ATI OB EXAM 1
a pt. who is 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include in the teaching? a. eat crackers or plain toast before getting out of bed b. awaken during the night to eat a snack c. skip breakfast and eat lunch after nausea has subsided d. eat a large evening meal
a. N/V during 1st trimester might be relieved by eating crackers or plain toast 30-60 minutes prior to rising in the morning
a nurse is caring for a pt. 1 day postpartum. The nurse is assessing maternal adaption and mother-infant bonding. Which of the following behaviors by the pt. indicates a need for the nurse to intervene (SATA) a. demonstrates apathy when the infant cries b. touches the infant and maintains close physical proximity c. views the infant's behavior as uncooperative during diaper change d. identifies and relates infant's characteristics to those of family members e. interprets the infant's behavior as meaningful and a way of expressing needs
A, C
a nurse is called to the birthing room to assist w/ the assessment of a newborn who was born at 32 weeks gestation. The newborn birth weight is 1,100g. Which of the following are expected findings in the newborn (SATA) a. lanugo b. long nails c. weak grasp reflex d. translucent skin e. plump face
A, C, D a. characteristics of a preterm NB include the presence of abundant lanugo c. a weak grasp reflex is characteristic of a preterm NB d. skin that is thin, smooth, shiny, and translucent is a finding in a preterm NB
a nurse educator on the postpartum unit is reviewing RF for postpartum hemorrhage w/ a group of nurses. Which of he following factors should the nurse include in the teaching? (SATA) a. precipitous delivery b. obesity c. inversion of the uterus d. oligophydramnios e. retained placental fragments
A, C, E a. rapid, precipitous delivery is a RF for postpartum hemorrhage c. inversion of the uterus is a RF for postpartum hemorrhage E. retained placental fragments is a RF for postpartum hemorrhage
a nurse is caring for a pt. who is preg. and reviewing signs of complications the pt. should promptly report to the provider. Which of the following complications should the nurse include in the teaching a. vaginal bleeding b. swelling of ankles c. heartburn after eating d. lightheadedness when lying on back
a. vaginal bleeding indicates a potential complication of the placenta such as placenta previa. The nurse should instruct the pt. to notify provider immediately.
a nurse is conducting a home visit for a pt. 1 week postpartum and breastfeeding. the pt. reports breast engorgement. Which of the following recommendations should the nurse make? a. apply cold compress between feedings b. take a warm shower right after feedings c. apply breast milk to nipples allow them to air dry d. use various infant positions for feedings
a. cold compress applied to breasts after the feedings can help w/ breast engorgement
A NB was not dried completely. Which of the following mechanisms should the nurse understand causes heat loss?
c. evaporation is the loss of heat that occurs when a liquid is converted to a vapor. IN a NB heat loss, by evaporation occurs as a result of vaporization of the moisture from the skin.
