Maternity final chapter 1-17

The nurse is speaking with a patient at a routine prenatal visit at 12 weeks' gestation. The patient asks the nurse how much weight gain is recommended in order to maintain a healthy pregnancy. Which of the following statements made by the patient demonstrate a good understanding of maintaining a healthy weight during pregnancy? 1) "I should gain 35 pounds because I am underweight." 2) "I should gain 40 pounds because I am a normal weight." 3) "I shouldn't gain any weight because I am underweight." 4) "I shouldn't gain any weight because I am obese."

1) "I should gain 35 pounds because I am underweight."

The nurse is conducting an educational program on the importance of personal hygiene to a group of newly expecting mothers. Which statement made by one of the participants indicates the need for further teaching? 1) "I will use the jacuzzi every day." 2) "I will continue taking daily baths." 3) "I will stop using the sauna and start taking more baths." 4) "I will take daily showers; I hate taking baths."

1) "I will use the jacuzzi every day."

During a woman's initial prenatal visit, she learns that the obstetrician will perform a complete physical examination. What is the best response when the client asks the nurse, "Why is a complete physical examination required?" 1) "Your overall health will influence your pregnancy. The doctor will need to obtain a complete physical examination." 2) "If you have current health problems the doctor needs to know." 3) "The doctor needs to learn as much as possible about you." 4) "The doctor wants to make sure that you have a healthy pregnancy without complications."

1) "Your overall health will influence your pregnancy. The doctor will need to obtain a complete physical examination."

The nurse is caring for a patient who delivered at 22 weeks' gestation and experienced a fetal demise when the newborn could not be resuscitated in the delivery room. Which actions will the postpartum nurse include in the immediate plan of care for this family? (Select all that apply.) 1) Clean and dress the baby. 2) Allow the family to hold the baby. 3) Obtain footprints and pictures of the baby. 4) Encourage the parents to cry over their loss. 5) Connect the family to a support group.

1) Clean and dress the baby. 2) Allow the family to hold the baby. 3) Obtain footprints and pictures of the baby. 5) Connect the family to a support group.

Which of the following types of breech positions is correctly matched with its description? (Select all that apply.) 1) Complete breech: the hips are flexed and the knees are flexed. 2) Frank breech: the hips are flexed and the knees are extended. 3) Footling breech: one or both hips are extended and the foot presents. 4) Incomplete breech: one or both hips are extended and the foot presents. 5) Complete breech: the hips are extended and the knees are extended.

1) Complete breech: the hips are flexed and the knees are flexed. 2) Frank breech: the hips are flexed and the knees are extended. 3) Footling breech: one or both hips are extended and the foot presents. 4) Incomplete breech: one or both hips are extended and the foot presents.

If fertilization does not occur, shedding of the uterine lining begins due to a decrease in which hormones? 1) Estrogen and progesterone 2) Estrogen and luteinizing hormone 3) Progesterone and follicle-stimulating hormone 4) Progesterone and luteinizing hormone

1) Estrogen and progesterone

The nurse is examining a woman who is at 20 weeks' gestation. Which findings does the nurse consider appropriate at this stage of pregnancy? (Select all that apply.) 1) Fundal height - 20 cm 2) Fetal heart rate - 148 bpm 3) Quickening 4) +1 glycosuria 5) 3-lb weight loss

1) Fundal height - 20 cm 2) Fetal heart rate - 148 bpm 3) Quickening

A pregnant woman with a BMI of 38 presents to the clinic for a routine prenatal checkup. The nurse knows that she is at risk for which potential pregnancy complications? (Select all that apply.) 1) Gestational diabetes 2) Spontaneous abortion 3) Hypotension 4) Small-for-gestational-age (SGA) fetus 5) Cesarean birth

1) Gestational diabetes 2) Spontaneous abortion 5) Cesarean birth

A nurse is scheduling laboratory testing for a woman who is between 24 and 28 weeks' gestation. What tests should the nurse include? (Select all that apply.) 1) Glucose challenge test 2) Rh antibody 3) Group B streptococci 4) CBC 5) Serum calcium

1) Glucose challenge test 2) Rh antibody 3) Group B streptococci 4) CBC

A new mother asks the nurse what she can do to foster attachment between the newborn and her 8-year-old daughter. Which recommendations should the nurse make? (Select all that apply.) 1) Have the child visit in the hospital. 2) Let the child help care for the baby as he or she is able. 3) Have Mom spend some time alone with the child. 4) Keep the baby away from the child as much as possible. 5) Anticipate unpredictable and uncomplimentary statements about the baby.

1) Have the child visit in the hospital. 2) Let the child help care for the baby as he or she is able. 3) Have Mom spend some time alone with the child. 5) Anticipate unpredictable and uncomplimentary statements about the baby.

The nurse works in a community health center and completes an intake history for a lesbian couple seeking pregnancy counseling. Identify some of the challenges that lesbian women may face during pregnancy? (Select all that apply.) 1) Health-care providers exclude or ignore the patient's partner. 2) Health-care providers ask overly personal questions regarding sexuality. 3) Pregnant lesbian couples receive the same education as other pregnant couples. 4) Health-care providers always include the patient's partner. 5) Medical forms may only have designated spaces for mother and father.

1) Health-care providers exclude or ignore the patient's partner. 2) Health-care providers ask overly personal questions regarding sexuality. 5) Medical forms may only have designated spaces for mother and father.

Using Naegele's rule, calculate the estimated date of delivery for a patient whose first day of the last menstrual period was October 8, 2021. 1) July 15, 2022 2) January 1, 2022 3) July 1, 2021 4) June 14, 2022

1) July 15, 2022

Which term should the nurse use to describe the fine, downy hair that covers the forehead, ears, and body of the newborn? 1) Lanugo 2) Petechiae 3) Acrocyanosis 4) Vernix caseosa

1) Lanugo

A patient who has been diagnosed with preeclampsia should be educated to be aware of which of the following symptoms? 1) Nausea 2) Abdominal itching 3) Severe headache 4) Increase in vaginal discharge

1) Nausea

The nurse reviews a pregnant patient's medical record and sees G5, T2, P5, A1, L5. Which statements reflect an accurate analysis of this information? (Select all that apply.) 1) The woman has been pregnant a total of five times, including the current pregnancy. 2) The woman requested to have one pregnancy terminated. 3) Two of the children born alive died after birth. 4) One pregnancy resulted in the birth of quintuplets. 5) The woman adopted one of her children.

1) The woman has been pregnant a total of five times, including the current pregnancy. 3) Two of the children born alive died after birth.

The nurse understands that normal adolescent development can have implications on the way in which a teen experiences pregnancy and prenatal care. Which nursing intervention is MOST appropriate when preparing the adolescent for prenatal care and pregnancy? 1) Use direct, concrete communication. 2) Discuss the adolescent's financial stability. 3) Use abstract concepts. 4) Discuss the adolescent's future.

1) Use direct, concrete communication.

A clinical instructor is observing a student nurse obtain a patient history on a new prenatal patient. Which statement allows the clinical instructor to determine that the student nurse effectively understands therapeutic communication? 1) "Do you use drugs?" 2) "Is this your first pregnancy?" 3) "Are your parents living?" 4) "What is your current living situation?"

2) "Is this your first pregnancy?"

A pregnant woman looks over the required laboratory tests and asks the nurse why they need a rubella titer and varicella titer when she knows that she has already received these immunizations as a child. Which is the nurse's best response? 1) "We have to be sure that you actually received these vaccines." 2) "Some people require booster shots to attain full immunity." 3) "Maybe the doctor didn't notice that you reported having had the vaccines." 4) "Even when people have received the vaccine, they still need to be tested for immunity."

2) "Some people require booster shots to attain full immunity."

A nurse is completing several intake histories for a group of women at the prenatal clinic. Which client does the nurse flag for a possible referral to a high-risk obstetrician? 1) A 21-year-old patient who recently broke up with her boyfriend 2) A 39-year-old patient who is pregnant for the first time 3) A 30-year-old patient with anemia 4) A 25-year-old patient pregnant with twins

2) A 39-year-old patient who is pregnant for the first time

Which of the following correctly matches the first assessment performed when a patient is admitted with the health-care professional responsible for the assessment? 1) Baseline assessment; LPN 2) Baseline assessment; RN 3) Problem-focused; LPN 4) Problem-focused; RN

2) Baseline assessment; RN

The nurse reviews a woman's quadruple screen. Which finding indicates a higher risk for Down syndrome in the fetus? 1) Elevated alpha-fetoprotein level 2) Elevated hCG level 3) Elevated unconjugated estriol level 4) Low level of inhibin A

2) Elevated hCG level

Which vitamin helps prevent neural tube defects in the developing fetus? 1) Iron 2) Folate 3) Protein 4) Calcium

2) Folate

The assessment finding of pink mucous membranes and nailbeds in a newborn indicates which of the following? 1) Proper hydration 2) Good cardiac function 3) Poor respiratory function 4) Low thyroid function

2) Good cardiac function

Which test does the Centers for Disease Control and Prevention (CDC) recommend all pregnant women be screened for at 35 to 37 weeks' gestation? 1) Amniotic fluid index 2) Group B streptococcus (GBS) 3) Amniocentesis 4) Biophysical profile (BPP)

2) Group B streptococcus (GBS)

Which hormone is responsible for increasing a mother's metabolism during pregnancy? 1) Relaxin 2) Human placental lactogen 3) Human chorionic gonadotropin 4) Estrogen

2) Human placental lactogen

The nurse cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency cesarean section because of breech presentation with her last pregnancy. Which health-care provider is most appropriate to care for this patient? 1) Family physician 2) Obstetrician-gynecologist 3) Certified nurse midwife 4) Doula

2) Obstetrician-gynecologist

The presence of fetal fibronectin (tFN) is confirmed in the vaginal fluid of a multipara patient at 25 weeks' gestation. The nurse recognizes that this patient is at risk for what complication? 1) Polyhydramnios 2) Preterm labor 3) Umbilical cord prolapse 4) Oligohydramnios

2) Preterm labor

Which nursing intervention is most appropriate when providing care to pregnant women who complain of nasal stuffiness and congestion? 1) Nasal decongestant 2) Saline nasal spray 3) Antihistamine 4) Nonsteroidal anti-inflammatory drug (NSAID) take old antibiotics

2) Saline nasal spray

A nurse prepares a prenatal class for a group of adolescents in the first trimester of pregnancy. The nurse includes diet and nutrition information for which potential pregnancy complications? 1) Large-for-gestational-age (LGA) infant 2) Small-for-gestational-age (SGA) infant 3) Anorexia 4) Gestational diabetes

2) Small-for-gestational-age (SGA) infant

The nurse caring for a woman at 32 weeks' gestation finds elevated protein and nitrate levels in the urine. What will the nurse assess for next? 1) Symptoms of preeclampsia 2) Symptoms of a urinary tract infection 3) Symptoms of gestational diabetes 4) Inadequate nutrition

2) Symptoms of a urinary tract infection

When caring for a pregnant patient the nurse recognizes that the woman is at risk for developing gestational diabetes when she notes which of the following? (Select all that apply.) 1) The patient is underweight. 2) The patient previously delivered a 10-pound baby. 3) The patient is African American. 4) The patient is of advanced maternal age. 5)the patient is obese

2) The patient previously delivered a 10-pound baby. 3) The patient is African American. 4) The patient is of advanced maternal age. 5)the patient is obese

Which nursing intervention is most appropriate when providing care to a pregnant woman with increased leukorrhea? 1) Perform Kegel exercises once a day. 2) Wear cotton underwear and shower daily to prevent infection. 3) Schedule rest periods throughout the day. 4) Avoid straining at defecation.

