Maternal NextGen Prep-U
A 35-year-old client visits the clinic reporting the inability to conceive after trying for the past year. The nurse discusses reasons for infertility with the client. The nurse evaluates client understanding of the causes of infertility. Drag words from the choices below to fill in each blank in the following sentence. The nurse determines client understanding of causes of infertility when the client states the following: ____________ , ____________, and ____________.
"Abnormalities of the uterus may contribute to infertility." "A history of sexually transmitted infections may cause infertility." "Women older than 35 may have difficulty conceiving."
A community health nurse completes the home visit. The client is 2 weeks postpartum and is breastfeeding. The nurse asks the client if they have any breastfeeding questions. Drag words from the choices below to fill in each blank in the following sentence. The client statements that require additional teaching are ____________, ____________ , and ____________.
"Breastfeeding and formula feedings offer the same benefits." "I should use a pacifier while breastfeeding when the infant becomes fussy" "I may supplement my breast milk with formula when I am not home."
A nurse in the hospital is performing a focused assessment on a 40-year-old client who has been trying to conceive and is now experiencing moderate, painful vaginal bleeding since this morning. The client has a past medical history of longer, heavier menstrual cycles. For each client finding below, click to specify if the finding is consistent with the disease process of ovarian cancer, uterine fibroids, or spontaneous abortion (miscarriage). Each finding may support more than one disease process.
40 years of age - Ovarian Cancer, Uterine Fibroids, Spontaneous Abortion (Miscarriage) painful red bleeding - Uterine Fibroids, Spontaneous Abortion (Miscarriage) moderate to severe bleeding - Ovarian Cancer, Uterine Fibroids, Spontaneous Abortion (Miscarriage) longer, heavier menstrual cycles - Uterine Fibroids
Click to highlight the findings that will require follow-up. Three minutes after birth, a nurse completes a newborn assessment on a newborn birthed at 43 weeks' gestation. The newborn has an APGAR score of 5 at 1 minute. Other assessment findings include green-stained umbilical cord, the presence of acrocyanosis, dry and peeling skin, and the absence of vernix caseosa. Vital signs: temperature,95.9 deg;F (35.5 deg;C). Laboratory values: total bilirubin, 5 mg/dl (85.5 mcmol/l); serum glucose 22 mg/dl (1.22 mmol/).
APGAR score of 5 at 1 minute green-stained umbilical cord 95.9 deg;F (35.5 deg;C) serum glucose 22 mg/dl (1.22 mmol/)
A nurse in a hospital completes a newborn assessment 5 minutes after birth. Drag words from the choices below to fill each blank in the following sentence. The nurse recognizes that APGAR score of 6 at 5 minutes and bilirubin 3 mg/dl (51.3 mcmol/l) are abnormal findings that require prompt follow-up.
APGAR score of 6 at 5 minutes glucose 40 mg/dl (2.2 mmol/l)
A nurse is providing education to a client experiencing postpartum blues. The nurse determines client understanding when the client makes which of statements regarding factors that contribute to postpartum blues, signs and symptoms associated with postpartum blues, and collaborative care to treat symptoms? Select the client statement that indicate understanding from each of the following education topics.
Contributing Factors "Postpartum blues are due to changes in hormones." "Postpartum blues are due to fatigue." Signs and Symptoms "A symptom of postpartum blues is being emotionally labile up to 10 days postpartum." Collaborative Care "Sleep hygiene can help with postpartum blues." "Adequate nutrition can help with postpartum blues." "Regular physical exercise can help with postpartum blues." "Ensuring adequate support for newborn care can help with postpartum blues."
A nurse in the hospital is caring for a client at 37 weeks' gestation who experienced premature rupture of the membranes (PROM) more than 24 hours prior to coming to the hospital. The client presents with a fever of 100.4°F (38°C). Complete the following sentence(s) by choosing from the lists of options. Due to the client's PROM more than 24 hours prior to arriving to the hospital, the nurse determines the client is at risk for contracting ____________ and should plan to implement ____________.