a nurse is caring fora pt. who is postpartum. The nurse should identify which of the following findings as an early indicator of hypovolemia caused by hemorrhage? a. increased HR and decreased BP b. dizziness and increasing RR c. cool, clammy skin, and pale mucous membranes d. altered mental status and LOC
A a rising HR and decreased BP are often the first indications of inadequate blood volume
a nurse is caring for a newborn who is preterm and has resp. distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant? a. oxygen saturation b. body temp. c. serum bilirubin d. HR
A surfactant stabilizes the alveoli and helps increase oxygen saturation
a nurse is preparing to administer prophylactic eye ointment to a NB to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administrating? a. ofloxacin b. nystatin c. erythromycin d. ceftriaxone
c. one medication of choice for ophthalmia neonatorum is erythromycin ophthalmic ointment. this antibiotic provides prophylaxis against gonorrhea and chlamydia
a nurse is caring for a pt. who is 1 hour postpartum following vaginal birth and experiencing uncontrollable shaking. The nurse should understanding that the shaking is due to which of the following factors (SATA) a. change in body fluids b. metabolic effort of labor c. diaphoresis d. decrease in body temperature e. decrease in prolactin levels
A, B a. a shift of body fluids during the first 2 hours of puerperium can cause a postpartum chill b. the work of labor can cause postpartum chill during the first 2 hour puerperium
a nurse is caring for a pt. who is pregnant and is to undergo a contraction stress test. Which of the following findings are indications for this procedure (SATA) a. decreased fetal movement b. intrauterine growth restriction c. postmaturity d. placenta previa e. amniotic fluid emboli
A, B, C a. decreased fetal movement is an indication for CST b. IUGR is an indicator for a CST c. post-maturity is an indication for CST
a nurse is discussing RF for UTI w/ a new nurse. Which of the following conditions should the nurse include in the teaching (SATA) a. epidural anesthesia b. urinary bladder catheterization c. frequent pelvic examinations d. hx. of UTIs e. vaginal birth
A, B, C, D
a nurse is caring for a postpartum pt. who delivered her third infant 2 days ago. the nurse recognizes that which of the following findings are suggestive of postpartum depression (SATA) a. fatigue b. insomnia c. euphoria d. flat affect e. delusions
A, B, D a. fatigue is a finding suggestive of postpartum depression b. insomnia is a finding suggestive of postpartum depression d. a flat affect is a finding suggestive of postpartum depression
a nurse is caring for a pt. who has mastitis. Which of the following is the typical causative agent of mastitis? a. staphylococcus aureus b. chlamydia trachomatis c. klebsiella pneumonia d. clostridium perfrigens
A
a nurse is performing a fundal assessment for a pt. who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated and approximately 12 cm w/ lochia that is bright red and contains small clots. Which of the following assessment findings should the nurse document? a. moderate lochia rubra b. excessive blood loss c. light lochia rubra
A the pt. has moderate lochia rubra containing small clots, which is an expected finding for the 2nd day postpartum
a nurse is reviewing contraindications for circumcision w/ a newly hired nurse. Which of the following conditions are contraindications? (SATA) a. hypospadias b. hydrocele c. hx. of hemophilia d. hyperbilirubinemia e. epispadias
A, C, E a. hypospadias involves defect in location of the urethral opening and is a contraindication to circumcision c. a family hx. of hemophilia is a contraindication to circumcision e. epispadias involves a defect in the location of the urethral opening and is a contraindication to circumcision
a nurse is in a prenatal clinic is caring for pt. who is in the 1st trimester of preg. The pt's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information (SATA) a. client has delivered one newborn at term b. client has experienced no preterm labor c. client has been through active labor d. client has had two prior pregnancies e. cleint has one living child
A, D, E
a nurse is caring for a pt. who is pregnant and states that her LMP was April 1st. Which of the following is the client's estimated date of delivery? a. January 8 b.January 15 c. feb 8 d. feb 15
A. april 1st minus 3 months plus 7 days and 1 year equals an estimated delivery date of Jan. 8th
a nurse is providing discharge teaching for a non-lactating pt. Which of the following instructions should the nurse include in the teaching? a. wear a supportive bra continuously for the first 72 hours b. pump your breast every 4 hours to relieve discomfort c. use breast shells throughout the day to decrease milk supply d. apply warm compresses until milk suppression occurs
A. the nurse should instruct the pt. to wear a well-fitting support bra continuously for the first 72 hours
