community nurses about benign and malignant breast masses. The nurses demonstrate understanding when they identify which indication of a benign breast mass. Select all that apply.

- firm consistency - unilateral location - absence of dimpling

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movement would the nurse most likely include? Select all that apply.

- flexion - descent - internal rotation

While assessing a pregnant woman, the nurse suspects that the client may be at risk for hydramnios based on which factor? Select all that apply.

- history of diabetes - fundal height below that for expected gestational age - reports shortness of breath - difficulty obtaining FHR

A nurse is reviewing the medical record of a postpartum client. The nurse identifies that the woman is at risk for a postpartum infection based on which information? Select all that apply.

- history of diabetes - hemoglobin level 10 mg/dL - placenta requiring manual extraction

A nurse is observing a postpartum woman and her partner interact with the their newborn. The nurse determines that the parents are developing parental attachment with their newborn when they demonstrate which behavior? Select all that apply.

- identify common features between themselves and the newborn - make direct eye contact with the newborn

A nurse is conducting a review course on tocolytic therapy for perinatal nurses. After teaching the group, the nurse determines that the teaching was successful when they identify which drugs as being used for tocolysis? Select all that apply.

- indomethacin - nifedipine - magnesium sulfate

A nurse is reviewing an article about preterm premature rupture of membranes. Which factors would the nurse expect to find placing a woman at high risk for this condition? Select all that apply.

- low SES - smoking - urinary tract infections

A group of students are reviewing an article describing information related to indicators for women's health and the results of a national study. Which would the students identify as being satisfactory for women? Select all that apply.

- mammograms - colorectal cancer screening

A nurse is conducting a class for a group of nurses who are newly hired for the labor and birth unit. After teaching the group about fetal heart rate patterns, the nurse determines the need for additional teaching when the group identifies which finding as indicating normal fetal acid-base status? Select all that apply.

- moderate baseline variability - absence of late decelerations

A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which structures would the nurse include as an external female reproductive organ? Select all that apply.

- mons pubis - labia - clitoris

A pregnant client has received dinoprostone. Following administration of this medication, the nurse assesses the client and determines that the client is experiencing an adverse effect of the medication based on which client report? Select all that apply.

- nausea - headache - diarrhea

A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify what findings as normal? Select all that apply.

- one vein - two arteries

When assessing a female client for the possibility of vulvar cancer, the nurse would most likely expect the client to report which symptom? Select all that apply.

- persistent vulvar itching - history of herpes simplex - dyspareunia

A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which finding would the nurse most likely assess? Select all that apply.

- positive pregnancy test - softening of the cervix (Goodell's sign) - bollottement

After teaching a class on the stages of fetal development, the nurse determines that the teaching was successful when the group identifies these as stages. Select all that apply.

- preembryonic - embryonic - fetal

A nurse is conducting an in-service program for a group of labor and birth unit nurses about cesarean birth. The group demonstrates understanding of the information when they identify which condition as an appropriate indication? Select all that apply.

- previous cesarean section - fetal distress - active genital herpes infection - placenta previa

A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn, the nurse would expect which findings? Select all that apply.

- prolonged tachypnea - intercostal retractions - coarse crackles on auscultation

A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time frame?

10 minutes

The nurse is assessing a postpartum client's lochia and finds that there is about a 4-inch stain on the perineal pad. The nurse interprets this finding as indicating which amount of blood loss?

10 to 25 mL

The nurse is providing care to several pregnant women who may be scheduled for labor induction. The nurse identifies the woman with which Bishop score as having the best chance for a successful induction and vaginal birth?

11

The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index (BMI) of 21. The nurse determines that the teaching was successful when the woman states that she should gain no more than which amount during pregnancy?

25 to 35 pounds

Assessment of a newborn's head circumference reveals that it is 34 cm. The nurse would suspect that this newborn's chest circumference would be:

32cm

A nurse is examining a female client and tests the client's vaginal pH. Which finding would the nurse interpret as normal?

4.5

A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse teaches the couple about fertilization and initial development, stating that the zygote formed by the union of the ovum and sperm consists of how many chromosomes?

46

A woman comes to the prenatal clinic for an evaluation because she thinks that she may be pregnant. The nurse is assisting the health care provider with the vaginal examination. The exam reveals a vaginal mucosa and cervix that are bluish-purple in color. Based on this information, the nurse suspects that the client is most likely how many weeks pregnant?

6 weeks

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the woman's serum magnesium levels. Which level would the nurse identify as therapeutic?

6.1 mEq/L

A nurse is reading a journal article about the various medications used for pain relief during labor. Which drug would the nurse most likely note as producing amnesia but no analgesia?

midazolam

The nurse is reviewing the process of oocyte maturation and ovulation with a client. What occurs during ovulation of the ovarian cycle that the nurse should include in the teaching session with the client?

