questions for maternity test 1

The ideal time for pregnancy teaching is preconceptually, especially because: A The need for folic acid for neural tube defects is in the first 29 days of pregnancy. B Fish must be avoided for 3 months before conceiving to prevent mercury intoxication. C Cooking lunch meat is imperative for a healthy conception. D Tylenol is the most common medication taken and is dangerous in pregnancy.

A The need for folic acid for neural tube defects is in the first 29 days of pregnancy.

the postpartum nurse is providing instructions to a client after delivery of a healthy newborn. which time frame should the nurse relay to the client regarding the return of bowel function? A. 3 days postpartum B. 7 days postpartum C. on the day of delivery D. within 2 weeks postpartum

A. 3 days postpartum

A 2 day s/p SVD(spontaneous vaginal delivery) breastfeeding postpartum woman calls the hospital and complains of nipple soreness. What is the best education the nurse can provide? A Stop nursing and allow the nipples to heal completely. B Assess the baby's latch, most soreness if from improper positioning C Refer her to a lactation consultant immediately D Pump and bottlefeed until the nipples are no longer sore, then resume breast

B Assess the baby's latch, most soreness if from improper positioning

The newborn "startle" reflex is called: A Babinski's B Moro C Tonic neck D Stepping

B Moro

the nurse is assessing a client who is 6 hours postpartum after delivering a full term healthy new born. the client complains to the nurse of feelings of faintness and dizziness. which nursing actions would be most appropriate? A. raise the head of the clients bed B. obtain hemoglobin and hematocrit levels C. instruct the client to request help when getting out of bed D. inform the nursery room nurse to avoid bringing the new born to the client until the mothers symptoms have subsided

C. instruct the client to request help when getting out of bed

which explanation should the nurse provide to the prenatal client about the purpose of the placenta A. it cushions and protects the baby B. it maintains the temperature of the baby C. it is the way the baby gets food and oxygen D. it prevents all antibodies and viruses from passing to the baby

C. it is the way the baby gets food and oxygen

the nurse is assessing a new born who was born to a mother who is addicted to drugs. which assessment finding would the nurse expect to note during the assessment of this newborn? A. lethargy B. sleepiness C. constant crying D. cuddles when being held

C. constant crying

the nurse is assessing a newborn after circumcision and notes that the circumscised area is red with a small amount of bloody drainage. which nursing action is most appropriate? A. apply gentle pressure B. reinforce the dressing C. document the findings D. contact the health care provider

C. document the findings the penis is normally red during the healing process after circumcision. a yellow exudate may be noted in 24 hours and this is a part of normal healing. the nurse would expect that the area would be red with a small amount of bloody drainage

the nurse assisted with the delivery of a new born. which nursing action is most effective in preventing heat loss by evaporation? A. warming the crib pad B. closing the doors to the room C. drying the infant with a warm blanket D. turning on the overhead radiant warmer

C. drying the infant with a warm blanket -warming the crib pad assists in preventing hypothermia by conduction -convection occurs as the air moves across the newborns skin from na open door and heat is transferred to the air -radiaiton occurs when heat from the newborn radiates to a colder surface

the post partum nurse is assessing a client who delivered a healthy infant by cesarean section for signs and symptoms of superficial venous thrombosis. which signs would the nurse note if superficial venous thrombosis were present? A. paleness of the calf area B. coolness of the calf area C. enlarged, hardened veins D. palpable dorsalis pedis pulse

C. enlarged, hardened veins thrombosis of superficial veins usually is accompanied by signs and symptoms of inflammation, including swelling, redness, tenderness, and warmth of the involved extremity. it also may be possible to palpate the enlarged hard vein

the nurse is performing an assessment of a primigravida who is being evaluated in a clinic during her second trimester of pregnancy. which finding concerns the nurse and indicates the need for follow up? A. quickening B. braxton hicks contractions C. fetal heart rate of 180 BPM D. consistent increase in fundal height

