Mom/baby Study Sesh Q's 9/25

C

7- A client admitted with preeclampsia is receiving magnesium sulfate. Which assessment finding indicates to the nurse that a therapeutic level has been reached? A. Increased fetal activity B. Decreased urine output C. Deep tendon reflexes of +2 D. Respiratory rate of 10 breaths/min

All of the above

8-Which adverse effect would the nurse assess for after administering oxytocin to a client to stimulate labor? Select all that apply. One, some, or all responses may be correct A. Edema B. Headache C. Confusion D. Blurred vision E. Uterine rupture

A

10-The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information would the nurse give to this client? A. Insulin needs will increase during the second trimester. B. Insulin needs will decrease during the second trimester. C. Insulin needs will not change during the second trimester. D. Insulin will be switched to an oral antidiabetic medication during the second trimester.

All of the above

11- Which intervention would the nurse implement when caring for a newborn with ineffective airway clearance? Select all that apply. One, some, or all responses may be correct. A. Auscultating the neonate's lungs B. Monitoring the neonate's respiratory rate C. Placing the neonate on the back when sleeping D. Observing the neonate for signs of respiratory distress E. Suctioning the neonate's mouth with a bulb syringe, as needed

B (not on exam - just FYI)

12- Which medication for depression would be safe to use with a breast-feeding mother who wishes to continue breast-feeding the newborn? *** NOT ON TEST**** a. Sertraline B. Paroxetine C. Valproic acid D. Methotrexate

B,C

2-A client is scheduled to start external beam radiation therapy (EBRT) for endometrial cancer. Which teaching by the nurse is accurate? Select all that apply. A. You will need to be hospitalized during this therapy. B. "Your skin needs to be inspected daily for any breakdown. C. "You should stay out of the direct sun." D. "You will be radioactive for 24 hours, so avoid contact with your family." E. "The technician will apply new site markings before each treatment."

A,C,D

3- Which physiological changes are expected during the first trimester of pregnancy? Select all that apply. One, some, or all responses may be correct. A. Fatigue B. Increased libido C. Morning sickness D. Breast enlargement E. Braxton Hicks contractions

A. Progesterone (maintains pregnancy, which is why we measure progesterone levels if your patient has a high-risk threat for miscarriage)

4- A primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. Which hormone would the nurse tell the client maintains pregnancy?

C

5-A transgender client is taking transdermal estrogen. What assessment finding does the nurse report immediately to the provider? a. Breast tenderness b. Headaches c. Red swollen calf d. Bilateral swollen ankles

C

6-A pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. Which explanation would the nurse give the client as the reason she is receiving this medication? A. "It acts as a diuretic." B. "It has a sedative effect." C. "It acts as an anticonvulsant." D. "It has an antihypertensive effect."

A,D,E

9- The nurse is providing education to a client who has testicular cancer about unilateral orchiectomy surgery with radiation and chemotherapy. Which of the following statement(s) by the client indicates teaching was effective? Select all that apply. A. "Sperm bank storage is an option if I would like to have children later" B. "I am glad that I had my yearly pap smear to diagnosis this cancer" C. "The surgery consistents of removing both of my testes" D. "I will continue to perform a monthly self testicular exam" E. "The radiation and chemotherapy can make me tired"

All of the above

1-Which information would the nurse include when teaching a client experiencing a postterm pregnancy? Select all that apply. One, some, or all responses may be correct. A. Monitor for signs of labor. B. Perform daily fetal movement counts. C. Go to the birthing facility soon after labor begins. D. Call the primary health care provider if the membranes rupture. E. Keep appointments for fetal assessment tests and cervical checks.