OB final prac q
The nurse is conducting a prenatal class on breastfeeding. The nurse determines the class is successful when the young parents correctly choose which time frame is recommended for breastfeeding the infant? 1 year 4 months Two years 6 months
1y
The nurse is assessing the abdomen of the neonate. When inspecting the umbilical cord area of a newborn, the nurse would expect which finding? three arteries and no veins two arteries and one vein one artery and two veins two arteries and two veins
2 arteries 1 vein
The nurse notes that a two-day old infant shows a tendency to bleed. The nurse understands this is MOST likely caused by which of the following? 1. Hemophilia. 2. Absence of intestinal bacteria needed for the production of vitamin K. 3. Immature liver that is unable to synthesize clotting factors. 4. Excessive breakdown of red blood cells coupled with a delayed production of new ones.
2. Absence of intestinal bacteria needed for the production of vitamin K.
What is the expected range for respirations in a newborn? 20 to 40 breaths per minute 40 to 80 breaths per minute 10 to 30 breaths per minute 30 to 60 breaths per minute
30-60
When taking the history of her postpartum patient and infant couplet, the nurse is aware which prenatal factor might have resulted in the infant being larger than average? Gestational diabetes Hypertension Poor maternal weight gain Smoking
Gestational diabetes
A nurse is caring for a client who is breastfeeding her newborn. The nurse encourages the client to induce burps in her infant to: Reduce gastrointestinal infection Reduce respiratory related disorders Ensure proper digestion of food Help expel air ingested during feeding
Help expel air ingested during feeding
A nurse tests a newborn's nervous functioning by stroking the sole of the baby's foot in an inverted "J" curve from the heel upward. The baby responds by fanning his toes. Which reflex has just been demonstrated? Babinski reflex Moro reflex rooting reflex extrusion reflex
Babinski reflex
For what reason is breastfeeding contraindicated? a. Hepatitis B b. Everted nipples c. History of breast cancer 3 years ago d. Human immunodeficiency virus (HIV) positive
D (HIV)
The nursing instructor is reviewing with students ways to assess if the infant is getting enough at each feeding. Which of the following statements by a student demonstrates an understanding of these concepts? "Assess how long the infant breastfeeds at a time." "Assess the infant's voiding, growth, and alertness." "Assess how much formula is taken each time." "Assess how long the infant sleeps after each feeding."
"Assess the infant's voiding, growth, and alertness."
A woman comes to the clinic for her first postoperative check after a cesarean birth. When the nurse asks her about what type of birth control she plans to use, she tells the nurse that she is breastfeeding so she does not need to worry. What is the nurse's best response? "That gives you more time to think about which type of birth control you want to use." "Breastfeeding is not a foolproof method of birth control." "Breastfeeding does give you many advantages." "That will definitely be easier for you and your spouse."
"Breastfeeding is not a foolproof method of birth control."
Which statement by the nurse would best support a new mother's choice to bottle-feed her baby? "You do know that breast-feeding is the recommended method of feeding a newborn, don't you? But formula feedings are good, too." "I see from your chart you have chosen to bottle feed your newborn. I suppose you don't have enough support at home to try breast-feeding." "By formula-feeding your newborn, you will know how much the baby takes each feeding and allows others to fed the baby." "Try not to feel guilty by deciding to formula-feed your newborn. Many women make the same choice."
"By formula-feeding your newborn, you will know how much the baby takes each feeding and allows others to fed the baby."
A new mother asks the nurse how she could determine if her 2-week old son is getting enough breast milk. Which response by the nurse would be most appropriate? "He should be having about 2 bowel movements each day." "His normal stools should be green in color." "He should wet about 6 to 8 diapers a day." "If he falls asleep while eating, that's a sure sign he's full."
"He should wet about 6 to 8 diapers a day."
A G1 P1 mother asks the nurse "Why is my baby losing weight? He dropped 6 oz from yesterday to today. Is my breast milk not good?" Which answer is the best response to this new mother? "I will let the health care provider know that you are concerned about your baby's weight dropping." "It is normal for breastfed newborns to lose as much as 7% of birth weight the first 3 days after birth." "This is nothing to worry about. He will get a stronger suck reflex which will help increase his intake." "Don't worry. You baby will have plenty of time to gain weight over the upcoming months."
"It is normal for breastfed newborns to lose as much as 7% of birth weight the first 3 days after birth."
A woman who has made the decision to bottle-feed expresses to the nurse her concerns about the cost of formula. What is the best response from the nurse? "You really should breastfeed your baby. It is what is best and it costs less than formula." "Let's see about getting you signed up for the Women, Infants, and Children's Program (WIC)." "I'll give you some free samples to take home with you." "The powder formula is the least expensive, and you can adjust the amount that you add to make it last longer."
"Let's see about getting you signed up for the Women, Infants, and Children's Program (WIC)."
The nurse is teaching a teen about the use of fluconazole (Diflucan) for a vaginal yeast infection. Which statement by the nurse is accurate? "Diflucan needs to be taken by mouth once daily for 7 days." "Diflucan is an antibiotic also used to treat sexually transmitted infections." "One dose of Diflucan is approved for use even if you are pregnant." "Diflucan provides immunity from further infection."