2) Wear cotton underwear and shower daily to prevent infection.

The nurse is obtaining personal information as part of the patient history. How should the nurse ask the woman about physical abuse and overall safety in her living situation? 1) "Has your spouse ever hit you?" 2) "Are you married?" 3) "Tell me about your home life." 4) "How is your marriage?"

3) "Tell me about your home life."

The nurse is educating a patient at 4 weeks' gestation about the development of the fetus. How should the nurse respond when the patient asks when she can find out the gender of the fetus? 1) "We can do an ultrasound today and determine the sex." 2) "We can do an ultrasound at 8 weeks and determine the sex." 3) "We can do an ultrasound at 12 weeks and determine the sex." 4) "We can do an ultrasound at 20 weeks and determine the sex."

3) "We can do an ultrasound at 12 weeks and determine the sex."

The nurse is caring for a patient in her first trimester who frequently complains of heartburn. What nursing intervention would provide the most relief to this patient? 1) Increase fiber intake to 35 g per day. 2) Exercise daily. 3) Avoid overeating and eat small frequent meals. 4) Eat spicy meals more than 3 hours before bedtime.

3) Avoid overeating and eat small frequent meals.

In fetal circulation, the oxygenated blood bypasses the liver through which structure? 1) Foramen ovale 2) Placenta 3) Ductus venosus 4) Ductus arteriosus

3) Ductus venosus

The newborn nursery nurse admits a baby born with a congenital defect of the digestive tract and recognizes that this is due to an anomaly in which layer during cell differentiation?* 1) Ectoderm 2) Mesoderm 3) Endoderm 4) Pyloderm

3) Endoderm

While caring for a patient with placental abruption, the nurse recognizes which sign is not an indication of hypovolemic shock? 1) Low blood pressure 2) Increased heart rate 3) Increased urine output 4) Confusion

3) Increased urine output

A young woman in her second trimester tells the nurse that she frequently has to urinate throughout the night. Which term accurately describes what this patient is experiencing? 1) Oliguria 2) Dysuria 3) Nocturia 4) Anuria

3) Nocturia

A 26-year-old patient comes to the clinic for her 36-week checkup. The nurse explains the procedure to the patient and places a monitor on the woman's abdomen. Which test is the nurse performing? 1) Fetal kick counts 2) Fundal height measurement 3) Nonstress test (NST) 4) Amniocentesis

3) Nonstress test (NST)

Which is the nurse's first action when conducting a head-to-toe assessment of a newborn? 1) Examining the newborn's eyes 2) Assessing the newborn's mouth 3) Observing the newborn's skin color 4) Conducting an ear assessment of the newborn

3) Observing the newborn's skin color

A woman arrives at the clinic and tells the nurse that she thinks she is pregnant. Which symptom, as related by the patient, does the nurse consider the best indicator of pregnancy? 1) Amenorrhea 2) Irritability 3) Positive urine human chorionic gonadotropin (hCG; home test) 4) Enlarged abdomen

3) Positive urine human chorionic gonadotropin (hCG; home test)

The nurse is caring for a patient who presents to the prenatal clinic for the first time at 10 weeks' gestation. What screening should the nurse recommend after discovering that she recently adopted a kitten from her neighbor? 1) West Nile virus 2) Measles virus 3) Toxoplasmosis 4) Parvovirus

3) Toxoplasmosis

A nurse is discussing nuchal translucency testing (NTT) with a pregnant patient who is at 12 weeks' gestation. Which statement made by the nurse indicates that further education is needed? 1) "NTT screens for chromosomal abnormalities." 2) "NTT is performed by an ultrasound." 3) "NTT is performed during 11 and 13 weeks' gestation." 4) "NTT measures the translucent area on the back of the knees."

4) "NTT measures the translucent area on the back of the knees."

The nurse is assessing the vital signs of a newborn. Which of the following would be an expected heart rate if the newborn is crying? 1) 80 bpm 2) 110 bpm 3) 150 bpm 4) 180 bpm

4) 180 bpm

A pregnant patient reports a decrease in fetal movement. The provider conducts an assessment and notifies the patient of an absent fetal heart rate (FHR). The patient asks the provider to check again. What stage of grief is the patient displaying? 1) Guilt 2) Anger 3) Depression 4) Denial

4) Denial

Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound? 1) Pain medication will be administered before the procedure. 2) Do not eat or drink anything for 4 hours prior to the procedure. 3) The probe will be inserted through the vagina. 4) Do not empty your bladder prior to the procedure.

4) Do not empty your bladder prior to the procedure.

A patient is late for her prenatal visit and when she arrives, she blames symptoms, suggesting a urinary tract infection for her late arrival. Upon examination, the nurse finds mild spotting and notes bruising on the woman's abdomen. What does the nurse suspect? 1) Preterm labor 2) Placental abruption 3) Pre-eclampsia 4) Domestic abuse

4) Domestic abuse

Which potential complication is the nurse unlikely to associate with amniocentesis?* 0/2 1) Spontaneous abortion 2) Leaking of amniotic fluid 3) Infection 4) Maternal liver damage

4) Maternal liver damage

The nurse enters a postpartum patient's room and finds the father staring at the newborn in the bassinet with a contemplative look on his face. How should the nurse interpret this behavior? 1) The father may be a danger to the baby. 2) The father feels resentful toward the baby. 3) The father is uncertain about being a father. 4) The father is bonding with the baby.

4) The father is bonding with the baby.

The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular examination. The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. Which is the nurse's best response? 1) "Acetaminophen is a Category A medication, so it is safe to take during pregnancy." 2) "The safest thing for the growing fetus is to avoid all medications during pregnancy." 3) "What kind of medication have you taken in the past for minor pain?" 4) "Talk with the provider about the safest medications to take during pregnancy."

4)"Talk with the provider about the safest medications to take during pregnancy."

The nurse is preparing to perform a vaginal cervical examination. Place the steps that the nurse will perform in the proper order from first to last. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234) 1) Insert the index and middle finger into the vagina. 2) Open the labia and observe for vaginal drainage. 3) Document findings. 4) Perform hand hygiene and provide privacy. 5) Position the woman. 6) Determine effacement, dilation, station, and presenting part.

4,5,2,1,6,3

Rank these events in the order in which they occur. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234) 1) Implantation into the endometrium. 2)Release of progesterone by the corpus luteum. 3)Fertilization of the ovum. 4)Release of an egg. 5)​​Secretion of luteinizing hormone.

54231

Which preventive health screenings should the nurse include in the plan of care for a woman who is 30 years of age? (Select all that apply.) A)Pap test B)Colonoscopy C)Mammogram D)Breast self-examination E)Blood pressure screening

A) Pap test D) Breast self-examination E) Blood pressure screening

Which statement regarding the advantages of breastfeeding should the nurse include in an educational session for a pregnant woman? A)"Breastfeeding is economical." B)"Breastfeeding in public may cause embarrassment." C)"Certain medications may interfere with breastfeeding." D)"It may be necessary to wear breast pads because of leakage while breastfeeding."

A)"Breastfeeding is economical."

A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization. The woman says she heard that measles is teratogenic and does not know what that means. Which statement by the nurse best explains this concept? A)"The measles virus acts as a harmful substance that could hurt the fetus." B)"It means that a mother exposed to measles will probably miscarry." C)"A teratogen, such as the measles virus, can cause fetal death." D)"The growing baby can catch measles and get very sick."

A)"The measles virus acts as a harmful substance that could hurt the fetus."

During the discharge teaching process, which statements should the nurse include when teaching the parents of a newborn to enhance safety? (Select all that apply.) A)"When riding in a car, your baby should be secured in a child safety seat in a rear-facing position for the first 12 months of life." B)"You should avoid trimming or filing your baby's nails because this can increase the risk for injury." C)"Your baby requires two extra layers of clothing to stay warm during the winter months." D)"You should place your baby on the stomach to sleep in order to decrease the risk for SIDS." E)"Your baby may require assistance clearing the airway via the bulb syringe after spitting up."

A)"When riding in a car, your baby should be secured in a child safety seat in a rear-facing position for the first 12 months of life." E)"Your baby may require assistance clearing the airway via the bulb syringe after spitting up."

an embryo has _____ cells A)32 B)26 C)18 D)36

A)32

Which of the following situations would most likely cause uterine atony? A)A G4 P3 laboring for 18 hours B)A scheduled cesarean delivery C)A patient laboring for 6 hours D)A G1 P1 laboring for 18 hours

A)A G4 P3 laboring for 18 hours

Which pediatric anatomical factor increases the risk for airway occlusion when care is provided to a child? A)A large posterior head bone occiput B)An increase in total body surface area C)A decrease in circulatory blood volume D)Intercostal chest muscles that are poorly developed

A)A large posterior head bone occiput

Which of the following describes Moro's reflex? A)A newborn exhibits symmetrical abduction of the extremities and places the index fingers and thumbs into a "C" shape. B)A newborn uses the tongue to push foreign objects out of the mouth. C)A newborn simulates walking when held in an upright position and the sole of the foot touches a flat surface. D)A newborn's toes curl downward in response to pressure applied to the sole of the foot at the base of the toes.

A)A newborn exhibits symmetrical abduction of the extremities and places the index fingers and thumbs into a "C" shape.

Which patient is at highest risk for postpartum psychosis A)A patient with a history of bipolar disorder B)A patient whose birth plan was not followed C)A patient with a difficult pregnancy D)A patient who has a history of opioid use disorder

A)A patient with a history of bipolar disorder

A man with low sperm count is undergoing testing for his condition. The nurse knows that his condition could be attributed to an issue with what gland? A)Adrenal B)Posterior pituitary C)Anterior pituitary D)Parathyroid E)testicle

A)Adrenal

Which term should the nurse use to describe gas exchange in which no oxygen is reaching the cells? A)Anoxia B)Hypoxia C)Asphyxia D)Hypercapnia

A)Anoxia

The nurse is conducting an educational program for a group of new graduate nurses on postpartum depression. Which response by one of the new nurses indicates the need for further instruction? A)Antidepressants are not recommended if breastfeeding. B)Monitor for signs of suicidal thoughts or thoughts to harm the baby. C)Encourage the patient to seek counseling. D)Advise the patient to get rest and nap when the baby sleeps.

