OB QUIZZES FOR FINAL

A nurse is caring for a client with suspected abruptio placentae. Which of the following are considered risk factors for this condition? SATA a. Cocaine use b. Maternal age c. Blunt abdominal trauma d. Cigarette smoking e. Fetal position

-Cocaine use -Blunt abdominal trauma -Cigarette smoking

A pregnant mother who is B negative blood group will have to undergo the following specific test to determine the fetal risk related to Rh incompatibility a. Direct coombs test b. Indirect coombs test c. CBC with differentials d. AFP test

Indirect coombs test

A third trimester client is seen at the clinic for routine prenatal care. Which of the following assessments will the nurse perform during the visit? SATA a. Blood glucose b. Fetal heart rate c. Pelvic ultrasound d. Urine protein e. Blood pressure

-Fetal heart rate -Urine protein -Blood pressure

the nurse is assessing the lab report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated pre-pregnancy levels? sata a. bilirubin b. glucose c. hematocrit d. WBC e. fibrinogen

-Fibrinogen -WBC

a client has completed a home pregnancy test with positive results. Which client statement indicates that she understands the meaning of test results? a. "I understand that I have ovulated in the past 24 hours" b. "I understand that this means I am pregnant" c. "I understand that this means I am not pregnant" d. I understand that this means I might be pregnant"

"I understand that this means I might be pregnant"

a client is scheduled for an ultrasound at her first prenatal visit. She asks the nurse why she is having the test done. Which of the following is the appropriate answer? a. "The test will help determine how many weeks you've been pregnant" b. "the test will determine if your baby is in a good position for delivery c. "the test will predict the gender of your baby" d. "the test will determine if your baby has intrauterine growth restriction

"The test will help determine how many weeks you've been pregnant"

A nurse discusses teratogens with a client. during prenatal counseling. The client demonstrates understanding by making which statement? a. "i should stop taking meds while i am pregnant" b. "the fetus is at greatest risk for developing anomalies during first 16 weeks of pregnancy" c. "after 12 weeks the placenta protects the fetus from teratogens" D. " exposure to teratogens poses the greatest risk during first 8 weeks"

"exposure to teratogens poses the greatest risk during first 8 weeks"

The nurse working in an outpatient clinic assesses four primigravida clients. Which of the client findings should the nurse highlight for the physician? SATA a. 37 weeks gestation, complaints of hemorrhoidal pain b. 27 weeks gestation, salivates excessively c. 34 weeks gestation, experiences uterine cramping d. 24 weeks gestation, fundal height at umbilicus e. 17 weeks gestation, Denies feeling of fetal movement

-34 weeks gestation, experiences uterine cramping -24 weeks gestation, fundal height at umbilicus

The nurse is developing a plan of care for clients seeking contraception information. Which of the following issues about the women must the nurse consider before suggesting contraception choices? SATA a. Age b. Socioeconomic status c. Ethical and moral beliefs d. Sexual partners e. Childbearing plans

-Age -Socioeconomic status -Ethical and moral beliefs -Sexual partners -Childbearing plans

Which of the following data indicate the newborn is adapting to extrauterine life? a. Expiratory grunting b. Inspiratory nasal flaring c. Apnea for a 10 second period d. Obligatory nose breathing e. Crackles and wheezing

-Apnea for a 10 second period -Obligatory nose breathing

Postpartum client teaching with perineal laceration should include: SATA a. Apply a topical anesthetic cream or spray to the perineum b. Use perineal squeeze bottle to cleanse the perineum c. Sit on the perineum while resting on bed d. Apply cold or icepacks to the perineum e. Wipe the perineum thoroughly using alcohol wipes

-Apply a topical anesthetic cream or spray to the perineum -Use perineal squeeze bottle to cleanse the perineum -Apply cold or icepacks to the perineum

The patient is having an amniocentesis test. What are the potential complications of this test? SATA a. Infection b. Bleeding c. Gestational Hypertension d. Premature labor e. Rh incompatibility

-Infection -Bleeding -Premature labor

which of the following instructions should the nurse include in her discharge teaching regarding umbilical cord care of the newborn? SATA a. Cover the cord with gauze at all times b. Keep the cord dry at all times c. May use alcohol swab to clean around the cord d. Keep the diaper folded below the cord at all times e. Apply hydrogen peroxide to the cord twice a day

