Midterm Review
A client has given birth to a small-for-gestation-age (SGA) newborn. Which finding would the nurse expect to assess? 1- head larger than body 2- round flushed face 3- brown lanugo body hair 4- protuberant abdomen
1
A 25-year-old woman who recently underwent genetic testing has just learned that she is heterozygous dominant for Huntington disease. Her husband, however, who also underwent the testing, is free from the trait. What are the odds that the couple will have a child who will inherit the disorder? 1- 50% 2- 100% 3- 75% 4- 25%
1
At what day of life does jaundice peak in a newborn? 1- 1 to 2 days 2- 7 to 10 days 3- 3 to 5 days 4- 10 to 12 days
3
Which respiratory disorder in a neonate is usually mild and runs a self-limited course? 1- Pneumonia 2- Meconium aspiration syndrome 3- Transient tachypnea 4- Persistent pulmonary hypertension
3
A nurse assesses a premature newborn and suspects hypothermia based on which of the following? 1- Regular respirations 2- Oxygen saturation of 95% 3- Pink skin 4- Nasal flaring
4
Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? 1- oxytocin 2- promethazine 3- ondansetron 4- methotrexate
4
A client has come to the office for a prenatal visit during her 22nd week of gestation. On examination, it is noted that her blood pressure has increased to 138/90 mm Hg. Her urine is negative for proteinuria. The nurse recognizes which factor as the potential cause? 1- gestational hypertension 2- chronic hypertension 3- HELLP 4- preeclampsia
1
A pregnant client is concerned she may develop preeclampsia, so she has stopped adding any salt to her food and is now questioning the nurse about avoiding prepared foods. The nurse should point out some salt is very beneficial and can help prevent which negative outcome for her baby? 1- Congenital hypothyroidism 2- Low birth weight 3- Neural tube defects 4- Night blindness
1
A woman who had preterm labor and preterm PROM successfully halted has reached week 36 of pregnancy and is doing well on home care. Which of the following nursing diagnoses should the nurse prioritize for this client? 1- Risk for fetal infection related to early rupture of membranes 2- Hopelessness related to potential loss of pregnancy 3- Anticipatory grieving related to high probability for fetal death from placental dysfunction 4- Powerlessness related to inability to sustain pregnancy
1
At birth, a term infant has irregular respirations and a weak cry. What is the sequence of events initiated by the nurse when caring for this infant? 1- Dry the infant, stimulate the infant, and keep the infant warm. 2- Dry the infant, administer blow-by oxygen, and keep the infant warm. 3- Open the airway, initiate respirations, and dry the infant. 4- Open the airway, suction the trachea, and administer oxygen.
1
At birth, the newborn was at the 8th percentile with a weight of 2350g and born at 36 weeks gestation. Which documentation is most accurate? 1- The infant was a preterm, low birth weight and small for gestational age 2- The infant was born at term but at a low birth weight and small for gestational age 3- The infant was born at term but a very low birth weight and small for gestational age 4- The infant was a preterm, very low birthweight and small for gestational age
1
If the nurse suspects intraventricular hemorrhage (IVH) in a preterm newborn, which of the following would the nurse be likely to find? 1- No signs or only subtle signs 2- Restlessness, crying, irritability 3- Redness and bruising on the scalp 4- Tachycardia and hyperperfusion
1
The health care provider has determined that the source of dystocia for a woman is related to the fetus size. The nurse understands that macrosomia would indicate the fetus would weigh: 1- 4,000 g or more. 2- 3,500 g or more. 3- 4,500 g or more. 4- 3,000 g or more.
1
The neonate's respirations are gasping and irregular with a rate of 24 bpm. Which circulatory alteration will the nurse assess for in this infant? 1- Blood flows from the aorta to the pulmonary artery. 2- Blood flows from the pulmonary vein to the alveoli. 3- Blood flows from the right atrium to the left atrium. 4- Blood flows from the lungs to the left ventricle.
1
Prevention and early identification of newborns at risk are necessary nursing functions. A nurse anticipates the need for newborn resuscitation secondary to birth asphyxia based on which prenatal risk factors? Select all that apply. 1- gestational hypertension 2- maternal infection 3- congenital heart disease 4- nulliparous mother 5- labor and birth without anesthesia
1,2,3
When examining a neonate, which characteristic would indicate to the nurse that the infant is preterm? Select all that apply. 1- extended extremities 2- covered with vernix caseosa 3- absence of sole creases 4- bulging posterior fontanelle 5- elevated breast bud
1,2,3
Which condition may cause intrauterine asphyxia? Select all that apply. 1- cord compression 2- placenta abruption 3- intrauterine growth restriction 4- gestational diabetes 5- group B strep infection
1,2,3
While providing care, the nurse suspects that a preterm infant is developing respiratory distress. What did the nurse most likely assess in this patient? (Select all that apply.) 1- Grunting 2- Nasal flaring 3- Intercostal retractions 4- Oxygen saturation 96% 5- Increasing respiratory rate
1,2,3,5
The nursery nurse is providing shift handoff on a newborn documented as small for gestational age. Which clinical manifestations would be communicated? Select all that apply. 1- Sunken abdomen 2- Narrow skull sutures 3- Increased subcutaneous fat stores 4- Poor muscle tone over buttocks 5- Dry or thin umbilical cord
1,4,5
A Spanish-speaking couple comes in for genetic testing. They are planning to start a family and are concerned because the wife's sister has a genetic disorder. The clinic's consent form is in English and the husband is speaks only Spanish. The nurse does not speak Spanish. What should the nurse do?
2
A baby is born with what the primary care provider believes is a diagnosis of trisomy 21. This means that the infant has three number 21 chromosomes. What factor describes this genetic change? 1- The mother also has genetic mutation of chromosome 21. 2- The client has a nondisjunction occurring during meiosis. 3- During meiosis, a reduction of chromosomes resulted in 23. 4- The client will have a single X chromosome and infertility.
