PrepU Review

The nurse is reviewing the uterine contraction pattern and identifies the peak intensity, documenting this as which of the following?

Acme

Which of the following pharmacologic treatments would NOT be therapeutic for a woman with fibrocystic breast changes?

Antihistamines

What is the most common breast mass in women?

Fibroadenoma

The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which of the following information is important for the nurse to include?

High-grade dysplasia progresses to invasive cervical cancer in about 2 years.

The nurse is teaching a group of students about factors that place a pregnant woman at risk for infection in the postpartum period. Which of the following would the nurse be least likely to include?

Increased vaginal acidity leading to growth of bacteria

When auscultating the newborn's heart, the nurse would place the stethoscope at which area to auscultate the point of maximal impulse?

Lateral to the midclavicular line at the fourth intercostal space

Which of the following changes in insulin is most likely to occur in a woman during pregnancy?

Less effective than normal

A 2-month-old infant is brought to the wellbaby clinic for a first checkup. On initial assessment, the nurse notes the infant's head circumference is at the 95th percentile. Which action would the nurse take initially?

Measure the head again

The nurse is educating a 48-year-old woman on pessary care following a diagnosis of prolapsed vagina. Which of the following instructions would be most important to include?

Remove device 2x a week and clean with soap and water

What treatment can the nurse anticipate assisting with for a newborn with congenital talipes equinovarus?

Serial casting

A nurse is working with a child she suspects may be a victim of maltreatment in her home. Which combination of characteristics related to the parent, the child, and the circumstances would most strongly indicate the risk for maltreatment of this child?

The mother was maltreated as a child; the child was born prematurely; the father recently lost his job

During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which suggestion would be most appropriate?

Wear gloves and protective clothing to avoid any injuries

The nurse who counsels women who suffer from abuse understands that abuse can come in different forms that include which of the following? (Check all that apply.)

all but spiritual abuse

The nurse has learned that the number one factor that will motivate a woman to escape an abusive relationship is which of the following?

fear of harm to her unborn child

Which of the following factors is it most important for the nurse to consider when recommending different types of contraceptives to a female client?

Client's ability to tolerate side effects

Which of the following would be the physiologic basis for a placenta previa?

Low placental implantation

A nurse is preparing a presentation for a health fair about preventing breast cancer. Which of the following would the nurse include?

Maintaining an ideal body weight

A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?

Mammogram

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which of the following findings might alert the nurse to this possibility that the child may have been abused?

A burn that has not yet been treated

Which vital sign is not routinely assessed in a term, healthy newborn with 9/9 AGPARs?

Blood pressure

After teaching a client with mastitis about caring for her breasts, the nurse determines that the client has understood the instructions when she states which of the following?

"I will express milk with a breast pump until infection is resolved."

A woman is admitted with a diagnosis of ectopic pregnancy. For which of the following would you anticipate beginning preparation?

Immediate surgery

As part of a local college awareness program, a nurse is interviewing several of the participants about their views on rape. Which statement would lead the nurse to determine that teaching about rape is necessary?

"A woman can avoid being raped. If she doesn't want it to happen, then it won't."

The nurse is interviewing the caregiver of a 5-year-old child who has been admitted with bruises on the abdomen and thighs as well as additional bruises in various stages of healing. Which of the following statements made by the caregiver might alert the health care team to the possibility of child abuse?

"His brother plays too rough with him"

The nurse is teaching a client with mastitis about care measures. Which client statement indicates effective teaching?

"I can use warm soaks to my breast to relieve the discomfort."

After teaching a postpartum woman about postpartum blues, which statement indicates effective teaching?

"I might feel like laughing one minute and crying the next."

A nurse is talking to a newly pregnant woman who had a mitral valve replacement in the past. Which of the following statements by the patient reveals an understanding about the pre-existing condition?

"I understand that my fetus and I both are at risk for complications."

How should the nurse counsel a postpartum patient on how to prevent mastitis?

"Wash your hands thoroughly, and let your breasts dry after each feeding."

The nurse is teaching a female client about early-stage pelvic organ prolapse. Which of the following statements that center on dietary and lifestyle changes will promote pelvic relaxation and decrease chronic problems later in life?

"You will need to increase fiber in your diet."

According to the American Cancer Society, a woman in her 20s or 30s should have a clinical breast examination once every ____ years.