"One dose of Diflucan is approved for use even if you are pregnant."
The nurse has provided information to a client about oral contraceptives. Which statement by the client would indicate a need for further education? "Oral contraceptives need to be taken on a daily basis." "Hormonal oral contraceptives reduce the risk of ovarian cancer." "Some oral contraceptives protect against STIs." "Some hormonal contraceptives do not contain estrogen and rely instead on progestin only."
"Some oral contraceptives protect against STIs."
When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement? "The best one is the one that is the least expensive and most convenient." "A good contraceptive doesn't require a primary care provider's prescription." "The best contraceptive is one that you will use correctly and consistently." "You should select one that is considered to be 100% effective."
"The best contraceptive is one that you will use correctly and consistently."
A new mother is changing the diaper of her 12-hour-old newborn and asks why the stool is black and sticky. Which response by the nurse would be most appropriate? "This is unusual, and I need to report this to your pediatrician. " "You probably took iron during your pregnancy and that is what causes this type of stool." "I'll take a sample and check it for possible bleeding." "This is meconium stool and is normal for a newborn."
"This is meconium stool and is normal for a newborn."
A new mother who delivered yesterday is breastfeeding and informs the nurse that something must be wrong with her milk, because it is thin, watery, and also has a yellow color. What would be the nurse's best response? "Perhaps I can arrange a consult for you with the La Leche League." "Dehydration might cause your milk to look like that." "You might have an infection causing your milk to be yellow." "This is normal for the first 3 to 4 days of breastfeeding and is called colostrum."
"This is normal for the first 3 to 4 days of breastfeeding and is called colostrum."
The nurse instructs a patient on cervical mucus changes that occur during ovulation. Which statement indicates that teaching has been effective? "Ovulation makes the mucus more acidic." "The mucus is white because of more white blood cells." "During ovulation, the mucus is thick." "When the mucus is thin and watery, then ovulation is occurring."
"When the mucus is thin and watery, then ovulation is occurring."
A nurse is working with a woman who is using the calendar method to determine her safe days. The nurse would instruct the woman to subtract: 18 from her shortest period and 11 from her longest. 14 from 28. 18 from the longest period and 11 from her shortest. The length of her average period from the ideal of 28.
18 from her shortest period and 11 from her longest.
After reviewing the various types of contraception available and discussing the pros and cons about each with the nurse, a young woman decides to use a spermicidal cream. When teaching the woman about this type of contraception, the nurse would instruct the woman to insert the cream at which time frame before intercourse? 2 hours 1 hour 1.5 hours 3 hours
1 hour
The nurse assesses a client in the family planning clinic. Which of the following statements, if made by a client, suggests to the nurse that the client has been exposed to gonorrhea? 1. "My boyfriend has a sore on his penis." 2. "I have a cheesy, white vaginal discharge." 3. "My boyfriend has a drip." 4. "I have a rash."
3. "My boyfriend has a drip."
The nurse performs a home visit on a new mother and her two-week-old son. The mother is breastfeeding. She tells the nurse that the baby nurses 8-9 times per day, has regained all of the lost birth weight, has 6-8 wet diapers per day, and usually has one bowel movement per day. Which of the following responses by the nurse is BEST? 1. "Your baby should be gaining more weight." 2. "I'm concerned about eh number of daily bowel movements." 3. "Your baby is doing great." 4. "Decrease the number of times you feed the baby each day."
3. "Your baby is doing great."
The nurse understands that the physician is most likely to prescribe which of the following drugs to a client diagnosed with gonorrhea? 1. Penicillin vaginal suppositories. 2. Penicillin G benzathine intramuscularly in divided doses once a week. 3. Ceftriaxone IM plus doxycycline for seven days by mouth. 4. Ampicillin by mouth.
3. Ceftriaxone IM plus doxycycline for seven days by mouth.
A client contacts the nurse and describes some soft and movable masses she felt in her breasts that become enlarged during menstruation. The nurse should be aware that the client is most likely describing which of the following? 1. Cancer of the breast 2. Fibroids of the breast 3. Fibrocystic disease of the breast 4. Hyperplasia of the breast.
3. Fibrocystic disease of the breast
the clinic nurse receives a phone call from a young adult whose sexual partner is being treated for trichomoniasis with metronidazole (Flagyl). The nurse expects the physician to recommend which of the following? 1. Watch for symptoms of overdose in the partner, such as a metallic taste in the mouth. 2. Take the pulse of the partner and discontinue the medication if the pulse is less than 60 bpm. 3. Take the blood pressure of the partner and discontinue the medication if the blood pressure is greater than 140/90 mm Hg. 4. Prescribe metronidazole (Flagyl)
4. Prescribe metronidazole (Flagyl)
A young mother delivers a health 7 lb 12 oz boy. She confides to the nurse that she is concerned about the two "soft spots" she found on her baby's head. The nurse's response should be based on which of the following? 1. Both the baby's fontanels should close within the first month. 2. Both the baby's fontanels should close within six months. 3. The baby's posterior fontanel should close after one year. 4. The baby's anterior fontanel should close after about a year and a half.
