N5 - OB Exam 1: Unit 1

During which stage of fetal development is exposure to teratogens most damaging? A. Embryonic stage B. Pre-embryonic stage C. Fetal stage D. Mitosis stage

A. Embryonic stage

13. During a prenatal visit, the patient tells the nurse "I just started some herbal remedies but haven't discussed them with the doctor yet." Which action by the nurse would be the most appropriate? A. Encourage the patient to let her provider know B. Scold the patient for jeopardizing herself and the baby C. Document the statement in the client's medical record D. Ask the patient about the remedy to ensure she is using it correctly

A. Encourage the patient to let her provider know

35. The maternal serum alpha fetoprotein blood test is performed on pregnant women to screen for which condition? A. Fetal neural tube defects B. Maternal diabetes C. Maternal bladder infections D. Sexually transmitted infections

A. Fetal neural tube defects

23. A nurse is conducting an in-service education program about the female reproductive cycle and describing the phases of the endometrial cycle. During her teaching, the nurse explains that the proliferative phase of the endometrial (uterine) cycle corresponds to which phase in the ovarian cycle? A. Follicular B. Secretory C. Ischemic D. Luteal

A. Follicular

A nurse is seeing a newly pregnant woman in the office and providing initial prenatal education. Which patient would the nurse identify as a priority to refer for prenatal genetic testing? A. The male partner's brother has a diagnosis of Cystic Fibrosis. B. The patient had pre-eclampsia in a prior pregnancy. C. The patient is 39 years old. D. This is a multi-fetal pregnancy.

A. The male partner's brother has a diagnosis of Cystic Fibrosis.

6. A nurse is caring for a patient who is currently 8 weeks pregnant at her first prenatal visit and is reviewing the patient's health history. The patient's record includes her OB history: G4 T2 PO A1 L2. How should the nurse interpret this information? (select all that apply) A. The patient has delivered 2 term infants B. The patient has been pregnant 4 times C. The patient has 2 living children D. The patient has delivered one preterm infant.

A. The patient has delivered 2 term infants B. The patient has been pregnant 4 times C. The patient has 2 living children

41. A patient comes to the clinic because she suspects she is pregnant. Which data provides the most definitive confirmation of pregnancy? A. Patient report of amenorrhea for three months B. Positive Hegar sign C. Breast tenderness D. Fetal movement palpated by the provider

D. Fetal movement palpated by the provider

40. A pregnant patient asks the nurse when the fetal heart will begin beating. the nurse should tell the client that even though the fetal heart is not fully developed, it begins to beat at gestational week_____.

4

After teaching a group of pregnant women about fetal development, the nurse determines that the teaching was successful when the women identify which element as essential for fetal lung development? A. amniotic fluid B. placenta C. umbilical cord D. trophoblast

A. amniotic fluid

Which effect would the nurse identify as a normal physiologic change in the renal system due to pregnancy? A. decrease in glomerular filtration rate B. dilation of the renal pelvis C. reduction in kidney size D. shortening of the ureters

B. dilation of the renal pelvis

15. After teaching a group of nursing students about family-centered care, which statement made by the students would best indicate that the teaching was successful? A. "Family-centered care recognizes the health of the client." B. "Family-centered care is a component of health care." C. "Family-centered care recognizes the concept of family as the constant." D. "Family-centered care is one part of a system."

C. "Family-centered care recognizes the concept of family as the constant."

26. Which statement by the pregnant woman shows an understanding that she should avoid teratogens in the first trimester? A. "It's okay for me to continue taking my tetracycline for my acne." B. "I am going to have an x-ray this week for my neck pain." C. "One or two glasses of wine at night won't hurt and will help me to relax." D. "I have to call my doctor to switch me from lithium to another medication for my bipolar disorder."