a nurse is teaching a pt. who is at 6 weeks gestation about common discomforts of preg. Which of the following findings should the nurse include in the teaching (SATA) a. breast tenderness b. urinary frequency c. epistaxis d. dysuria e. epigastric pain
A.B.C a. breast tenderness is common discomfort occurring during 1st trimester b. urinary frequency is common discomfort occurring during 1st trimester c. epistaxis is common discomfort occurring during 1s trimester
a nurse is completing a postpartum d/c teaching w/ a pt. who had no immunity to varicella and was given varicella vaccine. Which of the following statements by the pt. indicates understanding of teaching a. I will need to use contraception for 3 mo. before considering pregnancy b. I need a second vaccination at my postpartum visit c. I was given the vaccines because my baby was O-positive
B a second varicella immunization is needed at 4-8 weeks following delivery by pt. who had NO hx. of immunity
a pt. in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. because the pt. will not stop talking, the nurse is having difficulty completing the postpartum assessment. Which of the following actions should the nurse take? a. come back later when the pt. is more cooperative b. give pt. time to express feelings c. tell pt. she needs to be quiet so the assessment can be completed d. redirect the client's focus so that she will become quiet
B the nurse should recognize that the pt. is in the taking-in phase, which begins immediately following birth and lasts a few hours to a couple days
a nurse is caring for a pt. who is 2 days postpartum. The client states, "My 4 year old son was toilet trained and now he is frequently wetting himself." Which of the following statements should the nurse provide to the pt.? a .your son was probably not ready for toilet training and should wear training pants b. your son is showing an adverse sibling response c. your son may need counseling d. you should try sending your son to preschool to resolve the behavior
B adverse responses to siblings to a new infant can include regression in toileting habits
a nurse is caring for a NB who is 38 weeks of gestation, weights 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? a. low-birth weight b. appropriate for gestational age c. small for gestational age d. large for gestational age
B this NB is classified as appropriate for gestational age because the weight is between the 10th and 90th percentile
a nurse is reviewing the health record of a pt. who is pregnant. The provider indicated the pt. exhibits probably signs of pregnancy. Which of the following findings should the nurse expect (SATA) a. montgomery's glands b. Goodell's sign c. ballottement d. chadwick's sign e. quickening
B, C, D b. goodell's sign is a probably sign of preg. c. ballottement is a probably sign of preg. d. chadwick's sign is a probably sign of preg.
a nurse is assessing a pt. who has postpartum depression. The nurse should expect which of the following findings? (SATA) a. paranoia that her infant will be harmed b. concerns about lack of income to pay bills c. anxiety about assuming a new role as a mother d. rapid decline in estrogen and progesterone e. feeling of inadequacy w/ a new role as a mother
B, C, D, E b. feelings of financial inadequacy to provide for family is a finding associated w/ postpartum depression c. anxiety about assuming anew role as a mother is a finding associated w/ postpartum depression d. the rapid decline in estrogen and progesterone is a finding associated w/ postpartum depression e. feeling of inadequate w/ the new role of mother is a finding associated w/ postpartum depression
a nurse is reviewing a discharge teaching w/ a pt. who has UTI. Which of the following statements by the pt. indicates understanding of the teaching (SATA) a. I will perform peri care and apply a perineal pad in a back-to-front direction b. i will drink cranberry and prune juice to make more acidic urine c. I will drink large amounts of fluids to flush the bacteria from the urinary tract d. I will go back to BF after I finished taking the antibiotic e. I will take Tylenol for any discomfort
B, C, E b. acidification of urine inhibits bacterial multiplication c. increased fluid intake can help to flush bacteria from the urinary tract e. acetaminophen is taken to reduce discomfort and pain associated w/ UTIs
a nurse is reviewing findings of a pt's biophysical profile (BPP). The nurse should expect which of the following variables to be included in the test (SATA) a. fetal weight b. fetal breathing c. fetal tone d. fetal position e. amniotic fluid volume
B, C, E b. fetal breathing movements are included in the BPP c. fetal tone is included in BPP e. amniotic fluid volume is included in BPP
a nurse is assessing a postpartum pt. for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of uterine atony? a. poor involution b. urinary retention c. hemorrhage d. infection
B. urinary retention can result in distention of the bladder. A distended bladder can cause uterine atony and lateral displacement from the midline, usually to the right.