2
The nursing instructor is discussing congenital heart disease with a group of students. Which statement indicates that students need further teaching? 1- "The foramen ovale allows blood to pass from the right atrium to the left atrium during fetal life." 2- "The ductus arteriosus carries deoxygenated blood from the aorta to the pulmonary artery during fetal life." 3- "Oxygenated blood goes out to the body through the aorta." 4- "Blood returns to the heart from the inferior vena cava."
2
A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions? 1- maternal disease 2- cervical insufficiency 3- fetal genetic abnormalities 4- uterine fibroids
3
Hypoglycemia in a mature infant is defined as a blood glucose level below which amount? 1- 100 mg/100 mL whole blood 2- 80 mg/100 mL whole blood 3- 40 mg/100 mL whole blood 4- 30 mg/100 mL whole blood
3
The nurse is comforting and listening to a young couple who just suffered a miscarriage. When asked why this happened, which reason should the nurse share as a common cause? 1- Maternal smoking 2- Lack of prenatal care 3- Chromosomal abnormality 4- The age of the mother
3
A pregnant woman asks the nurse, "I'm a big coffee drinker. Will the caffeine in my coffee hurt my baby?" Which response by the nurse would be most appropriate? 1- "The caffeine in coffee has been linked to birth defects." 2- "Caffeine has been shown to cause growth restriction in the fetus." 3- "Caffeine is a stimulant and needs to be avoided completely." 4- "If you keep your intake to less than 300 mg/day, you should be okay."
4
Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance? 1- marijuana 2- alcohol 3- heroin 4- cocaine
4
The nurse is admitting a term, large-for-gestational-age neonate weighing 4,610 g (10 lb, 2 oz), born vaginally with a mid-forceps assist, to a 15-year-old primipara. What would the nurse anticipate as a result of the birth? 1- fracture of the tibia 2- fracture of the femur 3- fracture of a rib 4- midclavicular fracture
4
The nurse is assisting a client who has just undergone an amniocentesis. Blood results indicate the mother has type O blood and the fetus has type AB blood. The nurse should point out the mother and fetus are at an increased risk for which situation related to this procedure? 1- Placental abruption 2- Preterm birth 3- Baby developing hemolytic anemia 4- Baby developing postbirth jaundice
4
The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape? 1- Just below the pubis symphysis 2- At the uterine isthmus 3- At the level of the corpus 4- At the top of the fundus
4
The nurse understands the need to be aware of the potential of bleeding disorders in her pregnant clients. Which disorder should she be aware of that occurs in the second trimester? 1- Hydatidiform mole 2- Spontaneous abortion 3- Ectopic pregnancy 4- Placenta previa 5- Cervical insufficiency
4
A newborn is diagnosed with hemolytic disease of the newborn. When developing the plan of care for this child, the nurse would expect which of the following to be included as part of the treatment plan? 1- Exchange transfusion 2- Surfactant administration 3- Radiant warming 4- Mechanical ventilation
1
A newborn is exhibiting signs and symptoms of hypoglycemia. The nurse prepares to administer IV glucose based on which blood glucose level? 1- 36 mg/dL 2- 45 mg/dL 3- 50 mg/dL 4- 55 mg/dL
1
A nurse identifies the urethral opening of a male newborn to be on the dorsum of the shaft of the penis. The nurse documents this finding as which of the following? 1- Hypospadias 2- Talipes equinovarus 3- Hydrocephalus 4- Omphalocele
1
A nurse is administering prescribed enteral feedings to assist in preparing the gut of a preterm newborn. The nurse integrates understanding of this measure, administering the feedings at which rate? 1- 0.5 to 1 mL/kg/h 2- 1 to 1.5 mL/kg/h 3- 1.5 to 2 mL/kg/h 4- 2 to 2.5 mL/kg/h
1
A nurse is assessing a term newborn and finds the blood glucose level is 23 mg/dl. The newborn has a weak cry, is irritable, and exhibits bradycardia. Which intervention is most appropriate? 1- Administer dextrose intravenously. 2- Monitor the infant's hematocrit levels closely. 3- Administer PO glucose water immediately. 4- Place the infant on a radiant warmer.
1
A nurse is caring for a neonate of 25 weeks' gestation who is at risk for intraventricular hemorrhage (IVH). Which assessment finding should be reported immediately? 1- a sudden drop in hemocrit 2- soft, flat anterior fontanels 3- pink skin with noted blue extremities 4- intake and output for 8 hours
1
A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the United States? 1- fetal alcohol spectrum disorder 2- genetic anomalies 3- maternal drug addiction 4- pregnancy category X medications
1
A nurse is conducting a presentation at a community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite? 1- spina bifida 2- cystic fibrosis 3- color blindness 4- hemophilia
1
A nurse is implementing measures to prevent hypothermia in a premature newborn. The nurse determines that the newborn is experiencing an effect of hypothermia based on which assessment finding? 1- No breathing for 15 seconds 2- Respiratory rate of 45 breaths per minute 3- Heart rate of 130 beats per minute 4- Pink skin color
1
A nurse is providing care to a large for gestational age newborn. The nurse checks the newborn's blood glucose level and finds it to be 23 mg/dL. Which action would the nurse do first? 1- Administer intravenous glucose. 2- Feed the newborn 2 ounces of formula. 3- Initiate blow-by oxygen therapy. 4- Place the newborn under a radiant warmer.
1
A postterm newborn develops perinatal asphyxia. The nurse understands that this condition is most likely the result of: 1- aging placenta. 2- hypoxia from cord compression. 3- loss of subcutaneous fat. 4- increased production of red blood cells.
1
A pregnant client has tested positive for cytomegalovirus. What can this cause in the newborn? 1- microcephaly 2- bicuspid valve stenosis 3- hypertension 4- clubbed fingers and toes
1
A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased lung tension, the: 1- ductus arteriosus remains open. 2- foramen ovale closes prematurely. 3- aorta or aortic valve strictures. 4- pulmonary artery closes.
1
A preterm newborn has just received synthetic surfactant through an endotracheal tube by a syringe. Which intervention should the nurse implement at this point? 1- Tip the infant into an upright position. 2- Immediately suction the infant's airway. 3- Place the infant supine in a radiant heat warmer. 4- Take a blood sample.
