214 Final

A male client comes to the clinic because he thinks that he has syphilis. Which test would the nurse expect the client to have done? Select one: a. Pap smear b. VDRL c. HPV d. Wet preparation

b. VDRL

The nurse is spending time with a client who has just learned, unexpectedly, that she is pregnant. Which initial task should the nurse assist the client to focus on? Select one: a. Making plans for the baby b. Accepting the pregnancy c. Accepting a coming child d. Sharing time with a significant other

b. accepting the pregnancy

PROM

Rupture of membranes prior to the onset of labor in a woman who is less than 37 weeks' gestation

preterm labor

The occurrence of regular uterine contractions accompanied by cervical effacement and dilation prior to the 37th week of gestation.

A client presents to the OB triage unit with nor prenatal care and painless, bright red vaginal bleeding. Which interventions are most indicated? Select one: a. Applying an external fetal monitor and completing a physical assessment. b. Obtaining a fundal height physical assessment on the client. c. Applying an external fetal monitor and performing a sterile vaginal exam. d. Advocating for placement of a fetal scalp electrode and intrauterine pressure catheter.

a. Applying an external fetal monitor and completing a physical assessment.

Which term refers to painful menstruation? Select one: a. Dysmenorrhea b. Dyspareunia c.Amenorrhea d. Ovulation

a. Dysmenorrhea

After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse determines that further instruction is needed when the client states which as an adverse effect? Select one: a. Ovarian Cancer b. Nausea c. Headache d. Weight gain

a. Ovarian Cancer

Which of the follow are signs or symptoms of Down Syndrome in an infant? Select all that apply. Select one or more: a. Protruding tongue b. Short fingers c. Low set ears d. Hypotonic muscles e. Broad bridge of nose

a. Protruding tongue b. Short fingers c. Low set ears d. Hypotonic muscles e. Broad bridge of nose

When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to: Select one: a. Provide as much structure as possible for the child. Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non-confrontational approach and setting limit to time allotted for activities. b. Remove the child from the classroom when disruptive behavior occurs c. Ignore the child's overactivity.C d. Encourage the child to engage in any play activity to dissipate energy

a. Provide as much structure as possible for the child. Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non-confrontational approach and setting limit to time allotted for activities.

The health care provider has prescribed misoprostol (cytotec) to be administered vaginally to a newly admitted client for induction of labor. Which finding indicates that the client has had a therapeutic response to the medication? Select one: a. Softening of the cervix and beginning of effacement. b. Decreasing nausea in labor c. Resting period of 2 minutes between contractions d. Leaking of clear amniotic fluid in small amounts.

a. Softening of the cervix and beginning of effacement.

A primigravid client gave birth vaginally 2 hours ago with no complications. As the nurse plans care for this client, which postpartum goal would have the highest priority? Select one: a. The client will demonstrate self-care and infant care by the end of the shift. b. By discharge, the family will bond with the neonate. c. The client will state instructions for discharge during the first postpartum day. d. By the end of the shift, the client will describe a safe home environment.

a. The client will demonstrate self-care and infant care by the end of the shift.

The parents of a newborn diagnosed with cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired? Select the best response. Select one: a. The lip is repaired in the first few weeks of life but the palate is repaired at 18 mos. b. The lip is repaired at 1 year and the palate is repaired at 3 years. c. The lip is repaired at 12 mos and the palate is repaired at 6 mos. d. The lip and palate are usually repaired together at 6 mos.

a. The lip is repaired in the first few weeks of life but the palate is repaired at 18 mos.

What is the most common early symptom of a sexually transmitted infection? Select one: a. dysuria b.painful lesions c. menstrual cramping d. amenorrhea

a. dysuria

When teaching a primigravid client about the diagnostic tests used in pregnancy, the nurse would include which information? Select one: a. Fetal heart increases during a nonstress test is an ominous sign and requires further evaluation with a fetal echocardiography. b. A fetal biophysical profile involves assessment of breathing movements, body movements, tone, amniotic fluid volume, and fetal rate and reactivity. c. Contraction stress testing, performed on most pregnant women, can be initiated as early as 16 weeks'gestation. d. Percutaneous umbilical blood sampling uses a needle inserted through the vagina to obtain a sample.

b. A fetal biophysical profile involves assessment of breathing movements, body movements, tone, amniotic fluid volume, and fetal rate and reactivity.

At 12 hours of age, the newborn's respiratory rate is 44 per minute. The respirations are shallow with periods of apnea lasting up to 5 seconds. Based upon this assessment data, what would the nurse do first? Select one: a. Request an order for supplemental oxygen. b. Continue routine monitoring. c. Activate respiratory arrest procedures. d. Call the doctor immediately and report the assessment.

b. Continue routine monitoring.