-Keep the cord dry at all times -May use alcohol swab to clean around the cord -Keep the diaper folded below the cord at all times

Hyperbilirubinemia (jaundice) in a newborn is exhibited by SATA a. Lethargy b. Poor feeding c. Yellowish discoloration of skin and sclera d. High pitched cry e. Increased muscle tone

-Lethargy -Poor feeding -Yellowish discoloration of skin and sclera

A newborn is experiencing respiratory distress syndrome. The findings include-SATA a. Nasal flaring b. Acrocyanosis c. Depressed fontanels d. Tachypnea e. Intercostal retractions

-Nasal flaring -Tachypnea -Intercostal retractions

which of the following instructions should the nurse include in her discharge teaching regarding correct techniques of formula preperation at home? SATA a. Use a disinfectant wipe to clean the lid of the formula can b. Store prepared formula in the refrigerator for up to 72 hours c. Place used bottles in the dishwasher d. Check the nipple for appropriate flow of formula e. Use cold tap water (clean water) to dilute concentrated formula

-Place used bottles in the dishwasher -Check the nipple for appropriate flow of formula -Use cold tap water (clean water) to dilute concentrated formula

A client with severe preeclampsia is receiving Magnesium sulfate for seizures prophylaxis. Which of the following indicates magnesium sulfate toxicity? SATA a. Urinary output less than 25ml/hour b. Respirations less than 12/minute c. Decreased level of consciousness d. Hyper-reflexic deep tendon reflexes e. Flushing and sweating

-Respirations less than 12/minute -Urinary output less than 25ml/hour -Decreased level of consciousness

The common causes of postpartum bleeding include- SATA a. Retained placental tissues b. C/S delivery c. Multiple gestation d. Multiparity e. Preterm labor

-Retained placental tissues -Multiple gestation -Multiparity

Which of the following findings seen in a third trimester pregnant woman would consider to be within normal limits? SATA a. Fainting spells b. Varicose veins c. Lordosis d. Leg cramps e. Hemorrhoids

-Varicose veins -Lordosis -Leg cramps -Hemorrhoids

you are providing breast feeding instructions to a postpartum client. To prevent breast engorgement you should instruct the client to SATA a. encourage her to breast feed her infant frequently b. teach breast feeding techniques soon after delivery and continue supprt c. wear a tight bra d. apply warm compresses if breast feel full e. alternate breast feeding with bottle feeding to rest breast

-apply warm compresses if breast feel full -encourage her to breast feed her infant frequently -teach breast feeding techniques soon after delivery and continue support

education related to prevention of preterm labor include.. SATA a. the need for C-section b. avoiding use of substances like cocaine and heroin c. screening lower genital tract for infections prior to 37 weeks d. the need for balanced nutrition e. avoid heavy lifting

-avoiding use of substances like cocaine and heroin -screening lower genital tract for infections prior to 37 weeks -the need for balanced nutrition -avoid heavy lifting

a pregnant client with a history of placenta previa is admitted to L & D at 39 weeks of gestation. Which orders will you question the physician as inappropriate? SATA a. monitor for vaginal bleed b. monitor fetal HR c. Start Pitocin drip d. check dilation and effacement by vaginal exam e. check vital signs

-check dilation and effacement by vaginal exam -Start Pitocin drip

a nurse in a prenatal clinic is Caring for a client in her 1st trimester of pregnancy. The clients health record includes G3 T1 P0 A1 L1. This is interpreted as? SATA a. client has 1 living child b. client had 3 active labor c. client has had two prior pregnancies d. client has delivered one newborn at term e. client had no preterm Labor

-client has delivered one newborn at term -client had no preterm Labor -client has had two prior pregnancies -client has 1 living child

a postpartum unit nurse is discussing risk factors for UTI with a newly licensed nurse. which of the following conditions should the nurse include in her teaching? a. vaginal birth b. frequent pelvic exams c. urinary bladder catheterizations d. epidural anestheisa e. history of UTIs