Group B Streptococcus administer intravenous antibiotics
A nurse is caring for a 16-year-old primigravida client who is in active labor. The client did not attend prenatal classes and nervously asks the nurse to explain to what will happen. The nurse performs a focused assessment to determine the stage of labor and then explains the different phases of the first stage of labor. The nurse determines client understanding when they correctly identifies how each phase differs. For each finding, click to specify if the finding indicates a latent or active phase of the first stage of labor.
Latent contractions irregular, mild to moderate contractions 5 to 30 minutes apart contraction duration 30 to 45 seconds Active contractions 2 to 3 minutes apart, strong to very strong rapid dilation and effacement contraction duration 45 to 90 seconds start of fetal descent complete dilation and effacement cervical dilation 4 to 7 cm
A client in their third trimester comes to the clinic reporting vaginal bleeding that started this morning. The nurse performs an assessment to determine the underlying cause of the bleeding. Assessment reveals fundal height appropriate for expected gestational age, uterine pain 10 out of 10 on scale 0 to 10, and bright red vaginal bleeding. Vital signs include a heart rate of 110 beats/min and a blood pressure reading of 90/50 mm Hg. For each finding, click to specify if the finding indicates placenta previa or placental abruption. Each finding may support more than one classification.
Placenta Previa - bright red blood, fundal height greater than expected gestational age, decreased hemoglobin, increased heart rate, decreased blood pressure. Placental Abruption- bright red blood, uterine tenderness, decreased hemoglobin, increased heart rate, decreased blood pressure
A nurse in a prenatal clinic is caring for a 24-year-old client who has come to the clinic to confirm pregnancy. The nurse discusses presumptive, probable, and positive signs of pregnancy with the client. For each finding, click to specify if the finding indicates presumptive, probable, or positive.
Presumptive - urinary frequency, amenorrhea, nausea and vomiting, breast enlargement Probable- Chadwick sign, Hegar sign, abdominal enlargement, Positive pregnancy test Positive- fetal heart sounds, Visualization of fetus by ultrasound
An 18-year-old client is being seen in the clinic for new-onset malodorous vaginal discharge; pelvic, abdominal, and lower back pain; pain during sexual intercourse; and painful menstruation. Vital signs: temperature, 101.4°F (38.5°C); heart rate, 105 beats/min; blood pressure, 90/60 mm Hg. Laboratory values: white blood cell count, 11,000 × 103/mm3 (11 × 109/l). For each finding, click to specify if the finding indicates trichomoniasis, pelvic inflammatory disease (PID), or genital herpes. Each finding may support more than 1 condition.
Trichomoniasis malodorous vaginal discharge pain during intercourse painful menstruation Pelvic Inflammatory Disease (PID) All Selections Genital Herpes pain during intercourse painful menstruation
A 35-year-old client comes to the clinic reporting pelvic pain and vaginal bleeding after sexual intercourse for the past few months. The client has a history of human papillomavirus (HPV). Laboratory values: hemoglobin 9 g/dl (90 g/l) and hematocrit 30% (0.30). Vital signs: temperature, 97.2°F (36.2°C); heart rate, 105 beats/min; blood pressure, 92/55 mm Hg. Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client is at highest risk for developing ____________ as evidenced by ____________ and ____________.
cervical cancer history of HPV age of the client
A nurse is performing an assessment on a 30-year-old client who is trying to conceive. Past medical history includes: human papillomavirus (HPV) infection and herpes simplex virus. Vital signs: heart rate, 95 beats/min; blood pressure, 100/60 mm Hg. Laboratory values: hemoglobin 14 g/dl (140 g/l); white blood cell count, 6,000/mm3 (6.0 × 109/l). Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client is at highest risk for ____________ as evidenced by ____________.
