evolve adaptive quizes ob/peds

A client is receiving an epidural anesthetic during labor. For which side effect should the nurse monitor the client? 1 Hypertension 2 Urine retention 3 Subnormal temperature 4 Decreased level of consciousness

2 Urine retention

While assessing a newborn suspected of having Down syndrome, what does the nurse expect to note? 1 Long, thin fingers 2 Large, protruding ears 3 Hypertonic neck muscles 4 A single line across each palm

4 A single line across each palm

A nurse is assessing a newborn with congenital toxoplasmosis. What clinical finding does the nurse expect to identify on assessment? 1 Reddish areas on the head 2 Serosanguineous nasal discharge 3 One leg shorter than the other leg 4 Chest circumference larger than head circumference

4 Chest circumference larger than head circumference

What should a nurse suggest to a pregnant client that might help overcome first-trimester morning sickness? 1 "Eat protein before bedtime." 2 "Take an antacid before breakfast." 3 "Drink water until the nausea subsides." 4 "Take an over-the-counter herbal remedy."

"Eat protein before bedtime."

A neonate is tested for phenylketonuria (PKU) after formula feedings are initiated. The nurse explains to the parents that this is done to prevent: 1 Failure to thrive 2 Cognitive impairment 3 Growth restriction 4 Specific food allergies

2 Cognitive impairment

A nurse is teaching a client with preeclampsia about improving her health. What is the most therapeutic instruction for the nurse to give the client? 1 Eat a sodium-restricted diet. 2 Walk at least 1 mile every day. 3 Rest often in the side-lying position. 4 Limit fluid intake to 1000 mL daily.

3 Rest often in the side-lying position.

When reviewing the history of a client admitted in preterm labor during her 30th week of gestation, the nurse suspects a risk factor associated with this client's preterm labor. What is this risk factor? 1 Primigravida 2 Android-shaped pelvis 3 Anticonvulsant medication therapy 4 Multiple urinary tract infections

multiple urinary tract infections

A nurse talks with parents of a toddler with strabismus about why this condition should be treated in early childhood. What complication should the nurse explain may occur if strabismus is not corrected? 1 Cataracts 2 Glaucoma 3 Refractive errors 4 Partial loss of sight

partial loss of sight

What information in a postpartum client's health history should alert the nurse to monitor the client for signs of infection? 1 Three spontaneous abortions 2 B-negative maternal blood type 3 Blood loss of 850 mL after a vaginal birth 4 Temperature of 99.9º F (37.7° C) during the first postpartum day

Blood loss of 850 mL after a vaginal birth

During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods should the nurse encourage the client to eat? 1 Liver and raisins 2 Cheese and broccoli 3 Eggs and lean meats 4 Whole-wheat breads and cereals

Cheese and broccoli because high calcium

A nurse is teaching a pregnant client with sickle cell anemia about the importance of taking supplemental folic acid. Folic acid is important for this client because it: 1 Lessens sickling of RBCs 2 Prevents vaso-occlusive crises 3 Decreases cellular oxygen need 4 Compensates for a rapid turnover of red blood cells

Compensates for a rapid turnover of red blood cells

A 2-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia major (Cooley anemia). The parents are told that there is no cure but the anemia can be treated with frequent blood transfusions. The father tells the nurse he is glad that there is a treatment that "fixes" his child's problem. Before responding, the nurse should recall that blood transfusions: 1 Correct the anemia but may cause other problems 2 Reverse the anemia but also present a risk of hepatitis 3 Are a supportive treatment; fewer will be needed as the child grows older 4 Are a replacement for defective red blood cells; they are like giving insulin to a person with diabetes

Correct the anemia but may cause other problems

The nurse is differentiating between cephalohematoma and caput succedaneum. What finding is unique to caput succedaneum? 1 Edema that crosses the suture line 2 Scalp tenderness over the affected area 3 Edema that increases during the first day 4 Scalp over the area becomes ecchymosed

Edema that crosses the suture line

The nurse manager receives report on the following laboring clients. Which client should the nurse see first? 1 G2 P0 with SROM at 7 cm of dilation 2 G2 P1 with SROM in the active phase 3 G1 P0 with intact membranes in the latent phase 4 G6 P5 with intact membranes at 5 cm of dilation

G6 P5 with intact membranes at 5 cm of dilation

The cervix of a client in labor is dilated 8 cm. She tells a nurse that she has a desire to push and is becoming increasingly uncomfortable. She requests pain medication. How should the nurse respond? 1 Help her take panting breaths. 2 Prepare the birthing bed for the birth. 3 Assist her out of bed to the bathroom. 4 Administer the prescribed butorphanol (Stadol).

Help her take panting breaths.

