prep u ob final

A mother is inspecting her newborn and notices the baby has a sixth finger. The nurse would explain that this condition is called:

polydactyly

The nurse is speaking with the parents of a child who has a cast. The parents state that the child reports itching in the area of the cast. What is the best response by the nurse?

"Blowing cool air with a fan or hair dryer may relieve the feeling."

A urinalysis is done on a client in her third trimester. Which result would be considered abnormal?

2+ Protein in urine

The nursing instructor is teaching students about normal changes of pregnancy. The instructor talks about diastasis recti. What is the instructor presenting?

Separation of the muscles of the abdominal wall

A laboring client is restless and moving frequently in the bed. She appears to be more uncomfortable with the contractions but refuses pain medication when offered. The client's partner has left the room to stretch his legs. Which response by the nurse is most helpful?

Stand next to the client at the side of the bed.

The nurse has administered erythromycin ointment to a newborn. What outcome indicates this nursing intervention has been effective?

The newborn does not contract opthalmia neonatorum.

he nurse is educating the parents of a neonate with Down syndrome regarding nutrition. Which provides the biggest challenge in feeding the neonate?

Thick, fissured tongue

When planning preoperative care for a newborn with a cleft lip and palate, the nurse would plan interventions for which major need?

nutrition

The nurse is preparing to teach a community class to a group of first-time parents. Which information should the nurse include concerning what the pregnant woman's partner may experience as a normal response?

physical symptoms similar to the mother

The nurse is advising a group of new parents on how to care for their infant at home if the baby develops mild diarrhea. Which statement indicates that teaching has been effective?

"I should offer Pedialyte after 1 hour and frequently thereafter to prevent dehydration."

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

"I will be sure to avoid getting pregnant for at least 1 year."

The nurse is teaching the pregnant woman about nutrition for herself and her baby. Which statement by the woman indicates that the teaching was effective?

"I will need to take iron supplementation throughout my pregnancy even if I am not anemic."

Kate and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which statement by the nurse is true?

"Kids can usually be managed with an oral agent, meal planning, and exercise."

A new mother asks the nurse why her newborn must get a vitamin K injection. Which response made by the nurse is best?

"Newborns need vitamin K to prevent hemorrhage. They cannot produce it themselves right after birth because of the lack of normal flora in their intestines."

The nurse teaches a pregnant patient the manifestations associated with complications while pregnant. Which statement indicates that additional patient teaching is needed?

"Pain with urination is expected during pregnancy."

A gravid woman who is in her first trimester reports experiencing constipation. Which statement by the client indicates the need for further instruction?

"Taking gentle enemas no more frequently than once a week is acceptable."

A gravid woman in her second trimester has shared that she still enjoys a glass of wine about once a week with dinner. What response by the nurse is most appropriate?

"There is no amount of alcohol consumption in pregnancy that is considered safe for the fetus."

A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week?

1 lb (.45 kg)

A 24-year-old childcare worker comes to the clinic for her first prenatal visit. She cannot remember when her last period was but thinks it was between 2 and 5 months ago. When she began gaining weight and feeling "odd" she did a home pregnancy test, which was positive. She states she felt fetal movements about 1 week ago. She has had no nausea, vomiting, fatigue, or fevers. Past medical history is remarkable for irregular periods. She has been dating the same man for 1 year and says they did not use condoms. Examination reveals an overweight young woman who appears her stated age. Head, eyes, ears, nose, throat, neck, thyroid, cardiac, and pulmonary examinations are unremarkable. The client's abdomen is nontender with normal bowel sounds, and the gravid uterus is palpated to the level of the umbilicus. Fetal tones are easily found with Doptone; with the fetoscope a faint heart rate of 140 is audible. By speculum examination the cervix is bluish; by bimanual examination the cervix is soft. Papanicolau test, cultures, and blood work are pending. The nurse gives the client her due date and how far along she is based on clinical findings. An obstetric ultrasound to confirm her dates is ordered. Based only on the clinical examination findings, how many weeks pregnant did the nurse tell this client she was?

18 to 20 weeks

A client comes to the clinic for her usual prenatal check up. The nurse measures the fundal height at 24 cm. What is the estimated length of her gestation?