3

The nursing student is studying violence and abuse against the older woman. While researching it, she learns that laws require health care professionals to report elder or vulnerable person abuse. How many states currently have these laws?

50

The nursing student correctly identifies which of the following age group to be when ovarian cancer occurs more frequently?

55-75 years of age

A pregnant woman with type 2 diabetes is scheduled for a laboratory test of glycosylated hemoglobin (HbA). What does the nurse tell the patient is a normal level for this test?

6%

Which vital sign is not routinely assessed in a term, healthy newborn with 9/9 AGPARs?

BP

Which of the following would the nurse interpret as indicating that a pregnant client with gestational hypertension has developed severe preeclampsia?

Blurred vision

The nurse has just administered butorphanol (Stadol) 2 mg IV to a laboring patient. Which change in the fetal heart rate pattern would the nurse consider to be a result of this medication?

Decreased variability

A 33-week-gestation infant has just been born. The child's heartbeat is not audible. Which of the following is the priority nursing intervention?

Depression of the sternum with both thumbs 1 to 2 cm at a rate of 100 times per minute

How can the nurse be instrumental in preventing hypoglycemia in the newborn? Choose the best answer.

Encouraging early and frequent feedings

Which of the following would the nurse expect to administer for eye prophylaxis in the newborn?

Erythromycin ophthalmic ointment

A novice nurse asks to be assigned to the least complex antepartum patient. Which of the following conditions would necessitate the least complex care requirements?

Gestational hypertension.

A client has delivered a small for gestation age (SGA) newborn. Which of the following would the nurse expect to assess?

Head larger than body

A nursing student attending a lecture on sexual violence learns that sexual violence is a public health problem. It is also considered to be which of the following?

Human rights violation

What is the most common type of breast cancer, accounting for approximately 85% of cases?

Invasive ductal carcinoma

Which of the following would the nurse prepare to administer if ordered as treatment for an unruptured ectopic pregnancy?

Methotrexate

Which of the following is TRUE regarding the treatment of breast cancer?

Often, the first treatment option for breast cancer is surgery.

The nurse is providing education to women who had diabetes prior to pregnancy. The nurse is discussing pregnancy-related complications from diabetes. Which of the following is a potential complication?

Polyhydramnios

The nurse working in an OB clinic realizes that a pregnant patient who has been abused before can expect to be abused during her pregnancy. What is the strongest predictor that a pregnant woman will be abused during her pregnancy?

Prior abuse

A postpartum patient 2 hours after delivery via cesarean birth is complaining of shortness of breath and sudden onset of pain. What is the primary nursing intervention for this patient?

Raise HOB 45 degrees

A patient with preeclampsia is receiving magnesium sulfate. Which of the following nursing assessments should be ongoing while the medication is being administered?

Respiratory Rate

A woman who has sickle cell anemia asks you if her infant will develop sickle cell disease. You would base your answer on which of the following?

Sickle cell anemia is recessively inherited.

All of the following are characteristics of malignant breast disease EXCEPT

Smooth, firm, rubbery masses

All of the following are characteristics of malignant breast disease EXCEPT

Smooth, rubbery, firm mass

When caring for a newborn who is jittery and irritable 30 minutes after birth, what should the nurse do?

Take blood, using a heel stick, to check for hypoglycemia.

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

Take sitz bath frequently

You are caring for a 52-year-old woman whose sisters and mother died of breast cancer. The patient states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be your best response?

Tamoxifen reduces the incidence

With an HBV-positive mother, what should the newborn receive?

The HBV vaccination and 1 dose of hepatitis B immunoglobulin within 12 hours of birth

A 20-year-old client gave birth to a baby boy during the 43rd week of gestation. Which of the following might the nurse observe in the newborn during routine assessment?

The newborn may look wrinkled and old at birth.

A 5-year-old girl is being admitted with a possible diagnosis of child abuse. The child has bruises in various places on her body that the caregiver attributes to the child recently beginning to play soccer. Bruises associated with child abuse would likely be found in which of the following areas of the body?

Thighs

Which of the following is FALSE regarding bathing the newborn?

To reduce the risk of heat loss, the bath should performed by the nurse, not the parents, within 2-4 hours of birth.

Babies of mothers with human immunodeficiency virus (HIV) infection should have a thorough bath immediately after birth to decrease the possibility of HIV transmission.

True

Homicide from intimate partner violence is the number-one cause of death in pregnant women.