A)Antidepressants are not recommended if breastfeeding.

The provider explains the need for an amniocentesis, but the patient declines the procedure. The nurse supports the patient's right to make this decision, demonstrating an understanding of which ethical principle? A)Autonomy B)Beneficence C)Non maleficence D)Justice

A)Autonomy

Which of the following female external genital organs is correctly matched to its description? A)Bartholin glands - secrete lubricating fluids B)Mons pubis - folds of tissue that form a hood-like structure C)Perineum - a muscular triangle-shaped organ located between the D)rectum and bladder E)Clitoris - have sweat and sebaceous glands to lubricate the surface

A)Bartholin glands - secrete lubricating fluids

When using forceps, when do you check the FHR? (SATA) A)Before using forceps B)During the use of forceps C)Never - the FHR is not important D)After using forceps

A)Before using forceps B)During the use of forceps D)After using forceps

Which is a sign that labor is imminent? (Select all that apply.) A)Bloody show B)Fatigue C)Nesting D)Increase in hunger and thirst E)Rupture of membranes

A)Bloody show C)Nesting E)Rupture of membranes

________ presentation is frequently associated with multifetal pregnancies and grand multiparity A)Breech B)Vertex C)Transverse D)Oblique E)LOA

A)Breech

Fetal consequences of post term pregnancy (sata) A)Cephalopelvic disproportion B)placenta accreta C)shoulder dystocia D)placenta previa

A)Cephalopelvic disproportion C)shoulder dystocia

Which nursing intervention assists a mother who has inverted nipples and wants to breastfeed? (Select all that apply.) A)Consult a lactation specialist. B)Refer the mother to WIC. C)Offer a breast pump. D)Offer a breast shield. E)Offer formula and bottle feedings.

A)Consult a lactation specialist. C)Offer a breast pump. D)Offer a breast shield.

A nursing mother is experiencing fever, localized breast pain, and has a red lump in the right breast. She should: A)Continue breastfeeding and contact her provider B)Only feed from the unaffected breast C)Discontinue breastfeeding D)Drink a tea for nursing mothers

A)Continue breastfeeding and contact her provider

During contractions the fetus' oxygen A)Decreases B)Increases C)Increases by 20% D)No change

A)Decreases

Fetal Fibronectin (fFN) (Select all that apply) A)Detected before 22 weeks and after 37 weeks. B)Protein that helps amniotic sac adhere to uterine wall C)Presence between 22-37 weeks indicate preterm labor D)Protein that is risky to fetus. E)it causes disconnection from the endometrium

A)Detected before 22 weeks and after 37 weeks. B)Protein that helps amniotic sac adhere to uterine wall C)Presence between 22-37 weeks indicate preterm labor

Which physical characteristics should the nurse expect to find when assessing a post-term newborn? (Select all that apply.) A)Dry and peeling skin B)Excess vernix and lanugo C)Loose skin D)Meconium staining on the umbilical cord E)Decrease in alertness after birth

A)Dry and peeling skin C)Loose skin D)Meconium staining on the umbilical cord

A nurse has finished bathing a newborn. What is the priority action by the nurse to maintain thermoregulation? A)Dry the newborn thoroughly. B)Swaddle the newborn. C)Place a hat on the newborn. D)Place the newborn in a clean bassinet.

A)Dry the newborn thoroughly.

which clinical manifestations support the diagnosis of PMS and PMDD? (Select all that apply.) A)Dysmenorrhea B)Acne with menstruation C)A marked lack of energy D)Irritability E)Monthly weight gain

A)Dysmenorrhea B)Acne with menstruation D)Irritability E)Monthly weight gain

When analyzing a fetal-monitor strip, the nurse recognizes which decelerations are not an indication for concern? A)Early decelerations B)Late decelerations C)Variable decelerations D)Absent decelerations

A)Early decelerations

What are possible fetal complications due to an assisted vaginal delivery? (SATA) A)Edema B)Respiratory Distress C)Facial Paralysis D)Corneal Abrasions

A)Edema C)Facial Paralysis D)Corneal Abrasions

newborns lose heat quickly after birth due to>>>(SATA) A)Evaporation B)Conduction C)Radiation D)Convection E)crying F)sleeping

A)Evaporation B)Conduction C)Radiation D)Convection

Fetal ________ , a glycoprotein produced by the chorion, is found at the junction of the chorion and decidua A)Fibronectin B)Hydroscopic C)Glycoprotein D)Bilirubin E)meconium

A)Fibronectin

What do you assess when assessing a fundus? A)Firmness B)Height C)Direction D)Location & Position E)color F)sound

A)Firmness B)Height D)Location & Position

A 26 year old female is currently 26 weeks pregnant. She had a miscarriage at 10 weeks gestation five years ago. She has a three year old who was born at 39 weeks. What is her GTPAL? A)G=3, T=1, P=0, A=1, L=1 B)G=3, T=1, P=1, A=0, L=3 C)G=3, T=2, P=0, A=2, L=2 D)G=2, T=1, P=0, A=1, L=1

A)G=3, T=1, P=0, A=1, L=1

Which infant condition contraindicates breastfeeding? A)Galactosemia B)Jaundice C)Newborn prematurity D)Gestational diabetes

A)Galactosemia

Which assessment finding should the nurse anticipate for a male newborn as a result of exposure to maternal hormones? A)Gynecomastia B)Pseudomenstruation C)Small and tight scrotum D)Nocturnal emission

A)Gynecomastia

The postpartum nurse is caring for a patient 24 hours post-vaginal delivery who complains of constant pain and pressure in the vaginal and rectal area. Which condition does the nurse suspect based on the patient's complaint? A)Hematoma B)Infection C)Hemorrhage D)Constipation

A)Hematoma

What are possible maternal complications following the use of forceps in delivery? A)Hemorrhage B)Lacerations C)Hematoma D)Uterine Hyperstimulation

A)Hemorrhage B)Lacerations C)Hematoma

The nurse performs a cervical examination on a woman in labor and recognizes that the elasticity of the cervix results from which characteristics of the anatomy? (Select all that apply.) A)High fibrous content of the supportive tissue B)Large number of folds in the cervical lining C)High collagenous content of the supportive tissue D)Location of the uterosacral ligaments E)Mucus-secreting glands

A)High fibrous content of the supportive tissue B)Large number of folds in the cervical lining C)High collagenous content of the supportive tissue

Which complications should the nurse monitor for when providing care to an LGA newborn? (Select all that apply.) A)Hypoglycemia B)Respiratory distress C)Meconium aspiration D)Palpable abdominal mass E)Hypoactive bowel sounds

A)Hypoglycemia B)Respiratory distress C)Meconium aspiration

Which maternal hormones are suspected of contributing to the onset of labor? (Select all that apply.) A)Increased oxytocin levels B)Increased prostaglandin levels C)Reduced progesterone levels D)Increased cortisol levels E)Uterine stretch theory

A)Increased oxytocin levels B)Increased prostaglandin levels C)Reduced progesterone levels

The nurse is providing teaching to a pregnant patient. Which recommendation will help the patient avoid vena cava syndrome? A)Lie on your left side. B)Walk for 30 minutes per day. C)Drink 2 L of water per day. D)Wear low-heeled shoes. E)Option 5

A)Lie on your left side.

A nurse is discussing interventions with parents for assisting the newborn with an immature immune system. What interventions should the nurse provide to protect their newborn? (Select all that apply.) A)Maintain strict hand washing for everyone who cares for the newborn. B)Screen all visitors for illness. C)Encourage parents to begin immunizations at 2 months of age. D)Protect the newborn from infection. E)Encourage parents to maintain hand hygiene.

A)Maintain strict hand washing for everyone who cares for the newborn. B)Screen all visitors for illness. C)Encourage parents to begin immunizations at 2 months of age. D)Protect the newborn from infection. E)Encourage parents to maintain hand hygiene.

A new mother c/o redness of breast tissue accompanied by heat, pain and fever. These are s/s of A)Mastitis B)Sepsis C)Engorgement D)Cracked nipples E)PABS disease

A)Mastitis

A nurse is discussing a vacuum extractor as an instrument used for assisted vaginal delivery. The nurse informs the patient of which of the following indications may be required for an assisted vaginal delivery? (Select all that apply.) A)Maternal exhaustion B)Fetal distress C)Cervix is not fully dilated D)Unruptured amniotic membrane E)Prolonged second stage of labor

A)Maternal exhaustion B)Fetal distress E)Prolonged second stage of labor

Community resources that can be offered to maternal-child patients to improve continuity of care include which of the following? (Select all that apply.) A)Maternal, Infant, and Early Childhood Home Visiting Program B)La Leche League C)Affordable transportation D)Local book club

A)Maternal, Infant, and Early Childhood Home Visiting Program B)La Leche League C)Affordable transportation

The nurse is conducting a skin assessment for a newborn patient. Which data indicate an abnormal skin variation that requires further intervention? A)Melanocytic nevus on the left forearm B)Nevus simplex on the nape of the neck C)Hemangioma on the back that is 1 cm D)Erythema toxicum neonatorum noted on the trunk

A)Melanocytic nevus on the left forearm

For forceps or a vacuum extractor to be used, what criteria must be met? (SATA) A)Membranes ruptured B)Adequate maternal pelvis size C)Fetus vertex & engaged D)Cervix completely dilated

A)Membranes ruptured B)Adequate maternal pelvis size C)Fetus vertex & engaged D)Cervix completely dilated

Which clinical manifestation should the nurse educate a perimenopausal woman to anticipate? A)Night sweats B)Cool, moist skin C)Vaginal hypertrophy D)Osteogenesis imperfecta

A)Night sweats

Which of the following increases a postpartum patient's risk of developing venous thromboembolism (VTE)? (Select all that apply.) A)Obesity B)Bedrest C)Excessive exercise D)Advanced maternal age E)Smoking

A)Obesity B)Bedrest D)Advanced maternal age E)Smoking

The seven Ps of labor include which of the following? (Select all that apply.) A)Passage B)Perfusion C)Personnel D)Psyche E)Powers F)patience G)pain management H)passenger I)persistane J)position K)planning L)Pitocin M)petechia

A)Passage D)Psyche E)Powers F)patience G)pain management H)passenger J)position

Medications used to manage postpartum hemorrhage include (choose all that apply): A)Pitocin (oxytocin) B)brethine (terbutaline) C)hemabate (carboprost) D)methergine (methylergonovine)

A)Pitocin (oxytocin) C)hemabate (carboprost) D)methergine (methylergonovine)

Which nursing actions enhance safety when providing newborn care? (Select all that apply.) A)Placing the newborn on the back to sleep B)Reporting newborn cyanosis to the health-care provider C)Notifying the charge nurse of a newborn heart rate of 128 beats per minute D)Placing an extra blanket on the newborn for an axillary temperature less than 97°F E)Verifying the newborn's identification with the mother's band prior to administering medication