a nurse is caring for a NB. what of the following actions by the NB indicate readiness to feed? a. spits up clear mucus b. attempts to place his hand in his mouth c. turns his head towards sound d. lies quietly with his eyes open
B. readiness to feed cues include the NB making hand-to-mouth and hand-to-hand movements, sucking motions , rooting, and mouthing
a nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the nurse indicate understanding of the teaching? a. the newborn will have decreased muscle tone b. the newborn will have a continuous high-pitched cry c. the newborn will sleep for 2-3 hours after feeding d. the newborn will have mild tremors when disturbed
B. a continuous high-pitched cry is often an indication of CNS disturbance in . newborn who hs neonatal abstinence syndrome
a nurse on the postpartum unit is caring for four pts. which of the following pt's should the nurse recognize as the greatest risk for development of a postpartum infection? a. a pt. who experienced a precipitous labor less than 3 hour in duration b. a pt. who had premature rupture of membranes and prolonged labor c. a pt. who delivered a large for gestational age infant d. a pt. who had a boggy uterus that was not well-contracted
B. premature rupture membranes w/ prolonged labor poses the GRF for developing postpartum infection, because the birth canal was open, allowing pathogens to enter
a nurse is reviewing car seat safety w/ the parents of a NB. Which of the following instructions should the nurse include in the teaching regarding car seat positions? a. front seat, rear-facing b. front seat, forward-facing c. back seat, rear-facing d. back seat, forward-facing
C
a nurse is caring for a NB immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement? a. apply gelfoam powder to the site b. place the NB in prone position c. apply petroleum gauze to the site d. avoid changing the diaper until the first void
C petroleum gauze is applied to the site for 24 hr to prevent the skin edges from sticking to the diaper
a nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide? a. burp the NB at the end of feeding b. hold the NB close in a supine position c. keep the nipple full of formula throughout the feeding
C the nipple should always be kept full of formula to prevent the NB from sucking in air during the feeding
a nurse is providing discharge teaching to the parents of a NB regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? a. his circumcision will heal within a couple days b. i should remove the yellow mucus that will form c. I will clean his penis w/ each diaper change d. I will give him a tub bath within a couple days
C the penis should be cleaned w/ warm water w/ each diaper change
a nurse is caring for an infant who has high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn? a. conjunctivitis b. bronze skin discolorations c. sunken fontanels d. maculopapular skin rash
C using safety and risk reduction framework, sunken fontanels are priority finding. Infants receiving phototherapy are at risk for dehydration from loose stools due to increased bilirubin excretion
a nurse is teaching a group of women who are pregnant .about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching (SATA) a. avoid any lifting b. perform kegel exercises twice a day c. perform the pelvic rock exercise every day d. use proper body mechanics e. avoid constrictive clothing
C - helps stretch lower back m. D
a nurse on the postpartum unit is performing a physical assessment of a pt. who is being admitted w/ a suspected DVT. Which of the following clinical findings should the nurse expect? (SATA) a. calf tenderness to palpation b. mottling of the affected extremity c. elevated temp. d. area of warmth e. report of nausea
a, c, d a. a pt. report of calf tenderness to palpitation in an expected finding in a pt. who has a DVT c. elevated temp. is an expected finding in a pt. who has a DVT d. an area of warmth over the thrombus is an expected finding in a pt. who has a DVT
a nurse is reviewing formula preparation w/ parents who plan to bottle-feed their NB. Which of the following information should the nurse include in the teaching (SATA) a. use disinfectant wipe to clean the lid of the formula can b. store prepared formula in the refrigerator up to 72 hours c. place used bottles in the dishwasher d. check the nipple for appropriate flow of formula e. use tap water to dilute concentrated urine
C, D, E c. bottles can be placed in a dishwasher or washed by hand in hot soapy water using a good bottle brush d. the flow of formula from the nipple should be checked to determine that is not too fast or too slow e. tap water is used to mix concentrated or powder formula. If the water is from a questionable source, it should be boiled first.