C. fetal heart rate of 180 BPM

the nurse is monitoring the amount of loch drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. how should the nurse document this finding? A. scant B. light C. heavy D. excessive

C. heavy

a pregnant client tells the nurse that she has been craving unusual foods. the nurse gathers additional assessment data and discovers that the client has been ingesting daily amounts of white clay dirt form her backyard. laboratory studies are performed and the nurse determines that which finding indicates a physiological consequence of the clients practice? A. hematocrit 38% B. glucose 86 mg/dL C. hemoglobin 9.1 g/dL D. white blood cell count 12, 400 cells

C. hemoglobin 9.1 g/dL

the nurse notes hypotonia, irritability, and a poor sucking reflex in a full term newborn on admission to the nursery. the nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with this syndrome? A. length of 19 inches B. abnormal palmar creases C. birth eight of 6lb 14 oz D. head circumference appropriate for gestational age

B. abnormal palmar creases

the nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. which sign if noted, would be an early sign of excessive blood loss? A. a temp of 100.4 B. an increase in the pulse rate from 88-102 BPM C. a blood pressure change from 130/88 to 124/80 D. an increase in the respiratory rate from 18-22

B. an increase in the pulse rate from 88-102 BPM

the nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the clients abdomen. after attachment of the electronic fetal monitor, what is the next nursing action? A. identify the types of accelerations B. assess the baseline fetal heart rate C. determine the intensity of the contractions D. determine the frequency of the contractions

B. assess the baseline fetal heart rate

The ideal pelvis type for birth is: A Platyploid B Pelvic C Gynecoid D Rhombus

C Gynecoid

On the same busy day on labor and delivery, the RN assigns which patient to the new graduate just off orientation? A Stable preeclamptic B Twin gestation in labor C Multip in normal labor D Preterm primip contracting

C Multip in normal labor

the nurse is reviewing the record of a client in the labor room and notes that the health care provider has documented that the fetal presenting part is at the -1 station. this documented finding indicates that the fetal presenting part is located at which area? A. 1 inch below the coccyx B. 1 inch below the iliac crest C. 1 cm above the ischial spine D. 1 finger breadth below the symphysis pubis

C. 1 cm above the ischial spine

a pregnant client asks the nurse in the clinic when she will be able to being to feel the fetus move. the nurse responds by telling the mother that fetal movement will be noted between which weeks of gestation? A. 6 and 8 B. 8 and 10 C. 10 and 12 D. 14 and 18

C. 10 and 12

a pregnant client is seen for regular prenatal visit and tells the nursing that she is experiencing irregular contractions. the nurse determines that she is experiencing braxton hicks contractions. on the basis of this finding which nursing action is most appropriate? A. contact the health care provider B. instruct the client to maintain bed rest for the remainder of the pregnancy C. inform the client that these contractions are common and may occur throughout the pregnancy D. call the maternity unit and inform them that the client will be admitted in pre labor condition

C. inform the client that these contractions are common and may occur throughout the pregnancy

the nursing is conducting a prenatal class on the female reproductive system. when a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the nurses best response? A.it promotes the fertilized ovums chances of survival B. it promotes the fertilized ovum's exposure to estrogen and progesterone C. it promotes the fertilized ovums normal implantation in the top portion of the uterus D. it promotes the fertilized ovums exposure to luteinizing hormone and follicle-stimulating hormone

C. it promotes the fertilized ovums normal implantation in the top portion of the uterus

on assessment of a postpartum client the nurse notes that the uterus feels soft and boggy. the nurse should take which initial action? A. elevate the clients legs B. document the findings C. massage the fundus until it is firm D. push on the uterus to assist in expression clots

C. massage the fundus until it is firm

the nurse is performing an assessment on a client who is at 38 weeks gestations and notes that the fetal heart rate is 174 BPM. on the basis of this finding what is the priority nursing action? A. document the finding B. check the mothers heart rate C. notify the health care provider D. tell the client that the fetal heart rate is normal

