OB Maternity quiz

A pregnant client in the first trimester asks the nurse about taking medications while she is pregnant. She tells the nurse that she heard that it can be harmful to the fetus if medications are taken at certain times during pregnancy. What is the best response by the nurse?

"Exposure to certain substances during the embryonic phase may be harmful to the developing fetus."

During a health check-up without his parents present, a 17-year-old tells the nurse he is gay. Which initial question is best?

"Tell me what makes you think you are gay"

An overly tired school-aged child enters the school clinic. The nurse asks the child to state the times he/she usually goes to bed at night and wakes up in the morning. The child answers 11:00 pm and 6:00 am. Which is the best response made by the nurse?

"That is not enough sleep. You should get at least 8 to 10 hours of sleep each night."

During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?

"This fluid acts as a cushion to help to protect your baby from injury"

Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which station?

0

A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as:

2

An ovum has received a chromosomes for both of the parents. What are the odds of the infant being a male?

50%

A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman makes which statement? A. "I'll drink several glasses of water." B. "I'll sit down to rest for 30 minutes." C. "I'll try to move my bowels." D. "I'll lie down with my legs raised."

A. "I'll drink several glasses of water." If the woman experiences any signs and symptoms of preterm labor, she should stop what she is doing and rest for 1 hour, empty her bladder, lie down on her side, drink two to three glasses of water, feel her abdomen and note the hardness of the contraction, and call her health care provider and describe the contraction

A nurse is teaching a woman about measures to prevent preterm labor in future pregnancies because the woman just experienced preterm labor with her most recent pregnancy. The nurse determines that the teaching was successful based on which statement by the woman? A. "I'll make sure to limit the amount of long distance traveling I do." B. "Stress isn't a problem that is related to preterm labor." C. "I'll need extra iron in my diet so I have a extra for the baby." D. "Separating pregnancies by about a year should be helpful."

A. "I'll make sure to limit the amount of long distance traveling I do."

A pregnant woman at 31-weeks' gestation calls the clinic and tells the nurse that she is having contractions sporadically. Which instructions would be most appropriate for the nurse to give the woman? Select all that apply. A. "Stop what you are doing and rest." B. "Drink 2 or 3 glasses of water." C. "Try emptying your bladder." D. "Lie down on your back." E. "Walk around the house for the next half hour."

A. "Stop what you are doing and rest." C. "Try emptying your bladder." B. "Drink 2 or 3 glasses of water."

A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment findings? Select all that apply. A. dysuria B. four to five contractions in 1 hour C. malodorous vaginal discharge D. dull low backache E. constipation

A. dysuria C. malodorous vaginal discharge D. dull low backache Symptoms of preterm labor are often subtle and may include change or increase in vaginal discharge with mucus, water, or blood in it; pelvic pressure; low, dull backache; nausea, vomiting or diarrhea, and intestinal cramping with or without diarrhea

A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition? A. fetopelvic disproportion B. contraction ring C. a low-lying placenta D. uterine bleeding

A. fetopelvic disproportion

The nurse would be alert for possible placental abruption during labor when assessment reveals which finding? A. gestational hypertension B. gestational diabetes C. low parity D. macrosomia

A. gestational hypertension

After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position? A. knee-chest B. side-lying C. sitting D. supine

A. knee-chest

A nurse is explaining to a group of nurses new to the labor and birth unit about about methods used for cervical ripening. The group demonstrates understanding of the information when they identify which method as a mechanical one? A. laminaria B. herbal agents C. amniotomy D. membrane stripping

A. laminaria

A pregnant client has received dinoprostone. Following administration of this medication, the nurse assesses the client and determines that the client is experiencing an adverse effect of the medication based on which client report? Select all that apply. A. nausea B. headache C. diarrhea D. tachycardia E. hypotension

A. nausea B. headache C. diarrhea

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate? A. one who had a previous cesarean birth via a low transverse incision B. one who has a history of a contracted pelvis C. one who has a vertical incision from a previous cesarean birth D. one who has undergone a previous myomectomy

A. one who had a previous cesarean birth via a low transverse incision

The nurse is reviewing the physical examination findings for a client who is to undergo labor induction. Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction? A. shortened B. firm C. posterior position D. closed

A. shortened

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? Select all that apply. A. significant difficulty breathing B. pulmonary edema C. hypertension D. tachycardia E. bleeding with bruising

A. significant difficulty breathing B. pulmonary edema D. tachycardia E. bleeding with bruising The clinical appearance is varied, but most women report difficulty breathing. Other symptoms include hypotension, cyanosis, seizures, tachycardia, coagulation failure, disseminated intravascular coagulation, pulmonary edema, uterine atony with subsequent hemorrhage, adult respiratory distress syndrome, and cardiac arrest.