1
A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure? 1- "You'll need to stay in bed while you're having this procedure." 2- "We'll give you an analgesic to help reduce the pain." 3- "After the infusion, you'll be scheduled for a cesarean birth." 4- "A suction cup is placed on your baby's head to help bring it out."
1
After a gavage feeding of a preterm neonate, the nurse aspirates 4 mL of undigested formula. This finding may indicate the development of which complication? 1- necrotizing enterocolitis 2- malabsorption syndrome 3- dumping syndrome 4- acute gastroenteritis
1
After teaching a group of nursing students about the normal progression of neurobehavioral development, the instructor determines that the teaching was effective when the students identify which of the following as helping to promote the normal progression ? 1- Adequate pain relief 2- Intrauterine drug exposure 3- Prematurity 4- Surgery
1
Newborns born to a mother with diabetes are at risk for which of the following? 1- Hypoglycemia, delayed fetal lung maturity, respiratory distress, and shoulder dystocia 2- Hyperglycemia, meconium aspiration syndrome, cerebral ischemia, and polycythemia 3- Hypoglycemia, polycythemia, respiratory distress, and hyperviscosity of the blood 4- Hyperglycemia, intrauterine hypoxia, hemolytic disease of the newborn, and hyperviscosity of the blood
1
The nurse is assessing a small-for-gestational age (SGA) newborn, 12 hours of age, and notes the newborn is lethargic with cyanosis of the extremities, jittery with handling, and a jaundiced, ruddy skin color. The nurse expects which diagnosis as a result of the findings? 1- polycythemia 2- hyperglycemia 3- hypercalcemia 4- hyponatremia
1
The nurse is assessing a toddler at a well-child visit and notes the following: small in stature, appears mildly developmentally delayed; short eyelid folds; and the nose is flat. Which advice should the nurse prioritize to the mother in response to her questions about having another baby? 1- "It's a good idea to stop drinking alcohol 3 months before trying to get pregnant." 2- "It's important to add iron and vitamin B supplements to your diet." 3- "It would be good to stop smoking before getting pregnant." 4- "It's important to keep insulin levels controlled during pregnancy."
1
The nurse places a newborn experiencing respiratory difficulty under a radiant warmer to prevent which complication? 1- acidosis 2- alkalosis 3- hypoxia 4- hypercapnia
1
The priority for the nurse caring of a newborn with esophageal atresia is to observe for which finding? 1- Aspiration 2- Bleeding 3- Constipation 4- Vomiting
1
When an infant is jaundiced, what is the nurse's main role in treatment? 1- Educate the caregiver 2- Comfort the infant 3- Feed the infant 4- Draw blood for analysis
1
Which assessment finding by the nurse would indicate that a neonate is being comforted? 1- increased oxygen saturation 2- decreased oxygen saturation 3- increased heart rate 4- decreased heart rate
1
A preterm infant of 32 weeks' gestation is admitted from the birth suite to the neonatal intensive care unit with symptoms of respiratory distress. What would the nurse expect to see during assessments? Select all that apply. 1- pH 7 2- PaCO2 54 mm Hg 3- heart rate 110 bpm 4- respiratory rate 34 breaths/min 5- temperature 99.5° F (37.5° C) 6- PaO2 35
1,2,6
A newborn is admitted to the nursery. Maternal history reveals the use of opioids. When assessing this newborn for symptoms of opioid withdrawal, which of the following the nurse expect the newborn to exhibit first? 1- Poor feeding 2- Tremors 3- Diarrhea 4- Weight loss
2
A newborn is returned to the newborn observational nursery demonstrating signs of cold stress after a prolonged bath. Which action would be a priority for the nurse? 1- Perform a neurological assessment. 2- Assess blood sugar level. 3- Request arterial blood gases. 4- Assess feeding patterns.
2
A nurse is assigned to care for a newborn with hyperbilirubinemia. The newborn is relatively large in size and shows signs of listlessness. What most likely occurred? 1- The infant's mother must have had a long labor. 2- The infant's mother probably had diabetes. 3- The infant may have experienced birth trauma. 4- The infant may have been exposed to alcohol during pregnancy.
2
After teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates that the teaching was successful? 1- "We'll make sure to cover both of his eyes to protect them." 2- "Our newborn could develop a learning disability later on." 3- "Once the bleeding ceases, there won't be any more worries." 4- "We need to get family members to donate blood for transfusion."
2
All infants need to be observed for hypoglycemia during the newborn period. Based on the facts obtained from pregnancy histories, which infant would be most likely to develop hypoglycemia? 1- an infant whose labor began with ruptured membranes 2- an infant who had difficulty establishing respirations at birth 3- an infant who has marked acrocyanosis of his hands and feet 4- an infant whose mother craved chocolate during pregnancy
2
The health care provider is reluctant to provide pain medication to a patient delivering a preterm fetus. What should the nurse explain to the patient as the reason for the preterm fetus being more affected by medication? 1- Affinity of the preterm fetus to fat-soluble drugs 2- Inability of the immature liver to metabolize or inactivate drugs 3- Affinity of the preterm fetus to drugs that are strongly bound to protein 4- Inability of the preterm fetus to use drugs with a molecular weight over 1,000
2
The nurse is providing care to a neonate whose mother has heroin use disorder. Which finding would the nurse expect to assess? 1- hypotonicity 2- sneezing 3- easy consolability 4- vigorous sucking
2
The nurse notes in a newborn's chart that the newborn has been diagnosed with physiologic jaundice. The nurse recognizes that physiologic jaundice is determined by what criteria? 1- The jaundice occurred within the first 24 hours after birth. 2- The bilirubin peaked between days 3 and 5 after birth. 3- The bilirubin level rose 6 mg/dL to 13 mg/dL over the last 24 hours. 4- The conjugated bilirubin is higher than the unconjugated bilirubin.