C. notify the health care provider

when performing a postpartum assessment on a client, a nurse notes the presence of clots in the loch. the nurse examines the clots and notes that they are larger than 1 cm. which nursing actions is most appropriate? A. document the findings B. reassess the client in 2 hours C. notify the health care provider D. encourage increased oral intake of fluids

C. notify the health care provider

the nurse is assessing a client in the fourth stage of labor and notes that the fundus is firm, but that bleeding is excessive. which should be the initial nursing action? A. record the findings B. massage the fundus C. notify the health care provider D. place the client in trendelenburgs position

C. notify the health care provider if bleeding is excessive the cause may be laceration of the cervix or birth canal

the nurse is caring for a client in labor. which assessment finding indicates to the nurse that the client is beginning the second stage of labor? A. the contractions are regular B. the membranes have ruptured C. the cervix is dilated completely D. the client beings to expel clear vaginal fluid

C. the cervix is dilated completely

How effective are oral contraceptive pills if taken correctly? A 80% B 86% C 90% D 99%

D 99%

Hyperbilirubinemia may be related to which conditions? (higher than 15 they get phototherapy) A Gestational diabetic mom B Immaturity C ABO incompatibility D All of the above

D All of the above

As the RN you are utilizing all of your team resources on a busy day. What is an appropriate assignment for the medical assistant? A Evaluate the fetal monitoring strip in room 8 B Call in back up support staff C Start the intravenous line in room 5 D Take vital signs in room 6

D Take vital signs in room 6

the nurse has instructed a pregnant client in measure to prevent varicose veins during pregnancy. which statement by the client indicates a need for further instructions? A. i should wear panty hose B. i should wear support hose C. i should wear flats nonslip shoes that have good support D. i should wear knee high hose, but should not leave them on longer than 8 hours

D. i should wear knee high hose, but should not leave them on longer than 8 hours -any constrictive clothing such as knee high hose, impedes venous return from the lower legs and places the client at risk for developing varicosities

the postpartum nurse is taking the vital sings of a client who delivered a healthy newborn 4 hours ago. the nurse notes that the clients temperature is 100.2 . what is the priority nursing action? A. document the findings B. retake the temp in 15 minutes C. notify the health care provider D. increase hydration by encouraging oral fluids

D. increase hydration by encouraging oral fluids -temperatures up to 104 in the first 24 hours after birth often are related to the dehydration effects of labor. the appropriate action is to increase hydration by encouraging oral fluids, which should bring the temp to a normal reading

the health care provider is assessing the client of the presence of ballotment to make this determination, the HCP should take which action? A. auscultate for the heart sounds B. assess the cervix for compressibility C. palpate the abdomen for fetal movement D. initiate a gentle upward tap on the cervix

D. initiate a gentle upward tap on the cervix

the nurse is preparing to care for a newborn receiving phototherapy. which interventions should be included in the plan of care? select all that apply. A. avoid stimulation B. decrease fluid intake C. expose all of the newborns skin D. monitor skin temp closely E. reposition the newborn every 2 hours F. cover the newborns eyes with eye shields or patches

D. monitor skin temp closely E. reposition the newborn every 2 hours F. cover the newborns eyes with eye shields or patches

the nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. the nurse should include which priority intervention in the plan of care? A. allow the newborn to establish own sleep rest pattern B. maintain the newborn in a brightly lighted area of the nursery C. encourage frequent handling of the newborn by staff and parents D. monitor the newborns response to feeding and weight gain pattern

D. monitor the newborns response to feeding and weight gain pattern

the nurse is reviewing true and false labor signs with a multiparous client. the nurse determines that the client understands the signs of true labor if she makes which statement? A. i won't be in labor until my baby drops B. my contractions will be felt in my abdominal area C. my contractions will not be painful if i walk around D. my contractions will increase in duration and intensity

