nuclex questions test 2 ob

the nurse is providing instructions to a pregnant client with human immonodeficiency virus (HIV) infection regarding care to the newborn after delivery. the client asks the nurse about the feeding options that are available which response should the nurse make to the client? 1. "you will need to bottle-feed you newborn" 2. "you will need to feed your newborn by nasogastric tube feeding" 3. "you will be able to breast-feed for 6 months and then will need to switch to bottle-feeding" 4. " you will be able to breast-feed for 9 months and then will need to switch to bottle-feeding"

1

the nurse is assessing a pregnant client with type 1 diabetes mellitus about her understanding regarding changing insulin needs during pregnancy. the nurse determines that further teaching is needed if the client makes which statement? 1. "I will need to increase my insulin doasage during the first 3 months of pregnancy" 2. "my insulin dose will likely need to be increased during the second and third trimester" 3. " episodes of hypoglycemia are more likely to occur during the first 3 months of pregnancy" 4. "my insulin needs should return to prepregnant levels with 7 to 10 days after the bird if I am bottle-feeding"

1

a non stress test is performed on a client who is pregnant, and the results of the test indicate non-reactive findings. the health care provider prescribes a contraction stress test, and the results are documented as negative. how should the nurse document the finding? 1. a normal stress test result 2. an abnormal test result 3. a high risk for fetal demise 4. the need for a cesarean section

1

a pregnant client tells the clinic nurse that she want to know the sex of her baby as soon as it can be determined. the nurse informs the client that she should be able to find out the sex at 12 weeks gestation because of which factor? 1. the appearance of the fetal external genitalia 2. the beginning of differentiation in the fetal groin 3. the fetal testes are descended into the scrotal sac 4. the internal differences in males and females become apparent

1

a stillborn baby was delivered in the birthing suite a few hours ago. after the delivery, the family remained together, holding and touching the baby. which statement by the nurse would assist the family in their period of grief? 1. "what can I do for you?" 2. "now you have an angel in heaven." 3. "don't worry, there is nothing you could have done to prevent this from happening." 4. " we will see to it that you have an early discharge so that you don't have to be reminded of this experience."

1

a client arrives at the clinic for the first prenatal assessment. she tells the nurse that the first day of her last normal menstrual period was October 19, 2018. using nageles rule, which expected date of delivery should the nurse document in the clients chart? 1. July 12, 2019 2. July 26, 2019 3. august 12, 2019 4. august 26, 2019

2

which purposes of placental functioning should the nurse include in a prenatal class? select all that apply 1. it cushions and protects the baby 2. it maintains the temperature of the baby 3. it is the way the baby gets food and oxygen 4. it prevents all antibodies and viruses from passing to the baby 5. it provides an exchange of nutrients and waste products between the mother and developing fetus

3,5

the home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. which assessment finding indicates a worsening of the preeclampsia and the need to notify the health care provider (HCP)? 1. urinary output has increased 2. dependent edema has resolved 3. blood pressure reading is at the prenatal baseline 4. the client complains of a headache and blurred vision

4

the nurse in a maternity unit is providing emotional support to a client and her significant other who are preparing to be discharged from the hospital after the birth of a dead fetus. which statement made by the client indicates a component of the normal grieving process? 1. " we want to attend a support group" 2. " we never want to try to have a bay agin" 3. " we are going to try to adopt a child immediately" 4. " we are okay, and we are going to try to have another baby immediately"

1

A preganant client in the first trimester calls the nurse at the health care clinic and reports that she has noticed a thin, colorless vaginal drainage. The nurse should make which statement to the client? 1. "come to the clinic immediately" 2. "the vaginal discharge may be bothersome, but is a normal occurrence" 3. report to the emergency department at the maternity center immediately" 4. "use tampons if the discharge is bothersome, nut be sure to change the tampons every 2 hours"

2

a client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. a threatened abortion is suspected, and the nurse instructs the client regarding management of care. which statement made by the client indicates a need for further instruction? 1"I will watch for the evidence the passage of tissue" 2. "I will maintain strict bed rest throughout the remainder of the pregnancy" 3 " I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad" 4. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding"