2
What would be appropriate for the nurse to document in a child suffering from meconium aspiration syndrome? 1- heart rate as normal 2- respirations as increased and high 3- skin as pink 4- chest expansion as normal
2
Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid? 1- total bilirubin level of 15 2- respiratory rate of 60 to 70 bpm 3- heart rate of 162 bpm 4- hematocrit of 44%
2
syndrome. What are features of HELLP syndrome? Select all that apply. 1- hyperthermia 2- hemolysis 3- elevated liver enzymes 4- leukocytosis 5- low platelet count
2,3,5
A nurse is providing care to a preterm neonate. Which interventions would be most effective in minimizing the newborn's pain? Select all that apply. 1- covering the newborn loosely with a blanket 2- encouraging kangaroo care during procedures 3- removing tape gently from the skin 4- increasing the volume on device alarms 5- using cool blankets to soothe the newborn 6- using a colorful mobile for distraction
2,3,6
A 2-month-old infant is admitted to a local health care facility with an axillary temperature of 96.8° F (36° C). Which observed manifestation would confirm the occurrence of cold stress in this client? 1- increased appetite 2- increase in the body temperature 3- lethargy and hypotonia 4- hyperglycemia
3
A client has just given birth at 42 weeks' gestation. What would the nurse expect to find during her assessment of the neonate? 1- a sleepy, lethargic neonate 2- lanugo covering the neonate's body 3- peeling and wrinkling of the neonate's epidermis 4- vernix caseosa covering the neonate's body
3
A mother of a 32-week-gestation neonate is encouraged to perform kangaroo care in the neonatal intensive care unit. What would best correlate with this suggestion? 1- The infant will have more awake periods. 2- There will be a decrease in episodes of apnea. 3- Breastfeeding attempts will be enhanced. 4- The infant will adjust better to the environment.
3
A newborn is suspected to have fetal alcohol syndrome as a result of maternal use of alcohol during pregnancy. Which of the following would the nurse expect to assess. 1- Thick upper lip 2- Large bulging eyes 3- Low nasal bridge 4- Long nose
3
A nurse is caring for a newborn whose chest X-ray reveals marked hyperaeration mixed with areas of atelectasis. The infant's arterial blood gas analysis indicates metabolic acidosis. For which dangerous condition should the nurse prepare when providing care to this newborn? 1- choanal atresia 2- diaphragmatic hernia 3- meconium aspiration syndrome 4- pneumonia
3
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? 1- Clubfoot is a common genetic disorder. 2- The condition affects girls more often than boys. 3- The exact cause of clubfoot is not known. 4- The intrinsic form can be manually reduced.
3
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 the group identifies which substance as being teratogenic? 1- alcohol 2- nicotine 3- marijuana 4- cocaine
3
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? 1- This is the routine schedule for all pregnant patients. 2- This is when most patients have a risk of going into early labor. 3- During weeks 28 and 32, blood volume peaks, and heart function can be affected. 4- Extra care is needed to make sure the fetus is developing normally during this time period.
3
A preterm infant born at 32 weeks gestation is being started on formula. When planning care, the nurse anticipates that which formula type is best? 1- Low iron formula diluted with glucose water. 2- Infant formula with rice cereal. 3- A 24 cal/oz infant formula. 4- A formula with an iron supplement.
3
The nurse assesses a large for gestational age infant admitted to the newborn observational unit with the diagnosis of hypoglycemia. What would best correlate with this diagnosis? 1- jaundice 2- positive Moro reflex 3- jitteriness 4- palmar creases
3
The nurse is responding to an infant crying and notes it is very high pitched and shrill. The nurse predicts this is most likely related to which situation? 1- Normal cry from pain 2- Tired and stress from delivery 3- Neurologic dysfunction 4- Cold stress cry
3
Which disease process would the nurse screen for under potential genetic disorders? 1- Tuberculosis 2- Rheumatic fever 3- Cystic fibrosis 4- Asthma
3
Which finding would alert the nurse to suspect that a newborn is experiencing respiratory distress? 1- respiratory rate of 50 breaths/minute 2- acrocyanosis 3- asymmetrical chest movement 4- short periods of apnea (less than 15 seconds)
3
Which signs/symptoms can be associated with CMV infection in an infant? Select all that apply. 1- pulmonary stenosis 2- patent ductus arteriosus 3- hydrocephalus 4- hearing impairment leading to deafness 5- chronic liver disease
3,4,5
A 25-year-old pregnant client has just been diagnosed with hyperemesis gravidarum. Which instruction should the nurse prioritize during a teaching session? 1- Eat mainly high-fat foods to supply sufficient calories. 2- Increase fluid intake with meals to increase retention of food. 3- Do all your own cooking so you will build up a tolerance for food odors. 4- Take your anti-nausea medicine around the clock.
4
The nurse is evaluating the neonate for gestational age. Which assessment finding will the nurse note when determining the infant is post-term? 1- A scarf sign shows resistance and the elbow is unable to reach midline 2- Breast buds are 4.5 mm and have a raised areola 3- Flexed positions show good muscle tone 4- Ear cartilage is thick and the pinna is stiff
4
The nurse is preparing expressed breast milk mixture for premature twins. What would the nurse do prior to mixing the milk? 1- Talk with the mom 2- Gather equipment 3- Change the infants' diapers 4- Clean milk prep area
4
The parents of a 2-day-old newborn are preparing for discharge from the hospital. Which teaching is most important for the nurse to include regarding sleep? 1- The infant may sleep through the night around 2 months of age. 2- Caregivers need to sleep while the baby is sleeping. 3- Newborns usually sleep for 16 or more hours each day. 4- Place the infant on the back when sleeping.