a nurse is providing discharge instructions to a postpartum pt. following c/s. The pt. reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? a. sit-ups b. pelvic tilt exercises c. kegel exercises d. abdominal crunches
C. kegel exercises consist of the voluntary contraction and relaxation of the pubococcygeus muscle to strengthen the pelvic muscles, which will assist the pt. in decreasing urinary stress incontinence that occurs w/ sneezing and coughing
a nurse is in the delivery room is planning to promote maternal-infant bonding for a pt. who just delivered. Which of the following is priority action by the nurse? a. encourage parents to touch and explore neonate's features b. limit noise and interruptions in delivery room c. place the neonate @ the pt's breast d. position neonate skin-to-skin on the pt's chest
D
a nurse is giving instructions to a mother about how to BF her newborn. Which of the following indicates understanding of the teaching? a. the mother places a few drops of water on her nipple before feeding b. the mother gently removes the nipple from infant's mouth to break suction c. when she is ready to bf the mother gently strokes the NB's neck w / her finger d. when latched on, the infant's nose, cheek, and chin are touching breast
D effective latching on includes the infant, nose, cheek, and chin touching the mother's breast
a nurse is reviewing care of the umbilical cord w/ the parent of a NB. Which of the following instructions should the nurse include in the teaching ? a. cover the cord w/ small gauze square b. trickle clean water over the cord w/ each diaper change c. apply hydrogen peroxide to the cord twice a day d. keep the diaper folded below the cord
D folding the diaper below the cord prevents urine from the diaper penetrating the cord site
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt. asks the nurse what should the nurse expect because her baby is post-mature. Which of the following statements should the nurse make? a. your baby will have excess body fat b. your baby will have flat areola w/o breast buds c. your baby heels will easily move to the ears d. your baby's skin will have a leathery appearance `
D leathery, cracked, wrinkled skin is seen in a NB who is postmature due to placental deficiency
a nurse is in a clinic teaching pt. of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? a. iron deficiency anemia b. poor bone formation c. macrosomic fetus d. neural tube defects
D neural tube defects are caused my folic acid
a nurse is reviewing a new prescription for iron supplements w/ a pt. who is in the 8th week of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the pt. to take the iron supplements with? a. ice water b. low-fat or whole milk c. tea or coffee d. orange juice
D orange juice has vitamin C which aids in absorption of iron
a nurse is completing a NB assessment and observe small, white, nodules on the roof of the NB's mouth. This finding is a characteristic of which of the following conditions? a. mongolian spots b. milia spots c. erythema toxicum d. epstein's pearls
D epstein's pearls are small, white, nodules that appear on the roof a NB's mouth
a nurse is assessing the reflexes of a NB. In checking for moro reflex. the nurse should perform which of the following? a. hold the NB vertically under arms and allow one foot to touch table b. stimulate the pads of the NB's hands w/ stroking or massage c. stimulate the soles of the NB's feet on the outer lateral surface of each foot d. hold the NB in a semi-sitting position, then allow the NB's head and trunk to fall backward
D moro reflex is elicited by holding the NB in a semi-sitting position and then allowing the head and trunk to fall backward
a nurse on the postpartum unit is planning care for a pt. who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? a. apply cold compresses to affected extremity b. massage affected extremity c. allow pt. to ambulate d. measure leg circumferences
D. the nurse should plan to measure the circumferences of the leg to assess for changes in the pt's condition
a nurse is assessing a postpartum pt. who is exhibiting tearfulness, insomnia, lack of appetite, and feeling of letdown. Which of the following conditions are associated w/ these clinical findings? a. postpartum fatigue b. postpartum psychosis c. letting-go-phase d. postpartum blues
D. postpartum blues are characterized by tearfulness, insomnia, lack of appetite, and feeling let-down
a nurse is caring for a NB immediately following birth. Which of the following interventions is highest priority? a. initiating BF b. performing initial bath c. giving vitamin K d. covering NB's head w/ cap
D. the greatest RF for a NB is cold stress. The highest priority intervention is to prevent heat loss. covering the NB head w/ cap's prevents cold stress due to excessive evaporative heat loss.
