final

vision and hearing

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for the students ages 6 to 8?

Placenta

The structure to supply the fetus with nutrients is which of the following?

gestational diabetes

The urine of a woman in her second trimester of pregnancy is found to contain glucose. For which condition should she be tested?

Depressed deep tendon reflexes

A client diagnosed with severe preeclampsia is receiving a magnesium sulfate continuous intravenous infusion. Which finding indicates that the medication should be discontinued?

The pulmonary artery to the aorta

A fetus is able to maintain blood circulation in-utero by the presence of circulatory shunts. The ductus arteriosus in-utero shunts blood from:

Early in the second trimester

A nurse advises a client that amniocentesis is typically performed at what time during the pregnancy?

endometritis

A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?

perineum

A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?

Calcium

A 37-year-old woman, pregnant with twins, reports that her sister developed gestational hypertension during her last pregnancy. Which supplements would be most helpful for this woman?

The ultrasound identifies blood flow through the umbilical cord

A client at 36 weeks gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?

Estimated to be 20 to 24 weeks

An 18 yo primigravida client is considering terminating the pregnancy and wants more information before making a decision. The client asksthe nurse, "At what point during pregnancy can a baby live outside the mother?" What response by the nurse is correct concerning the legal threshold of viability?

Stereotyping

An adolescent believes that people from the Bronx are stupid. What does this type of belief represent?

Blood is trapped in the vena cava in a supine position

As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. This phenomenon probably happens because

primary prevention

As part of your role as a school nurse, you are conducting a drug education program in a fourth-grade class. This is an example of nursing in

Have you ever had an enema?

As the nurse collects the client's history, what question has the lowest priority?

Day 10

At what day after fertilization is the embryo fully implanted into the uterus wall?

Montgomery's tubercles, secrete lubricant for the nipples

During her 12 week prenatal check-up, the patient informs you on interview she has developed bumps on the dark part of her nipples. She wants to know what these bumps are. What is the appropriate answer?

Every 30 to 60 minutes

During the latent phase of the first stage of labor, how should the nurse plan to assess the fetal heart rate?

third stage

During what stage of labor does the mother deliver the placenta?

maternal hypotension

For which complication should the nurse assess the client immediately after the administration of the epidural anesthetic?

8-10 weeks

How early in a pregnancy can the nurse expect to hear the fetal heartbeat using a doppler device?

Darkened breast areolae

If a woman is 3 months pregnant, which of the following findings related to breast changes would you expect to assess?

have been leaking clear, vaginal fluid

Monica is 36 weeks pregnant. Which complaint by Monica requires immediate additional assessment by the nurse midwife?

environmental factors

Morbidity rates among children are most highly associated with which cause?

fetal position

The RN in labor and delivery documents the fetus as ROA. To what does this documentation refer for a fetus?

40-45 percent

The blood volume in pregnant women increases by what percent?

umbilical vein

The fetal structure with the highest oxygen concentration is which?

passageway

The four essential components of labor are known as the "four P's". Which of the four P's involves the pelvis?

viral infections

The most common cause of acute bronchiolitis is which of the following

Reproductive tract infection

The most common infection for women after delivery in the 1700s was

Meats

The nurse explains to a pregnant client, who is anemic, that she will need to take vitamins with iron during her pregnancy. What are food would you include on the patient's diet plan?

Wheezing

The nurse is caring for a child admitted with asthma. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

Lochia rubra

The nurse is caring for a client who is on postpartum day 2. The nurse checks the lochia and should expect to note which of the finding?

Hypoglycemia

The nurse is caring for a client with gestational diabetes. The nurse explains to the client that she is at risk for which complication as the fetus continues to develop?

Provide warm packs during the first 24 hours

The nurse is caring for a postpartum client who has had an episiotomy. Which prescription should the nurse question if noted in the medical record?

Erythema of the soft palate

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

latent phase

The nurse is working with a patient in labor. She is happy and cheerful, and states she is "ready to see her baby." What stage or phase of labor would she anticipate the patient to be in right now?

Folic Acid

The nursing instructor is teaching class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects?

perinatal

The period surrounding birth, from conception through pregnancy and birth, is called:

The beginning of one contraction and the end of the same contraction

To correctly assess the duration of a contraction, the nurse counts the time between which intervals?

Ultrasound

Today it is possible to know many things about a child before the child is born. What test would you administer to reveal the gender of the fetus and certain abnormalities early in pregnancy?

barrier

Using a condom is considered what type of birth control method?

chorion and amnion

What are the two fetal membranes?

Presence of green amniotic fluid

What assessment finding is most indicative of fetal distress?

Taking less than 12 breaths/ min

What assessment finding is the best indication that magnesium sulfate toxicity is developing?

A uterus that is larger than expected

What finding is most indicative of the presence of hydatidiform mole?

Same time of day, each day

What is the correct direction to provide on the way to take oral contraceptives

Genital herpes is closely associated with the occurrence of sterility

What statement by the client indicates a need for additional teaching about genital herpes?

Development of anesthesia and acceptance of the germ theory

What two major developments greatly influenced the way maternity care is practiced in the United States?

Pelvic crest

When documenting the fetus is at "zero station", the nurse knows this is where in relation to the pelvic structure?

After a contraction before the next one begins

When is the most appropriate time to take the client's blood pressure?

fetal monitor

When planning for a nonstress test, what item should the nurse have available?

To decrease the risk for hemorrhage

When the infant's father asks what the purpose of vitamin K is, the nurse correctly explains that vitamin K is given for what reason?

Fetal movement felt by examiner

Which of the following is a positive sign of pregnancy?

Maternal Mortality Rate

Which of the following is the best statistical indicator of the adequacy of prenatal care?

Most infants are nasal breathers rather than mouth breathers

Which of the following is the most accurate regarding the structure and function of the infant or child's respiratory system?

Arthur Jacobi

Which physician is recognized as the father of pediatrics?

Joseph Lister

Which physician's use of antiseptic in surgery, which greatly improved the survival rate of his patients, led to general acceptance of the germ theory by physicians in Europe and the United States?

Notify the physician immediately

While the client is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse's most appropriate action?

Buy brightly colored toys

You are counseling new parents on the best ways to help their newborn develop its senses. You advise them to

Has one partner, her husband and 3 children

You are counseling women on birth control choices. Which woman is the best candidate for an IUD? A woman who