4. The baby's anterior fontanel should close after about a year and a half.
In the delivery room, the nurse places drops in a newborn's eyes. The nurse explains to the mother the drops 1. help the baby see well .2. remove blood and mucus from the baby's eyes. 3. prevent neonatal conjunctivitis. 4. protect against infections that could lead to blindness.
4. protect against infections that could lead to blindness.
A nurse teaches the client about birth control methods. How long should the nurse advise the client to leave a diaphragm in place after intercourse? 6 hours 8 hours 10 hours 12 hours
6h
On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish-white vaginal discharge with a "fishy" odor; complains of pruritus. Based on these findings, the nurse suspects that this woman has a. Bacterial vaginosis b. Candidiasis c. Trichomoniasis d. Gonorrhea
A (bacterial vaginosis)
A woman has a thick, white, lumpy, cottage cheese-like discharge, with patches on her labia and in her vagina. She complains of intense pruritus. The nurse practitioner orders which preparation for treatment? a. Fluconazole b. Tetracycline c. Clindamycin d. Acyclovir
A (fluconazole)
A pregnant woman tells her nurse that she is worried about the blotchy, brownish coloring over her cheeks, nose, and forehead. The nurse can reassure her that this is a normal condition related to hormonal change, commonly called the mask of pregnancy or, scientifically: a. Melasma b. Linea nigra c. Striae gravidarum d. Palmar erythema
A (melasma)
The most common perinatal complications associated with bacterial sexually transmitted infections (STIs) are: a. Preterm labor and preterm birth b. Newborn eye infections and low Apgar scores c. Nausea, vomiting, and frequent urinary tract infections d. Congenital anomalies and infertility
A (preterm labor)
In which newborn should the nurse suspect hypoglycemia? A newborn with a heart rate of 60 after a prolonged deceleration in utero A newborn who weighs 3500 grams and is falling asleep at the breast A jittery, irritable newborn with a high-pitched cry A newborn who did not do skin to skin with his mother
A jittery, irritable newborn with a high-pitched cry
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs? A regular check of threads must be done. There is reduced menstrual flow after insertion. There are continuous cramps after insertion. The insertion procedure is painless.
A regular check of threads must be done.
A new mother asks the nurse what medications she can and cannot take into her body because it might affect breast milk. What should the nurse respond to this mother's request? A mother can plan on taking common over-the-counter drugs without difficulty. Almost all drugs are excreted to some extent in breast milk. A mother has to limit her exposure to narcotics and sedatives while breastfeeding. A mother should halt breastfeeding for 1 week after taking any drug.
Almost all drugs are excreted to some extent in breast milk.
What is an appropriate method of assessing for menorrhagia? Review a premenstrual symptom log Ask how often spotting occurs between periods Have the client rate her pain using a numeric scale Ask how long it takes to saturate a tampon or a sanitary napkin
Ask how long it takes to saturate a tampon or a sanitary napkin
It is important to assess the breast-feeding mother and her infant during a feeding session. What assessment has priority during the feeding session? Check the woman's perineal pad for increased lochia flow. Assess the position, latching on, and sucking of the newborn. Assess the woman's visitors and their opinions regarding breast-feeding. Determine if the woman needs a visit from the lactation consultant.
Assess the position, latching on, and sucking of the newborn.
An adolescent girl has been diagnosed with fibrocystic breast disease. The nurse caring for this client would include which intervention? Increase soduim in the diet. Wear a soft cup bra. Avoid caffeine. Apply cool compresses to each breast.
Avoid caffeine.
An adolescent client is being discharged with dysmenorrhea. What information would be included in the teaching plan? select all Avoid salty foods before menses. Apply heat to the abdomen. Take a hot shower or bath. Exercise can help relieve symptoms. Wear tight-fitting clothing around the abdomen.
Avoid salty foods before menses. Apply heat to the abdomen. Take a hot shower or bath. Exercise can help relieve symptoms.
A newly married couple plans to use natural family planning. It is important for them to know how long an ovum can live after ovulation. The nurse knows that teaching is effective when the couple responds that an ovum is considered fertile for: a. 6 to 8 hours b. 24 hours c. 2 to 3 days d. 1 week
B (24h)
A new mother asks the nurse to explain the difference between breastfeeding and formula when feeding a newborn. What should the nurse respond as an advantage of breastfeeding for the infant? Breast milk is more difficult to digest, so it makes the infant feel fuller longer. Breast milk contains antibodies and decreases the possibility of gastrointestinal illnesses. Breast milk leads to firmer stools, increasing bowel tone. It takes less effort for an infant to suck at a breast than from a bottle.
Breast milk contains antibodies and decreases the possibility of gastrointestinal illnesses.
A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 19. The nurse knows that this woman's total recommended weight gain during pregnancy should be at least: a. 20 kg (44 lb) b. 16 kg (35 lb) c. 12.5 kg (27.5 lb) d. 10 kg (22 lb)
C (19 is norm BMI so should gain 25-35lb)
When evaluating a client for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: a. Gonorrhea b. Syphilis c. Chlamydia d. Candidiasis
C (chlamydia)
Which sexually transmitted infection is not bacterial and thus not treatable with antibiotics? a. Chlamydia b. Gonorrhea c. Genital herpes d. Syphilis
C (genital herpes)
An adolescent has fibrocystic breast disease. What is the best advice you can give her regarding this? Fibrocystic lesions are precancerous lesions. Lesions will fade with the full growth of breasts. The lesions make breast self-examination ineffective. Caffeine may increase the size of lesions.