The primigravid client is at +1 station and 9 cm dilated. Based on these data, what would the nurse do first? Select one: a. Assist the client to push is she feels the need to do so. b. Encourage the client to breathe through the urge to push. c. Ask the anesthesiologist to increase epidural infusion rate. d. Support family members in providing comfort measures.

b. Encourage the client to breathe through the urge to push.

Assessment of a laboring primigravid client who has had no analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse would expect the client to exhibit which behavior during this phase of labor? Select one: a. Excitement b. Loss of control c. Numbness of the legs d. Feelings of relief

b. Loss of control

The nurse is caring for a woman who gave birth vaginally 4 hours ago. Which factor would likely contribute to the development of endometritis for this client? Select all that apply. Select one or more: a. Straight catheterization during labor b. Manual removal of placenta c. Placement of fetal scalp electrode d. Epidural use e. Prolonged labor

b. Manual removal of placenta c. Placement of fetal scalp electrode e. Prolonged labor

Parents brought their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot made at birth. Which statement by the parents indicates a need for further teaching regarding this disorder? Select one: a. "I realize my infant will require follow-up care until fully grown." b. "I need to come to the clinic every week with my infant for the casting at first." Serial manipulation and casting are performed at least weekly c. "I need to bring my infant back to the clinic in 1 month for a new cast and then again at 2 months. d. "Treatment needs to be started as soon as possible."

c. "I need to bring my infant back to the clinic in 1 month for a new cast and then again at 2 months.

In the NICU the infant is intubated and connected to a ventilator. The nurse auscultates diminished breath sounds on the left side. What intervention would the nurse anticipate next? Select one: a. Increase the ventilator rate b. Reassessment in 5 minutes c. Adjustment of the ET d. Insertion of chest tube

c. Adjustment of the ET

A client is receiving intravenous magnesium sulfate for severe preeclampisa. Which assessment finding would alert the nurse to suspect hypermagnesemia? Select one: a. Cool skin temperature b. Tingling in the toes c. Decreased deep tendon reflexes d. Rapid pulse rate

c. Decreased deep tendon reflexes

A child diagnosed with cerebral palsy has damage to the cerebellum. Which type of movement problems will the nurse anticipate? Select one: a. Good posture b. Hyperreflexia c. Problems with balance d. Twisting movements

c. Problems with balance

A community health nurse is presenting to group of adolescents on how to reduce their risks of contracting sexually transmitted infections (STIs). The nurse feels confident learning has taken place when the participants identify which as the best preventative measure? Select one: a. Using combination oral contraceptives b. Engaging only in oral sex c. Using latex condoms during sexual activity d. Abstaining from sexual activity

c. Using latex condoms during sexual activity

Which statement by the nurse would promote bonding with the infant and his parents? Select one: a. "How are you feeling after the delivery"? b. "When he feels better, you can help feed him." c. "Why don't you bring a toy at the next visit"? d. "He likes you to talk to him and touch him".

d. "He likes you to talk to him and touch him".

After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions? Select one: a. "My periods have been unusually long and heavy lately with a lot of bleeding." b. "I get sharp pain in my lower abdomen usually starting soon after my period comes." c. "I get really irritable and moody about a week before my period." d. "I've been having bleeding off and on that's irregular and sometimes heavy."

d. "I've been having bleeding off and on that's irregular and sometimes heavy."

An assessment of a child reveals deficits in communication and social interaction. The child tends to engage in repetitive behaviors such as arranging and rearranging toys. Based on this assessment, the healthcare provider suspects which of these disorders? Select one: a. Attention deficit hyperactivity disorder (ADHD) b.Tourette disorder (TD) c. ntellectual development disorder (IDD) d. Autism spectrum disorder (ASD)

d. Autism spectrum disorder (ASD)

An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for theis infant? Select one: a. Keep the infant on bedrest to conserve energy b. Rotate caregivers to provide more stimulation c. Encourage the infant to hold his own bottle d. Maintain a consistent structured environment

d. Maintain a consistent structured environment

Which of the following physical assessment findings would be recorded as part of a newborn's gestational age assessment? Select one: a. Anterior and posterior fontanels patent. b. Milia present on bridge of nose c. Umbilical cord moist to touch. d. Plantar creases present on anterior 2/3 of sole.

d. Plantar creases present on anterior 2/3 of sole.