True

The nurse is developing a presentation about urinary incontinence for a local women's group. Which of the following would the nurse be least likely to include in the discussion?

Urinary incontinence is a normal part of aging.

The nurse is feeding a 2 day old in the nursery when the infant begins choking and becomes cyanotic. Frothy sputum is observed coming from the mouth. What congenital malformation does the nurse understand these symptoms indicate?

esophageal atresia

Which of the following would be considered child abuse? Select all that apply.

• A caregiver intentionally is demeaning to a child. • A caregiver neglects a child's physical needs.

A pregnant woman's pulse fluctuates throughout pregnancy and the early postpartum period. When assessing a 1-day postpartum woman's pulse, what is the first action a nurse should take in response to a rate of 56 bpm?

Compare the pulse rate of 56 bpm with her pulse rate on the first prenatal care visit.

When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which of the following?

Complex carbohydrates

When educating patients in a maternal-newborn unit about prevention of infant abduction, what is essential in the effectiveness of prevention of abduction?

Cooperation by the parents with the hospital policies

Periventricular hemorrhage is suspected in a newborn of 30 weeks' gestation. The nurse would anticipate preparing the newborn for which of the following to confirm the diagnosis?

Cranial ultrasound

A nurse suspects that a 6-year-old girl is being sexually maltreated by her father, based on some comments made by the girl. Which of the following methods would be most effective in confirming the nurse's suspicion?

Draw a picture of what happened

While interviewing a woman before her yearly examination, the nurse learns that she stopped breastfeeding over a year ago but occasionally has pain on one side behind her left nipple not related to her period. Upon examination, the nurse does not palpate any lumps but finds the left nipple retracted with a greenish discharge. What would the nurse first suspect?

Duct estacia

The nurse is developing a presentation for a local women's health center about breast cancer. Which of the following would the nurse include as being the most common type of breast cancer?

Ductal carcinoma

A 28-year-old woman presents in the emergency room with severe abdominal pain. She has not had a normal period for 2 months but she reports that that is not abnormal for her. She has a history of endometriosis. What might the nurse suggest to the physician as a possible cause of the patient's abdominal pain?

Ectopic pregnancy

Which type of elder abuse involves harm of self-worth?

Emotional

A nurse is teaching women at a senior center. Which type of cancer listed below would the nurse explain is the most common type for women between 50 and 65 years of age?

Endometrial cancer

A woman is two weeks postpartum when she calls the clinic and tells the nurse that she has a fever of 101°F. She complains of abdominal pain and a "bad smell" to her lochia. The nurse recognizes that these symptoms are associated with which condition?

Endometritis

A woman is diagnosed with polycystic ovarian syndrome (PCOS). Which of the following treatments would the nurse not explain to the client?

Estrogen replacement therapy

The nurse is caring for a woman with pelvic organ prolapse and is teaching the client about recommended estrogen replacement therapy. Which of the following nursing interventions is appropriate before treatment is started?

Examine her to document any risk for complications.

A 20 year-old male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem?

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."

How would the nurse counsel a patient who is about to receive Demerol (meperidine) 25 mg IV?

"It's possible you may feel a bit sleepy or nauseous after I administer this medication."

A woman has just confided in the nurse that her partner slapped and kicked her that morning. What is the best response by the nurse?

"It's very brave of you to tell me all this. Help is available if you choose it."

After teaching a local woman's group about postpartum affective disorders, which statement by the group indicates that the teaching was successful?

"Postpartum depression develops gradually, appearing within the first 6 weeks."

You are caring for a 52-year-old woman whose sisters and mother died of breast cancer. The patient states, "My doctor wants me to take tamoxifen to help prevent breast cancer. What do you think?" What would be your best response?

"Tamoxifen reduces the incidence."

The parents of a newborn baby boy ask you about circumcising their son. They are undecided as to what to do. Which response by the nurse is best?

"There are pros and cons to circumcision. Let me ask the pediatrician to come and talk to you about the procedure."

Which of the following is TRUE regarding intimate partner violence?

1 in 4 experience violence

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse in which of the following situations?

A 7-year-old with a spiral fracture of the humerus, which the caregiver reports was caused when the child was hit with a bat swung by a Little League teammate

What does the American Cancer Society (ACS) say about breast self-examination (BSE)?

A monthly BSE is optional.

The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman's husband would most likely demonstrate which behavior?