D. "I have to call my doctor to switch me from lithium to another medication for my bipolar disorder."

28. During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beat or more above the baseline. The nurse interprets this as: A. Variable decelerations B. Fetal tachycardia C. A nonreactive pattern D. A reactive pattern

D. A reactive pattern

Ch 4: 1. A couple is considered infertile after how many months of trying to conceive? a. 6 months b. 12 months c. 18 months d. 24 months

b. 12 months

Ch 1: 4. Client advocacy, utilization management, and coordination of care describe which concept? a. Primary nursing care b. Case management c. Family-centered care d. Patient-focused care

b. Case management

Ch 2: 3. When developing a teaching plan for a pregnant client that experienced preterm labor who is to be discharged, what would the nurse do first? a. Decide which procedures and medications the client will need at home. b. Determine the client's learning needs and styles. c. Ask the client if she has ever had preterm labor before. d. Tell the client what the goals of the teaching session are.

b. Determine the client's learning needs and styles.

Ch 3: 3. What event occurs during the proliferative phase of the menstrual cycle? a. Menstrual flow starts b. Endometrium thickens c. Ovulation occurs d. Progesterone secretion peaks

b. Endometrium thickens

Ch 11: 7. A pregnant dient close to term come in the clinic for an exam. The woman complains about experiencing shortness of breath. The nurse know that this may be caused by the a. Fetus needing more oxygen due to larger size b. Fundus of the uterus pushing the diaphragm upward. c. woman experiencing an allergic reaction because of high histamine levels. d. oxygen partial pressure concentration becoming lower during the third trimester

b. Fundus of the uterus pushing the diaphragm upward.

Ch 4: 2. A couple reports that the condom broke while they were having sexual intercourse last night. What would you advise to prevent pregnancy? a. Inject a spermicidal agent into the woman's vagina immediately. b. Obtain emergency contraceptives and take them immediately. c. Douche with a solution of vinegar and hot water tonight. d. Take a strong laxative now and again at bedtime.

b. Obtain emergency contraceptives and take them immediately.

Ch 4: 5. Which activity will increase a woman's risk of CVD if she is taking oral contraceptives? a. Eating a high-fiber diet b. Smoking cigarettes c. Taking daily multivitamins d. Drinking alcohol

b. Smoking cigarettes

Ch 3: 2. Which glands are located on either side of the female urethra and secrete mucus to keep the opening moist and lubricated for urination? a. Cowper b. Bartholin c. Skene d. Seminal

c. Skene

Ch 4: 8. Which comment by a woman would indicate that a diaphragm is not the best contraceptive device for her? a. "My husband says it is my job to keep from getting pregnant." b. "I have a hard time remembering to take my vitamins daily." C. "Hormones cause cancer and I don't want to take them." d. "I am not comfortable touching myself down there."

d. "I am not comfortable touching myself down there."

Ch 1: 1. When preparing a presentation for a local woman's group on women's health problems, what would the nurse include as the top cause of mortality for women in the United States? a. Breast cancer b. Childbirth complications c. Injury resulting from violence d. Heart disease

d. Heart disease.

A woman comes to the clinic for her first prenatal checkup. The woman has a body mass index (BMI) of 22. The nurse would anticipate that this client should gain approximately how much weight during her pregnancy? A. 25 to 35 lbs (11 to 16 kg) B. 28 to 40 lbs (13 to 18 kg) C. 15 to 25 lbs (7 to 11 kg) D. 11 to 20 lbs (5 to 9 kg)

A. 25 to 35 lbs (11 to 16 kg)

18. A patient is trying to conceive and asks the nurse when the best time to have intercourse would be to increase her chances of a successful pregnancy. The nurse responds that the most ideal time for intercourse to help her chance of conceiving is? A. Aweek after ovulation B. One or two days before ovulation C. Any time after ovulation D. Any time during the week before ovulation

B. One or two days before ovulation

16. In the female reproductive system, the hormones estrogen and progesterone are produced by the: A. Vagina B. Ovaries C. Bartholin's glands D. Fallopian tubes