-epidural anestheisa -urinary bladder catheterizations -frequent pelvic exams -history of UTIs

which of the following parameters are included in a biophysical profile? SATA a. fetal muscle tone b. fetal HR reactivity c. fetal measurement d. fetal body movement e. amniotic fluid volume

-fetal HR reactivity -fetal body movement -amniotic fluid volume -fetal muscle tone

which of the following factors could delay uterine involution in a postpartum client? SATA a. grand mulitpara b. the use of epidural anesthesia c. prolonged labor d. distended bladder e. uterine infection

-grand mulitpara -prolonged labor -distended bladder -uterine infection

Adverse effects of hormone therapy as contraceptive include. SATA a. gingival bleeding b. weight gain c. irregular vaginal d. tinnitus e. nausea

-irregular vaginal bleeding -weight gain -nausea

a nurse who is assessing a pregnant type 1 diabetic patient should monitor her for which of the following? SATA a. multiple gestation b. hypolipidemia c. metabolic acidosis d. maternal hypertension d. UTI

-metabolic acidosis -UTI

the home care nurse is caring for a postpartum client and suspects the development of postpartum psychosis. Which client findings support the nurses judgement? SATA a. reports voices telling her baby is evil and must die b. is calm and seated and answers all questions c.is tearful without any identifiable reason d. unable to remember details of delivery or when she last fed baby e. has a history of bipolar disorder

-reports voices telling her baby is evil and must die -unable to remember details of delivery or when she last fed baby -has a history of bipolar disorder

the common causes of postpartum bleeding include- SATA a. C section b. preterm labor c. retained placental tissues d. mulitparity e. multiple gestation

-retained placental tissues -mulitparity -multiple gestation

A pregnant client asks about the functions of the placenta. What information should the nurse include in the teaching plan. SATA a. The placenta filters urine b. substances are exchanged by the placenta without mixing maternal and fetal blood c. fetal and maternal blood mix in the placenta to exchange nutrients d. the fluid provide the fetus with a stable thermal environment e. fetal respiration, nutrition, and excretion are carried out by the placenta f. the placenta filters alcohol from the mothers blood

-substances are exchanged by the placenta without mixing maternal and fetal blood -fetal respiration, nutrition, and excretion are carried out by the placenta

during the postpartum period which of the following goals should the nurse include in the care plan in relation to the nursing diagnosis of "risk for intrauterine infection r/t vaginal delivery? a. the client will have stable WBC count b. the client will have a normal temp c. the client will drink sufficient quantities of fluid d. the client will have a normal smelling vaginal discharge e. the client will take 2-3 sitz baths daily

-the client will have stable WBC count -the client will have a normal temp -the client will have a normal smelling vaginal discharge

The functions of amniotic fluid include? SATA a. the fluid enables the fetus to practice swallowing b. the fluid provides the fetus with a stable thermal environmental c. the fluid provides fetal nutrition d. the fluid enables the fetus to grow. e. the fluid cushions the fetus from injury

-the fluid cushions the fetus from injury -the fluid enables the fetus to grow -the fluid provides the fetus with a stable thermal environmental

In which of the following infants would the nurse be most alert for the development of transient tachypnea? a. Infant born by cesarean section b. A small for gestational age baby c. Newborn who received no sedation d. Newborn of a mother with heart disease

Infant born by cesarean section

Once oogenesis is complete, the resultant gamete cell contains how many chromosomes? a. 47 b. 23 c. 46 d. 45

23

Which of the following instructions should the nurse include in her discharge teaching regarding circumcision care of the newborn at home? a. Do nothing. The circumcision area will heal within two days b. Give immersion bath (tub bath) twice a day c. Clean the penis at each diaper change d. Scrub the penis with alcohol to prevent infection

Clean the penis at each diaper change

What is the best breastfeeding position for a mother to feed her newborn? a. Supine b. Chin-supported c. Cradle d. Football hold

Cradle

Four clients are scheduled for amniocentesis. For which of the following clients would the nurse question the procedure? a. 29 yO who had low serum level of AFP b. 40 yo old primigravida c. 30 yo who. gave birth to an infant trisomy 18 2 yrs ago d. 35 yo who is HIV +

35 yo who is HIV +

A nurse documents that a newborn is post-term based on the understanding that the baby was born after a. 37 weeks b. 42 weeks c. 44 weeks d. 40 weeks