A risk for moderate to severe violence with people both within and outside his family

When providing care to a victim of abuse, which of the following would the nurse do?

Allow the woman to participate in her care

Loss of blood during and after delivery can result in which of the following findings? Select all that apply.

Anemia Pale conjunctiva Orthostatic hypotension

When teaching a group of students about the cycle of violence, which behavior would the nurse describe as eventually disappearing as the violence becomes accelerated over time?

Apologies for the pain and abuse

A client in week 38 of her pregnancy arrives at the emergency room reporting a sharp pain between her umbilicus and the iliac crest in her lower right abdomen that is increasing. She reports having experienced intense nausea and vomiting for the past 3 hours. Given these symptoms, the nurse suspects which of the following conditions?

Appendicitis

Marie, a 21-year-old first-time mother in the second stage of labor, has been moaning and screaming and generally vocal throughout her labor. Her husband is distraught seeing his wife this way and comes to the nurse asking that his wife receive more pain medication. How should the nurse respond?

Ask Marie to describe the intensity of her pain on a scale of 0 to 10

Your patient regularly travels internationally for work and has a lot of job anxiety. She also uses an electric heating blanket every night she is at home. Which of these fertility awareness methods would you discourage her from using?

Basal body temperature

A woman has been treated for a tumor of the left breast that has not responded to chemotherapy. The woman has just found out that she has the BRCA mutations and discusses her options with her physician. What treatment would be most difficult for this woman?

Bilateral mastectomy

After teaching a group of students about the signs and symptoms of breast cancer, the instructor determines that additional teaching is needed when the group identifies which of the following?

Breast symmetry

A new mother has been reluctant to hold her newborn. A nurse can promote this mother's attachment to her newborn by

Bringing the newborn into the room

Which of the following is an example of developmental care in the NICU?

Cluster care and activities

A newborn male is circumcised. Which of the following instructions would you include in the discharge teaching plan for his parents?

Cover the glans generously with Vaseline.

A nursing student studying sexual violence makes the following statement in class, "A man who has sex with his wife even though she did not want it cannot be charged with sexual abuse." Is this statement true or false?

False

It is common for a newborn to have one or two erupted teeth (natal teeth) at birth.

False

Which of the following are biologic indicators of posttraumatic stress disorder (PTSD)?

Flashback

On examining a newborn's eyes, which of the following would you expect to assess?

Follows a light to the midline

On examining a newborn's eyes, which of the following would you expect to assess?

Follows light to midline

A mother delivered 90 minutes ago and has just arrived to her room on the postpartum unit. Her initial set of vital signs reveals blood pressure of 138/86. Her blood pressure during labor never rose above 128/74. What is a possible explanation for this increase in blood pressure?

Her stroke volume has increased after delivery of the placenta, and a physiologic response in blood pressure is evident.

The nurse is aware of three different phases in the cycle of violence. Which of the following is not one of those phases?

Hopeless stage

A nurse completes the initial assessment of a newborn. According to the due date on the antenatal record, the baby is 12 days postmature. Which of the following physical findings does not confirm that this newborn is 12 days postmature?

Increased amounts of vernix.

What is the leading cause of death in pregnant women?

Intimate partner violence

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?

Mongolian Spot

The small-for-gestation neonate is at increased risk for which complication during the transitional period?

Polycythemia probably due to chronic fetal hypoxia

A nurse is preparing a woman for a Pap smear procedure. The nurse has already washed her hands and gathered all necessary equipment (maintaining sterility). Which of the following is the next step in the Pap smear procedure?

Position the client in stirrups or foot pedals so that her knees fall outward.

A newborn is being monitored for retinopathy of prematurity. Which of the following conditions predisposes an infant to this condition?

Respiratory distress syndrome

A woman with cardiac disease delivered a seven pound baby by C-Section. Which of the following interventions should be implemented during the immediate postpartum period?

Rest, stool softeners, and monitoring tolerance of activity.

A preterm newborn receives oxygen therapy to treat respiratory distress syndrome (RDS). Which of the following should the nurse consider as a complication of oxygen administration at a high concentration?

Retinopathy of prematurity

Which of the following would the nurse do first after the birth of a newborn?

Suction mouth and nose

All of the following are characteristics of an infant abductor EXCEPT

Targets a specific infant

An episiotomy or a cesarean incision requires assessment. Which assessment criterion for skin integrity is not initially noted?