B. Ovaries

12. A woman and her partner are utilizing the basal body temperature for contraception. The nurse educates the patent that a rise in basal body temperature indicates that which event has occurred? A. Onset of menses B. Ovulation C. Pregnancy D. Safe period for intercourse to prevent pregnancy

B. Ovulation

11. The nurse is providing care to a pregnant woman who speaks a different language from that of the nurse. Which is the best practice demonstrated by the nurse when communicating with this patient? A. Speaking to the patient in a loud voice B. Standing close to the patient and speaking slowly C. Having the patient's family member communicate information to the client D. Arranging for an interpreter to be present for any communication

D. Arranging for an interpreter to be present for any communication

5. 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 gestational age and one child was born at 27 weeks gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL? A. G7, T4, PO, A1, L5 B. G7, T4, P1, A1, L5 C. G6, T4, PO, A0, L5 D. G6,T4, P1, A1, L5

B. G7, T4, P1, A1, L5

Nausea and vomiting are common reports during pregnancy. What nutritional action can be used to reduce nausea and vomiting? A. Drinking liquids with meals B. Limiting intake of heavy, greasy foods C. Increasing fluid intake D. Limiting carbohydrate intake

B. Limiting intake of heavy, greasy foods

8. Jane's menstrual period is approximately two weeks late and she calls the clinic because she has been feeling more tired than usual and having bouts of nausea in the morning. The nurse advises Jane that they symptoms she is experiencing fall into which classification of pregnancy? A. Positive B. Presumptive C. Probable

B. Presumptive

37. Implantation generally occurs at which place on the uterus? A. The lower anterior surface B. The upper posterior surface C. Directly over the cervical os D. Directly over an opening to a Fallopian tube

B. The upper posterior surface

Positive signs of pregnancy are diagnostic, meaning nothing else can elicit that sign except pregnancy. What is the earliest positive sign of pregnancy? A. Finding of hCG in the blood B. Visualization of the gestational sac or fetus C. Finding hCG in the urine D. Positive home pregnancy test

B. Visualization of the gestational sac or fetus

44. A new patient is seen in the prenatal clinic and thinks she is pregnant. She reports her first day of her last menstrual period as April 1, 2014. What is her estimated due date? A. December 30. 2014 B. January 1, 2015 C. January 8. 2015 D. December. 8 2014

C. January 8. 2015

32. Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding? A. Striae gravidarum B. Melasma C. Linea nigra D. Vascular spiders

C. Linea nigra

25. The school nurse is teaching a group of adolescent females about the menstrual cycle. The nurse determines teaching is successful when the group correctly chooses which phase as part of the ovarian cycle? A. Secretory B. Menstrual C. Luteal D. Proliferative

C. Luteal

1. A nurse measures a pregnant woman's fundal height and finds it to be 26 cm. The nurse interprets this to indicate the client is how many weeks gestation? A. 26 weeks gestation B. 32 weeks gestation C. 31 weeks gestation D. 16 weeks gestation

A. 26 weeks gestation

During a routine antepartal visit, a pregnant woman reports a white, thick vaginal discharge. What would the nurse do next? A. Ask the woman if she is having any itching or irritation. B. Tell the woman that this is entirely normal. C. Advise the woman about the need to culture the discharge. D. Check the discharge for evidence of ruptured membranes.

A. Ask the woman if she is having any itching or irritation.

33. Which assessment finding in the pregnant woman at 12 weeks gestation should the nurse find most concerning? The inability to: A. Detect fetal heart sounds with a doppler B. Feel fetal movements C. Hear the fetal heartbeat with a stethoscope D. Palpate the fetal outline

A. Detect fetal heart sounds with a doppler

A nurse is classifying the pregnancy history of a woman who has had five pregnancies: three full-term, one preterm, and one abortion. How would the nurse document this information on the patient chart? A. G5 P3114 B. G4 P3115 C. G5 P3115 D. G5 P1135