A)Placing the newborn on the back to sleep B)Reporting newborn cyanosis to the health-care provider

Prior to delivery it is important to determine if the infant will need support for the initial transition to extrauterine life. Which infant may need assistance with this transition? (Select all that apply.) A)Premature infant B)Infant with shoulder dystocia C)Infant with meconium present at birth D)Infant with normal fetal heart rate E)Infant who was born via cesarean birth

A)Premature infant B)Infant with shoulder dystocia C)Infant with meconium present at birth

Which factor requires the nurse to most closely monitor the infant for the development of respiratory distress syndrome (RDS)? A)Preterm birth B)Precipitous delivery C)Hyperbilirubinemia D)Spina bifida

A)Preterm birth

Which of the following would be a POOR candidate for a VBAC? A)Previous c/s for cephalopelvic disproportion B)Previous c/s for fetal distress C)History of exercise induced asthma D)Previous VBAC x1

A)Previous c/s for cephalopelvic disproportion

For which of the following would a local anesthetic be used?* A)Prior to an episiotomy repair B)Following administration of an epidural C)Prior to cesarean section D)Following an episiotomy repair

A)Prior to an episiotomy repair

The nurse recognizes which of the following as an appropriate intervention for the patient with hyperemesis gravidarum? A)Providing patient education on the signs and symptoms of dehydration B)Initial management with ondansetron C)instructing the patient to drink a glass of water before each meal D)Recommending foods with strong odors

A)Providing patient education on the signs and symptoms of dehydration

What situation would concern the nurse about the presence of Rh incompatibility? A)Rh-negative mother, Rh-positive fetus B)Rh-positive mother, Rh-negative fetus C)Rh-negative mother, Rh-negative fetus D)Rh-positive mother, Rh-positive fetus

A)Rh-negative mother, Rh-positive fetus

Families are entitled to protected rights within a health-care institution. Which of the following are included in the protected rights of families? (Select all that apply.) A)Right to active participation in cultural beliefs and practices B)Right to visitation and family participation C)Right to personal dignity and privacy D)Right to refuse care provided by students E)Right to have elective procedures regardless of ability to pay

A)Right to active participation in cultural beliefs and practices B)Right to visitation and family participation C)Right to personal dignity and privacy D)Right to refuse care provided by students

The nurse assesses a postpartum fundus at 3 cm above the umbilicus and to the right. The patient: A)Should be assisted to empty her bladder B)Should be offered ibuprofen for pain C)Should receive oxytocin 10 units IM for postpartum hemorrhage D)Should be offered a laxative to promote peristalsis

A)Should be assisted to empty her bladder

Which factors should the nurse consider when conducting a cultural assessment? (Select all that apply.) A)Social B)Economic C)Physical D)Environmental E)Psychological

A)Social B)Economic C)Physical D)Environmental

Which nursing action is inappropriate when providing safe and effective nursing care? A)Stereotyping a patient on the basis of ethnicity B)Using a medical interpreter for a patient who does not speak English C)Asking the patient how culture impacts his or her medical decisions D)Monitoring drug effectiveness on the basis of race and gender

A)Stereotyping a patient on the basis of ethnicity

Late postpartum hemorrhage is most likely caused by: A)Subinvolution of the placental site B)Defective vascularity of the decidua C)Cervical lacerations D)Coagulation disorders

A)Subinvolution of the placental site

When reviewing a laboring patient's medical record, the nurse sees that a longitudinal lie has been documented. How is the fetus positioned? A)The fetus is lying parallel with the mother's body. B)The fetus is lying perpendicular to the mother's body. C)The fetus is lying at an angle to the mother's body between D)parallel and perpendicular. E)The fetus is in the head-down position.

A)The fetus is lying parallel with the mother's body.

What should you asses for concerning the umbilical cord? (SATA) A)The number of blood vessels B)the condition of the blood vessels C)The size of the blood vessels D)The color of the umbilical cord

A)The number of blood vessels B)the condition of the blood vessels C)The size of the blood vessels

male sex hormones promotes the development of male reproductive organs and the secondary male characteristics is testosterone* A)True B)False

A)True

To help a pt reduce the severity of nausea caused by morning sickness, the nurse might suggest: A)Try a tart food or drink or salty foods. B)Drink plenty of fluids early in the day. C)Brush her teeth immediately after eating. D)Never snack before bedtime.

A)Try a tart food or drink or salty foods.

The nurse is educating a patient about preventing yeast infections. What teaching points should be included? (Select all that apply.) A)Wear cotton underwear. B)Clean the vagina by douching. C)Clean the vulva with unscented soap and water. D)Avoid petroleum-based lubricants. E)Avoid douching.

A)Wear cotton underwear. C)Clean the vulva with unscented soap and water. D)Avoid petroleum-based lubricants. E)Avoid douching.

what substance provides support and protection for the vessels inside the umbilical cord* A)Wharton's jelly B)smickers jelly C)sebum D)KY

A)Wharton's jelly

A blood pressure of 140/90 mm Hg or above is considered hypertension in a pregnant patient A)Yes B)No C)Maybe

A)Yes

An IUPC can be used for: A)assessing contraction strength and amnioinfusion B)assessing FHR and amnioinfusion C)assessing FHR and contraction strength D)assessing fetal presentation and amnioinfusion

A)assessing contraction strength and amnioinfusion

Which of the following induction agents has a string that can be used to remove the medication? A)cervadil B)cytotec C)Pitocin D)stado

A)cervadil

somatic symptoms experienced by the father during pregnancy that mimic those of the pregnant mother A)couvade syndrome B)pregnancy journey C)hormone challenge D)estrogen/testosterone balance E)Munchausen's syndrome

A)couvade syndrome

tightly coiled tube that attached to each testis A)epididymis B)endometrium C)perineium D)vans differin

A)epididymis

Signs of hydatidiform mole can resemble those associated with A)hyperemesis gravidarum B)nutritional anemias C)blood incompatibility D)diabetes mellitus

A)hyperemesis gravidarum

What is NOT prolapsed cord risk factor? A)large fetus B)ROM before head engaged C)Malpresentation (footling breech, transverse lie) D)long cord

A)large fetus

__________ maneuver is used to identify deviations in fetal presentation or position A)leopold B)leonard C)laviticus D)levelup E)mcdanold

A)leopold

Nurse comes into room and notes blood-soaked bed. What is best initial action for the nurse? A)massage the fundus B)checkmark C)give pitocin D)call the provider E)get vital signs

A)massage the fundus

A nurse is caring for a patient and assesses a boggy fundus and notes that the pad is saturated with blood. The nurse: A)massages the fundus B)Stops the oxytocin infusion C)Calls the provider D)Documents the finding

A)massages the fundus

Several vitamins are required in greater amounts during pregnancy because A)metabolic activities increase. B)the vitamins are excreted in greater quantities. C)more hemoglobin is synthesized. D)fetal demands for the vitamins are high.

A)metabolic activities increase.

twins that share the same placenta A)monozygotic B)polyzygotic C)paternal D)identical E)conjoined

A)monozygotic

internal female reproductive organs organs (select all that apply) A)ovaries B)labia majora C)paronychia D)xiphoid process E)fallopian tubes F)uterus G)clitoris H)cervix I)labia minora J)mons pubis

A)ovaries E)fallopian tubes F)uterus H)cervix

supplies oxygen to the fetus, supplies nourishment and produces hormones and protections A)placenta B)cervix C)aorta D)ABX E)uterus

A)placenta

signs and symptoms of hypoglycemia (SATA) A)poor suck, high pitched cry B)lethargy, seizures, jitteriness C)sweating, respiratory difficulty D)high temp, slow heart rate

A)poor suck, high pitched cry B)lethargy, seizures, jitteriness C)sweating, respiratory difficulty

Complications of polyhydramnios (select all that apply) A)preterm labor B)maternal hemorrhage C)amniotic fluid embolism D)prolapsed uterus

A)preterm labor

These types of drugs are given to enhance fetal lung maturity between 24 and 34 weeks' gestation A)steroids' B)amphetamines C)calcium channel blockers D)beta blockers E)anticholinergics

A)steroids'

what is the structure that produces the major male hormone of reproduction, testosterone? A)testies B)vans differin C)testicle D)urethra E)aorta

A)testies

Preterm labor is the leading cause of neonatal mortality in US? A)True B)False

A)true

hormones responsible for regulating the production of sperm in the male are FSH and LH A)True B)False

A)true

softening of the cervix is goodells sign A)true B)false C)maybe

A)true

the follicle phase is days 1-14 of which the anterior lobe of the pituitary secretes FSH, which then stimulates the development if the follicle in the ovary A)true B)false

A)true

A nurse educates a new mother preparing for discharge on postpartum depression. Which statement indicates the need for additional explanation related to postpartum depression? A)"I will ask my husband for help with the nightly feedings." B)"It's okay to cry and be sad during the first few weeks after having a baby." C)"I will take naps when the baby is sleeping." D)"It's okay to ask for help if I'm feeling overwhelmed."

B)"It's okay to cry and be sad during the first few weeks after having a baby."

A nurse is teaching parents about bottle-feeding problems. Which statement by the parent requires further education? A)"We will not introduce water before 6 months of age." B)"We will dilute the formula to decrease the expense of formula." C)"We will not add infant cereal in the bottle." D)"We will not allow the baby to fall asleep with the bottle."

B)"We will dilute the formula to decrease the expense of formula."

When determining a term newborn's caloric needs, which should the nurse use? A)60 to 80 kcal/kg/day B)105 to 108 kcal/kg/day C)110 to 120 kcal/kg/day D)140 to 160 kcal/kg/day

B)105 to 108 kcal/kg/day

Macrosomia-excessive newborn weight. How many grams is considered A)3,500 grams B)4,000 grams C)2,000 grams D)2,750 grams

B)4,000 grams

Which data would cause the licensed practical nurse (LPN) to notify the registered nurse (RN) when providing care for a newborn patient? A)Eupnea B)Acrocyanosis C)Crying with a blood draw D)Grunting with expirations

B)Acrocyanosis

The nurse joins a community outreach program to promote vaccination of children, demonstrating which ethical principle? A)Autonomy B)Beneficence C)Non maleficence D)Justice E)political equality

B)Beneficence

A nurse is caring for a 2-hour-old infant whose skin has a yellow tint and an elevated total bilirubin. The nurse is concerned and calls the physician. Which method of communication should the nurse use? A)SOAP method B)C.U.S method C)Triage method D)STAT method

B)C.U.S method

During the physical examination of a pregnant woman the health-care provider notes a bluish-purple coloration of the vaginal mucosa and cervix. The nurse knows that this finding indicates which probable sign of pregnancy? A)Ballottement B)Chadwick's sign C)Goodell's sign D)Hegar's sign

B)Chadwick's sign

Which type of breast milk is produced in stage 1 of human milk production? A)Foremilk B)Colostrum C)Hindmilk D)Transitional milk

B)Colostrum

The nurse suspects a perineal hematoma if: A)A patient has a pad saturated within one hour or a clot bigger than an egg B)Complaints of severe, tearing pain in the perineal area C)Hypotension and tachycardia D)Cramping with breastfeeding

B)Complaints of severe, tearing pain in the perineal area

The provider orders a hysterosalpingogram for a patient. The nurse knows that this test is used for: A)Verifying sterilization post-vasectomy B)Confirming the effectiveness of a hysterectomy C)Visualizing vaginal atrophy D)Visualizing the vas deferens

B)Confirming the effectiveness of a hysterectomy

A nurse is observing a breastfeeding mother achieve proper latch-on. What hand positioning should the nurse correct? A)Place hand in a C position around her breast. B)Cover the areola. C)Thumb is on top and the fingers are underneath the breast. D)Brush the nipple across the baby's lips.