24 weeks

At which gestational age will the nurse no longer associate fundal height directly with week's gestation?

32 weeks

A patient makes an appointment at the prenatal clinic because she thinks she might be pregnant. Which assessment is a probable sign of pregnancy?

A positive pregnancy test

A pregnant client at 32 weeks' gestation is treated with magnesium sulfate for seizure management. The nurse assesses which of the following for evidence of magnesium toxicity?

Absence of knee jerk response

A client has opted to receive epidural anesthesia during labor. Which of the following interventions should the nurse implement to reduce the risk of a significant complication associated with this type of pain management?

Administration of 500 mL of IV Ringer's lactate

The nurse is caring for a client who is having a high risk pregnancy and requires genetic studies. Which procedures will the nurse anticipate? Select all that apply.

Amniocentesis Chorionic villus sampling Percutaneous umbilical blood sampling

A nurse is caring for a newborn client diagnosed with spina bifida. Which assessment finding would be a priority for the nurse who is monitoring for the risk of hydrocephalus?

Assess head circumference measurements.

Which assessment would lead the nurse to believe a postpartal woman is developing a urinary complication?

At 8 hours postdelivery she has voided a total of 100 mL in four small voidings.

The nurse is caing for an infant. Which nursing action will best facilitate psychosocial growth of the infant?

Be consistently attentive to the infant's basic needs.

In caring for the newborn the nurse recognizes that which finding is abnormal and will require immediate attention?

Blood glucose level less than 40 mg per 100 mL of blood

The nurse is caring for a postpartum woman who exhibits a large amount of bleeding. Which areas would the nurse need to assess before the woman ambulates?

Blood pressure, pulse, reports of dizziness

Which information provided by a client would be considered a presumptive sign of pregnancy?

Breast tenderness

A nurse is assessing a client who has come to the office to find out if she is pregnant after a home pregnancy test was positive. The nurse will record the client's last menstrual period in which component of her medical record?

Chief concern/complaint

Which primary symptom does the nurse identify as a potentially fatal complication of epidural or intrathecal anesthesia?

Difficulty breathing

The nurse caring for pregnant patients is identifying interventions to support the 2020 National Health Goals regarding pain relief during labor. Which interventions support these goals? Select all that apply.

Encourage pregnant patients to prepare for childbirth by attending classes. Review the different breathing techniques that help with pain control during labor. Explain the various complementary and alternative therapies to help with pain control.

A school-age child with a supracondylar fracture of the humerus has been placed in a partial cast with the elbow region wrapped with an elastic bandage. What should the nurse explain to the parents and child regarding the reason for this type of casting approach?

Ensures edema does not press on the nerves

A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a 4-year-old child who was delivered at 38 weeks' gestation and tells the nurse that she does have a history of a miscarriage within the first trimester. The nurse is correct to document the history as:

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

Which nursing action is required before a client in labor receives an epidural?

Giving a fluid bolus of 500 ml

A client at 16 weeks' gestation comes to the office for a routine exam. At what location within the abdomen would the nurse anticipate the uterus to be found?

Halfway between the symphysis pubis and the umbilicus

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents?

Having a wound, ostomy, and continence nurse meet with them

The nurse is caring for a client having a contraction stress test. Once placing the client on the fetal monitor, it is noted that she is not currently having any Braxton Hicks contractions. If the client does not want medication to initiate contractions, which is then best to suggest?

Inducing through nipple stimulation

A client in labor has been given an epidural anesthetic. Which nursing assessment finding is mostimportant immediately following the administration of epidural anesthesia?

Maternal blood pressure decreases from 130/70 to 98/50 mm Hg.

What should be included in the teaching plan for a child with type 1 diabetes mellitus who is going home on insulin therapy?

It is absolutely normal for the growing child to require an increase in insulin; this does not mean his/her condition is getting worse.

A patient who is 2 months pregnant is concerned about frequent urination. What should the nurse instruct the patient about this occurrence?

It is caused by pressure on the bladder from the uterus.

The head nurse of the newborn nursery is teaching new employees ways to reduce the transmission of infection in the nursery. What information would be included in this session?

Keep all of the newborn's belongings together in the bassinet.