A. G5 P3114

Cost containment in the health care field has become a sought-after necessity because of rising costs and the influence of managed care. Nurses are instrumental in assisting with cost containment of health care by prioritizing which strategy? A. Health Promotion B. Alternative birth systems C. Client teaching D. Quality Improvement

A. Health Promotion

31. Pregnancy tests (both urine and blood) measure levels of which hormone to validate the existence of pregnancy? A. Human chorionic gonadotropin (hCG) B. Progesterone C. Aldosterone D. Estrogen

A. Human chorionic gonadotropin (hCG)

3. The doctor told the pregnant client that she has chloasma. What does the nurse tell the patient about this? A. It is also known as the "mask of pregnancy" B. It is an area of decreased pigmentation of the skin C. It typically persists after pregnancy D. It can be prevented with good skin hygiene

A. It is also known as the "mask of pregnancy"

A client in her second trimester of pregnancy arrives at a health care facility reporting heartburn. What instructions should the nurse offer to help the client deal with heartburn? Select all that apply. A. Limit consumption of food before bedtime. B. Consume lots of liquids before bedtime. C. Sleep in a semi-Fowler's position. D. Avoid use of antacids. E. Avoid overeating.

A. Limit consumption of food before bedtime. C. Sleep in a semi-Fowler's position. E. Avoid overeating.

19. A patient has a 28-day cycle and reports that she ovulated on May 10. when would the nurse expect the patient's next menses to begin? A. May 24 B. May 26 C. May 30 D. June 1

A. May 24

The nurse is explaining the latest laboratory results to a pregnant client who is in her third trimester. After letting the client know she is anemic, which heme iron-rich foods should the nurse encourage her to add to her diet? A. Meats B. Legumes C. Dairy D. Grains

A. Meats

38. A woman has just given birth to a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify what findings as normal? Select all that apply A. One vein B. Two veins C. One artery D. Two arteries E. One ligament F. Two ligaments

A. One vein D. Two arteries

The nurse performs a nonstress test (NST) on a client at 36 weeks' gestation. What criteria does the nurse look for on the tracing to determine that the NST is reactive? A. Presence of 2 accelerations in 20 minutes B. Presence of 2 decelerations in 60 minutes C. Presence of 2 accelerations per hour D. Presence of 2 contractions during a 20 minute window

A. Presence of 2 accelerations in 20 minutes

The nurse is preparing to teach a drug education class at a local elementary school. The nurse is focused on providing which type of care to the community? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Preventive Care

A. Primary Prevention

A newly married female is talking to the nurse about her desire to get pregnant soon. Which suggestion would the nurse make to assist this client? A. Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle. B. It is recommended to check her mucus and have intercourse when the mucus is opaque and scant. C. If she has irregular menstrual cycles, that should not interfere with her conceiving as long as she has intercourse on the same days every month. D. If ovulation occurs on Day 14 of her menstrual cycle, she should have intercourse one week later on Day 21.

A. Sexual intercourse should occur between Day 13 and 15 of her menstrual cycle.

30. During the initial history and physical of a 30-year old patient with her first pregnancy, the nurse has identified some teratogens the fetus is being exposed to at this phase of the pregnancy. Which lifestyle data could result in teratogenic exposure to the fetus? Select all that apply A. Smoking 2 packs of cigarettes a day B. Working as a receptionist in a busy office where she copies documents C. Drinking alcoholic beverages 3 times a week D. Snorting cocaine once or twice a month E. Painting pictures as a hobby

A. Smoking 2 packs of cigarettes a day C. Drinking alcoholic beverages 3 times a week D. Snorting cocaine once or twice a month

When describing the characteristics of the amniotic fluid to a pregnant woman, the nurse would include which information? A. The amount gradually fluctuates during pregnancy. B. It is usually an acidic fluid. C. Amniotic fluid provides nutrition for the fetus. D. It limits fetal movement in utero.