Caffeine may increase the size of lesions.
A nurse is called into the room of one of the clients where the grandparents are visiting. The grandmother is visibly upset, and says "Just look at my grandson! His head is all soft and swollen here and it shouldn't be. The doctor injured him when he was born." The nurse assesses the newborn and finds an area of swelling about the size of a half-dollar at the center of the upper scalp. The nurse determines this finding is most likely which condition? Increased intracranial pressure Caput succedaneum Molding Harlequin sign
Caput succedaneum
What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma? Cephalhematoma Erythema toxicum Caput succedaneum Vernix caseosa
Cephalhematoma
A new mother calls for the nurse to come to her room while she is breast-feeding her newborn. She reports that the baby will not wake up and latch on. What can the nurse do to assist this mother in getting her newborn to nurse? Vigorously pat the newborn's bottom to ensure he is awake. Change the diaper and gently rub the newborn's back Have the mother lie down on her back and place the newborn onto the breast. Remove the mother's gown and lay the infant on the breast.
Change the diaper and gently rub the newborn's back
Which type of breast milk is highest in antibodies? Foremilk Colostrum Transitional milk Hind milk
Colostrum
A new mother asks the nurse if this thin, watery milk is adequate enough to meet her newborn's nutritional needs. Which information is accurate for the nurse to share with this mother? Select all that apply. Colostrum is easy for the newborn to digest since it is high in protein and low in sugar and fat. All forms of breast milk have a high enough fat content to help the infant gain weight rapidly. Cow's milk can be substituted for colostrum to meet the infant's nutritional needs. Colostrum has maternal antibodies that will help protect the newborn from illness. Colostrum is thin and watery to help the newborn learn to suck, and then mature breast milk will be produced.
Colostrum is easy for the newborn to digest since it is high in protein and low in sugar and fat. Colostrum has maternal antibodies that will help protect the newborn from illness.
The nurse is preparing discharge instructions for a new mother who has been learning to breast-feed. Which response should the nurse prioritize when the mother questions her ability to produce enough milk for her infant? Consume a minimum of 3000 calories per day. Take a daily multivitamin. Drink a lot of fluids. Drink a lot of milk.
Drink a lot of fluids.
On the fourth day postpartum, a woman develops breast engorgement. Which measure would be best to recommend to her as a means of alleviating this problem? Decreasing her fluid intake to below 500 mL per 24 hours Encouraging her to continue regular breastfeeding Discontinuing breastfeeding for 24 hours Having her apply lanolin cream to each breast
Encouraging her to continue regular breastfeeding
A woman who had a cesarean is getting ready to be discharged from the hospital. Before she leaves, she asks you to assess her breasts because she has pain on both sides. The nurse notices that both breasts are hard, warm, and tender to the touch. Her vital signs are normal. What does the nurse suspect? Nipple thrush Engorgement Mastitis A plugged duct
Engorgement
The nurse is assessing reflexes in a newborn infant. What can the nurse do to elicit the rooting reflex? Gently stroke the newborn's cheek. Turn the head to one side without moving the rest of the body. Place a gloved finger in the newborn's mouth. Startle the newborn by letting the head drop back slightly.
Gently stroke the newborn's cheek.
A nursing instructor is teaching students about breast disorders in children. The instructor determines that the teaching was successful when the students identify which of the following as the most common benign breast condition in women, regardless of age? Accessory nipples Fibrocystic breast disease Mastitis Fibroadenoma
Fibrocystic breast disease
A client is being discharged with a diagnosis of toxic shock syndrome. What would be the priority for the nurse to teach the client? Finish all antibiotic therapy. Monitor for spotting between periods. Get plently of rest. Eat a diet high in protein.
Finish all antibiotic therapy.
The nurse is explaining the process of breast milk production with a client pregnant with her first child. What should the nurse include when providing this teaching? Select all that apply. Breast milk is thin, yellow, and watery. Uterine cramping is a contraindication to breastfeeding. For the first 3 to 4 days, the breast milk is colostrum. True breast milk comes in by the 10th day after giving birth. Most mothers have breast milk by the first day after giving birth.
For the first 3 to 4 days, the breast milk is colostrum. True breast milk comes in by the 10th day after giving birth.
The nurse is teaching a breast-feeding class for nursing students. Teaching has been effective when the student can cite which of the following maternal conditions in which breast-feeding is contraindicated? Select all that apply. Illegal drug use Active untreated tuberculosis Chemotherapy HIV Chlamydia
Illegal drug use Active untreated tuberculosis Chemotherapy HIV
A pregnant client in labor asks the nurse how soon the baby can be breastfed after delivery. What should the nurse respond to the client? Immediately after birth Once the infant has a first feeding of formula In 24 hours after her infant is given water After the infant is allowed to rest
Immediately after birth
A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event? ovulation pregnancy safe period for intercourse onset of menses
ovulation
The nurse is preparing to administer the vitamin K injection to a newborn. Which action would be correct for this client? Injecting 1cc of medication Injecting at a 45-degree angle Injecting the medication into the vastus lateralis Using a 21-gauge needle
Injecting the medication into the vastus lateralis
Which of the following is an advantage of breastfeeding that directly benefits the mother? It aids in uterine involution. It provides the ideal electrolyte and mineral composition for human infant growth. It provides protection against pathogenic bacteria. It reduces the incidence of allergies.