42 weeks

A client just had an amniocentesis. Which of the following interventions is highest priority at this time? a. Assess the fetal heart rate b. Ackowledge her anxiety about possible findings c. Check the clients temperature d. Answer questions about genetic abnormality

Assess the fetal heart rate

a third trimester client is seen at the clinic for routine prenatal care. Which of the following assessments will the nurse perform during the visit? SATA A. BP B. fetal HR c. pelvic ultrasounf d. urine protein e. blood glucose

BP fetal HR urine protein

The nurse knows that severe preeclampsia is suspected when a. BP is > 140/90 and proteinuria +3 or +4 b. BP is > 160/110 and proteinuria +3 or +4 c. BP is > 100/70 and proteinuria +3 or +4 d. BP is > 130/80 and proteinuria +1 or +2

BP is > 160/110 and proteinuria +3 or +4

Which of the following instructions should the nurse include in the teaching regarding car seat position? a. Front seat, rear facing b. Front seat, forward facing c. Back seat, rear facing d. Back seat, forward facing

Back seat, rear facing

A nurse is teaching a group of new parents about proper techniques of bottle feeding. Which of the following instructions should the nurse provide? a. Burp the newborn after every 10 minutes b. Hold the newborn close to a supine position c. Refrigerate any unused formula d. Keep the nipple full of formula during feeding to avoid the baby ingesting air

Keep the nipple full of formula during feeding to avoid the baby ingesting air

The nurse notes that a newborn baby, who's Apgar scores were 9 and 9, is 8 minutes old. The baby's axillary temperature is 97.0F. Which of the following nursing actions should the nurse perform at this time? a. Report the temperature to the unit's neonatologist b. Perform a rectal temperature to confirm the abnormal results c. Immediately transport the baby to the newborn nursery d. Place the naked baby on the mother's naked chest and cover them both

Place the naked baby on the mother's naked chest and cover them both

One of the priority concerns of caring for a newborn immediately after birth is? a. Initiating breast feeding b. Giving Vitamin K injection c. Initial physical assessment d. Prevent heat loss by covering the newborn's head with a cap

Prevent heat loss by covering the newborn's head with a cap

after delivering a large gestational age infant, the nurse notices bright red blood continuously trickling from clients vagina. Her fundus is from and midline. Nurse suspects bleeding is a cause of a. perineal lacerations b. retained fragments of conception c. hematoma d. uterine atony

perineal lacerations

a primigravid client asks the nurse how much alcohol she is able to drink during her pregnancy. Which of the following is appropriate reply from nurse? a. "it is best to abstain from alcohol throughout pregnancy" b. "you can safely consume one or two drinks of alcohol per week" c. "you should limit your consumption to beer only" d. "the effects of small amounts of alcohol on the fetus are minimal"

"it is best to abstain from alcohol throughout pregnancy"

a client who is at 8 weeks of gestation tells the nurse that she is not sure she is happy about being pregnant. Which of the following responses should the nurse make? a. "I will inform the provider that you are having these feelings" b. "you should be happy that you are going to bring a new life into the world" c. "I am going to make an appt with the counselor for you to discuss these thoughts" d. "it is normal to have these feelings during the first few months"

"it is normal to have these feelings during the first few months"

A women is a carrier for Hemophilia A, an x-linked recessive illness. Her husband has normal genotype. The nurse can advise the couple that the probability of their daughter having the disease is: a. 75% b. 50% c. 25% d. 0%

0%

A women has just completed her 1st trimester. Which of the fetal structures are well formed at this time? SATA a. kidneys b. genitals c. alveoli d. fingers e. heart

genitals heart fingers kidneys

After delivering a large for gestational age infant, the nurse notices bright red blood continuously trickling from the client's vagina. Her fundus is firm and midline. The nurse suspect the most likely cause of bleeding to be a. Hematoma b. Perineal lacerations c. Uterine atony d. Retained fragments of conception

Perineal lacerations

Infertility increases a client's risk of which of the following? a. Hypertension b. Heart disease c. Diabetes d. Ovarian cancer