Temperature

Place the three phases of intimate partner violence in the order in which they occur.

Tension-building phase Acute violence phase Honeymoon phase

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which of the following findings might alert the nurse to this possibility that the child may have been abused?

The child has a burn that has not been treated.

A woman has been referred for laser therapy for her diagnosis of cervical cancer. The client wants to know more about the procedure. Which of the following information regarding laser therapy should the nurse give to the client?

The client may experience a watery brown discharge for a few weeks.

A Hispanic woman who gave birth several hours ago is experiencing postpartum hemorrhage. She had a cesarean birth and received deep, general anesthesia. She has a history of postpartum hemorrhage with her previous births. The blood is a dark red. Which of the following causes of the hemorrhage is most likely in this client?

Uterine atony

A client delivers a newborn baby at term. The nurse records the weight of the baby as 1.2 kg, interpreting this to indicate that the newborn is of:

VLBW

A nurse is assessing a 20-year-old female. Which of the data findings below taken during the history would indicate endometrial cancer?

Vaginal bleeding that is painless and abnormal

A specialty nurse working in the OB-GYN clinic cares for pregnant women who have been diagnosed with cancer during the pregnancy. The most common cancer in the pregnant population in regards to reproductive malignancies is which of the following?

cervical cancer

A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased lung tension, the

ductus arteriosus remains open.

A middle-aged woman is seen in the OB/GYN clinic and complains of abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the physician screen this patient?

ovarian cancer

The nursing student is studying gynecological cancers and is excited when she reads that birth control pills can have a positive effect on preventing which of the following diseases?

ovarian cancer

The nurse working in the genitourinary (GU) clinic fully understands that the most common cause for women suffering from urinary incontinence is which of the following?

pelvic organ prolapse (POP)

When an infant smiles at the mother and the mother in turn smiles and kisses her baby, this would be which phase of attachment?

reciprocity

If the following data was collected on a group of children, which of the following would most likely be evaluated as possibly related to child abuse? Select all that apply.

• A child whose X-ray shows bone fractures in various stages of healing. • A child whose CT scan shows a cerebral hemorrhage. • A child who has a spiral fracture in the femur.

A mother just delivered 3 hours ago. The nurse enters the room to continue hourly assessments and finds the patient on the phone telling the listener about her fear while driving to the hospital and not making it in time. The mother finishes the call, and the nurse begins her assessment with which phrase?

"It sounded like you had quite a time getting here. Would you like to continue your story?"

Which of the following statements by the parents of a newborn indicate that they understand how to soothe their newborn if he becomes upset?

"We'll turn the mobile on that's hanging above his head in his crib."

A patient expresses concern to the nurse that her baby is dehydrated and is not getting enough milk from breastfeeding. What is the best response from the nurse?

"You can tell that your baby is adequately hydrated because he is making 8 wet diapers a day."

An older infant is scheduled to have a cleft palate repair. The mother asks if she will still be able to breastfeed the baby during the postoperative phase. What is the best response by the nurse?

"You will not be able to breastfeed but immediately after, but you can pump and feed the child with a cup."

Which of the following is TRUE regarding intimate partner violence?

1 in 4 will be a victim of violence

A nurse is giving a talk on violence against women to a community group and informs the attendees that violence is growing in the United States today. The nurse informs them of which alarming statistic?

1/3 to 1/2 will experience some form of physical abuse in their lifetime

A baby who is declared AGA (appropriate for gestational age) falls in what weight percentile?

20

There are advantages and disadvantages to any kind of method used to control pain during labor and delivery. What is an advantage of opioid administration?

Ability to be administered by the nurse

The nurse notes that a client's uterus which was firm after the fundal massage has become "boggy." Which intervention would the nurse do next?

Check for bladder distention, while encouraging the client to void

When providing counseling on early pregnancy loss, the nurse should include what as the most common cause for spontaneous abortion?

Chromosomal defect

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which of the following psychosocial needs would be the priority for the nurse with her client?

Clear information on the disease, management, and treatment

The physicain has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The patient asks the nurse why she needs to be on hormones. The nurse's best response to this would be which of the following?

Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall.

An obese woman with diabetes has just given birth to a term, large for gestational age (LGA) newborn. Which of the following conditions should the nurse most expect to find in this infant?

Hypoglycemia

On a follow-up visit, a woman who was a victim of rape states that she has joined a rape survivor advocacy group. The nurse interprets this as indicating that the woman is in which phase of rape recovery?