4
What is a typical feature of a small for gestational age (SGA) newborn that differentiates it from a preterm baby with a low birth weight? 1- decreased muscle mass 2- face is angular and pinched 3- decreased body temperature 4- ability to tolerate early oral feeding
4
Which assessment findings are most prominent in the infant with Tetralogy of Fallot and significant pulmonary stenosis? 1- Irregular heart rate, fatigue, pink tinged skin 2- Dry mucous membranes, poor urine output 3- Poor weight gain, nausea, decreased muscle tone 4- Dyspnea on limited exertion, fatigue, cyanosis
4
The nurse is caring for a pregnant woman is determined to be at high risk for gestational diabetes. The nurse prepares to rescreen this client at which time frame? 1- 16 to 20 weeks 2- 20 to 24 weeks 3- 24 to 28 weeks 4- 28 to 32 weeks
4
The nurse is preparing a postpartum nursing care plan for a single HIV-positive primigravida client. The nurse should prioritize in the plan how to acquire which resource? 1- Breast pump 2- Diapers 3- Car seat 4- Formula
4
A client at 36 weeks' gestation presents to the OB unit reporting continuous, heavy vaginal discharge and pelvic pressure. Assessment reveals no signs of labor and positive Nitrazine test. The nurse prepares for which nursing intervention after admitting the client? 1- Administering erythromycin IV 2- Performing daily pelvic exams 3- Administering IM corticosteroids 4- Administering oxytocin
1
A client has been admitted with abruptio placentae. She has lost 1,200 mL of blood, is normotensive, and ultrasound indicates approximately 30% separation. The nurse documents this as which classification of abruptio placentae? 1- grade 2 2- grade 1 3- grade 3 4- grade 4
1
A couple has just learned that their unborn son has a chromosome disorder that results in an extra X chromosome. The primary care provider explains that secondary sex characteristics will not develop in this child at puberty and that his testes will remain small and produce ineffective sperm. The nurse recognizes that this child likely has: 1- Klinefelter syndrome. 2- Turner syndrome. 3- fragile X syndrome. 4- Down syndrome.
1
A high-risk pregnant client is determined to have gestational hypertension. The nurse suspects that the client has developed severe preeclampsia based on which finding? 1- blurred vision 2- blood pressure of 150/100 mm Hg 3- mild facial edema 4- proteinuria of 300 mg per 24 hours
1
A nurse in the maternity triage unit is caring for a client with a suspected ectopic pregnancy. Which nursing intervention should the nurse perform first? 1- Assess the client's vital signs. 2- Administer oxygen to the client. 3- Obtain a surgical consent from the client. 4- Provide emotional support to the client and significant other.
1
A nurse is caring for a client with hyperemesis gravidarum. Which of the following would be recommended for this client? 1- Fluid and electrolyte replacement 2- Increased intake of folic acid 3- Increased intake of iron supplements 4- Blood transfusion
1
A nurse is caring for a pregnant client admitted with mild preeclampsia. Which assessment finding should the nurse prioritize? 1- urine output of less than 15 mL/hr 2- 1+ ankle edema 3- mild hand edema 4- proteinuria of 200 mg/24 hours
1
A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? 1- elevated lipoproteins 2- hemolysis 3- liver enzyme elevation 4- low platelet count
1
A nurse is teaching a woman diagnosed with gestational diabetes about meal planning and nutrition. The nurse determines that additional teaching is needed based on which client statement? 1- "I need to avoid any fat with my meals." 2- "I should get most of my calories from good complex carbs." 3- "Having a bedtime snack is good for me." 4- "It's okay to eat small meals or snacks throughout the day."
1
A pregnant client in the first trimester asks the nurse about taking medications while she is pregnant. She tells the nurse that she heard that it can be harmful to the fetus if medications are taken at certain times during pregnancy. What is the best response by the nurse? 1- "Exposure to certain substances during the embryonic phase may be harmful to the developing fetus." 2- "As long as you are past 4 weeks of pregnancy, you should be able to take most medications." 3- "There is no need for you to worry; you are not far enough along in your pregnancy for this to be a problem." 4- "You cannot drink alcohol, but you can take some medications, such as cold preparations and over-the-counter medications."
1
A pregnant client mentions to the nurse that a friend has given her a variety of herbs to use during her upcoming labor to help manage pain. Specifically, she gave her chamomile tea, raspberry leaf tea, skullcap, catnip, jasmine, lavender, and black cohosh. Which of these should the nurse encourage the client not to take because of the risk of acute toxic effects such as cerebrovascular accident? 1- Black cohosh 2- Skullcap 3- Catnip 4- Jasmine
1
A pregnant patient is diagnosed with placenta previa. Which action should the nurse implement immediately for this patient? 1- Assess fetal heart sounds with an external monitor. 2- Help the patient remain ambulatory to reduce bleeding. 3- Assess uterine contractions by an internal pressure gauge. 4- Prepare for a vaginal examination to assess the extent of bleeding.
1
A pregnant woman comes to the birthing center, stating she is in labor and does not know far along her pregnancy is because she has not had prenatal care. A primary care provider performs an ultrasound that indicates oligohydramnios. When the client's membranes rupture, meconium is in the amniotic fluid. What does the nurse suspect may be occurring with this client? 1- complications of a postterm pregnancy 2- complications of preterm labor 3- complications of placenta previa 4- placental abruption
1
A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome? 1- congenital anomalies 2- incompetent cervix 3- placenta previa 4- abruptio placentae
1
A primary care provider prescribes oral tocolytic therapy for a woman with preterm labor. The nurse explains to the client about the drugs that may be used. The nurse determines that the client needs additional teaching when she states which drug might be used? 1- magnesium sulfate 2- nifedipine 3- indomethacin 4- bethamethasone
1
A primigravida 21-year-old client at 24 weeks' gestation has a 2-year history of HIV. As the nurse explains the various options for delivery, which factor should the nurse point out will influence the decision for a vaginal birth? 1- The viral load 2- Amniocentesis results at 34 weeks 3- The mother's age 4- Prophylactic ART to infant at birth
1
A woman has presented to the emergency department with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured? 1- referred shoulder pain 2- vaginal spotting 3- nausea 4- breast tenderness
1
A woman in active labor has just had her membranes ruptured to speed up labor. The nurse is concerned the woman is experiencing a prolapse of the umbilical cord when the nurse notices which pattern on the fetal heart monitor? 1- variable deceleration pattern 2- fetal heart rate (FHR) increase to 200 beats/min 3- early deceleration with each contraction 4- late deceleration with late recovery following contraction
1
A woman in week 16 of her pregnancy calls her primary care provider's office to report that she has experienced abdominal cramping, cervical dilation, vaginal spotting, and the passing of tissue. The nurse instructs the client to bring the passed tissue to the hospital with her. What is the correct rationale for this instruction? 1- to determine whether gestational trophoblastic disease is present 2- to determine whether infection is present 3- to determine whether the fetus is viable 4- to determine the stage of development of the fetus
1
A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which concern is greatest regarding this client? 1- preterm rupture of membranes followed by preterm birth 2- development of eclampsia 3- hemorrhaging 4- development of gestational trophoblastic disease
1
A woman who is 10 weeks' pregnant calls the physician's office reporting "morning sickness" but, when asked about it, tells the nurse that she is nauseated and vomiting all the time and has lost 5 pounds. What interventions would the nurse anticipate for this client? 1- Lab work will be drawn to rule out acid-base imbalances. 2- An ultrasound will be done to reassess the correctness of gestational dates. 3- Since morning sickness is a common problem for pregnant women, the nurse will suggest the woman drink more fluids and eat crackers. 4- The nurse will encourage the woman to lie down and rest whenever she feels ill.