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which finding would require immediate intervention? A. urine output of 20 mL/hour B. uterine resting tone of 14 mm Hg C. fetal heart rate of 150 beats/minute D. contractions every 2 minutes, lasting 45 seconds

A. urine output of 20 mL/hour Oxytocin can lead to water intoxication. Therefore, a urine output of 20 mL/hour is below acceptable limits of 30 mL/hour and requires intervention. FHR of 150 beats/minute is within the accepted range of 120 to 160 beats/minute. Contractions should occur every 2 to 3 minutes, lasting 40 to 60 seconds. A uterine resting tone greater than 20 mm Hg would require intervention.

A nurse is conducting a refresher course for a group of nurses on documenting client care and education in the medical record and the purposes that it serves. The nurse determines that the group needs additional teaching when they identify which as a reason for documentation? A.permits others access to allow refusal of medical insurance coverage B.serves as a communication tool for the interdisciplinary team C.demonstrates education the family has received if legal matters arise D.verifies meeting client education standards set by the Joint Commission

A.permits others access to allow refusal of medical insurance coverage

A nursing student realizes that which of the following is true about Kohlberg's theory of moral development?

At age 2 to 3 years, the child determines right or wrong by the physical consequence of a particular act

A 2-year-old wants to feed herself and becomes agitated when the nurse attempts to feed her. What does the nurse understand is the developmental age of this child according to Erikson?

Autonomy vs doubt and shame

The nurse is providing care to several pregnant women who may be scheduled for labor induction. The nurse identifies the woman with which Bishop score as having the best chance for a successful induction and vaginal birth? A. 6 B. 11 C. 8 D. 3

B. 11 The Bishop score helps identify women who would be most likely to achieve a successful induction. The duration of labor is inversely correlated with the Bishop score: a score over 8 indicates a successful vaginal birth. Therefore the woman with a Bishop score of 11 would have the greatest chance for success. Bishop scores of less than 6 usually indicate that a cervical ripening method should be used prior to induction.

A nurse is reviewing the medical record of a pregnant client. The nurse suspects that the client may be at risk for dystocia based on which factor? A. plan for pudendal block anesthetic use B. breech fetal presentation C. multiparity D. short maternal stature E. maternal age over 35

B. breech fetal presentation D. short maternal stature F. maternal age over 35

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately? A. alert level of consciousness B. diminished deep tendon reflexes C. respiratory rate of 16 breaths per minute D. urine output of 45 mL/hour

B. diminished deep tendon reflexes

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which factor would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus? A. cord compression B. increased amniotic fluid volume C. aging of the placenta D. meconium aspiration

B. increased amniotic fluid volume

A nurse is reading a journal article about cesarean births and the indications for them. Which indication for cesarean birth occurs most frequently? A. multiple gestation B. labor dystocia C. fetal malpresentation D. abnormal fetal heart rate tracing

B. labor dystocia

A nurse is conducting a review course on tocolytic therapy for perinatal nurses. After teaching the group, the nurse determines that the teaching was successful when they identify which drugs as being used for tocolysis? Select all that apply. A. dinoprostone B. magnesium sulfate C. indomethacin D. misoprostol E. nifedipine

B. magnesium sulfate C. indomethacin E. nifedipine Medications most commonly used for tocolysis include magnesium sulfate (which reduces the muscle's ability to contract), terbutaline (Brethine, a beta-adrenergic), indomethacin (Indocin, a prostaglandin synthetase inhibitor), and nifedipine (Procardia, a calcium channel blocker). These drugs are used "off label": this means they are effective for this purpose but have not been officially tested and developed for this purpose by the FDA. Dinoprostone and misoprostol are used to ripen the cervix.

A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also reports acute abdominal pain that is continuous. Which condition would the nurse suspect? A. amniotic fluid embolism B. uterine rupture C. umbilical cord prolapse D. shoulder dystocia

B. uterine rupture Uterine rupture is associated with crack cocaine use, and generally the first and most reliable sign is sudden fetal distress accompanied by acute abdominal pain, vaginal bleeding, hematuria, irregular wall contour, and loss of station in the fetal presenting part. Amniotic fluid embolism often is manifested with a sudden onset of respiratory distress. Shoulder dystocia is noted when continued fetal descent is obstructed after the fetal head is delivered. Umbilical cord prolapse is noted as the protrusion of the cord alongside or ahead of the presenting part of the fetus.