Integration and recovery

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. In this stage the disease:

Involves one or both ovaries and extends into the pelvis

An African American baby has discoloring which appears similar to bruising on his buttock after a normal vaginal delivery. This assessment should be documented as:

Mongolian Spots

The nurse is preparing a client for breast biopsy of a lump. The nurse explains that a needle with a cutting edge will be inserted into a lump and rotated to remove a core sample. What type of breast biopsy is this client undergoing?

Needle biopsy

A new mother talking to a friend states, "I wish my baby was more like yours. You are so lucky. My baby has not slept straight through the night even once. It seems like all she wants to do is breastfeed. I am so tired of her." This is an example of which of the following?

Negative attachment

You are the nurse preparing an educational event for pregnant women on the topic of labor pain and delivery. You know that you will need to include the origin of labor pain for each stage of labor. What information will you present for the first stage of labor?

Pain originates from the cervix and lower uterine segment

When a pregnant patient is abused during her pregnancy what complication is likely to occur after delivery due to the abuse?

Part partum depression

A pregnant client discloses to the nurse that she has been abused by her husband for the past 4 years. Which of the following is true regarding violence against pregnant women?

Partner abuse may increase during pregnancy

Which finding would indicate to the nurse that a postpartum woman is experiencing bladder distention?

Percussion reveals dullness

The nurse who works in a woman's health clinic correctly identifies two key objectives for 2020 National Health Goals that addresses violence against women as which of the following? (Check two.)

Reduce annual rate of rape or attempted rape Reduce rate of physical assault

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Pap smear procedure. Which of the following strategies would be best to educate the client on before her procedure to make sure results are not affected?

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

You are doing patient teaching with a 28 weeks' gestation woman who has tested positive for gestational diabetes mellitus (GDM). What would be important to include in your patient teaching?

She is at increased risk for type II diabetes mellitus after her baby is born.

A nurse is caring for a baby girl born at 34 weeks' gestation. Which of the following features should the nurse identify as those of a preterm newborn?

Shiny heels and palms

The nurse is reviewing with a new client the diagnosis of polycystic ovarian syndrome (PCOS). Which of the following long-term health problems would the nurse review as a risk with this syndrome?

Type 2 diabetes

Which instructions should be given by the nurse to the patient in the second stage of labor to facilitate natural childbirth?

Use a squatting position and use the squat bar for support

An elderly woman is seen in the clinic complaining of a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a doctor in over 10 years. What diagnosis would the nurse expect the physician to make?

Vulvar cancer

A new mother is alarmed because her newborn has lost 10 ounces in weight since being born 2 days ago. She believes that she has been breastfeeding properly. Which of the following should the nurse mention as likely causes of this phenomenon? (Select all that apply.)

• Absence of salt- and fluid-retaining maternal hormones • The infant's voiding and passing stool • Low calorie content of colostrum

When performing Ortolani's maneuver, which of the following should occur? Select all that apply.

• Attempt to abduct the hips 180 degrees while applying upward pressure. • The newborn should be in a supine position.

The women's health clinic nurse is giving a presentation on cancers of the reproductive tract. Which of the following signs and symptoms are abnormal and, if present, should result in notification of a health care provider? Select all that apply.

• Continuous low back pain • Vulvar lesions of abnormal color that are raised • Irregular vaginal bleeding

A preterm infant is born at risk for normochromic, normocytic anemia. Which of the following should the nurse do to help reduce the risk of the infant developing this condition? (Select all that apply.)

• Coordinate blood draws so that they are as few as possible • Delay cord clamping at birth

Which of the following are modifiable risk factors for breast cancer? Select all that apply.

• Duration of breastfeeding • Smoking • Sedentary lifestyle • Obesity • Alcohol consumption

You are doing discharge teaching with a group of new parents before they are discharged home with their infant. One set of parents inquire as to why they need to place their new baby on its back to sleep. What is your best response?

"Research has shown that placing an infant on its' back to sleep reduces the risk for SIDS."

On inspecting a newborn's abdomen, which finding would you note as abnormal?

Clear drainage at the base of the umbilical cord

The nurse is caring for a group of infants. It is noted that one of the infants has chronic constipation and abdomen enlargement. These findings are characteristic of which of the following disorders?