About day 14, a surge of hormones cause the ovum to burst through the ovary

A nurse is developing a plan of care for a preterm infant experiencing respiratory distress. Which measure would the nurse be least likely to include in this plan?

Administer oxygen using a oxygen hood.

When applying the ultrasound transducers for continuous external electronic fetal monitoring, at which location would the nurse place the transducer to record the FHR?

between the umbilicus and the symphysis pubis

When integrating the principles of family-centered care into the birthing process, the nurse would base his or her care upon which belief?

Birth results in changes in relationships.

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs?

Estrogen

After determining that a newborn is in need of resuscitation, the nurse would perform which action first?

Dry the newborn thoroughly.

After the birth of a newborn, which action would the nurse do first to assist in thermoregulation?

Dry the newborn thoroughly.

A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which would be most important for the nurse to incorporate into that plan?

Educating the client about the importance of a support person

The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU) are coming to visit for the first time. The newborn is receiving mechanical ventilation and intravenous fluids and medications and is being monitored electronically by various devices. Which action by the nurse would be most appropriate?

Encourage the parents to touch their preterm newborn.

A group of nurses are preparing a presentation about polyps for a local women's group. Which information would the nurses most likely include in the presentation?

Endocervical polyps are most common in women in their 50s.

During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:

Hagar's sign

The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?

Healthy, well-functioning families provide members of all ages with fulfilling, supporting relationships.

Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine whether this finding is a common variation rather than a sign of distress, what else does the nurse need to know?

How many hours old is this newborn?

When describing genetic disorders to a group of childbearing couples, the nurse would identify which as an example of an autosomal dominant inheritance disorder?

Huntington disease

A nurse is assigned to care for an Asian American client. The nurse plans his care recognizing that which statement best explains an Asian American's view of illness?

Illness is due to an imbalance between yin and yang.

A woman with breast cancer is undergoing chemotherapy. Which side effect would the nurse interpret as being most serious?

myelosuppression

A nurse is reviewing a journal article about newborn pain prevention and management. Which information would the nurse most likely find discussed in the article?

Pain is frequently mistaken for irritability or agitation.

Which information would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?

Pathologic jaundice appears within 24 hours after birth.

A client is experiencing urinary incontinence. The nurse is teaching the client measures to regain control of the urinary sphincter. The nurse determines that the teaching was effective when the client states she will perform which action?

Perform Kegel exercises daily.

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?

Present the information in a non-directive manner.

In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, production of which of the following leads to menstruation?

Progesterone by the corpus luteum beginning to decrease.

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

Take sitz baths frequently

The nurse is describing the three phases of the uterine cycle with a client. What occurs during the proliferative phase of the uterine cycle that the nurse should include in a teaching session with the client?

While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.

A nurse is reading a journal article about the trends in health care and health care delivery over the past several centuries. When reading about the practices during the 18th century, which information would the nurse most likely find?

absence of men attending childbirth

A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which factor would the nurse identify?

age under 25 years

A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug?

alcohol

After teaching a refresher class to a group of prenatal clinic nurses about pregnancy, insulin, and glucose, the nurse determines that additional teaching is needed when the group identifies which hormone as being involved with opposing insulin?

aldosterone

A nurse is describing the structure and function of the reproductive system to an adolescent health class. How would the nurse describe the secretion of the seminal vesicles?

alkaline

When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?

ambivalence

The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:

are unable to shiver effectively to increase heat production.

A nurse is providing family-centered care to a pregnant woman and her family. When implementing care, which action by the nurse would be most appropriate?

asking the woman about her plans for labor and birth

A group of nurses are discussing the reasons for the United States' low rankings for infant and maternal mortality (27% and 21% respectively) and what impact they could make on them in their practice. Which action could nurses implement to reduce these rates?

assuring early and adequate prenatal care

The nurse is conducting a presentation for a young adult community group about fetal development and pregnancy. The nurse determines that the teaching was successful when the group identifies that the sex of offspring is determined at which time?

at fertilization

A nurse is reviewing information about maternal and paternal adaptations to the birth of a newborn. The nurse observes the parents interacting with their newborn physically and emotionally. The nurse documents this as:

attachment.

A client is diagnosed with an enterocele. The nurse interprets this condition as:

bulging of the small intestine through the posterior vaginal wall.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?

deep tendons reflexes 2+

A woman who is 42 weeks pregnant comes to the clinic. During the visit, which assessment would be most important for the nurse to perform?

determining an accurate gestational age

When developing the plan of care for the parents of a newborn, the nurse identifies interventions to promote bonding and attachment based on the rationale that bonding and attachment are most supported by which measure?

early parent-infant contact following birth

A nurse is developing a plan of care for a pregnant client to address the continuum of care from pregnancy through childbirth. Which aspect would the nurse include as essential to enhancing the woman's birthing experience?

educating the client about the importance of a support person

A client is diagnose with a leiomyoma. The client asks the nurse what this is. The nurse describes this as a:

fibroid.