The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase? A.decrement B.increment C.peak D.acme

B.increment Each contraction has three phases: increment or the buildup of the contraction; acme or the peak or highest intensity; and the decrement or relaxation of the uterine muscle fibers. The time from the onset to the highest intensity corresponds to the increment.

Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in: A.active phase of the first stage. B.latent phase of the first stage. C.transition phase of the first stage. D.perineal phase of the second stage.

B.latent phase of the first stage.

A nurse is conducting a presentation for a local group of community leaders about interventions being used at the various levels of prevention. The nurse determines that additional discussion is needed when a member of the group identifies which intervention as an example of a tertiary prevention level activity in community-based health care? A. working with clients at an HIV clinic to provide nutritional and CAM therapies B.teaching women to take folic acid supplements to prevent neural tube defects C.teaching clients with hypertension how to monitor blood pressure D.working with women who are victims of domestic violence

B.teaching women to take folic acid supplements to prevent neural tube defects

The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which of the following is the presenting part?

Buttocks

After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching? A. "I guess the nurses will be getting me up and out of bed rather quickly." B. "I'll probably have a tube in my bladder for about 24 hours or so." C. "I'm going to have to wait a few days before I can start breast-feeding." D. "Holding a pillow against my incision will help me when I cough."

C. "I'm going to have to wait a few days before I can start breast-feeding."

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure? A. "After the infusion, you'll be scheduled for a cesarean birth." B. "A suction cup is placed on your baby's head to help bring it out." C. "You'll need to stay in bed while you're having this procedure." D. "We'll give you an analgesic to help reduce the pain."

C. "You'll need to stay in bed while you're having this procedure." An amnioinfusion involves the instillation of a volume of warmed, sterile normal saline or Ringer's lactate into the uterus via an intrauterine pressure catheter. The client must remain in bed during the procedure. The use of analgesia is unrelated to this procedure. A cesarean birth is necessary only if the FHR does not improve after the amnioinfusion. Application of a suction cup to the head of the fetus refers to a vacuum-assisted birth.

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn? A. clavicular fracture B. asphyxia C. cephalhematoma D. central nervous system injury

C. cephalhematoma Use of forceps or a vacuum extractor poses the risk of tissue trauma, such as ecchymoses, facial and scalp lacerations, facial nerve injury, cephalhematoma, and caput succedaneum. Asphyxia may be related to numerous causes but it is not associated with use of a vacuum extractor. Clavicular fracture is associated with shoulder dystocia. Central nervous system injury is not associated with the use of a vacuum extractor.

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are: A. poor in quality. B. brief. C. erratic. D. well coordinated.

C. erratic. Hypertonic contractions occur when the uterus never fully relaxes between contractions, making the contractions erratic and poorly coordinated because more than one uterine pacemaker is sending signals for contraction. Hypotonic uterine contractions are poor in quality and lack sufficient intensity to dilate and efface the cervix. Contractions of precipitous labor occur rapidly such that labor is completed in less than 3 hours.

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which factor would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus? A. cord compression B. meconium aspiration C. increased amniotic fluid volume D. aging of the placenta

C. increased amniotic fluid volume

A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no fetopelvic disproportion. Which group of medications would the nurse expect to administer? A. tocolytics B. sedatives C. oxytocins D. corticosteroids

C. oxytocins For hypotonic labor, a uterine stimulant such as oxytocin may be ordered once fetopelvic disproportion is ruled out. Sedatives might be helpful for the woman with hypertonic uterine contractions to promote rest and relaxation. Tocolytics would be ordered to control preterm labor. Corticosteroids may be given to enhance fetal lung maturity for women experiencing preterm labor.

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which intervention would the nurse identify as the priority? A. oxytocin administration B. position changes C. pain relief measures D. immediate cesarean birth

C. pain relief measures Intense back pain is associated with persistent occiput posterior position. Therefore, a priority is to provide pain relief measures. Position changes that can promote fetal head rotation are important after the nurse institutes pain relief measures. Additionally, the woman's ability to cooperate and participate in these position changes is enhanced when she is experiencing less pain. Immediate cesarean birth is not indicated unless there is evidence of fetal distress. Oxytocin would add to the woman's already high level of pain.

A nurse is preparing an inservice education program for a group of nurses about dystocia involving problems with the passenger. Which problem would the nurse most likely include as the most common? A. multifetal pregnancy B. macrosomia C. persistent occiput posterior position D. breech presentation

C. persistent occiput posterior position

Which body system is most affected throughout the embryonic and fetal period by teratogens?

Central Nervous System

When describing the stages of labor to a pregnant woman, which of the following would the nurse identify as the major change occurring during the first stage?