B)Cover the areola.

Nurses from diverse community groups being included in hospital committees addressing safety and education will assist hospitals in providing what kind of care? A)Endemic B)Culturally competent C)Health literacy D)Worldview

B)Culturally competent

The nurse working in an obstetric clinic admits a woman who is 5 months pregnant and admits to a heroin addiction. Which interventions will be effective in meeting the nurse's ethical obligation to the unborn fetus? (Select all that apply.) A)Reporting the patient's heroin use to the police B)Determining whether the patient has family support during her pregnancy C)Teaching the patient about the impacts to babies born to heroin addicts D)Providing referrals to community resources for drug treatment E)Discussing the option of abortion because the mother will be unable to care for the child

B)Determining whether the patient has family support during her pregnancy C)Teaching the patient about the impacts to babies born to heroin addicts D)Providing referrals to community resources for drug treatment

Lightening is? A)Weight loss immediately after giving birth of fetus and placenta B)Dropping of fetus, fetal descending into pelvis C)Loss of mucus plug D)Newborns weight loss 24-72hr after birth

B)Dropping of fetus, fetal descending into pelvis

A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion with acute vaginal bleeding and abdominal pain accompanied by shoulder pain. What does the nurse suspect as the cause? A)Threatened abortion B)Ectopic pregnancy C)Gestational trophoblastic disease D)hyperemesis gravidarum

B)Ectopic pregnancy

Which intervention is most effective for the nurse to perform to promote elimination of conjugated bilirubin? A)Administering IV fluid B)Encouraging frequent feeding C)Discouraging breastfeeding D)Administering packed blood cells

B)Encouraging frequent feeding

Which action should the nurse implement in order to apply the principles of family-centered care in the hospital environment? A)Discouraging cultural foods because they cannot be provided by the dietary department B)Encouraging parents to continue bedtime routines, such as reading a story C)Allowing a child to "cry it out" when parents leave the bedside D)Implementing strict visitation policy for siblings

B)Encouraging parents to continue bedtime routines, such as reading a story

The nurse is called to the patient's room because she is experiencing heavy bleeding. Which of the following actions should NOT be performed by the nurse during a postpartum hemorrhage? A)Weighing peri pads B)Expressing clots by over-massage C)Performing fundal massage D)Inserting a Foley catheter

B)Expressing clots by over-massage

A patient can start pushing before 10 cm dilation. A)True B)False

B)False

The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body? A)Constipation B)Feeling short of breath with mild exertion C)Nasal congestion D)A dark line appearing on the abdomen

B)Feeling short of breath with mild exertion

The nurse is caring for a patient 24 hours postpartum with prolonged labor during vaginal delivery and a second-degree laceration. Which assessment finding would require the nurse to notify the provider? A)Vaginal bleeding with one peri pad saturation every hour B)Foul-smelling lochia C)Breast tenderness D)Firm fundus

B)Foul-smelling lochia

Which of the following is not a risk factor for developing postpartum depression and more a risk for postpartum psychosis. A)A recent breakup with the father of the newborn B)History of bipolar disorder C)History of depression D)An unintended pregnancy

B)History of bipolar disorder

What priority condition can contribute to a fetal demise? A)Multifetal gestation B)Hypertension C)Malpresentation D)Gestational diabetes

B)Hypertension

Pt 9wk prego. Heavy bleeding, cramping, passing tissue & cervical dilation noted. The cause is? A)Inevitable abortion B)Incomplete abortion C)Complete abortion D)Missed abortion

B)Incomplete abortion

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests: A)Uterine atony B)Lacerations C)Hematoma D)Infection of the uterus

B)Lacerations

A nurse is documenting a new mother's milk production. What term should the nurse use? A)Prolactin B)Lactogenesis C)Immunoglobulin D)Lactoferrin

B)Lactogenesis

To assess the risk for birth asphyxia, which condition should the nurse monitor for during labor and delivery? A)Maternal anemia B)Maternal hypotension C)Precipitous childbirth D)Too much oxygen during childbirth

B)Maternal hypotension

A nurse understands which of the following assessment findings as priority to indicate that a newborn may be experiencing cold stress and burning brown fat to produce heat? (Select all that apply.) A)Hyperglycemia B)Metabolic acidosis C)Respiratory distress D)Hypoglycemia E)Metabolic alkalosis

B)Metabolic acidosis C)Respiratory distress D)Hypoglycemia

The nurse receives report on a patient who delivered 4 hours earlier and lost 700 mL of blood during a vaginal delivery. Which of the following nursing interventions would be most appropriate in monitoring for adequate tissue perfusion? A)Assess the patient's response to pain medication and document in the chart. B)Monitor vital signs and oxygen saturation levels every 5 to 10 minutes. C)Assess the client's psychological response to the post-childbirth bleeding. D)Monitor urine output and document hourly.

B)Monitor vital signs and oxygen saturation levels every 5 to 10 minutes.

Which of the following are risk factors for preterm labor? A)Rh-negative mother B)Multiple gestation C)Urinary tract infection D)Bacterial vaginosis

B)Multiple gestation C)Urinary tract infection D)Bacterial vaginosis

What is the best position for pt with placenta previa? A)Flat on back w/ knees flexed to help prevent hemorrhage B)On her side to prevent supine hypotension C)In semi-Foweler's position to prevent supine hypotension D)In knee-chest position to reduce pressure on placenta

B)On her side to prevent supine hypotension

The thinning of the cervix, or effacement, is measured in which of the following? A)Stations B)Percentages C)Centimeters D)Inches

B)Percentages

What is the benefit of using forceps over a vacuum in an assisted vaginal delivery? A)Decreased risk of injury to the mother B)Prevention of retinal hemorrhage C)Quicker delivery method D)Decreased risk of injury to the infant

B)Prevention of retinal hemorrhage

Which of the following is NOT a risk factor for postpartum hemorrhage? A)Having a baby larger than 9 lb B)Receiving oxytocin after delivery C)Grandmultiparity (5 births or more) D)Blood type AB negative

B)Receiving oxytocin after delivery

Which birth complication is more likely when an infant is large-for-gestational age (LGA)? A)Preterm labor B)Shoulder dystocia C)Hyperglycemia D)Neonatal sepsis

B)Shoulder dystocia

A woman is at 14 weeks of gestation. The LPN would expect to palpate the fundus at what level? A)Not palpable above the symphysis at this time B)Slightly above the symphysis pubis C)At the level of the umbilicus D)Slightly above the umbilicus

B)Slightly above the symphysis pubis

Which term is used to describe the failure of the uterus returning to its pre-pregnancy size? A)Involution B)Subinvolution C)Anhedonia D)Endometritis

B)Subinvolution

The nurse caring for a woman at 32 weeks' gestation finds elevated protein and nitrate levels in the urine. What will the nurse assess for next? A)Symptoms of preeclampsia B)Symptoms of a urinary tract infection C)Symptoms of gestational diabetes D)Inadequate nutrition

B)Symptoms of a urinary tract infection

The nurse is caring for a woman who has lost over 2,000 mL of blood during cesarean delivery. Which of the following are late signs of a patient with significant blood loss? A)Tachycardia and elevated blood pressure B)Tachycardia and low blood pressure C)Tachycardia and pink, dry skin D)Bradycardia and pink, dry skin

B)Tachycardia and low blood pressure

After pushing for 2 hours a mother c/o chest pain, SOB, and is cyanotic, with unstable vitals.. A)The nurse suspects hemorrhage B)The nurse suspects amniotic fluid embolism C)The nurse suspects respiratory distress syndrome D)The nurse suspects placenta acreta

B)The nurse suspects amniotic fluid embolism

which patient does the nurse recognize is not appropriate candidate for amniotomy A)The woman who is 41 weeks gestation B)The woman with the fetus in breach position C)The woman with history of hypertension D)The woman with a history of precipitous deliveryOption 4

B)The woman with the fetus in breach position

A woman develops a vaginal hematoma after a prolonged delivery resulting in the use of forceps. Which of the following statements would reflect the appropriate medical management of a hematoma? (Select all that apply.) A)Antibiotics as prescribed B)Warm sitz baths as needed C)Massage as needed D)Applying an ice pack for 20 minutes every 2 hours for 12 hours E)Pain medication as prescribed

B)Warm sitz baths as needed D)Applying an ice pack for 20 minutes every 2 hours for 12 hours E)Pain medication as prescribed

Delayed cord clamping in the newborn for 30-60 seconds provides (sata) A)an increase in oxygen B)better newborn outcome C)Essential vitamins for baby D)an increase in iron storage

B)better newborn outcome D)an increase in iron storage

what is the site of implantation in the female where the fertilized ovum implants? A)fallopian tubes B)endometrium of the uterus C)ovaries D)uterus

B)endometrium of the uterus

Doctors use assisted vaginal delivery only if the fetus is in distress. A)True B)False

B)false

softening of the lower uterine segment A)Helens sign B)hegars sign C)goodells sign D)uterine warning E)incontinence F)Norton's sign G)Chadwick's sign

B)hegars sign

Because constipation may be a problem, the mother is taught about A)taking laxatives every day B)high fiber foods, fluids, and ambulation C)breastfeeding to stimulate digestion D)nothing the mom doesn't have an issue

B)high fiber foods, fluids, and ambulation

A mother who is not immune to rubella is given the vaccine A)a month postpartum B)immediately postpartum. C)6 months postpartum D)during pregnancy

B)immediately postpartum.