1
After an hour of oxytocin therapy, a woman in labor states she feels dizzy and nauseated. The nurse's best action would be to: 1- assess the rate of flow of the oxytocin infusion. 2- administer oral orange juice for added potassium. 3- assess her vaginally for full dilation. 4- instruct her to breathe in and out rapidly.
1
An expectant mother is on heparin for previous blood clots and voicing concerns about how her medications will affect her baby. The nurse would inform the mother that: 1- heparin does not cross the placenta and is safe for her to take. 2- any medication that an expectant mother takes can cause sequelae for the infant. 3- she should discontinue the heparin and change to another anticoagulant. 4- it is recommended to stop taking the heparin while she is pregnant.
1
Because of a family history of hypertension, a client chooses to not add any salt to the diet. The nurse instructs the client to consume what foods? 1- cranberries and seafood 2- yogurt and almonds 3- dark green vegetables and eggs 4- organ meat and dried fruit
1
During a prenatal ultrasound, the client is discovered to have a placenta succenturiata. Following delivery of the fetus and placenta, which nursing assessment is most important? 1- Assessment for hemorrhage 2- Assessment for pain 3- Assessment for a thrombus 4- Assessment for shortness of breath
1
The nurse in a busy L & D unit is caring for a woman beginning induction via oxytocin drip. Which prescription should the nurse question with regard to titrating the infusion upward for adequate contractions? 1- Begin infusion at 10 milliunits (mu)/min and titrate every 15 minutes upward by 5 mu/min. 2- After one hour, titrate the infusion upward by 1 to 2 mu/min until contractions are adequate. 3- Start oxytocin drip, piggyback to main IV line to port closest to client. 4- Discontinue infusion if contractions are every 2 minutes lasting 60 to 90 seconds each.
1
The nurse is caring for a client who has a multifetal pregnancy. What topic should the nurse prioritize during health education? 1- Signs of preterm labor 2- Risk for blood incompatibilities 3- Risk for hypertension 4- Parenting skills
1
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? 1- The client will begin taking 400 μg of folic acid every day. 2- The client will begin taking 400 μg of folic acid with every meal. 3- The client will ingest foods high in folic acid to avoid needing to take folic acid supplements. 4- The client will begin taking 400 μg of folic acid immediately after confirmation of pregnancy.
1
What should the nurse include when counseling potential parents about genetic disorders? 1- Environmental influences may affect multifactorial inheritance. 2- Genetic disorders primarily follow Mendelian laws of inheritance. 3- All genetic disorders involve a similar number of abnormal chromosomes. 4- The absence of genetic disorders in both families eliminates the possibility of having a child with a genetic disorder.
1
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: 1- ask him if he knows that he can stay with his wife during labor. 2- tell him that all fathers now stay with their wives during labor. 3- tell him he is missing out on the opportunity of a lifetime by leaving. 4- insist he stay with his wife during labor because she will need his support.
1
When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding? 1- slight vaginal bleeding 2- cervical dilation 3- strong abdominal cramping 4- passage of fetal tissue
1
A breastfeeding mother wants to know how to help her 2-week-old newborn gain the weight lost after birth. Which action should the nurse suggest as the best method to accomplish this goal? 1- Recommend that the mother pump her breast milk and measure it before feeding. 2- Breastfeed the infant every 2 to 4 hours on demand. 3- Weigh the infant daily to ensure that she is gaining 1.5 to 2 ounces (42.5 to 57 grams) per day. 4- Add cereal to the newborn's feedings twice a day.
2
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? 1- urinary output of 20 mL per hour 2- respiratory rate of 10 breaths/minute 3- deep tendons reflexes 2+ 4- difficulty in arousing
2
At what point should the nurse expect a healthy newborn to pass meconium? 1- before birth 2- within 1 to 2 hours of birth 3- by 12 to 18 hours of life 4- within 24 hours after birth
4
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? 1- "Various genetic tests help the primary care provider choose appropriate treatments." 2- "Genetic testing helps couples avoid having children with fatal diseases." 3- "Genetic tests identify people at high risk for preventable conditions." 4- "Some genetic tests can give a probability for developing a disorder."
4
A 40-year-old female client with a chronic pelvic infection expresses her desire to conceive post-treatment. When discussing this with the client the nurse keeps in mind that the client is at increased risk for which of the following? 1- Ectopic pregnancy 2- Symptoms of menopause 3- Decreased menses 4- Gestational diabetes
1
A client at 32 weeks' gestation receives an ultrasound that identifies intrauterine growth restriction. Which findings from the client's nutritional assessment would indicate to the nurse that additional teaching is needed? Select all that apply. 1- eating large quantities of empty calorie foods 2- difficulty eating because of continuing nausea 3- history of gestational diabetes in previous pregnancy 4- maternal age less than 18 years 5- consuming 5 to 6 small meals each day
1,2,4
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. 1- Highlight the importance of good nutrition. 2-Include health promotion activities for both men and women. 3- Stress the importance of having coitus every day while trying to conceive. 4- Remind about safe sex practices to reduce sexually transmitted infections. 5- Explain that conception rarely occurs in couples during the first year of trying.