Cervical dilation

The fetus of a nulliparous woman is in a shoulder presentation. The nurse would most likely prepare the client for which type of birth?

Cesarean

A woman telephones her health care provider and reports that her water just broke. Which suggestion by the nurse would be most appropriate?

Come to the clinic or emergency department for an evaluation.

A nurse is caring for several women in labor. The nurse determines that which woman is in the transition phase of labor?

Contractions every 1 minute, cervical dilation 9 cm

A woman who is 42 weeks pregnant comes to the clinic. During the visit, which assessment would be most important for the nurse to perform? A. checking for spontaneous rupture of membranes B. asking her about the occurrence of contractions C. measuring the height of the fundus D. determining an accurate gestational age

D. determining an accurate gestational age

A pregnant woman is receiving misoprostol to ripen her cervix and induce labor. The nurse assesses the woman closely for which effect? A. hypotension B. blurred vision C. headache D. uterine hyperstimulation

D. uterine hyperstimulation A major adverse effect of the obstetric use of Cytotec is hyperstimulation of the uterus, which may progress to uterine tetany with marked impairment of uteroplacental blood flow, uterine rupture (requiring surgical repair, hysterectomy, and/or salpingo-oophorectomy), or amniotic fluid embolism. Headache, blurred vision, and hypotension are associated with magnesium sulfate.

A nurse is caring for several women in labor. The nurse determines that which woman is in the transition phase of labor? A. contractions every 5 minutes, cervical dilation 3 cm B. contractions every 3 minutes, cervical dilation 5 cm C. contractions every 21/2 minutes, cervical dilation 7 cm D. contractions every 1 minute, cervical dilation 9 cm

D. contractions every 1 minute, cervical dilation 9 cm The transition phase is characterized by strong contractions occurring every 1 to 2 minutes and cervical dilation from 8 to 10 cm. Contractions every 5 minutes with cervical dilation of 3 cm is typical of the latent phase. Contractions every 3 minutes with cervical dilation of 5 cm and contractions every 21/2 minutes with cervical dilation of 7 cm suggest the active phase of labor.

When assessing cervical effacement of a client in labor, the nurse assesses which characteristic? A. extent of opening to its widest diameter B. passage of the mucous plug C. fetal presenting part D. degree of thinning

D. degree of thinning Effacement refers to the degree of thinning of the cervix. Cervical dilation refers to the extent of opening at the widest diameter. Passage of the mucous plug occurs with bloody show as a premonitory sign of labor. The fetal presenting part is determined by vaginal examination and is commonly the head (cephalic), pelvis (breech), or shoulder.

A nurse is educating a client about a care plan. Which question would be appropriate to assess whether the client is learning? A."Did you graduate from high school; how many years of schooling did you have?" B."Do you have someone in your family who would understand this information?" C."Would you prefer that the doctor give you more detailed medical information?" D."Many people have trouble remembering information; is this a problem for you?"

D."Many people have trouble remembering information; is this a problem for you?"

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn? A.central nervous system injury B.clavicular fracture C.asphyxia D.cephalhematoma

D.cephalhematoma

When assessing cervical effacement of a client in labor, the nurse assesses which of the following characteristics?

Degree of thinning

The nurse is preparing the discharge plan for a woman whose newborn requires ventilatory support at home. Which action by the nurse would be most appropriate to do when assuming the role of discharge planner?

Determine if there is a need for back-up power.

The nurse is teaching parents interventions to the emotional development of their toddlers. What is a recommended intervention for this age group?

Do not blame toddlers for aggressive behavior, instead, point out the results of their behavior

Spermatogenesis is the process by which primary spermatocytes become mature sperm. When does spermatogenesis begin?

During puberty

During which stage of fetal development is exposure to teratogens most damaging?

Embryonic stage

Children ages 8 to 9 years of age are playing games together. Everyone takes turns and has an opportunity to play and share equally. This describes which of the following perspectives?

Fairness

Based on Erikson's developmental theory, what is the major developmental task of the adolescent?

Finding an identity

Fetal circulation differs from the circulatory path of the newborn infant. In utero the fetus has a hole connecting the right and left atria of the heart. This allows oxygenated blood to quickly pass to the major organs of the body. What is this hole called?

Foramen Ovale

Assessment of a fetus identifies the buttocks as the presenting part, with the legs extended upward. The nurse identifies this as which type of breech presentation?

Frank

A nursing instructor is explaining the stages of fetal development to a group of nursing students. The instructor determines the session is successful after the students correctly choose which time period as representing the pre-embryonic stage?