Pregnant adolescents are at high risk for _____ because of lower body mass and "fad" dieting. A)obesity B)low birth weight C)diabetes D)high birth weight

B)low birth weight

In pregnancy the following foods would be a good source of Calcium A)Orange juice B)milk C)Baked beans D)Lean ground beef

B)milk

external female reproductive organs organs (select all that apply) A)cervix B)mons pubis C)uterus D)paronychia E)clitoris F)labia minora G)xiphoid process H)labia majora I)fallopian tubes J)ovaries

B)mons pubis E)clitoris F)labia minora H)labia majora

the middle layer of smooth muscle that contracts and expels the fetus and placenta during childbirth A)endodermus B)myometrium C)epimetrium D)endometrium

B)myometrium

when sperm gets into the urinary bladder A)pre ejaculation's B)retrograde ejaculation C)bad aim D)hypropadious penis

B)retrograde ejaculation

What is a sign of postpartum infection? A)bradycardia B)temp 101 F C)pain D)WBC = 16, 000

B)temp 101 F

the position of choice for the patient with a prolapsed umbilical cord is: A)supine B)turned onto the patients left side C)prone D)kraske

B)turned onto the patients left side

BONUS: what color is the fat that babies are born with for thermoregulation, extra points for location(s) of storage...

Brown

Which toddler characteristics require the nurse to implement enhanced safety precautions when providing care? (Select all that apply.) A)Feeling invincible B)Learning to crawl C)Challenging limits D)Desiring autonomy E)Testing the environment

C) Challenging limits E) Testing the environment

A nurse is advising a patient on options available for selecting a health-care provider for medical care during pregnancy and birth. Which statement made by the nurse indicates that he or she needs further education regarding certified nurse midwives (CNMs)? A)"A CNM can provide a low-technology approach to the birthing process." B)"A CNM can provide postpartum care." C)"A CNM can perform a cesarean section." D)"A CNM can provide prenatal planning."

C)"A CNM can perform a cesarean section."

A patient who was recently prescribed an oral contraceptive calls the nurse to ask for advice. She has forgotten to take her pill for the last 3 days and wants to know how long she and her boyfriend should use a second form of protection. How should the nurse respond? A)"A second form of protection is needed for your next two cycles." B)"A second form of protection is not needed if you begin taking the pills again." C)"A second form of protection is needed until your menstrual period begins and you start a new pill package." D)"A second form of protection is needed for 1 week."

C)"A second form of protection is needed until your menstrual period begins and you start a new pill package."

35wk prego total placenta previa wants to deliver vaginally. Which explanation is appropriate? A)Yes you can deliver vaginally until 34wks" B)"Vag delivery can be attempt but if bleeding revert to Csec" C)"C-sec is performed when mother has total placental previa" D)"There is no reason why you can't have vaginal delivery"

C)"C-sec is performed when mother has total placental previa"

Which question is used to assess economic factors that may influence a patient's worldview and health status? A)"Are you exposed to high levels of noise?" B)"Do you have access to clean drinking water?" C)"Do you have health insurance?" D)"How many people live in your home?"

C)"Do you have health insurance?"

Which question is used to assess economic factors that may influence a patient's worldview and health status? A)Option 1 B)"Do you have access to clean drinking water?" C)"Do you have health insurance?" D)"How many people live in your home?"

C)"Do you have health insurance?"

A 17-year-old girl presents to the clinic for a sports physical. Which statement by the patient would cause the nurse to suspect she has secondary amenorrhea A)"I haven't started my period yet." B)"I have severe cramping when I'm on my period." C)"I haven't had a period since I started running cross country." D)"I feel like I'm overly emotional the week before my period."

C)"I haven't had a period since I started running cross country."

The nurse provides teaching for a patient with hyperemesis gravidarum and determines that further teaching is needed when the patient makes which statement? A)"I will sip water throughout the day." B)"I will call the provider if there is any blood in the vomit." C)"I will be sure to eat three good meals a day." D)"I will not eat spicy or fatty foods till I feel better."

C)"I will be sure to eat three good meals a day."

After reinforcing teaching on how to determine the duration of a contraction, the nurse determines that no further teaching is needed when the mother makes which statement? A)"I will time from the end of one contraction to the end of the next contraction." B)"As soon as the contraction stops, I will time until the next one begins." C)"I will write down the exact time the contraction begins and ends." D)"I will time from the beginning of one contraction until the beginning of the next one."

C)"I will write down the exact time the contraction begins and ends."

The nurse is assessing the knowledge of a patient newly diagnosed with endometriosis. Which statement by the patient would the nurse need to follow up on? A)"My endometriosis is likely causing my painful menstrual cramps." B)"I might have a hard time getting pregnant." C)"My endometriosis will go away in a few years." D)"I have endometrial tissue outside of my uterus."

C)"My endometriosis will go away in a few years."

When obtaining consent to give an infant a vitamin K injection, what information should the nurse give regarding the need for the injection? A)"It is a routine procedure for all infants immediately after birth." B)"It prevents eye infections and preserves eyesight." C)"Newborns are deficient in vitamin K, which is necessary to help blood clot. We give them vitamin K to help reduce the risk of bleeding." D)"Immunizations are part of normal newborn care."

C)"Newborns are deficient in vitamin K, which is necessary to help blood clot. We give them vitamin K to help reduce the risk of bleeding."

The nurse is educating a patient about the process of fertilization. Which statement by the patient requires correction? A)"The sex of the embryo is determined at fertilization." B)"Of 14 million sperm deposited into the vagina during ejaculation, only 1 to 10 sperm reach the fallopian tube." C)"The sperm and the egg are called zygotes." D)"The male can contribute and X or Y chromosome, which determines the sex of the baby."

C)"The sperm and the egg are called zygotes."

Which statement should the nurse include in the teaching session for depot medroxyprogesterone acetate, a hormonal contraceptive? A)"This medication is taken daily at the same time." B)"This medication is administered by a patch every week." C)"This medication is administered by injection every 3 months." D)"This medication is inserted into the vagina and is used with a cervical cap."

C)"This medication is administered by injection every 3 months."

Human chorionic gonadotropin (hCG) is produced to support the development of the embryo and is an indicator for pregnancy. How long after conception is hCG detectable in urine? A)4-6 days B)8-10 days C)12-14 days D)16-18 days E)72 hrs

C)12-14 days

Vacuum assisted delivery is completed with.. A)2 pulls or less B)5 pulls or less C)3 pulls or less D)1 pull or less E)when the dust is gone

C)3 pulls or less

What is the vacuum-assistance time limit? A)10 minutes B)2 hours C)30 minutes D)1 hour

C)30 minutes

At which point will the nurse begin scheduling a pregnant woman for weekly obstetric visits? A)22 weeks B)28 weeks C)36 weeks D)38 weeks

C)36 weeks

A nurse is assessing a patient who has undergone an amniotomy. Which assessment finding is most important for the nurse to report immediately? A)Promotion of labor B)Clear, odorless amniotic fluid C)Abnormal fetal heart rate D)Wet underpants from bed to leakage of clear fluid.

C)Abnormal fetal heart rate

While assisting the physician with a physical examination, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy? A)Positive Goodell's sign B)Quickening felt by mother C)Auscultation of fetal heart sounds D)Breast enlargement and tenderness

C)Auscultation of fetal heart sounds

What is the FIRST action in the sequence of events including internal and external stimuli that must happen in order for the infant to breathe upon a vaginal delivery? A)Increased blood flow to the lungs B)Surfactant secretion C)Chest squeeze D)First breaths

C)Chest squeeze

The nurse has many tasks to complete and is trying to ensure that they are all done in a timely manner. What is the first step the nurse should take when delegating? A)Review the legal standards of the task. B)Decide if the legal standards and specific activity of the task allow the task to be delegated. C)Clarify what the specific activity or task is by defining all aspects of the issue. D)Model the established practice that is accepted as the correct way to provide care.

C)Clarify what the specific activity or task is by defining all aspects of the issue.

Pt w/ history of macrocosmic infants, 2 still births, & polyhydramnios w/each. Nurse recognizes: A)Toxoplasmosis B)Abruptio placentae C)Diabetes mellitus D)Hydatidiform mole

C)Diabetes mellitus

Abnormal or difficult labor is known as _______ A)Dysrrhythmia B)Disengagement C)Dystocia D)Disease E)Decelerations

C)Dystocia

A defect in the ectoderm layer could cause issues with what organ of the body? A)Kidneys B)Lungs C)Eyes D)heart E)skeleton

C)Eyes

The nurse reviews a pregnant patient's laboratory values and notes a reduced red blood cell count and hemoglobin level. Which symptom should the nurse expect the patient to report? A)Insomnia B)Pica C)Fatigue D)Leg pain

C)Fatigue

Which patient has the highest risk of developing postpartum psychosis? A)History of depression as a teenager B)Illegal drug use C)History of bipolar disorder D)History of depression as an adult

C)History of bipolar disorder

Which of the following is associated with dark red or brown "prune juice" vaginal discharge? A)Ectopic pregnancy B)Placenta Previa C)Hydatiform mole D)Placental abruption

C)Hydatiform mole

Why after membranes rupture should delivery occur within 24 hours? A)risks for maternal morbidity B)fetus can be dysfunctional C)Infection risk for mom and fetus.

C)Infection risk for mom and fetus.

Postpartum depression is different from baby blues in that: A)It is marked by irritability and weepiness that comes and goes B)It lasts up to 2 weeks postpartum C)It can involve disturbances in eating or sleeping D)It only happens to mothers who do not love their babies

C)It can involve disturbances in eating or sleeping

Giving IV pain medication too early in labor can prolong labor; giving medication too late can: A)Decrease pushing effectiveness B)Decrease effects of medication to mom C)Lead to newborn respiratory depression D)Cause precipitous labor

C)Lead to newborn respiratory depression

Which of the following data collected during the assessment process causes the nurse to anticipate a diagnosis of endometriosis? A)Fatigue B)Light menses C)Low back pain during cycles D)Abdominal bloating between cycles

C)Low back pain during cycles

A woman who is 12 days postpartum presents to the clinic with fever, malaise, and a burning sensation while breastfeeding. Which diagnosis is likely responsible for the woman's symptoms? A)Hematoma B)Thrombus C)Mastitis D)Endometritis

C)Mastitis

The nurse enters the room and notices that the room feels cold. The mother says, "He has been crying and kicking and now he seems very tired." What is the nurse's priority concern? A)The infant is overstimulated. B)The infant is hungry. C)Metabolic acidosis D)Metabolic alkalosis

C)Metabolic acidosis

A 28-year-old woman is a primipara who is pregnant with triplets, is at 18 weeks' gestation, and is receiving regular prenatal care. The nurse identifies a risk for preterm labor related to which factor? A)The patient's age B)18 weeks' gestation C)Multiple gestations D)Previous obstetric history

C)Multiple gestations

Which patient does the nurse identify as likely to require a cesarean delivery? A)Post-term B)Vertex presentation C)Multiple gestations D)Treated genital herpes 4 years prior to pregnancy

C)Multiple gestations

What symptom differentiates placenta previa from placental abruption? A)Bleeding B)Hypertension C)Pain D)Proteinuria

C)Pain

After handing a wrapped newborn to the mother, the nurse sees the umbilical cord lengthening and a sudden trickle of blood at the vaginal opening and recognizes what is about to happen? A)Hemorrhage B)Multiple births C)Placental separation D)Uterine inversion