D. my contractions will increase in duration and intensity

the nurse prepares to administer a vitamin K injection to newborn, and the mother asks the nurse why her infant needs the injection. what best response should the nurse provide? A. your newborn needs vitamin K to develop immunity B. the vitamin K will protect your newborn from being jaundiced C. newborns have sterile bowels and vitamin K promotes the growth of bacteria in the bowel D. newborns are deficient in vitamin K and this injection prevents your newborn form bleeding

D. newborns are deficient in vitamin K and this injection prevents your newborn form bleeding

the nurse administers erythromycin ointment to the eyes of a new born and the mother asks the nurse why this is performed. which explanation is best for the nurse to provide? A. protects the newborns eyes from possible infections acquired while hospitalized B. prevents cataracts in the newborn born to a woman who susceptible to rubella C. minimizes the spread of microorganisms to the newborn form invasive procedures during labor D. prevents an infection call ophthalmia nenatorum from occurring after delivery in a newborn to a woman with an untreated gonococcal infection

D. prevents an infection call ophthalmia nenatorum from occurring after delivery in a newborn to a woman with an untreated gonococcal infection

the nurse is caring for four 1-day post partum clients. which client would require further nursing action? A. the client with mild afterpains B. the client with a pulse rate of 60 BPM C. the client with colostrum discharge from both breasts E. the client with lochia that is red and has foul smelling odor

E. the client with lochia that is red and has foul smelling odor

Leopold's maneuvers tells us the location of the placenta. T True F False

F False

the nursing instructor asks a nursing student to list the characteristics of the amniotic fluid. the student responds correctly by listing which as characteristics of amniotic fluids? Select all that apply A. allows for fetal movement B. surrounds, cushions, and protects the fetus C. maintains the body temperature of the cuts D. can e sued to measure fetal kidney function

A. allows for fetal movement B. surrounds, cushions, and protects the fetus C. maintains the body temperature of the cuts D. can e sued to measure fetal kidney function

the nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. which are the probable signs of pregnancy? Select all that apply A. ballottement B. chadwicks sign C. uterine enlargement D. braxton hicks contractions E. fetal heart rate detected by a non electronic device F. outline of fetus via radiography or ultrasonography

A. ballottement B. chadwicks sign C. uterine enlargement D. braxton hicks contractions

the mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she noticed that the cord was moist and that discharge was present. what is the most appropriate nursing instruction for this mother? A. bring the infant to the clinic B. this is a normal occurrence C. increase the number of times that the cord is cleaned per day D. monitor the cord for another 24-48 hours and call the clinic if the discharge continues

A. bring the infant to the clinic -symptoms of umbilical cord infections are moistness, oozing, discharge and a reddened base around the cord -if symptoms of infection occur, the client should be instructed to notify a health care provider -if these symptoms occur antibiotics may be needed

the nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. the client had a midline episiotomy and has several hemorrhoids. what is the priority nursing consideration for this client? A. client pain level B. inadequate urinary output C. client perception of body changes D. potential for imbalanced body fluid volume

A. client pain level

the nurse providing postpartum instructions to a client who will be breast-feeding her newborn. the nurse determines that the client has understood the instructions if she makes which statements? select all that apply A. i should wear a bra that provides support B. drinking alcohol can affect my milk supply C. the use of caffeine can decrease my milk supply D. i will start my estrogen birth control pills again as soon as i get home E. i know if my breasts get engorged i will limit my breast feeding and supplement the baby F. i plan on having bottled water available in the refrigerator so i can get additional fluids easily

A. i should wear a bra that provides support B. drinking alcohol can affect my milk supply C. the use of caffeine can decrease my milk supply F. i plan on having bottled water available in the refrigerator so i can get additional fluids easily

the nurse has provided discharge instructions to a client who delivered a healthy newborn by cesarean delivery. which statement made by the client indicates a need for further instruction? A. i will begin abdominal exercises immediately B. I will notify the health care provider if i develop a fever C. i will turn on my side and push up with my arms to get out of bed D. i wil life nothing heavier than my new born baby for at least 2 weeks