A. The amount gradually fluctuates during pregnancy.

21. The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred? A. Thin and copious B. Thick and tacky C. Scant amount D. No visible mucus

A. Thin and copious

24. The nurse is explaining the phases of the endometrial (uterine) cycle to a patient. Which action during the proliferative phase of the endometrial (uterine) cycle should the nurse include in her teaching? A. While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth B. If fertilization does not occur, the corpus luteum degenerates and hormonal levels fall C. Withdrawal of hormones causes the endometrial cells to change and menstruation begins D. An ovum matures and is released.

A. While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client? A. While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth. B. If fertilization does not occur, the corpus luteum degenerates, and hormonal levels fall. C. Withdrawal of hormones causes the endometrial cells to change, and menstruation begins. D. An ovum matures and is released.

A. While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth.

The nurse is teaching about an iron supplement that client is going to take every day. The nurse teaches the client to take the iron supplement with which type of fluid? A. citrus juice B. low-fat milk C. hot tea D. ice water

A. citrus juice

Ch 4: 7. Throughout life, a woman's most proactive activity to promote her health would be to engage in A. consistent exercise. B. socialization with friends. C. quality quiet time with herself. D. consuming water.

A. consistent exercise.

The nurse reinforces to the client that prenatal care is associated with improved pregnancy outcomes. Which basic components of good prenatal care should the nurse describe for the client? Select all that apply. A. early and continuing risk assessment B. health promotion C. terminating employment while pregnant D. medical and psychosocial interventions E. follow up

A. early and continuing risk assessment B. health promotion D. medical and psychosocial interventions E. follow up

39. A nurse is counseling a couple about fertility awareness and the nurse determine they understand conception when the couple makes which statements? A. "Ovulation occurs seven days after the beginning of the menstrual cycle. B. "The ovum survives for 24 hours after ovulation." C. "It is best to have intercourse 24-48 hours after ovulation." D. "Fertilization occurs in the fallopian tube, and it takes several days for the fertilized egg to travel to the uterus." E. "Sperm are most capable of fertilization 24 hours after intercourse."

B. "The ovum survives for 24 hours after ovulation." D. "Fertilization occurs in the fallopian tube, and it takes several days for the fertilized egg to travel to the uterus." E. "Sperm are most capable of fertilization 24 hours after intercourse."

42. A pregnant patient in her first trimester is scheduled for an abdominal ultrasound. When explaining the reason for early pregnancy ultrasound, the nurse provides which information to the patient? A "The test will help determine if the baby is in a good position for delivery." B. "The test will help to determine how many weeks gestation the pregnancy is." C. "The test will help to determine if your baby has intrauterine growth restriction." D. "The test will help to determine if you have enough amniotic fluid."

B. "The test will help to determine how many weeks gestation the pregnancy is."

36. A pregnant woman is scheduled for chorionic villi sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? A. 7--9 weeks gestation B. 10-12 weeks gestation C. 5-6 weeks gestation D. After 40 weeks gestation

B. 10-12 weeks gestation

7. A pregnant patient is scheduling her amniocentesis and has some questions about the procedure. The nurse provides which of the following education to the patient? (select all apply) A. An amniocentesis is 100 % safe B. A sterile needle is inserted into the amniotic fluid pocket C. The amniocentesis can be used to detect chromosomal abnormalities D. An amniocentesis cannot determine the sex of the fetus E. Ultrasound is required to guide the needle F. A sampling of the placenta is taken during the process

B. A sterile needle is inserted into the amniotic fluid pocket C. The amniocentesis can be used to detect chromosomal abnormalities E. Ultrasound is required to guide the needle

27. A pregnant woman states her last menstrual period was March 10. Using Naegele's rule, the nurse estimates the date of birht to be: A. Januarv 7 B. December 17 C. February 21 D. January 30

B. December 17

A 27-year-old client is in the first trimester of an unplanned pregnancy. She acknowledges that it would be best if she were to quit smoking now that she is pregnant, but states that it would be too difficult given her 13 pack-year history and circle of friends who also smoke. She asks the nurse, "Why exactly is it so important for me to quit? I know lots of smokers who have happy, healthy babies." What can the nurse tell the client about the potential effects of smoking in pregnancy? A. "Smoking is unhealthy for anyone's heart, but your baby faces an especially high risk of heart trouble if you smoke while you're pregnant." B. "Smoking during pregnancy places your baby at an increased risk of intellectual disability." C. "Babies of women who smoke tend to weigh significantly less than other infants." D. "Smoking during pregnancy means that your child will be born with a dependence on nicotine and will have to endure a period of withdrawal in his or her first days of life."