Ovarian cancer

A L&D nurse is preparing to administer an eye ointment to the newly born neonate. The medication the nurse is prepaing to administer is ______ to prevent ______ infection. a. Erythromycin- Ophthalmia Neonatorum b. Nystatin- fungal infection c. Silvadine- Inflammation d. Penicillin- Syphilis

Erythromycin- Ophthalmia Neonatorum

A newborn is at the highest risk through what mechanism if he/she is not dried completely after birth? a. Conduction b. Convection c. Radiation d. Evaporation

Evaporation

which of the following findings in a newborn would the nurse document as abnormal when assessing the newborn head? a. Two soft spots palpated between the cranial bones b. A spongy area of edema outlined on the occipital area c. Head circumference 32cm, chest circumference 34sm d. Asymmetry of head with overriding bones

Head circumference 32cm, chest circumference 34cm

A newborn's initial assessment shows the following, what is the appropriate action? Head circumference- 34cm, chest circumference- 32cm, heart rate 150/minute, and respiratory rate 45/minute. a. Refer the newborn for psychomotor retardation b. Record the finding as normal and take no further action c. Provide oxygen therapy for respiratory distress d. Refer to the physician stating the heart rate is too high

Record the finding as normal and take no further action

Five women, aged 35-39 wish to use the Ortho Evra (patch) for family planning. Which of the women should be carefully counseled regarding the safety? SATA a. The woman with a history of lung cancer b. The woman who smokes one pack of cigarettes each day c. The woman with a history of cholecystitis d. The woman with a history of deep vein thrombosis e. The woman who runs at least 40 miles each day

-The woman who smokes one pack of cigarettes each day -The woman with a history of deep vein thrombosis

The nurse is assessing the lab report of a 40 week gestation client. Which of the following values would the nurse expect to find elevated above pre-pregnancy levels? SATA a. Hematocrit b. Bilirubin c. WBC d. Glucose e. Fibrinogen

-WBC -Fibrinogen

postpartum depression is one of the mood disorders found in many women. Which of the following clients would you consider to be at risk for postpartum depression? SATA a. has history of postpartum blues with previous pregnancy b. has history of depression with no supportive relationship c. is primipara living alone and was constantly ambivalent about her pregnancy d. is unmarried primipara with family support

-has history of depression with no supportive relationship -is primipara living alone and was constantly ambivalent about her pregnancy

A 36 week pregnant client is presented to the L&D unit with a history of sudden severe abdominal pain and moderate dark colored bleeding. Contractions are strong, every 2 minutes apart lasting about 60 seconds. She has a history of cocaine use during pregnancy. You suspect the client is presenting with? a. Abruptio placenta b. Placenta Previa c. Rupture of uterus d. Ectopic pregnancy

Abruptio Placenta

Which factor in a postpartum women's history would lead the nurse to monitor the woman closely for an infection? a. Multiparity of five previous pregnancies b. Labor of 10 hours length c. Manually extracted placenta d. Hemoglobin of 12 mg/dl

Manually extracted placenta

A nurse is taking a newborn to a parent following a circumcision. Which of the following actions should the nurse take for security purposes? a. Ask the parent to state their full name b. Look at the name on the newborn's bassinet c. Match the newborn's ID band with the parent's ID band d. Check the date of birth of the newborn

Match the newborn's ID band with the parent's ID band

assessment findings of C/S incision wound. of a client two days after delivery indicates the following red, edematous, and tender to touch. This best initial nursing action would be a. document findings b. check VS c. Notify physician d. clean incision site with Betadine and change dressing

Notify physician

a postpartum mother complains of "afterpains" while breastfeeding her baby. The best nursing intervention would be. a. administer analgesic b. massage fundus c. gently asks her to stop feeding d. asses VS

administer analgesic

A women thinks she is pregnant and visits her obstetrician for confirmation of pregnancy. What are positive signs of pregnancy? a. positive heart beat, chawicks, positive urine drip test b. nausea/vomit, weight gain, uterine growth c. positive FHR, visual of fetus, examiner feels mvoement d. uterine growth, fetal HR, cholasma e. linea nigra, positive urine dip test, verbalize quickening

positive FHR, visualization of fetus, examiner feeling fetal movement

a client who is receiving epidural analgesia is given IV fluid bolus to? a. promote urine output b. prevent hypotension c. prevent oligohyramnios d. prevent respiratory depression