Congenital hypothyroidism

While examining a 2-day old newborn, a nurse notices that the skin and sclera of the eyes appear yellow. The nurse recognizes this condition as which of the following?

Jaundice

The infant's temperature is 97.2F axillary an hour after birth. Which intervention is the appropriate for the nurse?

Place the infant under a radiant warmer or in a heated isolette.

When preparing to resuscitate a preterm newborn, which of the following would the nurse do first?

Place the newborn's head in a neutral position.

When a pregnant patient is abused during her pregnancy what complication is likely to occur after delivery due to the abuse?

Postpartum depression

A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time?

Pregnancy loss

The following are nursing measures commonly offered to women in labor. Which nursing intervention probably would be most effective in applying the gate-control theory for relief of labor pain?

Rubbing her back

Nurses sometimes have difficulty assessing women for violence. Which of the following refers to the screen protocol to use to be the most thorough?

SAVE Model

When preparing a presentation about screening for cervical cancer, the nurse would include which of the following recommendations?

Yearly Pap smears using the glass slide method until age 30

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Which recommendation would the nurse emphasize?

Yearly mammograms for women over 40

A 25-year-old P3023 spontaneously ruptured clear fluid at home and has had a normal labor progression. The nurse and the midwife do not anticipate any complications. What should the nurse do to prepare for the birth? Select all that apply.

• Document events as they are happening. • Check the functionality of the oxygen source and equipment. • Move the newborn warmer to the delivery area and turn it on.

With the administration of oxygen, a preterm infant's Pa02 level is monitored carefully. It is important to keep this level under which value to help prevent retinopathy of prematurity?

100 mm Hg

Neonatal screening is done before the infant leaves the hospital. Blood is drawn through a heel stick and tested for several disorders that can cause lifelong disabilities. When is the ideal time to collect this specimen?

24 hours after the newborn's first protein feeding.

Assessment of a newborn at 40 weeks' gestation reveals that he is a low birth weight newborn. Which of the following weights would the nurse identify as being low birth weight?

2400 g

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Pap smear procedure. Which of the following strategies would be best to educate the client on before her procedure to make sure results are not affected?

A nurse working in the Family Birthing Center is answering the nurse hot line phone. A client calls in to schedule her annual Pap smear procedure. Which of the following strategies would be best to educate the client on before her procedure to make sure results are not affected?

Which woman should you suspect of having endometritis?

A woman with diabetes who has delivered vaginally and develops tachycardia and a fever of 101.7 degrees on the third postpartum day. The next day, she appears ill; fever is 102.9 degrees; WBC is 31,500 cells/mm3; blood cultures are negative.

Which of the following is a typical feature of a small for gestational age (SGA) newborn that differentiates it from a preterm baby with a low birth weight?

Ability to tolerate early oral feeding

A woman is in labor with her second child. She knows that she will want epidural anesthesia, and she has already signed her consent form. What must the nurse do before the woman receives the epidural?

Administer a fluid bolus through the IV line to reduce the risk of hypotension.

A nurse suspects that a 6-year-old girl is being sexually maltreated by her father, based on some comments made by the girl. Which of the following methods would be most effective in confirming the nurse's suspicion?

Ask the girl to draw a picture of what happened

A female client is diagnosed with breast abscess. Although she has been allowed to breast-feed her newborn, she decides to terminate breast-feeding. Which of the following would be most appropriate in this situation?

Assist the client to pump the breasts to remove breast milk

A 33-year-old G4P2012 has just had an epidural placed. Before the procedure, her vital signs were as follows: BP 120/70, P90 bmp, R18 per min, and O2 sat 98%. Now, 3 minutes after the procedure, the patient says she feels light-headed and nauseous. Her vital signs are BP 80/40, P100 bmp, R20 per min, and O2 sat 96%. Which interventions should the nurse perform?

Assist the patient to semi-Fowler's position, assess the fetal heart rate, start an IV bolus of 500 mL, and administer oxygen via face mask.

A 30-year-old patient has come to the clinic for her yearly examination. The patient asks the nurse about ovarian cancer. What would the nurse include as a risk factor when giving the patient information about ovarian cancer?

Infertility

The nurse is giving an educational event for a local women's group on self-examination of the breast. The nurse tells the women's group to raise their arms and inspect their breasts in a mirror. A member of the women's group asks the nurse why she needs to do this. What is the nurse's best response?