a nurse in a prenatal clinic is providing education to a pt. who is in the 8th week of gestation. The pt. states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? a. dark green leafy vegetables b. deep red/orange vegetables c. white breads and rice d. meal, poultry, fish
a good sources fo calcium for bone and teeth formation include low-oxalate, dark green leafy vegetables, such as kale, artichokes and turnip greens
a nurse is caring for a pt. who has disseminated intravascular coagulation (DIC). Which of the following antepartum complications should the nurse understanding is a RF for this condition? a. preeclampsia b. thrombophlebitis c. placenta previa d. hyperemesis gravidarum
a correct: DIC can occur secondary in a pt. who has preeclampsia
a nurse is teaching another nurse how to bathe a NB and observes a bluish marking across the NB's lower back. The nurse should include which of the following information in the teaching? a. this is frequently seen in NB who have dark skin b. this is a finding indicating hyperbilirubinemia c. this is a forceps mark from an operative delivery d. this is related to prolonged birth or trauma during delivery
a. mongolian spots are commonly found over lumbosacral area of NB who have dark skin of african americans, asian, or native american origin
a nurse is preparing to adm. vit. K injection to a NB. Which of the following responses should the nurse make to the NB's mother regarding why this medication is given. a. it assists w/ blood clotting b. it promotes maturation of the bowel c. it is a preventative vaccine d. it provides immunity
a. vitamin K deficient in a NB because the colon is sterile. until bacteria re present to simulate vitamin K production, The NB is at risk fro hemorrhagic disease
a nurse in a prenatal clinic is caring for four pts. Which of the following pt's weight gain should the nurse report to provider? a. 1.8 kg (4 lb ) weight gain and is in her 1st trimester b. 3.6 kg (8 lb) weight gain and is in her first trimester c. 6.8 (15 lb) weigh gain and is in her second trimester d. 11.3 (25lb) weight gain and is in her third trimester
b the nurse should be concerned about this pt. because she has exceeded the expected 3-4 lb weight gain of a pt. in first trimester
a nurse is caring for a pt. who is preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity? a. alpha-fetoprotein (AFP) b. lecithin/sphingomyelin (L/S) ratio c. Kleihauer-Betke test
b. a test of the L/s ration is done as a part of an amniocentesis to determine fetal lung maturity
a pt. who is at 8 wks. of gestation tells the nurse she isn't happy about being pregnant. Which of the following responses should the nurse make? a. i will inform the provider that you are having these feelings b. it is normal to have these feelings during the first few months of pregnancy c. you should be happy you are going to bring new life to this world
b. feelings of ambivalence about preg. are normal during 1st trimester
a nurse is caring for a pt. who has postpartum psychosis. Which of the following actions is the nurse's priority? a. reinforce the need to take antipsychotics are prescribed b. ask the pt. if she has thoughts of harming herself or her infant c. monitor the infants for indications of failure to thrive
b. nurse should identify that the greatest risk to the pt. and her infant is self-harm or harm directed toward the infant. therefore, the priority nursing action should take is directly ask the pt. if she has thoughts of self-harm, suicide, or harming the infant
a nurse is providing care to four pt's on the postpartum unit. Which of the following pt's is a GRF for developing a postpartum infection a. a pt. who has an episiotomy that is erythematous and has extended into a third-degree laceration b. a pt. who does not was her hands between perineal care and BF c. a pt. who is not BF and is using measures to suppress lactation
b. the pt. who does not was her hands between perineal care and BF is at an increased risk fro developing mastitis. therefore, she is most at risk for developing a postpartum infection
a nurse is completing an assessment. Which of the following data indicated the NB is adapting to extra uterine life (SATA) a. expiratory grunting b.inspiratory nasal flaring c. apnea for 10 seconds periods d. obligatory nose breathing e. crackles and wheezing
c, d c. periods of apnea lasting less than 15 seconds are an expected finding d. newborns are obligatory nose breathers
during ambulation the bathroom, a postpartum pt. experiences a gush of dark red blood that soon stops. on assessment a nurse finds the uterus to be firm, midline, and level of umbilicus . which of the following findings should the nurse interpret this data as being? a. evidence of possible vaginal hematoma b. an indication of cervical or perineal location c. a normal postural discharge of lochia d.abnormally excessive lochia rubra flow