C. "Babies of women who smoke tend to weigh significantly less than other infants."

43. A pregnant patient asks the nurse to explain "quickening." Which statement by the nurse is correct? A. "It is intermittent uterine contractions caused by the increase in hormones, especially estrogen. B. "It is the absence of menses and is one of the earliest symptoms a woman reports when she is pregnant." C. "It is when the mother can first feel the movement of the fetus." D. "It is an increase in vaginal discharge caused by the increase in estrogen."

C. "It is when the mother can first feel the movement of the fetus."

34. A newly pregnant 41 year old woman is requesting genetic testing of the baby. She is concerned that due to her age the baby has an increased risk for which condition? A. Muscular dystrophy B. Patau syndrome C. Down syndrome D. Cystic fibrosis

C. Down syndrome

10. The nurse knows that the vitamin that women who are pregnant or planning to get pregnant should take to help prevent neural tube defects is which vitamin? A. Vitamin B6 B. Riboflavin C. Folic acid D. Niacin

C. Folic acid

2. Which of the following is a function of the corpus luteum after fertilization? A. It supports the pregnancy with estrogen until the fetus delivers B. It is reabsorbed in the ovary at the time of fertilization C. It secretes progesterone to prepare the endometrium for implantation D. It makes LH and FSH to support the pregnancy

C. It secretes progesterone to prepare the endometrium for implantation

17. A patient reports that she has pain on one side of the abdomen. Upon further questioning, the nurse determines that the pain routinely occurs approximately 2 weeks before menstruation. The patient has not missed a period and the nurse identifies that the most likely cause is? A. Early sign of pregnancy B. Irregular menstruation cycle C. Pain during ovulation (mittelschmerz) D. Reqular exercise

C. Pain during ovulation (mittelschmerz)

20. The nurse is educating a patient who is confused about her ovarian cycle. Which client statement would best validate the patient's understanding of the education? A. "I will ovulate every month on Day 21 of my cycle. B. "My menstrual cycles are controlled by progesterone production. C. "When I ovulate, there is a follicle on my uterus that forms showing that an ova was released." D. "Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."

D. "Two hormones control my ovulation, follicle-stimulating hormone (FSH) and luteinizing hormone (LH)."

9. At her 16-week check-up, a pregnant patient is concerned about her blood pressure being slightly lower than her normal pre-pregnancy levels. What does the nurse know about blood pressure during pregnancy? A. During pregnancy, blood pressure typically increases with gestational age B. No changes to blood pressure are expected in pregnancy C. Blood pressures are usually much lower in the third trimester of pregnancy D. Blood pressure can be slightly lower during pregnancy, especially during the 2 nd trimester

D. Blood pressure can be slightly lower during pregnancy, especially during the 2 nd trimester

4. The nurse is speaking to a patient who is planning a pregnancy and counsels the patient that fertilization takes place where? A. In the posterior uterus B. In the corpus luteum C. In the cervical os D. In the outer third of the Fallopian tube

D. In the outer third of the Fallopian tube

22. Which of a patient's cells are most likely to reproduce by meiosis? A. Cervical tissue B. Breast tissue C. Endometrial tissue D. Ova

D. Ova

29. The patient is 32 weeks pregnant and has been referred for a biophysical profile (BPP). Which statement made by the patient indicates that the nurse's explanation of the procedure was effective? A. The BPP is a diagnostic procedure whereby a needle is inserted into the amniotic sac to obtain fluid B. The BPP is a blood test to detect placental problems C. The BPP is a screening for neural tube defects D. The BPP is an ultrasound that measures breathing, body movement, tone and amniotic fluid

