Reproductive Adaptive Quizzing

A pregnant client uses a computer while sitting almost continuously during her working hours. This has implications for her plan of care during pregnancy. What should the nurse recommend?

"Try to walk around every few hours during the workday."

A new mother exclaims to the nurse, "My baby looks like a Conehead!" How should the nurse respond?

"This often happens as the baby's head moves down the birth canal—the bones move for easier passage."

A nurse is teaching a childbirth class to a group of pregnant women. One of the women asks the nurse at what point during the pregnancy the embryo becomes a fetus. How should the nurse respond?

During the 8th week of pregnancy.

Which statement made by a pregnant client to a nurse indicates that the client does not understand the teaching regarding fetal growth and development?

"The baby gets food from the amniotic fluid." The amniotic fluid serves as a protective environment; the fetus depends on the placenta, along with the umbilical blood vessels, for nutrients and oxygen. "The baby is smaller if the mother smokes," "The baby's oxygen is provided by the mother," and "The baby's umbilical cord has two arteries and one vein" are all true statements, and further teaching would not be required.

What is the best advice a nurse can provide to a pregnant woman in her first trimester?

"Avoid drugs and don't smoke or drink alcohol."

A nurse is performing the Ortolani test on a newborn. Which finding indicates a positive result?

An audible click on abduction

One hour after a birth a nurse palpates a client's fundus to determine whether involution is taking place. The fundus is firm, in the midline, and two fingerbreadths below the umbilicus. What should the nurse do next?

Continue periodic assessments and record the findings.

During an emergency birth the fetal head is crowning on the perineum. How should the nurse support the head as it is being delivered?

Distributing the fingers evenly around it (Rationale- Distribution of the fingers around the head will prevent a rapid change in inctracranial pressure while the head is being delivered.)

A primigravida who is at 40 weeks' gestation arrives at the birthing center with abdominal cramping and a bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm of dilation and the presenting part at -1 station. After obtaining the fetal heart rate and maternal vital signs, what should the nurse's priority intervention be?

Provide the woman with comfort measures used for women in labor.

During the second reactive period a newborn becomes more alert and responsive and there is an increase in mucus production and gagging. What should the nurse's initial intervention be?

Remove secretions from the pharynx.

The most appropriate method for a nurse to evaluate the effects of the maternal blood glucose level in the infant of a diabetic mother is by performing a heel stick blood test on the newborn. What specifically does this test determine?

Serum glucose level. Obtaining a blood glucose level is a simple, cost-effective method of testing newborns for suspected hypoglycemia. Although the acidity of the blood will indicate whether the newborn has metabolic acidosis as a result of hypoglycemia, it is more important to determine whether the newborn has hypoglycemia so it can be corrected before acidosis develops. The glucose tolerance test and glycosylated hemoglobin level test are not used in newborns.