cervical cancer history of human papilloma virus (HPV)
A nurse in the hospital nursery cares for a preterm newborn, born at 30 weeks' gestation. The newborn had an APGAR score of 6 at 1 minute (1 point for color, 1 point for respiratory effort, 1 point for muscle tone, 1 point for reflex, 2 points for heart rate) and 8 at 5 minutes. The newborn has a lot of vernix on the whole body, acrocyanosis of the hands, a glucose level of 40 mg/dl (2.22 mmol/l), and a temperature of 96.1°F (35.6°C). Drag words from the choices below to fill in each blank in the following sentence. To prevent problems for the newborn, the action that the nurse must implement first is ____________ followed by ____________ next.
dry newborn to prevent hypothermia observe for respiratory distress
A nurse is caring for a client who is a 22-year-old gravida 1 para 0 in labor. The client has been in labor for 10 hours. The nurse assesses the fetal monitor, and the client has contractions every 3 to 5 minutes, lasting 40 to 45 seconds, and are palpated moderately. The vaginal examination is completed, and the client is only 3 cm, at 60% effacement, and at -3 station. The client states that the pain level is 7 out of 10. Drag words from the choices below to fill in each blank in the following sentence. The nurse determines the client is experiencing ____________ due to ____________.
dystocia cervical dilation at 3 cm
The nurse in a hospital is performing a focused assessment on a client at 36 weeks' gestation who is diagnosed with preeclampsia. The client reports swelling of the face, ankles, headaches, blurred vision, and right upper gastric pain. Vital signs: temperature, 100.1°F (37.8°C); blood pressure, 140/90 mm Hg; heart rate, 88 beats/min. Laboratory values: proteinuria 3+; glucose, 160 mg/dl (8.88 mmol/l); platelet count, 50,000 mm3 (50 × 109/l). Complete the following sentence(s) by choosing from the lists of options. The client is at highest risk for developing ____________ as evidenced by ____________.
eclampsia right upper gastric pain
A nurse is caring for a 25-year-old G1P0 at 37 weeks' gestation. The client's history indicates that the client has had alcohol abuse disorder throughout their pregnancy. What signs and symptoms does the nurse expect the newborn to exhibit? Drag words from the choices below to fill in each blank in the following sentence. The nurse recognizes the newborn is exhibiting signs and symptoms of fetal alcohol syndrome, which include ____________, ____________, ____________, ____________, and ____________.
flat midface jitteriness high-pitched, shrill cry thin upper lip
A nurse in a hospital is caring for a 22-year-old G2P1 client who is at 32 weeks' gestation in active labor. The client calls out, "I think my water broke." The nurse at the bedside pulled back the sheet and found clear fluid with an umbilical cord in the client's vagina. Drag words from the choices below to fill in each blank in the following sentence. The immediate nursing actions are ____________ , ____________ ,____________, and ____________.
follow the hospital's cord prolapse protocol delegate tasks to other nurses insert a hand to hold up the cord contact the health care provider
A nurse is caring for a 33-year-old primigravida client who is obese and near the end of their second trimester. The client has a history of prepregnancy obesity, hypertension, and smoking. Complete the following sentence(s) by choosing from the lists of options. The client is at highest risk for developing ____________. The nurse provides discharge teaching to reduce the risks of developing this condition. Teaching should include ____________.
gestational diabetes change in lifestyle
A nurse performs an assessment on a 35-year-old client who developed leg pain. The client smokes one pack of cigarettes per day and drinks alcohol socially. Assessment reveals a red, swollen right lower extremity that is warm to the touch, and pain increases with ambulation or dorsiflexion of the right foot. Client reports recent nausea, vomiting, breast tenderness, and weight gain after starting oral contraceptives. Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client may ____________ as evidenced by ____________.