D. The BPP is an ultrasound that measures breathing, body movement, tone and amniotic fluid

14. The nurse is caring for several patients in the prenatal clinic. Which action by the nurse demonstrates cultural competency? A. The nurse reminds the patients that the clinic is closed on Sundays B. The nurse requests that all non-family members wait in the waiting room while the patient is evaluated C. The nurse informs the patient of the after-hours emergency number D. The nurse asks the clients about any dietary restrictions and preferences during the postpartum period

D. The nurse asks the clients about any dietary restrictions and preferences during the postpartum period

45. Which fish should a pregnant woman avoid? A. Shark, salmon, tilefish B. Catfish, red snapper, light tuna C. Salmon, light tuna, tilefish D. Tilefish, shark, mackerel

D. Tilefish, shark, mackerel

Ch 2: 1. A community-based nurse is involved in secondary prevention activities. Which activities might be included? Select all that apply. a. Fecal occult blood testing b. Hearing screening c. Smoking cessation program d. Cholesterol testing e. Hygiene program f. Pregnancy testing

a. Fecal occult blood testing b. Hearing screening d. Cholesterol testing f. Pregnancy testing

Ch 2: 6. Which factor would the nurse identify as being lease likely to contribute to the rise in community-based care? a. Focus on illness-oriented curative care b. Rise in consumer disposable income c. Technologic advances for home care d. Emphasis on primary care and treatment

a. Focus on illness-oriented curative care

Ch 11: 3. When obtaining a blood test for pregnancy, which hormone would the nurse expect the test to measure? a. Human chorionic gonadotropin (hCG) b. Human placental lactogen (hPL) c. Follicle-stimulating hormone (FSH) d. Luteinizing hormone (LH)

a. Human chorionic gonadotropin (hCG)

Ch 11: 4. During pregnancy, which foods should the expectant mother reduce or avoid? a. Raw meat or uncooked shellfish b. Fresh, washed fruits and vegetables c. Whole grains and cereals d. Protein and iron from meat sources

a. Raw meat or uncooked shellfish

Ch 4: 3. Which combination contraceptive has been approved for extended continuous use? a. Seasonale b. Triphasil c. Ortho Evra d. Mirena

a. Seasonale

Ch 11: 1. What factors would change during a pregnancy if the hormone progesterone were reduced or withdrawn? a. The woman's gums would become red and swollen and would bleed easily. b. The uterus would contract more, and peristalsis would increase. c. Morning sickness would increase and would be prolonged. d. The secretion of prolactin by the pituitary gland would be inhibited.

b. The uterus would contract more, and peristalsis would increase.

Ch 1: 6. The nurse is preparing a class about homelessness. Which factors contribute to homelessness? Select all that apply. a. Decrease in the number of people living in poverty b. Unemployment c. Exposure to abuse or neglect d. Cutbacks in public welfare programs e. Establishment of community crisis centers

b. Unemployment c. Exposure to abuse or neglect d. Cutbacks in public welfare programs

Ch 3: 1. The predominant anterior pituitary hormone that orchestrates the menstrual cycle is a. thyroid-stimulating hormone (TSH). b. follicle-stimulating hormone (FSH). c. corticotropin-releasing hormone (CRH). d. gonadotropin-releasing hormone (GnRH).

b. follicle-stimulating hormone (FSH).