A. i will begin abdominal exercises immediately

the nurse is describing cardiovascular system changes that occur during pregnancy to a client and understands that which finding would be normal for a client in the second trimester? A. increase in pulse rate B. increase in blood pressure C. frequent bowel elimination D. decrease in red blood cell production

A. increase in pulse rate -increase in red blood cell production

the nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. the nurse notes that the fetal heart rate between contractions is 100 BPM. which nursing action is most appropriate? A. notify the health care provider B. continue monitoring the fetal heart rate C. encourage the client to continue pushing with each contraction D. instruct the clients coach to ocnitnue to encourage breathing techniques

A. notify the health care provider -a normal fetal heart rate is 110-160 BPM and the fetal heart rate should be within this range between contractions. fetal bradycardia between contractions may indicate the need for immediate medical management, and the HCP or nurse midwife needs to be notified

a client in labor is transported to the delivery room and prepared for a cesarean delivery. after the client is transferred to the delivery room table, the nurse should place the client in which position? A. supine position with a wedge under the right hip B. trendelenbeurgs position with the legs in stirrups C. prone position with the legs separated and elevated D. semi-fowlers position with a pillow under the knees

A. supine position with a wedge under the right hip -vena cava and descending aorta compression by the pregnant impedes blood return form the lower trunk and extremities. this leads to decreasing cardiac return, cardiac output and blood flow to the uterus and subsequently the fetus -the best position to prevent this would be side lying, with the uterus displaced off the abdominal vessels -positioning for abdominal surgery necessitates a supine position, how ever a wedge placed under the right hip provides displacement of the uterus

a pregnant client asks the nurse about the types of exercise that are allowable during pregnancy. the nurse should tell that the client that which exercise is safest? A. swimming B. scuba diving C. low impact gymnastics D. bicycling with the legs in the air

A. swimming

the nurse in the newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. which assessment findings would alert the nurse to the possibility of this syndrome? A. tachypnea and retractions B. acrocyanosis and grunting C. hypotension and bradycardia D. presence of barrel chest and acrocyanosis

A. tachypnea and retractions

a pregnant client tells the clinic nurse that she wants to know the gender of her baby as soon as it can be determined. the nurse understands that the client should be able to find out the gender at 12 weeks gestation because of which factor? A. the appearance of the fetal external genitalia B. the beginning of differentiation in the fetal groin C. the getal testes are descended into the scrotal sac D. the internal differences in males and females become apparent

A. the appearance of the fetal external genitalia

the nurse is teaching a postpartum client about breast feeding. which instruction should the nurse include? A. the diet should include additional fluids B. prenatal vitamins should be discontinued C. soap should be used to cleanse the breasts D. birth control measures are unnecessary while breast feeding

A. the diet should include additional fluids

educating a RH negative woman on her Rhogam plan of includes which indications? first prenatal visit, ultrasound, 28 weeks and maybe postpartum Any vaginal bleeding, invasive procedure, 28 weeks, and maybe postpartum after amnio, ultrasound, external version, 28 weeks and maybe postpartum about 20 weeks, 28 weeks, after car accident, and maybe postpartum

Any vaginal bleeding, invasive procedure, 28 weeks, and maybe postpartum

the nurse is performing an assessment of a pregnant client who is at 28 weeks of gestations.. the nurse measures the fundal heigh in cm and expects which finding? A. 22 cm B. 30 cm C. 36 cm D. 40 cm

B. 30 cm

the nurse is collecting data during an admission assessment of a client who is pregnant with twins. the client has a healthy 5-year old child who was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. using GTPAL what should the nurse document in the clients chart? A. G=3, T=2, P=0, A=0, L=1 B. G=2, T=1, P=0, A=0, L=1 C. G=1, T=1, P=1, A=0, L=1 D. G=2, T=0, P=0, A=0, L=1