prevent hypotension

a mother is experiencing nipple pain and discomfort while breast feeding. What should be the first priority in plan of care? a. allow mother to pump until nipples heal and bottle feed the breast milk to baby b. remove baby from breast and reposition c. provide a nipple shield to wear while feeding d. provide formula to baby until nipples are healed

remove baby from breast and reposition

a 38 week gestation client with. preeclampsia is receiving magnesium sulfate and Pitocin IV for induction of labor. what is expected effect of magnesium sulfate on this client? a. she will be sedated b. she will experience seizures c. she will have no seizures d. she will have lower BP

she will have no seizures

A 16 year old, G1P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate? a. " would you please let me see if i can feel the baby" b. "would you describe what you felt for me?" c. "That is very exciting. The baby must be very healthy" d "thats impossible. The baby is not big enough yet"

"would you describe what you felt for me?"

A postpartal mother verbalizes that she does not want to breastfeed her newborn son. What actions should you take to suppress milk production? SATA a. Administer medications to suppress milk production b. Apply warm compresses to the breast c. Encourage her to pump the breast to empty the breast d. Apply ice packs to the breasts e. Advise her to wear a supportive bra

Apply ice packs to the breasts

During initial physical assessment of a newborn, the nurse is holding the newborn in semi-sitting position and allows the newborns head and trunk to fall backward. This is done to elicit what reflex? a. Moro reflex b. Grasp reflex c. Rooting reflex d. Tonic neck reflex

Moro reflex

Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temperature of 96.5F/35.8C? a. Blood glucose of 50 mg/dl b. Oxygen saturation of 96% c. Acrocyanosis d. Tachypnea

Tachypnea

A women is issued a new prescription for a low-dose combination birth control pill. What advise should the nurse give the women if she ever forgets to take a pill? a. Take an at home pregnancy test at the end of the month to check for pregnancy b. Skip the pill and refrain from intercourse for the remainder of the month c. Take it as soon as she remembers, even if that means taking two pills in one day d. Wear a pad for the next week because she will experience vaginal bleeding

Take it as soon as she remembers, even if that means taking two pills in one day

After delivery the nurse examines the umbilical cord and documents the cord is normal. This means the cord has a. Two arteries and one vein b. one artery and one vein c. two arteries and two veins d. one artery and two veins

Two arteries and one vein

during ambulation to the bathroom, a postpartum client experiences a Gish of dark red blood that soon stops. On assessment, the nurse finds the uterus firm, midline and at level of umbilicus. The findings are? A. Indication of cervical or perineal laceration b. a normal postural discharge of lochia c. abnormally excessive loch rubra flow d. evidence of possible vaginal hematoma

a normal postural discharge of lochia

a client who is 41 weeks gestation just had a biophysical profile with a score of 2. What is the highest priority intervention at this time? a. recognize this as equivocal and have the mother come back tomorrow for a repeat b. tell the mother it indicates fetal feel-being c. contact physician immediately as there is a probable need for delivery d. schedule the mother for a repeat in 3 days

contact physician immediately as there is a probable need for delivery

After teaching a group of students about fertilization, the instructor determines that the teaching was effective when the group identifies which as the usual site of fertilization? a. fundus of the uterus b. endometrium of uterus c. distal portion of fallopian tube d. follicular tissue of ovary

distal portion of fallopian tube

a pregnant client is undergoing non-stress test in her 3rd trimester. You explained the test to client. Which statement indicates a understanding of this test? a. This test can be done at home b. during the test I should push a button when I feel the baby move c. I will get an IV med to start contractions d. it will take 2 hours to complete test

during the test I should push a button when I feel the baby move

the nurse is assessing the uterine funds of a client 8 hours after C/S and finds it firm, round, 2cm above the umbilicus and displaced to right. Most appropriate intervention you should do is a. notify physician b. encourage client to empty bladder and reassess fundus c. massage fundus d. check the loch for excessive bleeding

encourage client to empty bladder and reassess fundus

A client taking oral contraceptives pills calls the clinic and reports the presence of chest pain and SOB. The nurse should instruct the client to do which of the following? a. go to the nearest ER to be evaluated b. stop taking the pills and use a nonhormonal contraceptive method c. eat smaller meals more frequently to prevent gastric distension d. wait for the physician to return a telephone call to the client