It aids in uterine involution.
The nurse is conducting a prenatal class on the pros and cons of breastfeeding versus formula feeding. Which deciding factor should the nurse prioritize when assisting these parents to make their decision? Stress the disadvantages to formula feeding. It depends on how the newborn responds to the feeding. Strongly encourage only breastfeeding to all parents It based on their personal preference and situation.
It based on their personal preference and situation.
A patient asks the nurse if a cervical cap is better than a diaphragm for contraception. What should the nurse explain is the advantage of a cervical cap? No initial fitting is required. It needs no spermicidal jelly. It can be left in place longer. It does not need to be refitted after pregnancy.
It can be left in place longer.
Which medication would the nurse expect to be ordered for a teen diagnosed with bacterial vaginosis? Metronidazole (Flagyl) Fluconazole (Diflucan) Miconazole (Monistat) Clotrimazole (Lotrimin)
Metronidazole (Flagyl)
The nurse is most accurate to instruct the client that which occurs during a female's mid-cycle? Menarche Dysmenorrhea Mittelschmerz Bloating
Mittelschmerz
Shortly after the birth of a newborn, the mother notices a gray patch across the baby's buttocks. She is immediately concerned that the baby has been bruised during the birth and asks the nurse about this. The nurse recognizes patch as a birth mark and explains this to the mother. Which type of birth mark is this most likely to be? strawberry hemangioma Mongolian spot nevus flammeus cavernous hemangioma
Mongolian spot
During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as: birth trauma. stork bites. milia. Mongolian spots.
Mongolian spots.
Choose the correct statement regarding breast milk production. Oxytocin is responsible for the let-down reflex, and prolactin stimulates milk production. Progesterone is responsible for the let-down reflex, and prolactin stimulates milk production. Prolactin is responsible for the let-down reflex, and oxytocin stimulates milk production. Prolactin is responsible for the let-down reflex, and progesterone stimulates milk production.
Oxytocin is responsible for the let-down reflex, and prolactin stimulates milk production.
The nurse is conducting a prenatal class explaining the various activities which will occur within the first 4 hours after birth. The nurse determines the session is successful when the couples correctly choose which reason for the use of an antibiotic ointment? Protect tear ducts from vaginal bacteria Protect the urethra from fecal material Prevent infection of the umbilical cord Prevent infection of the eyes from vaginal bacteria
Prevent infection of the eyes from vaginal bacteria
The nurse administers vitamin K intramuscularly to the newborn based on which rationale? Stop Rh sensitization. Promote blood clotting. Enhance bilirubin breakdown. Increase erythropoiesis.
Promote blood clotting
The nurse is explaining to the new parents the various substances which will be administered to their newborn within a few hours of birth. Which explanation should the nurse prioritize as the best rationale for administering vitamin K? Stimulates population of normal gut flora Provides blood clotting factors Speeds up drying of umbilical stump Reduces complications from possible circumcision
Provides blood clotting factors
A 26-year old mother of three children tells the nurse at her annual check-up that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which of the following methods would be the best option for this client? Intrauterine device Diaphragm Hormonal method Rhythm method
Rhythm method
When educating a woman about newborn feedings, what instruction should the nurse give on the proper way to heat a bottle? On the stove in a pan of water Over steam Running it under warm water or in a bottle warmer In the microwave
Running it under warm water or in a bottle warmer
A new mother is ambivalent about breastfeeding and agrees to do it for at least 3 months. What response should the nurse provide to the patient at this time that would support the 2020 National Health Goals? Breastfeeding helps the mother return to prepregnancy weight faster. Three months is the recommended time frame for the baby's nutrition. Breast milk can be donated so that preterm infants can have additional nutrition. Six months to 1 year of age is the best time frame to support the baby's growth needs.
Six months to 1 year of age is the best time frame to support the baby's growth needs.
The nurse is assessing a 1-month-old male infant during a routine examination at a family health center. Which method does the nurse use to test for Babinski's sign? Place a finger on the infant's open palm. Flex the child's head while he's in a supine position to determine if the knees or hips flex involuntarily Stroke the bottom of the foot to determine if there's fanning and dorsiflexion of the big toe Raise the child's leg with the knee flexed and then extend the child's leg at the knee to determine if resistance is noted
Stroke the bottom of the foot to determine if there's fanning and dorsiflexion of the big toe
A teenager arrives at the emergency department with a fever of 103 degrees F along with vomiting and diarrhea. She states that she has her period. What should the nurse suspect? Amenorrhea PDD (premenstrual dysphoric disorder) PID (pelvic inflammatory disease) TSS (toxic shock syndrome)
TSS (toxic shock syndrome)
A 16-year-old adolescent tells the nurse about having severe dysmenorrhea. Which action would be the best health teaching measure? Take acetaminophen beginning with the first day of a menstrual flow. Drink a minimum of fluid if having pain. Take over-the-counter ibuprofen for its prostaglandin action. Use ice to help in reducing inflammation and pain.