B. G=2, T=1, P=0, A=0, L=1

a pregnant client calls a clinic and tells the nurse that she is experiencing leg cramps that awaken her at night. what should the nurse tell the client to provide relief from the leg cramps? A. bend your foot toward your body while flexing the knee when the cramps occur B. bend your food toward your body while extending the knee when the cramps occur C. point your foot away from your body while fleeing the knee when the cramps occur D. point your foot away from your body while extending the knee when the cramps occur

B. bend your food toward your body while extending the knee when the cramps occur -leg cramps occur when the pregnant client stretches her leg and plantar flexes her foot. dorsiflexion of the foot while extending the knee stretches the affected muscle, prevent she muscle from contracting and stops the cramping

the nurse in the NICU receives a telephone call to prepare for the admission of a 43 week gestation newborn with Apgar score of 1 and 4. in planing for admission of this newborn, what is the highest priority? A. turn on the apnea and cardiorespiratory monitors B. connect the resuscitation bag to the oxygen outlet C. set up IV line with 5% dextrose in water D. set the radiant warmer control temp at 36.5 celsius

B. connect the resuscitation bag to the oxygen outlet -the highest priority on admission to the nursery for a newborn with a low apgar score is the airway which would involve preparing respiratory resuscitation equipment and oxygen

the postpartum nurse is providing instructions to the mother of a newborn with hyperbilirubinemia who is being breast fed. the nurse should provide which appropriate instruction to the mother? A. feed the newborn less frequently B. continue to breast feed every 2-4 hours C. switch to bottle-feeding the infant for 2 weeks D. stop breast feeding and switch to bottle feeding permanently

B. continue to breast feed every 2-4 hours

the nurse is assisting a client undergoing induction of labor at 41 weeks gestation. the clients contractions are moderate and occurring every 2-3 minutes with a duration of 60 seconds. an internal fetal heart rate monitor is in place. the baseline fetal heart rate has been 120-122 BPM for the pas hour. what is the priority nursing action? A. notify the health care provider B. discontinue the infusion of oxytocin (pitocin) C. place oxygen on at 8-10 L/minute D. contact the clients primary support person if not currently present

B. discontinue the infusion of oxytocin (pitocin) -oxytocin can cause forceful uterine contractions and decrease oxygenation to the placenta, resulting in decreased variability. after stopping the oxytocin the nurse should reposition the mother. applying oxygen increasing the rate of the IV fluid and notifying the health care provider are also actions that are indicated in this situation

the nurse is performing an assessment of a client who is scheduled for cesarean delivery. which assessment finding would indicate the need to contact health care provider? A. hemoglobin of 11 B. fetal hear rate of 180 BPM C. maternal pulse rate of 85 BPM D. white blood cell count of 12,000

B. fetal hear rate of 180 BPM

a client arrives at the clinic for the first prenatal assessment. she tells the nurse that the first day of her last menstrual period was October 19, 2014. using nagele rule which expected date of delivery should the nurse document in the clients chart? A. july 12, 2014 B. july 26, 2015 C. august 12, 2015 D. august 26, 2015

B. july 26, 2015

the nurse is planning care for a newborn of a mother with diabetes mellitus. what is the priority nursing consideration for this newborn? A. developmental delays because of excessive size B. maintaining safety because of low blood glucose levels C. chocking because of impaired suck and swallow reflexes D. elevated body temperature because of excess fat and glycogen

B. maintaining safety because of low blood glucose levels -the newborn of a diabetic mother is at risk of hypoglycemia, so maintaining safety because of low blood glucose levels would be a priority. the new born would also be at risk for hyperbilirubinemia, respiratory distress, hypocalcemia, and congenital anomalies

a nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. after locating the fundus, the nurse notes that the uterus feels soft and boggy. which nursing intervention would be most appropriate? A. elevate the clients legs B. massage the fundus until it is firm C. ask the client to turn on her left side D. push on the uterus to assist in expressing clots