1,2,4
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. 1- history of diabetes 2- reports shortness of breath 3- identifiable fetal parts on abdominal palpation 4- difficulty obtaining fetal heart rate 5- fundal height below that for expected gestational age
1,2,4
A 28-year-old client with a history of endometriosis presents to the emergency department with severe abdominal pain and nausea and vomiting. The client also reports her periods are irregular with the last one being 2 months ago. The nurse prepares to assess for which possible cause for this client's complaints? 1- Healthy pregnancy 2- Ectopic pregnancy 3- Molar pregnancy 4- Placenta previa
2
A couple has just been notified that their unborn child carries a genetic disorder. The couple expresses concern that the insurance company will not cover the costs associated with the medical bills for the child. What is the most appropriate response by the nurse? 1- "The insurance company may consider it a preexisting condition since you know." 2- "There are laws in place that prohibit that from happening." 3- "The insurance company may ask you to change policies once the baby is born." 4- "They will charge you a higher premium every month."
2
A couple has just learned that their son will be born with Down syndrome. The nurse shows a lack of understanding when making which statement? 1- "We have counseling services available, and I recommend them to everyone facing these circumstances." 2- "I will alert your entire family about this so you don't have to." 3- "I will support you in any decision that you make." 4- "I will give you as much information as I can about this condition."
2
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? 1- Restricting visitors to reduce the noise level. 2- Organizing nursing care at times other than visiting hours. 3- Asking the hospital's visitor program to call on her to prevent loneliness. 4- Spending increased time with her yourself to prevent loneliness.
2
A nurse is explaining to a group of nurses new to the labor and birth unit about about methods used for cervical ripening. The group demonstrates understanding of the information when they identify which method as a mechanical one? 1- herbal agents 2- laminaria 3- membrane stripping 4- amniotomy
2
A nurse is preparing a nursing care plan for a client who is admitted at 22 weeks' gestation with advanced cervical dilatation to 5 cm, cervical insufficiency, and a visible amniotic sac at the cervical opening. Which primary goal should the nurse prioritize at this point? 1- Give birth vaginally 2- Bed rest to maintain pregnancy as long as possible 3- Notification of social support for loss of pregnancy 4- Education on causes of cervical insufficiency for the future
2
A nursing student working with a client in preterm labor correctly identifies which medication as being used to relax the smooth muscles of the uterus and for seizure prophylaxis and treatment in clients with preeclampsia? 1- betamethasone 2- magnesium sulfate 3- indomethacin 4- nifedipine
2
A pregnant client at 32 weeks' gestation is treated with magnesium sulfate for seizure management. The nurse assesses which of the following for evidence of magnesium toxicity? 1- Frequency of micturition 2- Absence of knee jerk response 3- Increased blood pressure 4- Increased rate of respiration
2
A pregnant woman at the emergency department informs staff that she is at least 2 weeks past her due date. The physician begins to perform several tests to determine fetal age. The nurse anticipates that the woman's amniotic fluid volume will be decreased. How would the nurse measure the amniotic fluid in this situation? 1- x-ray 2- ultrasound 3- aspiration 4- palpation
2
A woman who is 8 months' pregnant comes to the clinic with urinary frequency and pain on urination. The client is diagnosed with a urinary tract infection (UTI). Which medication would the nurse anticipate the physician will prescribe? 1- tetracycline 2- amoxicillin 3- bactrim 4- septra
2
A woman with gestational hypertension experiences a seizure. Which intervention would the nurse identify as the priority? 1- fluid replacement 2- oxygenation 3- control of hypertension 4- birth of the fetus
2
After teaching a review class to a group of perinatal nurses about various methods for cervical ripening, the nurse determines that the teaching was successful when the group identifies which method as surgical? 1- breast stimulation 2- amniotomy 3- laminaria 4- prostaglandin
2
Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which condition? 1- maternal diabetes 2- placental insufficiency 3- neural tube defects 4- fetal gastrointestinal malformations
2
Genetics-related health care is basic to the holistic practice of nursing. What should nursing practice in genetics include? 1- identifying genetic markers 2- gathering relevant family and medical history information 3- providing advice on termination of pregnancy 4- discouraging females to conceive after the age of 40 years
2
Human papillomavirus (HPV) can cause condylomata acuminata that can develop in clusters on the vulva, within the vagina, on the cervix, or around the anus. What is their risk? 1- neonatal auricular papillomas 2- block a vaginal birth 3- heavy bleeding during vaginal birth 4- neonatal hemorrhage
2
Hypertonic labor is labor that is characterized by short, irregular contractions without complete relaxation of the uterine wall in between contractions. Hypertonic labor can be caused by an increased sensitivity to oxytocin. What would the nurse do for a client who is in hypertonic labor because of oxytocin augmentation? 1- Increase the oxytocin. 2- Turn off the oxytocin. 3- Increase the methotrexate. 4- Turn off the methotrexate.
2
The nurse is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds every 2 hours. Why would the nurse do this? 1- Pulmonary hypertension 2- Pulmonary edema 3- Pulmonary emboli 4- Pulmonary atelectasis
2
The nurse would be alert for possible placental abruption during labor when assessment reveals which finding? 1- macrosomia 2- gestational hypertension 3- gestational diabetes 4- low parity
2
The nutritional needs of an adolescent pregnant patient are unique because 1- pregnant adolescent should consume more calories than a pregnant 30-year-old with the same BMI 2- Owing to typical food choices, an adolescent is often lacking calcium, iron, and folic acid in the diet 3- Although most adolescents do not snack during the day, they usually have no problem finding time to consume three meals 4- Adolescents are very independent and believe it is not necessary to talk with anyone else regarding their diet
2
A nurse is assessing a child with Klinefelter syndrome. What would the nurse expect to assess? Select all that apply. 1- gross intellectual disability 2- long arms 3- profuse body hair 4- gynecomastia 5- enlarged testicles
2,4
A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm/Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next? 1- Check deep tendon reflexes. 2- Measure fundal height. 3- Palpate the fundus, and check fetal heart rate. 4- Obtain a voided urine specimen, and determine blood type.