Take over-the-counter ibuprofen for its prostaglandin action.
An adolescent female is experiencing dysmenorrhea. What should the nurse teach the patient to help with this disorder? Take acetaminophen (Tylenol). Use ice to help in reducing inflammation and pain. Restrict fluid when having pain. Take over-the-counter ibuprofen.
Take over-the-counter ibuprofen.
A woman telephones the nurse after taking an ovulation suppressant for 3 months to state that she has forgotten to take her pill two mornings in a row. What would be the best advice to give her regarding this? Take two pills a day for the rest of the month. Take three pills immediately and avoid coitus for the remainder of the month. Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days. Take two pills now and use a second method of contraception for the remainder of the month.
Take two pills now and use a second method of contraception for the remainder of the month.
The nurse is preparing to teach a client how to conduct the BBT method to determine her fertile window. Which instruction should the nurse prioritize? Avoid intercourse only on the days the temperature drops. It depends on the average temperature taken each morning. Temperature should be taken prior to any activity every morning. It is the best method for predicting ovulation.
Temperature should be taken prior to any activity every morning.
A 14-year-old girl visits her gynecologist and is found to have vaginal candidiasis. She is obese, claims to not be sexually active, and is not on an oral contraceptive. Which intervention should be considered for this client? Test her urine for glucose to rule out diabetes mellitus Prescription of an antibiotic Prescription of an oral contraceptive Insertion of antifungal tablets or creams in the morning
Test her urine for glucose to rule out diabetes mellitus
Which of the following is true regarding storing breast milk? Breast milk must be refrigerated immediately after pumping. Breast milk can still be used if it sits out overnight. Thawed breast milk must be used within 24 hours. Breast milk should never be frozen.
Thawed breast milk must be used within 24 hours.
A breastfeeding mother asks you how long her baby should nurse at each breast after she is home. Which of the following would be your best answer? At least a half-hour at each breast to ensure emptying No longer than 3 minutes each feeding to prevent soreness The average baby empties a breast in 10 minutes 1 or 2 minutes is an average time interval
The average baby empties a breast in 10 minutes
The nurse completes instructing a patient on the use of the contraceptive patch. Which patient response indicates that teaching has been effective? The patch should be applied to the breasts, hips, or back. The patch should be covered when swimming because of chlorine's effect on the adhesive. The patch is immediately effective after application. The patch should be applied to the abdomen, buttocks, or back.
The patch should be applied to the abdomen, buttocks, or back.
An adolescent comes to the clinic reporting vaginal discharge. When assessing the vaginal discharge, what would lead the nurse to suspect that the adolescent has candidiasis? Yellow-green discharge Thick, white cheese-like discharge Frothy, gray-green discharge Milky, gray, fishy-odor discharge
Thick, white cheese-like discharge
The nurse is conducting a well-visit physical assessment on a 29-year-old female. The nurse determines the client is probably ovulating based on which condition of the cervical mucus? Clear and of large quantity Thin and red-tinged Cloudy, thick, and watery Thin, slippery, and stretchy
Thin, slippery, and stretchy
The nurse is caring for an adolescent who is newly diagnosed with genital herpes. The adolescent states, "I have never heard of this infection." What information is essential? Select all that apply. Genital herpes is a sexually transmitted disease. Topical acyclovir (Zovirax) is used to treat infection. Broad-spectrum antibiotics will be used to treat the infection. The virus is transmitted through the fecal-oral route. Herpes can be transmitted even when there are no active lesions. There is no cure for herpes.
Topical acyclovir (Zovirax) is used to treat infection. There is no cure for herpes. Genital herpes is a sexually transmitted disease.
All the options are signs of respiratory distress in the newborn except: A) nasal flaring .B) chest retractions .C) grunting. D) coughing. E) respiratory rate >50 breaths/minute. F) central cyanosis
respiratory rate >50 breaths/minute. (>60/min indicates resp distress)
A nurse is providing medication teaching related to monophasic combination oral contraceptive (COC) that a client is being given to prevent unwanted pregnancy. Which is the most important intervention for the nurse to include? Use a second form of contraception for the initial seven days on the COC. Eliminate the 7 placebo pills to skip your menses. Take the pill at the same time every day and never double the dose. Begin the pills as soon as they are prescribed.
Use a second form of contraception for the initial seven days on the COC.