2

a couple comes to the family planning clinic and asks about sterilization procedures. which questions by the nurse should determine whether this method of family planning would be most appropriate? 1. did you ever have surgery? 2. do you plan to have any other children? 3. do either of you have diabetes mellitus? 4. do either of you have problems with high blood pressure

2

a pregnant client reports to the health care clinic complaining of loss of appetite wight loss, and fatigue. after assessment of the client, tuberculosis is suspected. a sputum culture is obtained and identifies mycobacterium tuberculosis. which instructions should the nurse include in the clients teaching plan? 1. therapeutic abortion is required 2. isoniazid plus rifampin will be required for 9 months 3. she will have to stay at home until treatment s completed 4. medication will not be started until after delivery of the fetus

2

the nurse in a health care clinic is instructing a pregnant client on how to perform "kick counts" which statement by the client indicates a need for further instruction? 1. "I will record the number of movements or kicks" 2. "I need to lie flat on my back to perform the procedure" 3. "if I count fewer than 10 in a 2 hour period, I should count the kicks again over the next 2 hours" 4. " I should place my hands on the largest part of my abdomen an concentrate on the fetal movements to count the kicks"

2

the nurse is collecting data during an admission assessment of a client who is pregnant with twins. the client has a healthy 5-year old child who was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. using GTPAL, what should the nurse document in the clients chart? 1. G=3, T=2, P=0, A=0,L=1 2. G=2, T=1, P=0, A=0, L=1 3. G=1, T=1, P=1, A=0, L=1 4. G=2, T=0, P=0, A=0, L=1

2

the nurse is planning to admit a pregnant client who is obese. in planning care for this client, which potential client needs should the nurse anticipate? select all that apply 1. bed rest as a necessary preventive measure may be prescribed 2. routine administration of subcutaneous heparin may be prescribed 3. an overbid lift may be necessary if the client requires a cesarean section 4. thromboembolism stockings or sequential compression devices may be prescribed

2,3,5

the nurse is performing an assessment of a pregnant client who is at a 28 weeks of gestation. the nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. how should the nurse interpret this finding? 1. the client is measuring large for gestational age 2. the client is measuring small for gestational age 3. the client is measuring normal for gestational age 4. ore evidence is needed to determine size for gestational age

3

the nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. what instructions should the nurse provide? 1. strict bed rest is required after the procedure 2. hospitalization is necessary for 24 hours after the procedure 3. informed consent needs to be signed before the procedure 4. a fever is expected after the procedure because of the trauma to the abdomen.

3

the nursing instructor asks the students to describe fetal circulation, specifically the ductus venosus. which statement by the student indicates an understanding of the ductus venosus? 1. "it connects the pulmonary artery to the aorta" 2" it is an opening between the right and left artia" 3. " it connects the umbilical vein to the indferior vena cava" 4. "it connects the umbilical artery to the inferior vena cava"

3

the nurse evaluates the ability of a hepatitis b-positive mother to provide safe bottle-feeding to her newborn during postpartum hospitalization. which maternal action best exemplifies the mother's knowledge of potential disease transmission to the newborn? 1. the mother requests that the window be closed before breastfeeding 2. the mother holds the newborn properly during feeding and burping 3. the mother tests the temperature of the formula before initiating feeding 4. the mother washes and dries her hands before and after self-care of the perineum and asks for a pair of gloves before feeeding

4

the nurse is performing an assessment on a pregnant client in the last trimester with the diagnosis of severe preeclampsia. the nurse reviews the assessment findings and determines that which finding is most closely associated with a complication of this diagnosis? 1. enlargement of the breasts 2. complaints of feeling hot when the room is cool 3. periods of fetal movement followed by quiet periods 4. evidence of bleeding, such as in the gums, petechiae, and purpura

4

the nurse is providing instructions to a pregnant client with a history of cardiac disease regarding appropriate dietary measures. which statement, if made by the client, indicates an understanding of the information provided by the nurse? 1. " I should increase my sodium intake during pregnancy" 2. "I should lower my blood volume by limiting my fluids" 3. "I should maintain a low-calorie diet to prevent any weight gain" 4. " I should drink adequate fluid and increase my intake of high fiber foods"