A nurse is being oriented to a prenatal clinic after graduation. The new nurse takes a course on several tests during pregnancy. Place the tests in the order in which they should be performed during pregnancy. 1. Fetal movement test 2. α-Fetoprotein (AFP) testing for neural tube defects 3. Serum glucose for gestational diabetes 4. Sickle cell screening 5. Group B Streptococcus culture

Incorrect 1. sickle cell screening Correct 2. α-Fetoprotein (AFP) testing for neural tube defects Correct 3. Serum glucose for gestational diabetes Incorrect 4. fetal movement 5. Group B Streptococcus culture

The nurse is admitting a client to the unit after fetal death was confirmed by ultrasound. While initiating intravenous therapy the nurse notes blood continually oozing from the puncture site. What is the nurse's next action? Restarting the line distal to the initial site Informing the health care provider of this finding Starting the ordered infusion of oxytocin (Pitocin) Placing an oxygen mask on the client and setting the flow rate at 8 L/min

Inform the healthcare provider because this is a pssible sign of DIC

A nurse is caring for a preterm infant with necrotizing enterocolitis (NEC). What nursing intervention is most important for this infant? 1 Measuring abdominal girth frequently 2 Diluting the formula mixture as ordered 3 Administering oxygen before the gastric feeding 4 Using half-strength formula for gavage feeding

Measuring abdominal girth frequently

After a newborn has skin-to-skin contact with the mother, a nurse places the newborn under a radiant warmer. What complication is the nurse attempting to prevent? 1 Metabolic acidosis 2 Metabolic alkalosis 3 Respiratory acidosis 4 Respiratory alkalosis

Metabolic acidosis

A nurse teaches the mother of a newborn with phenylketonuria (PKU) why it is important to restrict the amount of phenylalanine in her infant's formula. Because all proteins contain this essential amino acid, the nurse suggests appropriate formulas. Which formulas are safe for this infant? Select all that apply. 1 Isomil 2 Phenex 3 Enfamil 4 Prosobee 5 Lofenalac

Phenex lofenalac

A pregnant woman with a history of heart disease visits the prenatal clinic at the end of her second trimester. What does the nurse anticipate about the care she will need? 1 Preparation for a cesarean birth 2 Bedrest during the last trimester 3 Prophylactic antibiotics at the time of birth 4 Increasing dosages of cardiac medications as pregnancy progresses

Prophylactic antibiotics at the time of birth

The parents of a 12-year-old child with juvenile idiopathic arthritis ask a nurse why their child is not receiving steroid therapy when it is so effective for adults with rheumatoid arthritis. Which reason that steroids are avoided at this time takes priority in the nurse's explanation? 1 Steroids could affect growth. 2 Body image is adversely affected. 3 Steroids could lead to flat emotions. 4 Steroids have adverse effects on sexuality.

Steroids could affect growth.

While inspecting her newborn a mother asks the nurse why her baby has flat feet. Before responding, what information should the nurse consider? 1 Flat feet are common in children, requiring them to wear orthotic shoes. 2 The newborn's feet are so small that it is difficult to determine whether there is an arch. 3 Flat feet are associated with deformities of the bones of the feet such as clubfoot. 4 The arch of the newborn's foot is covered with a fat pad, giving the foot the appearance of being flat.

The arch of the newborn's foot is covered with a fat pad, giving the foot the appearance of being flat.

On a 6-week postpartum visit a new mother tells a nurse she wants to feed her baby whole milk after 2 months because she will be returning to work and can no longer breastfeed. The nurse plans to teach her that she should switch to formula feeding because whole milk does not meet the infant's nutritional requirements for: 1 Fat and calcium 2 Vitamin C and iron 3 Thiamine and sodium 4 Protein and carbohydrates

Vitamin C and iron

A nurse is teaching a parent how to prevent accidents while caring for a 6-month-old infant. What ability should be emphasized with regard to the infant's motor development? 1 Sits up 2 Rolls over 3 Crawls short distances 4 Stands while holding on to furniture

rolls over

A nurse is caring for the newborn of a mother with diabetes. For which signs of hypoglycemia should the nurse assess the newborn? Select all that apply. 1 Pallor 2 Irritability 3 Hypotonia 4 Ineffective sucking 5 Excessive birth weight

2 Irritability 3 Hypotonia 4 Ineffective sucking

The nurse is caring for a client in active labor with a history of T5 spinal cord injury. Which of the following findings indicates to the nurse that the client is experiencing a complication of the labor process? 1 Increased pulse rate 2 Increased urine output 3 Increased blood pressure 4 Flaccidity in the lower extremities

3 Increased blood pressure

Which symptoms present in a child indicate Turner syndrome? Select all that apply. A Webbed neck B Impaired language C Tall stature with long legs D Low position of posterior hairline E Shield-shaped chest with wide space between the nipples

A D E

A primigravida asks the nurse, "I've got this blotchy skin on my face, my nipples are darker, and there's this dark line down the middle of my stomach. What causes that?" The nurse explains that the gland that causes these expected changes during pregnancy is the: 1 Adrenal gland 2 Thyroid gland 3 Anterior pituitary gland 4 Posterior pituitary gland

Anterior pituitary gland

The postpartum nurse has just received report on four clients. Which client should the nurse care for first? 1 Client who vaginally delivered a 7-lb baby 1 hour ago 2 Client who vaginally delivered a 9-lb baby 1 hour ago 3 Client who vaginally delivered a preterm baby 4 hours ago 4 Client who had a planned cesarean delivery of an 8-lb baby 2 hours ago

Client who vaginally delivered a 9-lb baby 1 hour ago

During the physical assessment of a newborn, a nurse palpates the infant's femoral pulses. Which cardiovascular anomaly is the nurse trying to detect? 1 Atrial septal defect 2 Coarctation of the aorta 3 Patent ductus arteriosus 4 Ventricular septal defect

Coarctation of the aorta

Pregnant women with cardiac problems must be assessed frequently. Which adaptation does the nurse suspect is the result of early decompensation? 1 Hemoptysis 2 Tachycardia 3 Increasing fatigue 4 Generalized edema

Increasing fatigue