go to the nearest ER to be evaluated

You are teaching potential mothers about complications of uncontrolled diabetes in a growing fetus. It will be accurate if you say a. hyperglycemia in early pregnancy can cause for large gestational baby b. hyperglycemia in early pregnancy can cause small gestational. baby c. hyperglycemia in early pregnancy can lead to congenital anomalies in baby d. hyperglycemia in early pregnancy can lead to maternal hypertension

hyperglycemia in early pregnancy can lead to congenital anomalies in baby

a client has severe pre-eclampsia. The fetus of the client should be assessed for a. hypoprothrombinemia b. cardiac failure c. intrauterine growth restriction d. severe anemia

intrauterine growth restriction

A nursing student who is pregnant asks the antenatal nurse why childbearing is considered a developmental crisis for family. What should be included in the response by nurse? a. it is an abnormal experience in the process of growth and development b. the family had already mastered the tasks of this maturational stage c. it is a stressful, unexpected event caused by external factors d. it is a period of physical, psychological and social change causing a sense of disorganization

it is a period of physical, psychological and social change causing a sense of disorganization

which of the following findings seen in a third trimester pregnancy woman would consider to be within normal limits? SATA a. fainting spells b. lordosis c. varicose veins d. leg cramps e. hemorrhoids

leg cramps varicose veins lordosis hemorrhoids

what signs of thrombophlebitis should a nurse include in her discharge teaching of a postpartum client? a. muscle soreness after exercise b. new areas of ecchymosis c. localized calf tenderness, heat, and swelling d. enlarging varicose veins in lower limbs

localized calf tenderness, heat, and swelling

which nursing action should take priority when caring for a client with suspected ectopic pregnancy? a. obtain surgical consent b. monitor VS c. provide emotional support d. administer O2

monitor VS

A nurse in an infertility clinic is providing care to clients who have been unable to conceive for 18 months. Which of the following data should the nurse assess? SATA a. history of falls b. menstrual hx c. occupation d. childhood infectious dx d. recent blood transfusions

occupation childhood infectious diseases menstrual history

which finding should the nurse expect when assessing a client with placenta previa? a. severe headache b. previous premature delivery c. painless vaginal bleeding d. history of pelvic inflammatory disease

painless vaginal bleeding

which activity would the nurse include in the teaching plan for parents with a newborn and older child to reduce sibling rivalry when newborn is brought home? a. punishing older child for bedwetting behavior b. planning a daily "special time" for older sibling c. allowing the sibling to share room with infant d. sending the sibling to grandparents house

planning a daily "special time" for older sibling

the nurse is developing a plan of care for the postpartum client during the "taking hold" phase. Which of the following should the nurse include in the plan? a. ask the client about her delivery experience b. offer the client a sandwich c. show the client a video on child care techniques d. give the client a bath

show the client a video on child care techniques

a new mother with mastitis is concerned about breast feeding her baby with her active infection. How will you respond to this mothers concern? a. mastitis is not an infection b. the organisms that cause mastitis is not passed in breast milk c. immunoglobins in the breast milk will protect the infant from getting the infection d. infant is protected from getting the infection as the gastric acid kills the organism

the organisms that cause mastitis is not passed in breast milk

a non-stress test is considered reactive when which oof the following occur? a. there is increase fetal movement b. there are two or more accelerations of 15 bpm lasting 15 secs long over a 20 min period c. there is one acceleration of 15 bpm lasting 20 secs over a 20 min period d. there is decreased fetal movement

there are two or more accelerations of 15 bpm lasting 15 secs long over a 20 min period

The fetus recieves all oxygen and nutrients from mother through a. umbilical arteries b. amniotic sac c. umbilical vein d. aorta

umbilical vein

The nurse is providing counseling to a group of sexually active single women. Which of the following actions should the nurse suggest the woman take to protect their fertility for the future? SATA a. refrain from drinking carbonated bevs b. refrain from smoking c. Exercise in moderation d. maintain an appropriate weight for height e. use condoms during sex

use condoms during sex refrain from smoking maintain an appropriate weight for height Exercise in moderation