The nurse is caring for a 2-year-old girl with suspected vulvovaginitis. The nurse suspects the cause as Candida albicans based on which finding? Irritation of labia and vaginal opening White cottage cheese-like discharge Thin gray vaginal discharge with fishy odor Foul yellow-gray discharge
White cottage cheese-like discharge
Which postpartum client will the nurse recommend to formula-feed her infant? Select all that apply. a mother who admits to drinking alcohol about once a week with friends a new mother who tested positive for herpes and has lesions on her nipples a mother with a history of bipolar disease being treated with lithium and who has some documented compliance issues a mother who has tested positive for HIV who is receiving several medications to control the disease a new mother who is receiving radioactive iodine to treat a cancer nodule on her thyroid
a new mother who tested positive for herpes and has lesions on her nipples a mother with a history of bipolar disease being treated with lithium and who has some documented compliance issues a mother who has tested positive for HIV who is receiving several medications to control the disease a new mother who is receiving radioactive iodine to treat a cancer nodule on her thyroid
A woman uses a diaphragm for contraception. The nurse would instruct her to return to the clinic to have her diaphragm fit checked after which occurrence? a vaginal infection a weight gain of 10 lb (4.5 kg) cervical infection six months of nonuse
a weight gain of 10 lb (4.5 kg)
A nurse is teaching a client about the various contraceptives on the market. Which of the following is a 100% effective method of birth control and protection against sexually transmitted infections (STIs)? Depo-Provera Rhythm method Abstinence Oral contraceptives
abstinence
On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document this as: cold stress. acrocyanosis. poor oxygenation. potential for respiratory distress.
acrocyanosis
What is the best way for the nurse to assess the newborn's heartbeat? auscultating the apical pulse for 60 seconds auscultating the apical pulse for 30 seconds and multiplying by 2 palpating the brachial pulse for 60 seconds palpating the femoral pulse for 30 seconds and multiplying by 2
auscultating the apical pulse for 60 seconds
A nurse is assessing a newborn's reflexes. The nurse strokes the lateral sole of the newborn's foot from the heel to the ball of the foot to elicit which reflex? Babinski tonic neck stepping plantar grasp
babinksi
A clinic nurse is talking to an adolescent who informs the nurse that she is sexually active and wants some type of birth control. Which of the following should the nurse recommend to this patient? cervical mucus method coitus interruptus postcoital douching birth control pills
birth control pills
On the first day postpartum, a new mother is concerned that her milk has not yet "come in." The nurse would explain to her that: most mothers do have milk by 1 day postpartum. breast milk normally comes in on the third or fourth postpartum day. her infant must not be sucking well or she would have milk by now. she will not have breast milk until 7 days postpartum.
breast milk normally comes in on the third or fourth postpartum day.
You are the oncoming nursery nurse caring for a 3-hour-old newborn boy. You make your initial assessment and find the following: Respiratory rate 30 bpm, heart rate 155, temperature (Axillary) 36.8 °C. You assess that the newborn is in a state of quiet alert. What would you do? a) Call the physician b) Inform the charge nurse c) Document the data d) Stimulate the newborn
c) Document the data thats all norm
The nurse observes a newborn. He notes that the respiratory rate is 66, the nostrils flare out, and the newborn makes a grunting sound during respiration. What does the nurse conclude from these findings? The infant is: a) Burning brown fat b) Cold-stressed c) In respiratory distress d) Experiencing radiation heat loss
c) In respiratory distress
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which contraceptive should the nurse say is a mechanical barrier contraceptive? vaginal foams spermicidal jellies spermicidal creams cervical cap
cervical cap
A young adult female is suspected of having gonorrhea. The nurse would anticipate additional testing for which sexually transmitted infection? trichomoniasis syphilis genital herpes chlamydia
chlamydia
A young, sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which method would the nurse recommend? intrauterine device withdrawal condom oral contraceptives
condom
After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? oral contraceptives intrauterine system condoms tubal ligation
condom
A client in the clinic requests birth control pills to prevent pregnancy. Upon taking a sexual history, the nurse realizes that the client has multiple partners. Which type of contraception would be the best for the nurse to suggest? calendar method birth control pills condoms natural method
condoms
An intrauterine device has been inserted into a client as a requested birth control method. What is an advantage of intrauterine devices (IUDs)? decreased incidence of tubal pregnancies continuous protection without client's active participation decreased incidence of pelvic inflammatory disease protection against sexually transmitted infections
continuous protection without client's active participation
Which of the following would NOT be considered a disadvantage of the calendar/rhythm method of family planning? Need for cooperation Effectiveness Cost Need for motivation
cost
The nurse should carefully screen a client who insists on using only combined oral contraceptives for which contraindication? use of alcohol impaired absorption gastrointestinal disease deep vein thrombosis
deep vein thrombosis
The nurse notices while holding him upright that a 1-day-old newborn has a significantly indented anterior fontanelle. She immediately brings it to the attention of the physician. What does this finding most likely indicate? Increased intracranial pressure Dehydration Cyanosis Vernix caseosa
dehydration
Which would lead the nurse to suspect that the adolescent has pelvic inflammatory disease? Select all that apply. Pain when cervix is manipulated Mild lower abdominal cramping Fever Dysmenorrhea Clear watery vaginal discharge
fever Pain when cervix is manipulated Dysmenorrhea
The American Academy of Pediatrics and the American Dietetic Association recommend breastfeeding exclusively for how long? the first 28 days the first 3 months the first 4 months the first 6 months
first 6mo
Which symptom would the nurse expect to find in a client who has been diagnosed with trichomoniasis? select all white-gray vaginal discharge petechiae on the upper vagina genital inflammation vomiting genital itching fever
genital inflammation genital itching petechiae on the upper vagina
A G1 P1 new mother asks what position she should place the newborn in while feeding formula? Which response by the nurse is best? supine, propping the bottle on a small pillow placing the baby side-lying in the crib totally sitting upright next to mother's body holding infant with head slightly elevated
holding infant with head slightly elevated
When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F (35.4° C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority? hypothermia deficient fluid volume risk for infection impaired parenting
hypothermia
What is a clinical manifestation of pelvic inflammatory disease (PID)? Select all that apply. decreased appetieite fever lower severe abdominal pain blurred vision purulent vaginal discharge
lower severe abdominal pain purulent vaginal discharge fever
Breastfeeding is contraindicated in all of the following conditions in the mother except: Illicit drug use Untreated active tuberculosis Taking antiviral medications Mastitis
mastitis
Assessment of a newborn reveals tiny white pinpoint papules on a newborn's nose. The nurse documents this finding as: harlequin sign. milia. lanugo. vernix caseosa.