B. massage the fundus until it is firm

the nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. what is the client primary physiologic need at this time? A. ambulation B. rest between contractions C. change positions frequently D. consume oral foods and fluids

B. rest between contractions

a pregnant client in the first trimester calls the nurse at a health care clinic and reports that she has noticed a thin, colorless vaginal drainage. the nurse should make which stamens to the client? A. com to the clinic immediately B. the vaginal discharge may be bothersome, but is a normal occurrence C. report to the emergency department at the maternity center immediately D. use tampons if the discharge is bothersome, but to be sure to change the tampons every 2 hours

B. the vaginal discharge may be bothersome, but is a normal occurrence

the nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. which instruction should the nurse provide? A. avoid wearing a bra B. wash the breasts with warm water and keep them dry C. wear tight-fitting blouses or dresses to provide support D. wash the nipples and areolar area daily with soap, and massage the breasts with lotion

B. wash the breasts with warm water and keep them dry -the pregnant client should be instructed to wash the breasts with warm water and keep them dry. the client should be instructed to avoid using soap on the nipples and areolar area to prevent the drying of tissues. wearing supportive bra with wide adjustable straps can decrease breast tenderness

the nurse should include which statement to a pregnant client found to have a gynecoid pelvis? A. your type of pelvis has a narrow pubic arch B. your type of pelvis is the most favorable for labor and birth C. your type of pelvis is a wide pelvis, but has a short diameter D. you will need a cesarean section because this type of pelvis is not favorable for a vaginal delivery

B. your type of pelvis is the most favorable for labor and birth

a health care provider has prescribed transvaginal ultrasonography for a client in the first trimester of pregnancy and the client asks the nurse about the procedure. how should the nurse respond to the client? A. the procedure takes about 2 hours B. it will be necessary to drink 1 to 2 quarts of water before the examination C. the probe that will be inserted into the vagina will be covered with a disposable cover and coated with a gel D. gel is spread over the abdomen and a round disk transducer will be moved over the abdomen to obtain the picture

C. the probe that will be inserted into the vagina will be covered with a disposable cover and coated with a gel

the nursing student is preparing to teach a prenatal class about fetal circulation. which statement should be included in teaching the plan? A. one artery carries oxygenated blood from the placenta to the fetus B. two arteries carry oxygenated blood from the placenta to the fetus C. two arteries carry deoxygenated blood and waste products away from the fetus to the placenta D. two veins carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta

C. two arteries carry deoxygenated blood and waste products away from the fetus to the placenta

the nurse is preparing to care for four assigned clients. which client is at highest risk for hemorrhage? A. a primiparous client who delivered 4 hours ago B. a multiparous client who delivered 6 hours go C. a primiparous client who delivered 6 hours ago and had epidural anesthesia D. a multiparous client who delivered a large baby after oxytocin induction

D. a multiparous client who delivered a large baby after oxytocin induction

the nurse is providing instructions regarding treatment of hemorrhoids to a client who is in the second trimester of pregnancy. which statement by the client indicates a need for further instruction? A. i should avoid straining during bowel movements B. i can gently replace the hemorrhoids into the recutm C. i can apply ice packs to the hemorrhoids to reduce the swelling D. i should apply heat packs to the hemorrhoids to help the hemorrhoids shrink

D. i should apply heat packs to the hemorrhoids to help the hemorrhoids shrink heat packs increase the blood flow to the area and worsen the discomfort from hemorrhoids

the clinic nurse is providing instructions to a pregnant client regarding measure that assist in alleviating heartburn. which statement by the client indicates an understanding of the instructions? A. i should avoid between meal snacks B. i should lie down for an hour after eating C. i should use specs for cooking rather than using salt D. i should avoid eating foods that produce gas and fatty foods

D. i should avoid eating foods that produce gas and fatty foods