Ch 2: 4. Which action by a nurse would best demonstrate cultural humility? a. Being well versed in the customs and beliefs of the nurse's own culture b. Demonstrating an openness and reflecting on the values and beliefs of other cultures c. Applying previous knowledge about various cultures in the practice setting d. Playing a role in establishing policies to address diverse cultures

c. Applying previous knowledge about various cultures in the practice setting

Ch 4: 6. The nurse is preparing to teach a class to a group of middle-aged women regarding the most common vasomotor symptoms experienced during menopause and possible modalities of treatment available. Which is an example of a vasomotor symptom experienced by menopausal women? a. Weight gain b. Bone density c. Hot flashes d. Heart disease

c. Hot flashes

Ch 1: 2. Which factor would most likely be responsible for a pregnant woman's failure to receive adequate pre-natal care in the United States? a. Belief that it is not necessary in a normal pregnancy b. Use of denial to cope with pregnancy c. Lack of health insurance to cover expenses d. Inability to trust traditional medical practices

c. Lack of health insurance to cover expenses.

Ch 2: 2. A woman is to undergo a colonoscopy at a freestanding outpatient surgery center. Which would the nurse identify as a major disadvantage associted with this community-based setting? a. Increased risk for infection versus a hospital b. Increased health care costs versus a hospital c. Need to be transferred if complications arise d. Increased disruption of family functioning

c. Need to be transferred if complications arise

Ch 3: 6. The nurse is preparing to teach a class to a group of middle-aged women regarding the most common vasomotor symptoms experienced during menopause and possible modalities of treatment available. Which are common vasomotor symptoms? a. Chronic fatigue and confusion b. Forgetfulness and irritability c. Night sweats and hot flashes d. Decrease in sexual response and appetite

c. Night sweats and hot flashes

Ch 11: 6. Reva Rubin identified four major tasks that the pregnant woman undertakes to form a mutually gratifying relationship with her infant. What is "binding in?" a. Ensuring safe passage through pregnancy, labor, and birth. b. Seeking acceptance of this infant by others. c. Seeking acceptance of self as mother to the infant. d. Learning to give of oneself on behalf of the infant.

c. Seeking acceptance of self as mother to the infant.

Ch 11: 2. Which is a presumptive sign or symptom of pregnancy? a. Restlessness b. Elevated mood c. Urinary frequency d. Low backache

c. Urinary frequency

Ch1: 5. Nurses in the United States working in maternity services need to have knowledge of a variety of cultures and demonstrate cultural humility in caring for women and their families because a. all members of a specific culture are homogeneous. b. physiologic differences exist among different cultures. c. care can be individualized for different cultural preferences. d. nondominant cultural groups are made up of new immigrants.

c. care can be individualized for different cultural preferences.

Ch 3: 5. Sperm maturation and storage in the male reproductive system occur in the a. testes. b. vas deferens. c. epididymis. d. seminal vesicles.

c. epididymis.

Ch 3: 4. Which hormone is produced in high levels to prepare the endometrium for implantation just after ovulation by the corpus luteum? a. Estrogen b. Prostaglandins c. Prolactin d. Progesterone

d. Progesterone

Ch 11: 8. Which fish should be limited in a pregnant woman's diet because of its high mercury content? a. Salmon b. Cod c. Shrimp d. Swordfish

d. Swordfish

Ch 1: 3. When caring for an adolescent, in which instance must the nurse share information with the parents, no matter in which state care is provided? a. Pregnancy counseling b. Depression c. Contraception d. Tuberculosis

d. Tuberculosis.

Ch 4: 4. Which measure helps prevent osteoporosis? a. Supplementing with iron b. Sleeping 8 hours nightly c. Eating lean meats only d. Weight-bearing exercise

d. Weight-bearing exercise

Ch 11: 5. A feeling expressed by most women upon learning they are pregnant is a. acceptance. b. depression. c. jealousy. d. ambivalence.

d. ambivalence.

Ch 4: 9. The most common cause of menstrual abnormality in a reproductive-age woman is a. ectopic pregnancy. b. coagulopathy. c. carcinoma. d. anovulation.

d. anovulation.

Ch 2: 5. Nurses working with an interpreter should emphasize the need for the interpreter to a. elaborate on the content being interpreted. b. clarify misinformation in their own words. c. paraphrase statements to reduce time. d. maintain confidentiality of content interpreted.

d. maintain confidentiality of content interpreted.