C)Placental separation

Which intervention should the nurse include in the plan of care for a jaundiced newborn who is to receive phototherapy? A)Keeping the baby fully clothed to avoid burns B)Encouraging breastfeeding four to six times per day C)Placing eye protection on the baby during therapy D)Reporting fewer than two stools per day to the provider

C)Placing eye protection on the baby during therapy

The nurse is providing care to a family with an unfamiliar cultural background. The family does not speak English, and the nurse is awaiting the arrival of a medical translator to assist with the admission assessment. Which action by the nurse is appropriate in this situation? A)Removing the children from the room B)Asking the charge nurse to reassign the family C)Researching the family's culture and common practices D)Using nonverbal communication strategies to ask the family to be quiet

C)Researching the family's culture and common practices

Which of the following is a sign of magnesium sulfate toxicity? A)Blood pressure of 140/80 B)GI upset C)Respiratory rate of 12 D)Hyperactive deep tendon reflexes

C)Respiratory rate of 12

The nurse is assessing a newborn and notes a pulling in of the skin around the ribs and sternum when the baby inhales. What term should the nurse use when documenting this finding? A)Periodic breathing B)Apnea C)Retractions D)Gynecomastia

C)Retractions

A nurse is preparing a patient for an external cephalic version. The nurse notices that the patient is Rh-negative and has received limited prenatal care. The nurse expects to see which medication ordered by the health-care provider? A)Oxytocin B)Magnesium sulfate C)RhoGAM D)IV Antibiotics

C)RhoGAM

What term describes factors such as economic stability, access to food, education, social support systems, housing, neighborhood safety and environment, access to health insurance, and access to health care? A)Health-care quality B)Health disparity C)Social determinant of health D)Environmental factor

C)Social determinant of health

The nurse admits a newborn to the admission nursery and prepares to bathe the baby for the first time after assessing which of the following? A)Drying of the umbilical cord B)Two hours since last eating C)Stable temperature for 2 hours D)Temperature 36.2°C axillary on radiant warmer E)Option 5

C)Stable temperature for 2 hours

Secondary post-partum hemorrhage is frequently caused by: A)Subvolution of the uterus B)Substitution of the uterus C)Subinvolution of the uterus D)Subletting of the uterus

C)Subinvolution of the uterus

Assess for pregnancy-induced hypertension. What's the 1st sign of fluid retention suggestive of? A)Abdominal enlargement B)Facial swelling C)Sudden weight gain D)Swelling of the feet & ankles

C)Sudden weight gain

A woman who is already obese becomes pregnant. Which statement by the nurse is correct? A)You should eat however you want, this is a time to enjoy food! B)As long as you eat, it doesn't matter what or how much you eat. C)The recommended weight gain for you is 11 to 20 pounds. D)Normally pregnant women gain at least 30 ibs.

C)The recommended weight gain for you is 11 to 20 pounds.

All birth control methods have advantages and disadvantages. Which of the following statements is correct? A)Hirsutism is an adverse effect of the depot injection. B)Oral contraceptives prevent STIs. C)The transdermal patch decreases breast tenderness. D)The implant is effective for 1 year.

C)The transdermal patch decreases breast tenderness.

The nurse reviews a patient's medical record and notices that the measurement of ischial tuberosity is 8.5 cm. How does the nurse interpret this measurement? A)The woman may have difficulty carrying the pregnancy to term. B)The woman has an adequate amount of amniotic fluid. C)The woman may require a cesarean section. D)The woman may experience a difficult labor.

C)The woman may require a cesarean section.

When screening a patient who speaks a different language, it is important to do which of the following? A)Speak slowly. B)Ask the family to leave the room when asking questions about safety and domestic violence. C)Use a medical interpreter. D)Speak louder than usual and use hand gestures.

C)Use a medical interpreter.

The nurse is providing education to a perimenopausal woman. What should the nurse recommend in regard to sexual intercourse? A)Perimenopausal women may experience a fishlike odor after intercourse. B)Positions with the female on top will be more comfortable. C)Using vaginal lubricants will prevent pain during intercourse. D)Birth control is not needed during perimenopause.

C)Using vaginal lubricants will prevent pain during intercourse.

Urinary retention after delivery can lead to: A)Depletion of clotting factors B)Perineal hematoma C)Uterine atony D)Retained placenta

C)Uterine atony

What are common causes of post-partum hemorrhage? A)Uterine atony, full stomach, blond baby, B)Uterine atony, lacerations, petechiae C)Uterine atony, lacerations, hematoma D)Uterine atony, lacerations, hematoma, red hair patient

C)Uterine atony, lacerations, hematoma

Which data collected during the health history of a laboring patient may increase the risk of delivering an SGA newborn? A)Blood pressure level of 110/60 mm Hg B)Serum glucose level of 85 mg/dL C)Weight gain of 12 lb (5.5 kg) D)Pulse rate of 90 beats per minute

C)Weight gain of 12 lb (5.5 kg)

Which of the following is a danger sign during pregnancy and should be reported A)constipation B)breast changes C)dizziness D)frequent urination

C)dizziness

where does fertilization take place A)uterus B)vagina C)fallopian tube D)cervix E)ovum

C)fallopian tube

what is the top part of the uterus that you massage to encourage the uterus to contract and prevent postpartum hemorrhaging. A)cervix B)endometrium C)fundus D)adenomyosis E)endometriosis F)uterine lining

C)fundus

Increased protein is necessary in pregnancy to A)Prevent onset of Gestational diabetes B)conserving carbs for energy C)growing maternal tissues D)Prevention of preeclampsia

C)growing maternal tissues

Which of the following symptoms is related to HELLP syndrome? A)edema B)proteinuria C)jaundice D)Convulsions

C)jaundice

Which drug is sometimes given with gestational hypertension to prevent tonic-clonic seizures? A)lidocaine B)verapamil C)magnesium sulfate D)calcium chloride

C)magnesium sulfate

The nutritional needs for a patient that is pregnant may be influenced by A)the sex of the fetus B)if the mother works outside the home C)maternal age D)mother's food cravings

C)maternal age

Deficiency of Folate pre-pregnancy increased the risk of A)cretism B)intellectual disabilities C)neural tube defects D)gestational diabetes

C)neural tube defects

What is the Rh factor refer to? A)protein in red blood cells of mother & baby do match B)protein in red blood cells only match the father C)protein in red blood cells of mother & baby don't match D)the baby's proteins are unbalanced

C)protein in red blood cells of mother & baby don't match

Contraindications for external cephalic version include all except: A)placenta previa B)multiple gestation C)transverse lie position D)cephalopelvic disproportion

C)transverse lie position

37 week gestation patient is lying on her back and is lightheaded and faint, what advice should you give A)call 911 B)turn to the right immediately C)turn to the left immediately D)sit up fast E)breath into a paper bag F)Option 6

C)turn to the left immediately

Which parental statement regarding newborn screening indicates correct understanding of the information presented by the nurse? A)"My baby will have newborn screenings drawn periodically during the first year of life." B)"My baby will have to have his first newborn screenings completed during our first pediatrician visit." C)"Because my baby failed both the newborn hearing screens, he will need to be retested before we can take him home." D)"Because my baby didn't start eating by mouth until today, we will wait until tomorrow for the newborn screening test."

D)"Because my baby didn't start eating by mouth until today, we will wait until tomorrow for the newborn screening test."

A nurse is educating parents about bottle feeding. Which statement requires further education? A)"We will check the expiration date on the formula container." B)"We will follow the instructions on how to mix the formula." C)"We will wash our hands before we prepare formula and the feeding." D)"Bottle feeding allows us to prop the bottle while we do other things."

D)"Bottle feeding allows us to prop the bottle while we do other things."

Which parental statement indicates the need for further education related to formula preparation? A)"Any unused formula should be thrown out after 24 hours." B)"I will add equal amounts of formula and water when using concentrated formula." C)"Ready-to-use formula can be further diluted if my baby experiences constipation." D)"Powder formula is mixed with tap water and poured in a bottle for feedings."

D)"Powder formula is mixed with tap water and poured in a bottle for feedings."

A postpartum woman expresses concern about a raised bump on her newborn's head that appeared a few hours after birth. How should the nurse respond? A)"I'll call the doctor to come take a look." B)"This looks like caput succedaneum." C)"The swelling will take 3-4 months to resolve." D)"The swelling is caused by birth trauma and should resolve."

D)"The swelling is caused by birth trauma and should resolve."

The nurse is preparing to administer a vitamin K injection to a newborn and the mother asks why the medication is needed. What is the best response by the nurse? A)"Vitamin K reduces the risk of the baby getting an eye infection from passing through the birth canal." B)"Vitamin K helps the baby's lungs develop properly." C)"Vitamin K will prevent the baby from acquiring hepatitis B." D)"Vitamin K reduces the risk of bleeding because babies don't get enough vitamin K during the pregnancy or while breastfeeding."

D)"Vitamin K reduces the risk of bleeding because babies don't get enough vitamin K during the pregnancy or while breastfeeding."

Which indicates that the nurse needs further education regarding rubella immunity A)"Rubellais a virus that can cause congenital defects." B)"If you are not immune, you should be careful of foreign travel." C)"You will be screened for rubella early in pregnancy." D)"You may receive a rubella vaccine during pregnancy."

D)"You may receive a rubella vaccine during pregnancy."

Early or latent phase cervical diameter is A)1-3cm B)0-2cm C)0-4 D)0-3cm

D)0-3cm

Normal Fetal Heart Rate A)101-130 B)100-150 C)120-170 D)110-160

D)110-160

Which Which maternal conditions will cause the nurse to educate a new mother that formula, not breast milk, should be used for newborn nutrition? (Select all that apply.) A)Hypertension (HTN) B)Bipolar disorder (BD) C)Diabetes mellitus (DM) D)Active tuberculosis (TB) E)HIV

D)Active tuberculosis (TB) E)HIV

Which is an inappropriate nursing intervention for variable decelerations noted on a fetal monitor strip? A)Maternal position change B)Amnioinfusion C)IV fluid bolus D)Administer a tocolytic

D)Administer a tocolytic

Which finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed? A)Audible fetal heart tones B)Fetal movement felt by the nurse C)Fetal ultrasound showing a growing fetus D)Amenorrhea

D)Amenorrhea

A newborn has a 1-minute Apgar of 3 and a 5-minute Apgar of 5. When will the next Apgar be performed by the nurse? A)At 6 minutes of life B)Every 15 minutes until a score of 10 is achieved C)4 minutes later D)At 10 minutes of life

D)At 10 minutes of life

The nurse should document a baseline fetal heart rate of 105 as fetal ___________. A)Tachycardia B)Normal sinus rhythm C)Sinusoidal rhythm D)Bradycardia

D)Bradycardia

The nurse is conducting an assessment on a pregnant patient. Which symptom does the nurse recognize as abnormal for a pregnant patient? A)Urinary frequency B)Urgency C)Stress incontinence D)Burning on urination

D)Burning on urination

Which data collected during a newborn wellness visit indicate the need for further intervention? A)Losing 5% of the birth weight B)Failing to gain back initial weight loss by day seven of life C)Having two bowel movements each day D)Changing four wet diapers each day

D)Changing four wet diapers each day

The nurse is talking with a pregnant patient at her 36-week appointment about preparations for the baby's arrival. The patient says that she has prepared the nursery, gone to childbirth classes, read several books, and has accumulated all of the care items and clothing she will need. Which Reva Rubin maternal task is this woman demonstrating? A)Seeking safe passage for herself and her fetus B)Securing acceptance for herself as a mother and for her fetus C)Learning to give of herself and to accept herself as a mother to the infant D)Committing herself to the child as she progresses through pregnancy

D)Committing herself to the child as she progresses through pregnancy

Which dietary modification should the nurse recommend to a patient with a family history of uterine fibroids? A)Decrease sugar intake. B)Eat bland foods. C)Eliminate dairy products from your diet. D)Consume less red meat.

