Mother baby practice test 4

Which factors contribute to development of osteoporosis in female clients?

Cigarette smoking Familial predisposition Inadequate intake of dietary calcium

A mother asks the neonatal nurse why her infant must be monitored so closely for hypoglycemia when her type 1 diabetes was in excellent control during the entire pregnancy. How would the nurse best respond?

Babies of mothers with diabetes have a higher-than-average insulin level because of the excess glucose received from the mother during pregnancy, so the glucose level may drop."

How would the nurse suction a term neonate choking on mucus using a bulb syringe?

By suctioning the mouth before the nostrils

During which time frame would the nurse instruct the couple planning to use the calendar (rhythm) method of contraception to refrain from intercourse if the woman's cycles are every 28 days?

Days 10 to 17 of the menstrual cycle

A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider? Select all that

Dizziness Chest pain Calf tenderness

The nurse is assessing a client who is suspected of having candidiasis. Which questions asked by the nurse would help confirm the diagnosis?

Do you have cheesy plaques in the mouth resembling milk curds? Do you have red rashes with satellite lesions around the affected area?" Do you have white patches in the groin area with increased vaginal discharge?

Which surgeries are associated with permanent contraception? Select all that apply

Vasectomy Tubal ligation

The nurse is performing a breast assessment. Which statement made by the client indicates a risk of breast cancer?

My first child was born when I was 32 I noticed a slight discharge from a nipple." "I consume two to four glasses of alcohol a day."

To reduce the risk of sudden infant death syndrome (SIDS) during sleep, how would the nurse instruct the parents to position the 3-day-old infant?

Supine

How would the nurse explain the cause of caput succedaneum in a newborn to the new mother?

Swelling of the soft tissue of the scalp as a result of pressure during labor

Which action by a 70-year-old female client would best limit further progression of osteoporosis?

Taking supplemental calcium and vitamin D

A young pregnant adolescent is diagnosed with an ectopic pregnancy. Which risk factors contribute to ectopic pregnancy?

Habit of smoking Damage to the fallopian tubes History of pelvic inflammatory disease

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion?

Hypertension

A client comes in for a pregnancy test. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response by the nurse is appropriate?

"You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule."

The nurse is teaching an adolescent female client with irregular menstruation about contraception. Which statements made by the client indicate the need for further education?

1. The calendar method of oral contraception is most suitable for me." 2.Condoms do not offer protection against sexually transmitted infections." 3. Oral contraceptive pills offer protection from sexually transmitted infections."

The nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a client's foot is stroked. Which finding would the nurse document?

Exhibits a positive Babinski sign"

In her 36th week of gestation, a client with type 1 diabetes delivers a 9 lb 10 oz (4366 g) infant via cesarean birth. Which condition is this infant at a high risk for developing?

Respiratory distress syndrome

A client seeking advice regarding contraception asks the nurse to explain how an intrauterine device (IUD) prevents pregnancy. How would the nurse respond?

"It produces a spermicidal intrauterine environment.

A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate?

"Oral contraceptives can cause thrombophlebitis."

A newborn is diagnosed as having neonatal abstinence syndrome (NAS) after exhibiting jitteriness, irritability, and a shrill cry. Which is the priority nursing care?

Reducing environmental stimuli to promote relaxation

Which would the nurse teach the parents about preventing sudden infant death syndrome (SIDS)

Refrain from smoking around the infant Refrain from co-sleeping or bed-sharing. Refrain from placing stuffed toys on the infant's bed.

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client?

Sterility Ectopic pregnancy Blocked Fallopian tubes Pelvic inflammatory disease Increased likelihood of HIV infection

Which would evidence of the Babinski reflex indicate during a newborn assessment?

Immaturity of the central nervous system (CNS)

The nurse, providing discharge instructions to the parents of a newly circumcised male newborn, asks them to repeat the newly circumcised male newborn, asks them to repeat the findings that would prompt them to call the primary health care provider. Which finding is reassuring and would not require notification of the provider?

A yellowish exudate around the incision

Which action by a parent of an adolescent indicates understanding of the vaccination protocol to prevent cervical cancer?

All three vaccinations were received at intervals

Which birth factors place the neonate at risk for sudden infant death syndrome (SIDS)?