c. lochia typically trickles from vaginal opening but flows more steadily during uterine contractions. Massaging the uterus or ambulation can result in a gush of lochia w/ expression of clots and dark blood that has been pooled in the vagina, but it should soon decrease back to trickle of bright red lochia in the early puerperium
a nurse is teaching a pt. who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? a. you will lay on your right side during the procedure b. you should not eat anything for 24 hours prior to the procedure c. you should empty your bladder prior to the procedure d. the test is done to determine gestational age
c. the clients bladder should be empty to avoid an inadvertent puncture during procedure
a nurse is teaching a pt. who is BF and has mastitis. Which of the following responses should the nurse make? a. limit amt. of time the infant nurses on each breast b. nurse the infant only on the unaffected breast until resolved c. completely empty each breast at each feeding or use a pump d. wear a tight fitting bra until lactation has ceased
c. instruct the pt. to completely empty each breast @ each feeding to prevent milk stasis, which provides a medium for bacterial growth
a nurse is in a prenatal clinic who is caring for a pt. who is pregnant and experiencing episodes of maternal hypotension. The pt. asks the nurse what causes these episodes. The nurse responds? a. this is due to an increase blood volume b. this is due to pressure form the uterus on the diaphragm c. this is due to the weight of the uterus on the vena cava d. this is due to increased cardiac output
c. maternal hypotension occurs when the pt. is lying in the supine position and the weight of the gravid uterus places pressure on the vena cava, decreasing venous blood flow to heart
a nurse is providing discharge instructions for a pt. @ 4 weeks postpartum, the pt. should contact her provider for which of the following pt. findings? a. scant, nonodorous white vaginal discharge b. uterine cramping during BF c. sore nipple w/ cracks and fissures d. decreased response w/ sexual activity
c. a sore nipple that has cracks and fissures is an indication of mastitis
a nurse is taking a newborn to a mother following circumcision. Which of the following actions should the nurse take for security purposes? a. ask the mother to state her full name b. look at the name on the NB's bassinet c. match ID bands of mother and NB d. compare name on the bassinet and room #
c. each time a NB is take from mom, the mother's identification band should be verified against NB's identification band
a nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions should the nurse use to promote father-infant bonding? a. hand the father the infant and suggest that he could change the diaper b. ask the father why he is so anxious and nervous c. tell the father he will grow accustomed to the infant d. provide education about infant care when the father is present
d. nursing interventions promote paternal bonding include education about infant care and encouraging father to take a hands on approach
a nurse is reviewing postpartum nutrition needs w/ a group of new mothers who are BF their NB. Which of the following statements by the member of the group indicates an understanding of teaching? a. i am glad i can have my morning coffee b. i should take folic acid to increase milk supply c. i will continue adding 330 cal per day to my diet d. i will continue my calcium supplements because I don't like milk
d. postpartum women who are at risk for inadequate dietary calcium should continue taking calcium supplements during lactation
a nurse is caring for a pt. who is preg. and undergoing a nonstress test. The pt. asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? a. it is used to stimulate uterine contractions b. it will decrease the incidence of uterine contractions c. it lulls the fetus to sleep d. it awakens a sleeping fetus
d. the acoustic vibration device is activated for 3 seconds on the maternal abdomen over the fetal head to awaken a sleeping fetus
a nurse is reviewing BF positions w/ the mother of a NB. Which of the following positions should the nurse discuss? a. over the shoulder b. supine c. chin support d. cradle
d. the cradle position for BF includes the mother laying the NB across from her forearm w/ her hand supporting the lower back and buttocks
a nurse in the clinic receives a phone call from a pt. who believes she is pregnant and would like to be tested in the clinic to confirm her preg. Which of the following information should the nurse provide to the pt a. you should wait until 4 wks after conception to be tested b. you should be off any medications 24 hour prior to test c. you should be NPO for at least 8 hours to the test d. you should collect urine from the first morning void
d. uterine preg. tests should be done first- voided morning specimen to provide the most accurate test