milia
A black couple are spending time with their newborn after the nurse brings the baby back from the transition nursery. The parents are horrified to note that their infant's buttocks appears bruised and demand to know what happened. The nurse should explain this is related to which factor? Lanugo Vascular nevi Mongolian spots Bruising
mongolian spots
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities into the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes? 1. Tonic neck 2. Moro's 3. Babinski's 4. Rooting
moro
The nurse is conducting an assessment on a newborn and witnesses a startled response with the extension of the arms and legs. The nurse should document this as which response? Moro Rooting Tonic neck Fencing
moro
The nurse is assessing a female client with genital herpes. Which finding would the nurse expect? soft fleshy growths on the perineum painful genital ulcer lower abdominal pain multiple vesicles on the introitus
multiple vesicles on the introitus
The nurse instructs the woman about how to prevent conception using the basal body temperature (BBT) method. The nurse explains that during ovulation the woman's basal body temperature will change in which direction? 1. Lowers significantly 2. Rises significantly 3. Is unchanged 4. Rises slightly
rises slightly
A nurse is discussing breast-feeding with a new mother and demonstrates that when she strokes the baby's cheek, the baby turns his head in that direction. This movement is known as which reflex? Moro reflex rooting reflex Babinski reflex extrusion reflex
rooting
The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the COC? take with a meal empty stomach, full glass of water same day of the week, once a week same time of day, each day
same time of day, each day
A newborn infant has loose, yellow stools. Although the infant is healthy, his mother is concerned that this means he is allergic to breast milk. The nurse would explain to her that: the stools of breastfed infants are normally loose. she might consider changing to a soybean formula. her child may need to be investigated for bile duct disease. she might try burping the infant more frequently.
the stools of breastfed infants are normally loose
A client decides to use the cervical mucus method as her contraceptive method. When describiing this method, the nurse explains that the client can determine ovulation based on which characteristic of the mucus? acidic odor and slightly yellow color thin and slippery transparent with the odor of eggs thick consistency with clumping
thin and slippery
A female client is interested in knowing what the most effective procedure for permanent sterilization in women is. The nurse should mention which procedure to the client? spermicidal creams tubal ligation vasectomy diaphragm
tubal ligation
A pregnant woman who has four other children is scheduled for a cesarean birth. She does not want more children after this one. She also does not want to use oral contraceptives or devices to prevent pregnancy. Which of the following could the physician recommend for this patient at the time of her cc-section? diaphragm tubal ligation vasectomy IUD placement
tubal ligation
A nurse is assessing a woman of childbearing age complaining of intense vaginal itching and suspects bacterial vaginosis. Which finding would the nurse interpret as supporting this suspicion? purulent vaginal discharge with urination vaginal discharge with a fishlike odor frothy white vaginal discharge yellow-green vaginal discharge
vaginal discharge with a fishlike odor
A nurse is reviewing the medical record of a client diagnosed with bacterial vaginosis. The nurse identifies which criterion as necessary for this diagnosis? Select all that apply. vaginal pH of 4.5 clue cells present on wet mount whitish, thick, curdlike vaginal discharge positive whiff test cervical petechiae
vaginal pH of 4.5 positive whiff test clue cells present on wet mount
The nurse prepares to give the first bath to a newborn and notes a white cheese-like substance on the skin. The nurse should document this as which substance? Amniotic fluid Milia Vernix Lanugo
vernix
A mother asks the nurse why her newborn is getting a Vitamin K injection in the birth room. The nurse explains that the injection is necessary because: vitamin K is needed for coagulation, and the newborn does not produce vitamin K in the few days following birth. newborns are prone to hypoglycemia, and Vitamin K helps maintain a steady blod glucose level. vitamin K aids in protein metabolism. Newborns have defective protein metabolism until 24 hours of life. the mother was febrile at the time of birth and prophylactic Vitamin K is necessary.
vitamin K is needed for coagulation, and the newborn does not produce vitamin K in the few days following birth.
At what point should the nurse expect a healthy newborn to pass meconium? within 24 hours after birth before birth by 12 to 18 hours of life within 1 to 2 hours of birth
within 24 hours after birth
The nurse describes the changes in stool that a new mother would see when feeding her newborn formula. Which description best indicates what the mother would observe after several days? greenish, tarry, thick black stool sour-smelling, yellowish-gold stool thin, yellowish, seedy brown stool yellow-green, pasty, unpleasant-smelling stool
yellow-green, pasty, unpleasant-smelling stool