have developed a deep vein thrombosis (DVT) calf pain and swelling
A nurse in a prenatal clinic is caring for a 26-year-old client in the second trimester who has come to the clinic for a scheduled checkup. The nurse performs a focused assessment and discusses unexpected signs and symptoms during the second trimester that, if experienced, will require prompt treatment. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ____________ , ____________, ____________, and ____________ , for which the client should report if experienced
hyperemesis dysuria sudden shortness of breath diarrhea
A nurse is caring for a 28-year-old female client in the emergency department (ED) who is accompanied by their partner. The client reports accidentally falling down stairs. Assessment reveals bruising at multiple stages of healing on upper extremities, back, and abdomen. X-ray reveals a right wrist fracture. The client does not make eye contact with the nurse and allows their partner to answer most of the questions. Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client is experiencing ____________ as evidenced by____________.
intimate partner violence stages of bruising
A nurse is caring for a client in the clinic. The client reports burning during urination for the past few days. Assessment reveals cloudy urine, with the presence of white blood cells (WBCs). Vital signs: temperature, 101.4°F (38.5°C); heart rate, 101 beats/min; blood pressure, 100/64 mm Hg. Complete the following sentence(s) by choosing from the lists of options. The priority actions of the nurse should be to first ____________ followed by ____________.
obtain a culture initiate antibiotics
Click to highlight the findings that will require follow-up. A nurse is caring for a 20-year-old primigravida client who is at 18 weeks' gestation. The client had been experiencing occasional nausea and vomiting in the morning and now reports persistent nausea and vomiting in the past 48 hours. Client has lost 3 lb (1.36 kg) in 2 days. The nurse performs a comprehensive assessment on the client. Vital signs: heart rate, 110 beats/minblood pressure, 88/56 mm Hg. Laboratory values: blood urea nitrogen (BUN), 25 mg/dl (8.93 mmol/l) and sodium 148 mEq/l (148 mmol/l)
persistent nausea and vomiting in the past 48 hours. lost 3 lb (1.36 kg) in 2 days heart rate, 110 beats/min blood pressure, 88/56 mm Hg blood urea nitrogen (BUN), 25 mg/dl (8.93 mmol/l) sodium 148 mEq/l (148 mmol/l)
The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. Assessment reveals a headache 3 out of 10 on a scale of 0 to 10. Vital signs: temperature, 99.1°F (37.3°C); heart rate, 101 beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds. Client reports a small gush of blood the first time out of bed to ambulate to the bathroom. Three perineal pads have been saturated since birth. Complete the following sentence(s) by choosing from the lists of options. The client is at highest risk for developing ____________ as evidenced by ____________ and ____________.
postpartum hemorrhage three perineal pads saturated since birth blood pressure 87/58 mm Hg
The nurse is performing a focused assessment on a client who is 2 days postpartum. The client reports pelvic pain, chills, profuse dark, foul-smelling lochia with blood clots. The client states, "my bleeding before was light and now it is heavy." Vital signs: temperature, 99.5°F (37.5°C); heart rate, 102 beats/min; blood pressure, 100/66 mm Hg. Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client has____________, as evidenced by ____________ and ____________.
retained fragments of placenta pelvic pain profuse dark lochia with blood clots
A nurse is performing an assessment on a 25-year-old white female client who is obese and is trying to conceive. The client presents to the clinic concerned about a newly found lump in their breast. The nurse explains to the client the difference between benign nodules and breast cancer. Complete the following sentence(s) by choosing from the lists of options. The nurse determines client understanding of the difference between a lump that is a benign nodule and a lump that is breast cancer when the client states ____________ is a sign of a benign nodule and ____________ is a sign of breast cancer.
soft and movable hard and fixed
A client in their third trimester is being seen in the clinic with new-onset fever, lethargy, and painful urination. Vital signs: temperature, 101.2°F (38.4°C); blood pressure, 110/70 mm Hg; heart rate, 98 beats/min. Drag words from the choices below to fill in each blank in the following sentence. The nurse recognizes that the client is at risk for developing ___________ as evidenced by ____________.
urinary tract infection (UTI) painful urination