D)Consume less red meat.

Which term should the nurse use to describe the display of culturally appropriate behaviors? A)Diversity B)Worldview C)Cultural awareness D)Cultural sensitivity

D)Cultural sensitivity

Which action does the nurse take to reduce the newborn's evaporative heat loss? A)Placing the newborn on a warm surface B)Keeping the room temperature warm C)Keeping the newborn away from cool objects D)Drying the infant thoroughly after birth

D)Drying the infant thoroughly after birth

Immediately after the umbilical cord is cut, the newborn has a weak, shallow cry. Which is the nurse's priority action to promote breathing? A)Assessing vital signs B)Placing the newborn skin-to-skin with the mother C)Flicking the newborn's heels D)Drying the newborn vigorously

D)Drying the newborn vigorously

Which of the following pain management options does NOT cross the placenta and go the fetus? A)V Nubain B)IV Stadol C)General Anesthesia D)Epidural Anesthesia

D)Epidural Anesthesia

The nurse is providing teaching to a group of teenage girls about menstrual cramp pain relief. What non-pharmacological suggestion should the nurse include? A)Place an ice pack on the lower abdomen. B)Take ibuprofen. C)Drink 2 L of water per day. D)Exercise regularly.

D)Exercise regularly.

The nurse is caring for an obese pregnant woman in preterm labor with intact amniotic membranes who is receiving medications to stop labor. Which type of monitoring is best for this patient? A)Internal fetal and contraction monitoring B)Internal fetal and external contraction monitoring C)External fetal and internal contraction monitoring D)External fetal and contraction monitoring

D)External fetal and contraction monitoring

The nurse can interact efficiently with medical interpreters by doing which of the following? A)Using sign language when needed B)Speaking directly to the interpreter C)Using long sentences and medical terminology D)Having a pre-conversation to review the planned discussion

D)Having a pre-conversation to review the planned discussion

Infant mortality rates in the Black population being double the rates in the White population is an example of which of the following? A)Ethnicity B)Endemic C)Race D)Health disparity

D)Health disparity

Which term describes a state of elevated carbon dioxide? A)Hypocalcemia B)Hematochezia C)Hypoxic-ischemic encephalopathy D)Hypercapnia

D)Hypercapnia

The nurse is teaching a patient about barrier methods of contraception. Which of the following should not be included in the discussion? A)Sponge B)Condom C)Diaphragm D)IUD

D)IUD

A medication order that is safe for "afterpains" in the postpartum period following vaginal delivery is: A)Oxycodone 10 mg po 4 hours B)Docusate sodium 100 mg po BID C)Tylenol #3 (acetaminophen 300 mg/codeine 30 mg) 2 tabs q 4 hours D)Ibuprofen 600 mg po q 6 hours

D)Ibuprofen 600 mg po q 6 hours

Which term should the nurse use to document decreased fetal growth due to impaired perfusion of the placenta? A)Low birth weight B)Premature neonate C)Small-for-gestational age (SGA) D)Intrauterine growth restriction (IUGR)

D)Intrauterine growth restriction (IUGR)

A pregnant woman is being assessed by the nurse and reports pain and swelling in her right calf. Which action should the nurse take? A)Call 911. B)Massage the patient's calf. C)Recommend that the patient go for a walk. D)Notify the health-care provider.

D)Notify the health-care provider.

What is the meaning of the term Gravida? A)The number of viable births ( >20 weeks) B)Number of abortions after 20 weeks C)Option 3 D)Number of total pregnancies

D)Number of total pregnancies

Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child? A)Smaller airway B)Obligatory nose breathing C)Large posterior head bone occiput D)Poorly developed intercostal chest muscles

D)Poorly developed intercostal chest muscles

Which data collected during a patient's health history support the current diagnosis of infertility? A)Current age of 30 years B)Denies use of tobacco products C)Gallbladder removal 10 years ago D)Previous diagnosis of anorexia nervosa

D)Previous diagnosis of anorexia nervosa

Which resources are appropriate to use when providing evidence-based patient education?(Select all that apply.) A)WebMD B)Dr. Google C)Wikipedia D)PubMed E)Cochrane reviews

D)PubMed E)Cochrane reviews

A patient is admitted to the labor and delivery unit, and a plan of care based on that patient's needs is developed by which member of the health-care team? A)Certified nurse midwife B)Licensed practical nurse (LPN)/Licensed vocational nurse (LVN) C)Nurse practitioner D)Registered nurse (RN)

D)Registered nurse (RN)

What is the most common cause of uterine atony after the first postpartum day? A)Thromboembolism B)Lack of fundal massage C)Dehydration D)Retained placental fragments

D)Retained placental fragments

Which statement is true about the herpes simplex virus (HSV)? A)An infection of HSV can be cured. B)It can be treated with antibiotics. C)If untreated HSV can cause blindness. D)Some people never have symptoms.

D)Some people never have symptoms.

Most common causative bacteria in lactational mastitis? A)Strep pyogenes B)MRSA C)Bacteroides sp. D)Staph aureus

D)Staph aureus

The nurse is auditing a patient's chart in preparation of a Joint Commission inspection. Which finding in the chart demonstrates the need for further education on the prevention of catheter-related infections? A)Donned sterile gloves prior to catheter insertion. B)Sterile technique was performed during catheter insertion. C)The catheter was removed after the epidural was discontinued. D)The catheter was removed 72 hours after cesarean delivery.

D)The catheter was removed 72 hours after cesarean delivery.

How does a nurse practitioner's role differ from that of a certified nurse midwife with regard to maternity care? A)The certified nurse midwife cannot prescribe medications, but a nurse practitioner does have prescribing privileges. B)The certified nurse midwife is hired by the hospital, whereas a nurse practitioner practices independently and does not have hospital privileges. C)The certified nurse midwife and the nurse practitioner have very similar roles with little difference between the two. D)The nurse practitioner does not usually deliver babies but cares for women before and after delivery.

D)The nurse practitioner does not usually deliver babies but cares for women before and after delivery.

While the doctor awaits delivery of the placenta after delivery of the newborn, the nurse documents that the patient is in which state of labor? A)Latent B)Second C)Transition D)Third

D)Third

__________ drugs promote uterine relaxation by interfering with uterine contraction A)Beta Blockers B)Antihypertensive C)Antibiotics D)Tocolytics E)Pitocin F)oxytocin

D)Tocolytics

When screening a patient who speaks a different language, it is important to do which of the following? A)Speak louder than usual and use hand gestures. B)Speak slowly. C)Ask the family to leave the room when asking questions about safety and domestic violence. D)Use a medical interpreter.

D)Use a medical interpreter.

A postpartum nurse completes an assessment on a patient who delivered 12 hours earlier. Which finding prompts the nurse to take additional measures? A)Slight bruising to breasts bilaterally B)A blood pressure of 129/70 and a heart rate of 98 C)A firm fundus at the midline D)Vaginal bleeding with peri pad saturation in 15 minutes or less

D)Vaginal bleeding with peri pad saturation in 15 minutes or less

The nurse is caring for a patient with blood type O-negative following a spontaneous abortion. Which is the priority A)Providing emotional support B)admin oxytocin C)notify lab for blood test or a blood type and crossmatch D)administer RhoGam

D)administer RhoGam

A forceps assisted delivery increases mom's risk for: A)pain B)lacerations C)hematomas D)all of the above

D)all of the above

Jaundice is caused by too much ---. A)oxygen B)protein C)iron D)bilirubin

D)bilirubin

during early in the pregnancy the cervix and the vagina become congested with blood causing a bluish hue to the skin, what is this called A)chenango sign B)chemung sign C)hegar sign D)chadwicks sign E)nortons change

D)chadwicks sign

Some of the risk associated with teen pregnancy may include A)does not know how to take care of them B)poor eating habits C)unaware of pregnancy until fetal organs are developed D)is in the process of growing

D)is in the process of growing

16 weeks' gestation with lack of fetal movement. Ultrasonography reveals fetal demise. A)Threatened abortion B)inevitable abortion C)complete abortion D)missed abortion

D)missed abortion

which Reproductive glads of the male are located in the scrotum, suspended there by the spermatic cords A)vena cava B)penis C)vans differin D)testicles

D)testicles

A patient asks the student nurse whether a medication is safe to take during pregnancy. The student thinks it is an approved medication during pregnancy. Which is the student's best response? A)"I'm pretty sure it is a safe medication." B)"I'm not qualified to answer that question." C)"I wouldn't take it if it were you" D)"I really don't know." E)"I will ask your obstetric provider."

E)"I will ask your obstetric provider."

morning sickness is caused by A)eating vegetarian B)not eating breakfast C)eating raw fish D)eating deli meat E)changes in hormones causing increased levels

E)changes in hormones causing increased levels

The nurse is caring for a woman who is 16 weeks pregnant. One child was born at term, and a set of triplets were born at 26 weeks' gestation (one of whom died at 3 years of age). She experienced two spontaneous abortions prior to 8 weeks of pregnancy and had one therapeutic abortion many years ago as a young teen. Document the GTPAL for this patient typing it out below as follows G#, T#, P#, A#, L#

G6, T1, P3, A3, L3

BONUS: A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL?

G7, T4, P1, A1, L5

BONUS... What was Elaine's (from Seinfeld) favorite form of birth control?

Sponge sponge the sponge The Sponge sponge

BONUS: what is the difference between type 1 and type 2 herpes?

above and below the waist

BONUS: WHAT is the preferred drug for treating apnea of prematurity?

caffeine

What part of the uterus contracts during labor?

fundus

a therapeutic response for a woman who feels confused or uncertain about being pregnant... A)you should not be feeling this way B)be excited, youre having a baby C)its not unusual to have ambivalent feelings about pregnancy D)talk to you dr E)you probably need an antidepressant

its not unusual to have ambivalent feelings about pregnancy

The fourth stage of labor is:

recovery

BONUS: a reduction of ______ blood cells in pregnancy results in hemodilution ( write in all lower case letters.)

red