A woman who is 10 weeks' pregnant calls the physician's office reporting "morning sickness" but, when asked about it, tells the nurse that she is nauseated and vomiting all the time and has lost 5 pounds. What interventions would the nurse anticipate for this client?

Lab work will be drawn to rule out acid-base imbalances.

A woman reports that her last menstrual period (LMP) occurred February 1, 2017. Using the Naegele rule, what would be her estimated date of delivery (EDD)?

November 8, 2017

The nurse is preparing an educational event for pregnant women on the topic of labor pain and birth. The nurse understands the need to include the origin of labor pain for each stage of labor. What information will the nurse present for the first stage of labor?

Pain originates from the cervix and lower uterine segment.

The nurse receives a report on a client with type 1 diabetes mellitus whose delivery was complicated by polyhydramnios and macrosomia. The nurse is aware of these complications and knows to monitor the client closely for which of the following?

Postpartum hemorrhage

The partner of a pregnant client in her first trimester asks the nurse about the client's behavior recently, stating that she is very moody, seems happy one moment and is crying the next and all she wants to talk about is herself. What response would correctly address these concerns?

Pregnant women often experience mood swings and self-centeredness but this is normal.

The nurse is preparing materials to instruct a pregnant patient about the use of a local anesthetic to block specific nerve pathways. About which type of pain reduction technique will the nurse instruct the patient?

Regional anesthesia

The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take?

Report the finding to the pediatrician.

A nurse in an obstetric clinic is preparing the staff for a prenatal appointment with an incarcerated pregnant woman. What does the nurse explain is the main difference when an incarcerated client comes to the clinic?

There will be correction officers with the woman throughout her appointment.

A breast-feeding mother with endometritis is prescribed an antibiotic. The nurse teaches the mother to observe for what signs in the infant? Select all that apply.

White plaques in the mouth Bruising

A nurse removes and discards a newborn's diaper before placing the newborn on the scales for a daily weight. The nurse realizes there are no diapers at the scales. What will the nurse do?

Wrap the newborn in a blanket and carry the newborn to get another diaper.

The nurse has just informed a client that her pregnancy test is positive and she will need further assessment to determine the complete status of the situation. Which initial emotional response does the nurse expect the client to exhibit?

ambivalence

The nurse is examining a woman who came to the clinic because she thinks she is pregnant. Which data collected by the nurse are presumptive signs of her pregnancy? Select all that apply.

breast changes amenorrhea morning sickness

A nurse is making a home visit to a postpartum client. Which finding would lead the nurse to suspect that a woman is experiencing postpartum psychosis?

delirium

Which assessment finding in the pregnant woman at 12 weeks' gestation should the nurse find most concerning? The inability to:

detect fetal heart sounds with a Doppler.

A nursing student is learning about newborn congenital defects. The defect with symptoms that include a shiny scalp, dilated scalp veins, a bulging anterior fontanelle, and eyes pushed downward with the sclerae visible above the irises is which defect?

hydrocephalus

Congenital myelomeningocele is commonly associated with which condition?

hydrocephalus

Which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy?

increased lordosis

A 22-year-old primagravida comes to the office for a prenatal visit. She is in her second trimester and has had prenatal care since she was 8 weeks pregnant. Her only report is a new brownish line straight down her abdomen. Vital signs are unremarkable. Urine has no protein, glucose, or leukocytes. Fetal heart rate is 140; the client's uterus is palpated to the umbilicus. What physical finding is responsible for her new "brown line?"

linea nigra

A 7-year-old cjo;d is diagnosed as having type 1 diabetes. What is one of the first symptoms usually noticed by parents when this illness develops?

loss of weight

The nurse is providing education to the parents of an infant who was just diagnosed with transposition of the great arteries. The parents ask, "Which vessels were involved?" The nurse is correct to educate about:

the aorta and pulmonary artery.

A fundal massage is sometimes performed on a postpartum woman. The nurse would perform this procedure to address which condition?

uterine atony

Which factor puts a multiparous client on her first postpartum day at risk for developing hemorrhage?

uterine atony

The nurse is caring for a child diagnosed with Duchenne muscular dystrophy and notes the presence of a Gower sign on the assessment form. What action by the child would support this assessment?

when on the floor, rising to the knees and pressing the hands against the ankles, knees, and thighs to stand