4

the clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. which assessment findings indicate to the nurse that the client is at risk for contracting human immunodeficiency virus (HIV) select all that apply 1. the client has a history of intravenous drug use 2. the client has a significant other who is heterosexual 3. the client has a history of sexually transmitted infections 4. th e client has had one sexual partner for the past 10 years 5. the client has a previous history of gestational diabetes mellitus

1,3

the home care nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. at each home care visit, the nurse assess the client for which classic signs of preeclampsia? select all that apply 1. proteinuria 2. hypertension 3. low-grade fever 4. generalized edema 5. increased pulse rate 6. increased respiratory rate

1,2

the nurse is performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. the nurse should assess for which probable signs of pregnancy? select all that apply 1. ballottement 2. Chadwick's sign 3. uterine enlargement 4. positive pregnancy test 5. fetal heart rate detected by a non electronic device 6. outline of fetus via radiography or ultrasonography

1,2,3,4

the nursing instructor asks a nursing student to explain the characteristics of the amniotic fluid. the student responds correctly by explaining which as characteristics of amniotic fluid? select all that apply 1. allows for fetal movement 2. surroundings, cushions, and protects the fetus 3. maintains the body temperature of the fetus 4. can be used to to measure fetal kidney function 5. prevents large particles such as bacteria from passing to the fetus 6. provides an exchange of nutrients and waste products between the mother and the fetus

1,2,3,4

the nurse is preparing to teach a prenatal class about fetal circulation. which statements should be included in the teaching plan? select all that apply 1. "the ductus arteries allows blood to bypass the fetal lungs" 2. "one vein carries oxygenated blood from the placenta to the fetus" 3. " the normal fetal heart tone range is 140 to 160 beats per minute in early pregnancy" 4. " two arteries carry deoxygenated blood and waste products away from the fetus to the placenta" 5. " two viens carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta"

1,2,4

a rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus vaccine is prescribed to be administered before discharge. the nurse provides which information to the client about the vaccine? select all that apply 1. breast-feeding needs to be stopped for 3 months 2. pregnancy needs to be avoided for 1 to 3 months 3. the vaccine is administered by the subcutaneous route 4. exposure to immunosuppressed individuals needs to be avoided 5. a hypersensitivity reaction can occur if the client has an allergy to eggs 6. the area of the injection needs to be covered with a sterile gauze for 1 week

2,3,4,5

a pregnant client is seen for a regular prenatal visit and tells the nurse she is experiencing irregular contractions. the nurse determines that she is experiencing Braxton hicks contractions. on the basis of the findings, which nursing action is appropriate? 1. contact the health care provider 2. instruct the client to maintain bed rest for the remainder of the pregnancy 3. inform the client that these contractions are common and may occur throughout the pregnancy 4. call the maternity unit and inform them that the client will be admitted in a preterm labor condition

3

the nurse implements a teaching plan for a pregnant client who newly diagnosed with gestational diabetes mellitus. which statement made by the client indicates a need for further teaching? 1 "I should stay on the diabetic diet" 2. " I should perform glucose monitoring at home" 3. " I should avoid exercise because of the negative effects on insulin production" 4. " I should be aware of any infections and report signs of infection immediately to the health care provider (HCP)"

3

the nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. on the basis of this finding, what is the priority nursing action? 1. document the finding 2. check the mothers heart rate 3. notify the health care provider (HCP) 4. tell the client that the fetal heart rate is normal

3

the nurse in a maternity unit is reviewing the clients records. which clients should the the nurse identify as being at the most risk for developing disseminated intravascular coagulation (DIC)? select all that apply 1. a primigravida with mild preeclampsia 2. a primigravida who delivered a 10-lb infant 3 hours ago 3. a gravida II who has just been diagnosed with dead fetus syndrome 4. a gravida IV who delivered 8 hours ago and has lost 500ml of blood 5. a primigravida at 29 weeks of gestation who was recently diagnosed with severe preeclampsia

3,5