3
A client in her fifth month of pregnancy is having a routine clinic visit. The nurse should assess the client for which common second trimester condition? 1- mastitis 2- metabolic alkalosis 3- physiological anemia 4- respiratory acidosis
3
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? 1- clear liquid diet 2- total parenteral nutrition 3- nothing by mouth 4- administration of labetalol
3
A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection? 1- Antiviral drug therapy cures the infection completely. 2- Kissing during the primary episode does not transmit the virus. 3- Safety of antiviral therapy during pregnancy has not been established. 4- Recurrent HSV infection episodes are longer and more severe.
3
A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which instruction should the nurse give this client? 1- Lie down or recline for at least 2 hours after eating. 2- Avoid dry crackers, toast, and soda. 3- Eat small, frequent meals throughout the day. 4- Decrease intake of carbonated beverages.
3
A pregnant client with multiple gestation arrives at the maternity clinic for a regular antenatal check up. The nurse would be aware that client is at risk for which perinatal complication? 1- postterm birth 2- maternal hypotension 3- congenital anomalies 4- fetal nonimmune hydrops
3
A pregnant patient is being admitted for severe preeclampsia. In which room location should the nurse place this patient? 1- Near the nursery 2- Next to the elevator 3- In the back private room 4- Across from the nurse's station
3
A pregnant woman diagnosed with diabetes should be instructed to perform which action? 1- Discontinue insulin injections until 15 weeks gestation. 2- Ingest a smaller amount of food prior to sleep to prevent nocturnal hyperglycemia. 3- Notify the primary care provider if unable to eat because of nausea and vomiting. 4- Prepare foods with increased carbohydrates to provide needed calories.
3
A pregnant woman with type 2 diabetes is scheduled for a laboratory test of glycosylated hemoglobin (HbA1C). What does the nurse tell the client is a normal level for this test? 1- 8% 2- 14% 3- 6% 4- 12%
3
A primipara at 36 weeks' gestation is being monitored in the prenatal clinic for risk of preeclampsia. Which sign or symptom should the nurse prioritize? 1- A systolic blood pressure increase of 10 mm Hg 2- Weight gain of 1.2 lb (0.54 kg) during the past 1 week 3- A dipstick value of 2+ for protein 4- Pedal edema
3
The client appears at the clinic stating that she is 8 months pregnant and has had no prenatal care due to a lack of health insurance. She states not feeling well with blurred vision and a terrible headache. The client's blood pressure is 190/100 and edema is present in her lower extremities. Which diagnostic test will provide additional pertinent data? 1- A blood culture to note any infection of the blood 2- A urine culture to rule out a urinary tract infection 3- An ultrasound to determine fetal age 4- A urine dipstick test to check for protein
4
A client at 37 weeks' gestation presents to the emergency department with a BP 150/108 mm Hg, 1+ pedal edema, 1+ proteinuria, and normal deep tendon reflexes. Which assessment should the nurse prioritize as the client is administered magnesium sulfate IV? 1- Urine protein 2- Ability to sleep 3- Hemoglobin 4- Respiratory rate
4
A client with full-term pregnancy who is not in active labor has been prescribed oxytocin intravenously. The nurse would notify the health care provider if which finding is noted? 1- dysfunctional labor pattern 2- postterm status 3- prolonged ruptured membranes 4- overdistended uterus
4
A couple wants to start a family. They are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. They are seeing a nurse practitioner for preconceptual counseling. What would the nurse practitioner tell them about cystic fibrosis? 1- It is an autosomal dominant disorder. 2- It is passed by mitochondrial inheritance. 3- It is an X-linked inherited disorder. 4- It is an autosomal recessive disorder.
4
A nurse assesses that a 15-year-old female client has not developed secondary sexual characteristics, is short in stature, and has a webbed neck. The nurse identifies this as being mostlikely related to which diagnosis? 1- Edwards syndrome 2- Klinefelter syndrome 3- Patau syndrome 4- Turner syndrome
4
A nurse is assessing a pregnant woman with gestational hypertension. Which finding would lead the nurse to suspect that the client has developed severe preeclampsia? 1- urine protein 300 mg/24 hours 2- blood pressure 150/96 mm Hg 3- mild facial edema 4- hyperreflexia
4
A nurse is caring for a 32-year-old Jewish client who is pregnant with a female baby. The parents are not directly related by blood. The mother reports that her husband's cousin had an infant born with Tay-Sachs disease that died two years ago and she is concerned about her baby. Which information does the nurse need to give the client to help alleviate her concerns regarding her baby having the same disease? 1- Tay-Sachs disease affects only male infants so there is no poblem with her baby. 2- The age of the client increases the susceptibility of the baby to Tay-Sachs disease. 3- There is no risk of Tay-Sachs disease because the parents are not related by blood. 4- There is a risk to the baby based upon the Jewish background, so genetic testing would be recommended.
4
A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client? 1- Administer total parenteral nutrition. 2- Administer an antiemetic. 3- Set up for a percutaneous endoscopic gastrostomy. 4- Administer IV NS with vitamins and electrolytes.
4
A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding? 1- hyperglycemia 2- elevated platelet count 3- disseminated intravascular coagulopathy (DIC) 4- elevated liver enzymes
4
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? 1- "Maintain bed rest, and count the number of perineal pads used." 2- "Come to the health care facility if uterine contractions begin." 3- "Continue normal activity, but take the pulse every hour." 4- "Come to the health facility with any vaginal material passed."
4
There are many steps in the process of genetic counseling and testing. Put these steps in the correct chronological order from first to last. All options must be used.
assessment of family history physical examination of parents nuchal translucency screening amniocentesis explain results of genetic testing support couple in adjusting to diagnosis