Birth order Multiple births Low Apgar scores

Which are barrier methods of contraception?

Condom Diaphragm Lea's shield

The nurse is caring for a newborn with caput succedaneum. The nurse is able to differentiate caput succedaneum from cephalhematoma because of which characteristic of the scalp edema in caput succedaneum?

Crosses the suture line

Which intervention would the nurse recommend when a client reports moodiness and anxiety a few days before her period?

Exercise three to four times a week in the luteal phase.

How would the nurse reply when a menstruating female client asks how to avoid toxic shock syndrome with tampon use?

Wash your hands before inserting the tampon.

The nurse teaches a client about the use of tampons. Which statements made by the nurse indicate correct action to teach a client regarding tampon use?

Wash your hands before inserting a tampon." Use sanitary napkins at nighttime." Report any physical changes while using a tampon.

The nurse teaches a couple about how to care for their newborn who has just been circumcised. Which statement made by the infant's father would lead the nurse to conclude that the teaching has been effective?

We should apply petrolatum gauze to the penis."

While showing a new mother how to care for her infant's umbilical cord stump, the nurse explains that the stump is a potential source of infection for which reason?

It contains exposed tissue and blood.

After teaching the parents of a newborn how to suction using a bulb syringe, which statement made by the parent indicates an understanding of the information?

I will depress the bulb before suctioning the mouth or nose."

Which would the nurse expect the size of a newborn to be if the mother had inadequately controlled type 1 diabetes during her pregnancy?

Large for gestational age, near term

Which would the nurse recommend to a new mother when teaching her about the care of the newborn's umbilical cord area?

Leave the area untouched or clean with soap and water; then pat it dry.

New parents are asked to sign the consent form for their son to be circumcised. They ask for the nurse's opinion of the procedure. Which response from the nurse would be best?

Let's talk about it, because there are advantages and disadvantages." "It is usually a safe procedure, and it's best for male infants to be

Which is a consequence on the neonate of maternal smoking during pregnancy?

Low birth weight

The plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vitamins. Which finding would indicate that the therapy is helping?

Mobility increases

During the initial assessment of a newborn the nurse suspects a congenital heart defect. Which clinical manifestations support this suspicion?

Nasal flaring Sternal retractions Grunting respirations

Which statements are true regarding health risks to adolescent females? Select all that apply.

Papanicolaou (Pap) testing should start at age 21. Pregnant teenagers don't often know to avoid teratogens or have prenatal care and instruction or follow-up care. Adolescents enter the health care system due to the human papillomavirus vaccine.

After teaching the parents of an infant the ways to prevent sudden infant death syndrome (SIDS), which action indicates a need for further teaching?

Places the infant on stomach to sleep

The nurse is caring for a new mother who has a chlamydial infection. For which complications would the nurse assess the client's neonate?

Pneumonia Preterm birth Conjunctivitis

Which assessment findings in a 1-hour-old newborn are characteristic of a preterm gestational age?

Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo: abundant

During the postpartum period, a client with heart disease and type 2 diabetes asks the nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near future?" How would the nurse respond?

The intrauterine device may be a good choice because of its high effectiveness and ease of use.

Which nursing interventions help prevent heat loss in newborns?

The nurse keeps the newborn covered in warm blankets. The nurse keeps the newborn under the radiant warmer. The nurse places the newborn on the mother's abdomen.

Which information would the nurse include as part of the teaching plan for the client requesting information on different methods of contraception?

The rim of a condom must be held in place while the penis is withdrawn from the vagina.

The nurse is performing physical assessment of four female clients who came for a general checkup. Which client is most at risk of developing breast cancer?

Women over 40 years of age with a personal or family history of breast cancer, late-age menopause (after age 50), who have not had children or who conceived after the age of 30 years, or women with excessive oral contraceptives use are at risk of developing breast cancer. Client B has all the criteria that increase the risk of developing breast cancer, such as age over 60 years, positive family history, no children, and menopause at a later age. She is at the highest risk of developing breast cancer compared with clients A, C, and

Why is it important for the nurse to know the infant's gestational age and how it compares with the birth weight?

Potential problems may be identified.

After an assessment of a male newborn, the nurse suspects postmaturity. Which observations help confirm this conclusion?

Profuse scalp hair Parchmentlike skin Creases covering the entire soles