It will help you observe for dimpling

An infant with hydrocephalus is scheduled to have a ventriculoperitoneal shunt inserted. Immediately following the procedure, which nursing action would best prevent decompression from excessive CSF flow?

Keeping the head of the infant level with the body

A mother brings her 10-year-old daughter in and tells the nurse that she believes the child has a brain tumor and quickly runs through a list of some classic symptoms associated with brain cancer. On examination and after performing routine blood work, however, the nurse finds nothing wrong with the child. The child says that she feels fine. When the nurse reviews the patient's chart, she finds that this is the sixth time the mother has brought the girl in for various serious conditions in the past 6 months. Which of the following situations does the nurse suspect?

Munchausen syndrome by proxy

Because an infant with a myelomeningocele has lower motor neuron damage to her lower extremities, you would expect to provide which aspect of care?

Observing legs for good body alignment because of muscle laxity

A pregnant client discloses to the nurse that she has been abused by her husband for the past 4 years. Which of the following is true regarding violence against pregnant women?

Partner abuse may increase during pregnancy.

The nurse working in the genitourinary (GU) clinic fully understands that the most common cause for women suffering from urinary incontinence is which of the following?

Pelvic organ prolapse

A preterm infant is placed on ventilatory assistance for respiratory distress syndrome. In light of her lung pathology, which additional ventilatory measure would you anticipate planning?

Positive end-expiratory pressure to increase oxygenation

An infant has just been born with a cleft lip and palate. The birthing room suddenly becomes very quiet, and the birth team seem somber. The physician is busy examining the newborn, but the mother is obviously aware that something is not right. Which of the following should the nurse do?

Say to the parents, "Your son has been born with a cleft lip and palate. This condition is highly treatable by surgery, however, and he is otherwise in excellent health."

A nurse is educating a woman diagnosed with small ovarian cysts on follow-up care. Which of the following instructions would be appropriate?

Schedule ultrasound every 3 to 6 months

Which of the following would the nurse expect to find when assessing the breasts of a client with fibrocystic breast disease?

Soft mass

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer:

Typically manifest with vague symptoms resulting in late diagnosis

A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which of the following is a known risk factor for ectopic pregnancy?

Use of IUD for contraception

A woman has been given the diagnosis of uterine fibroids. Prescribed treatment consists of gonadotropin-releasing hormone (GnRH). The nurse is teaching her client about the side effects of this medication. Which of the following side effects would be important to include in the explanation?

Vaginal dryness

Newborn Isaac has been taken to the nursery after delivery. He has been cleaned in the labor and delivery suite and swaddled in a blanket. The nurse is going to check his pulse. What must the nurse do?

Wear gloves.

Which of the following is FALSE regarding screening for intimate partner violence in women?

Women tend to fit a profile of abuse, and victims tend to share similar physical characteristics.

As part of a presentation on breast cancer being given to a local woman's group, the nurse describes the need for early detection through screening. Which recommendation would the nurse emphasize?

Yearly mammograms for women over age 40

The nursing instructor is teaching about Bartholin cysts and informs the students that Bartholin cysts are the most common cystic growth in the vulva. She describes this type of cyst as being which of the following?

a swollen, fluid-filled, sac-like structure

Which of the following findings would the nurse identify as normal when assessing a newborn? Select all that apply.

• Length of 54 cm • Weight of 3,300 grams • Temperature of 37 degrees C

When caring for an abused woman, the nurse uses the ABCDES framework to provide interventions. Which of the following are components of this framework? Select all that apply.

• Maintenance of confidentiality of the information reported • Reassurance that the woman is not alone in this situation • Plan of action and resources for safety for when the woman decides to leave • Education about the cycle of violence and its escalation

A nurse is caring for a woman who has just been diagnosed with uterine prolapse. Which of the following symptoms may interfere with her daily activities? Select all that apply.

• Pelvic pressure • Low back pain • Urinary frequency

The nurse is developing a presentation for a group of young adult women about premenstrual syndrome. Which of the following would the nurse include as possible treatment options? Select all that apply.

• Reduction of caffeine intake • Vitamin and mineral supplements • Diuretic therapy • NSAIDs

The nurse is instructing the patient who suffers from urinary incontinence about certain types of food that have been proven to be bladder irritants and to precipitate urgency. She lists for the patient which of the following foods to avoid? (Check all that apply.)

• chocolate • caffeine • soda • alcohol • spicy foods • orange juice