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)?

five different sexual partners

When describing the structures involved in fetal circulation to a pregnant woman, the nurse describes which structure as the opening between the right and left atrium?

foramen ovale

A nurse is providing care to a pregnant client in labor. Assessment of a fetus identifies the buttocks as the presenting part, with the legs extended upward. The nurse identifies this as which type of breech presentation?

frank

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

freezing

The nurse would be alert for possible placental abruption during labor when assessment reveals which finding?

gestational hypertension

The nurse is teaching a group of parents who have preterm newborns about the differences between a full-term newborn and a preterm newborn. Which characteristic would the nurse describe as associated with a preterm newborn but not a term newborn?

greater surface area in proportion to weight

A client is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal delivery. Which pelvic shape would the nurse have noted?

gynecoid

The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces:

hPL, which deceases the effectiveness of insulin.

When describing the neurologic development of a newborn to his parents, the nurse would explain that it occurs in which fashion?

head-to-toe

After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?

human chorionic gonadotropin (hCG)

A woman comes to the clinic for a routine checkup. A history of exposure to which causative factor would alert the nurse that she is at increased risk for cervical cancer?

human papillomavirus

The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?

increment

A nurse is preparing a presentation for a group of new nurses about the potential for misuse of genetic discoveries and advances. Which aspect would the nurse most likely address?

individual risk profiling and confidentiality

A nurse is preparing a presentation for a local community group about health status and children's health. Which rate would the nurse include as one of the most significant measures?

infant mortality rate

A new mother asks the nurse, "Why has my baby lost weight since he was born?" The nurse integrates knowledge of which cause when responding to the new mother?

insufficient calorie intake

When discussing contraceptive options, the nurse would recommend which option as being the most reliable?

intrauterine system

A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse most likely use?

longitudinal

A nurse is teaching a group of pregnant women about the adverse effects of substances on the fetus. The nurse determines that additional teaching is needed when the group identifies which substance as being teratogenic?

marijuana

When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?

massaging the client's legs

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:

menstrual period.

A woman with polycystic ovary syndrome tells the nurse, "I hate this disease. Just look at me! I have no hair on the front of my head but I've got hair on my chin and upper lip. I don't feel like a woman anymore." Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would the nurse identify as the priority?

situational low self-esteem related to masculinization effects of the disease

While observing the interaction between a newborn and the mother, the nurse notes the newborn nestling into the arms of the mother. The nurse identifies this as which behavior?

social behaviors

When making a home visit, the nurse observes a newborn sleeping on his back in a bassinet. In one corner of the bassinet is some soft bedding material, and at the other end is a bulb syringe. The nurse determines that the mother needs additional teaching because:

soft bedding material should not be in areas where infants sleep.

A nurse is conducting an in-service program for a group of nurses about cervical cancer. The nurse determines that the teaching was successful when the group identifies which area as most commonly involved?

squamous-columnar junction

A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse that the placenta is separating?

sudden gush of dark blood from the vagina

A nurse is assigned to care for a pregnant woman of Native American descent who is experiencing an illness. The nurse develops a plan of care for this client integrating the client's cultural background and implementing interventions based on the understanding that this client most likely views illness as the result of:

supernatural forces

A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would the lead the nurse to suspect that the client is having an adverse effect associated with this drug?

tachycardia

The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful?

testes

A nurse is presenting a review class for a group of neonatal nurses on the different types of congenital heart disease in infants. The group demonstrates a need for additional teaching when they identify which condition as an example of increased pulmonary blood flow (left-to-right shunting)?

tetralogy of Fallot

A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate?

ultrasound

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which finding would require immediate intervention?

urine output of 20 mL/hour

A nurse is describing the various birth methods to pregnant couples. Which information would the nurse include as part of the Lamaze method?

use of specific breathing and relaxation techniques

Which factor in a client's history would alert the nurse to an increased risk for postpartum hemorrhage?

uterine atony, placenta previa, operative procedures

A pregnant woman is receiving misoprostol to ripen her cervix and induce labor. The nurse assesses the woman closely for which effect?

uterine hyperstimulation

A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also reports acute abdominal pain that is continuous. Which condition would the nurse suspect?

uterine rupture

Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth?

vagina

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 type of deceleration?

variable decelerations

The nurse is providing an in-service education program to a group of home health care nurses who provide care to postpartum women. After teaching the group about the process of involution, the nurse determines that additional teaching is needed when the group identifies which process as being involved?

vasodilation