From fertilization and to the end of the second week

The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

Grows and develops skills more rapidly than at any other time in their life

A trend with growth and development of the infant is that development is Proximodistal. This means:

Growth progresses from gross motor movements to fine motor movements

A client is admitted to the labor and birthing suite in early labor. On review of her medical record, the nurse determines that the clients pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal delivery. Which pelvic shape would the nurse have noted?

Gynecoid

Which intervention would probably be most effective in preventing an adolescent from attempting suicide with an overdose again?

Helping him/her learn better problem solving

The adolescent is in an auto accident and sustained a cut above his forehead and needs stiches. Which developmental task would be a major concern for the adolescent at this stage?

Identity

According to Erikson, the adolescent develops his/her own sense of being an independent person with individual thoughts and goals. This stage is referred to as:

Identity vs role confusion

The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which of the following?

Increment

A 10-year-old girl is excited when she receives the "most improved player" award on her softball team. Although she was not the strongest player on the team, she always tried to perform at her best level and never gave up on practicing her skills. What stage of psychosocial development according to Erik Erikson is this child demonstrating?

Industry vs inferiority

According to Erikson, the task for the preschool child is to develop:

Initiative

The developmental task of preschoolers is to achieve a sense of:

Initiative vs guilt

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which of the following would the nurse most likely include? (Select all that apply.)

Internal rotation Descent Flexion

During a follow-up prenatal visit, a pregnant woman asks the nurse, How long do you think I will be in labor? Which response by the nurse would be most appropriate?

Its difficult to predict how your labor will progress, but well be there for you the entire time.

Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in:

Latent phase of the first stage

A woman in her third trimester comes to the clinic for a prenatal visit. During assessment the woman reports that her breathing has become much easier in the last week but she has noticed increased pelvic pressure , cramping and lower back pain. The nurse determines that which of the following has most likely occurred?

Lightening

A nurse is documenting fetal lie of a woman in labor. Which term would the nurse most likely use?

Longitudinal

A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse most likely use?

Longitudinal

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply:

Mental health changes, history of previous suicide attempt, family disorganization, and substance abuse

A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following?

Moderately strong contractions every 4 minutes, lasting about 1 minute

What activities would a nurse recommend to the families of school-aged children to promote attainment of Erikson's developmental stage of industry vs inferiority? Select all that apply:

Participating on the school soccer team, praising the child for their academic efforts, and allowing the child to assist her teacher in straightening up the classroom.

After teaching a group of students about the factors affecting the labor process, the instructor determines that the teaching was successful when the group identifies which of the following as a component of the true pelvis? (Select all that apply.)

Pelvic inlet Mid pelvis Pelvic outlet

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which of the following would the nurse most likely include when discussing measures to promote coping for a positive labor experience? (Select all that apply.)

Presence of a support partner Low anxiety level Participation in a pregnancy exercise program

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?

Respiratory rate of 10 breaths /minute

Which milestone would you expect an infant to accomplish by 8 months of age?

Sitting without support

A nurse is describing how the fetus moves through the birth canal. Which of the following would the nurse identify as being most important in allowing the fetal head to move through the pelvis?

Sutures

The nurse is caring for several clients on the pediatric unit. When interacting with the preschooler, which action with the nurse predict to occur?

Takes in new information at a rapid rate and asks, "why" and "how"

The nurse is admitting a 15-year-old to the hospital pediatric unit. What does the nurse recognize as a priority for this adolescent?

The adolescent's need for privacy should be respected

A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3.75kg) at birth. Weight now is 20 pounds 8 ounces (9.3kg). The nurse determines:

The child weighs less than expected for age

A woman in her 40th week of pregnancy calls the nurse at the clinic and says shes not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?

The contractions slow down when I walk around.

A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office visit. What is the most advanced milestone of language development that the nurse should expect to see in this child?

The infant says, "da-da" when looking at her father

After teaching a group of students about the maternal bony pelvis, which statement by the group indicates that the teaching was successful?

The pelvic outlet is associated with the true pelvis.

What should the nurse explain to the pregnant client about the importance of the fetal stage of development?

There is additional growth and development of the organs and body systems.

A toddler's father is concerned because his son refuses to share. What is your best response concerning this?

This is normal toddler behavior, sharing is learned later

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating:

Transition phase of the first stage of labor

A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?

Upright

Which of the following would indicate to the nurse that the placenta is separating?

Uterus becomes globular

A fertilized ovum is known as which structure?

Zygote

A pregnant woman is receiving misoprostol to ripen her cervix and induce labor. The nurse assesses the woman closely for which effect? a. hypotension b.blurred vision c.headache d.uterine hyperstimulation

d.uterine hyperstimulation