Question text A diabetic client, at 32 weeks gestation, is at the office for a non-stress test (NST). The nurse assesses the NST for 20 minutes. In order to document the NST as reactive, which of the following criteria must the nurse assess? Select all that apply. Select one or more: a. Absence of decelerations b. Low amniotic fluid index c. Early decelerations with contractions d. Normal fetal heart rate baseline, 110-160 bpm. e. Two accelerations 15 bpm above the baseline lasting 15 seconds.

a. Absence of decelerations d. Normal fetal heart rate baseline, 110-160 bpm. e. Two accelerations 15 bpm above the baseline lasting 15 seconds.

Question text If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor? Select one: a. Fetal heart rate declining late with contractions and remaining depressed b. A shallow deceleration occurring with the beginning of contractions. c. Fetal baseline rate increasing at least 5 mm Hg with contractions d. Variable decelerations, too unpredictable to count.

a. Fetal heart rate declining late with contractions and remaining depressed

A patient was admitted to the coronary care unit, the nurse overhears the patient's wife, berating him for not taking better care of himself. The nurse assigns a diagnosis of Dysfunctional Family Dynamics. According to Giddens (2012), what are appropriate interventions for this family? (Select all that apply). Select one or more: a. Take the wife aside and show empathy for her concerns about health and survival for husband. b. Suggest the wife make an appointment with her primary care provider for help. c. Encourage the wife to use the hospital as respite care, and spend very little time at the hospital. d. Request the provider spend time with the wife to provide her with a prognosis and suggestions to deal with her anxiety. e. Make a referral to social work

a. Take the wife aside and show empathy for her concerns about health and survival for husband. d. Request the provider spend time with the wife to provide her with a prognosis and suggestions to deal with her anxiety. e. Make a referral to social work

A newborn that has a surfactant deficiency will have which assessment noted on a physical exam? Select one: a. grunting b. hypertension c. pink skin d. regular respirations

a. grunting

The nurse is completing a health history on a client experiencing menopause. What assessment findings indicate menopause? Select all that apply. Select one or more: a. painful intercourse b.sleep problems c.increased heart rate d.hot flashes e.mood changes

a. painful intercourse b.sleep problems d.hot flashes e.mood changes

A woman who gave birth to a healthy baby 5 days ago is experiencing fatigue and weepiness, lasting for short periods each day. Which condition does the nurse believe is causing this experience? Select one: a. postpartum baby blues b. postpartum anxiety c. postpartum depression d. postpartum reaction

a. postpartum baby blues

A nurse is discussing breast-feeding with a new mother and demonstrates that when she strokes the baby's cheek, the baby turns his head in that direction. This movement is known as which reflex? Select one: a. rooting reflex b. extrusion reflex c. Babinski reflex d. Moro reflex

a. rooting reflex

A nursing student observes that the babies in the nursery are wrapped up warmly and are wearing knit caps. Which explanation by the nursery staff would be correct? select all that apply Select one or more: a."Newborns lose body heat easily and need to be kept warm until their body temperature stabilizes." b."Studies show that newborns like the extra warmth." c."That's how we have always done it, and it seems to work out well." d. "Neonates do not regulate temperature well and are at risk for cold stress." e."The caps and blankets simulate the temperature of the mother's womb that they are used to."

a."Newborns lose body heat easily and need to be kept warm until their body temperature stabilizes." d. "Neonates do not regulate temperature well and are at risk for cold stress." e."The caps and blankets simulate the temperature of the mother's womb that they are used to."

How would the nurse explain periodic breathing to the parents of a neonate? Select one: a.Cessation of breathing that lasts 5 to 10 seconds without changes in color or heart rate b.Shallow and irregular respirations ranging from 30-60 breathes per minute c.Cessation of breathing lasting more than 15 seconds with cyanosis & heart rate changes. d.Labored breathing with asymmetrical chest movement

a.Cessation of breathing that lasts 5 to 10 seconds without changes in color or heart rate

When assessing the term newborn, the following are observed: newborn is alert, heart and respiratory rates have stabilized, and meconium has been passed. The nurse determines that the newborn is exhibiting behaviors indicating: Select one: a.Second period of reactivity page 616 Ricci b.Decreased responsiveness period c.Initial period of reactivity d.Sleep period for newborns

a.Second period of reactivity page 616 Ricci

Hypercoagulability during pregnancy protects the mother against excessive blood loss during birth. It also can increase a woman's risk of developing a blood clot. It does this by which means? Select all that apply. Select one or more: a. Decline in HGB b. Localized vascular damage c. Stasis d. Altered coagulation e. Decline in WBCs

b. Localized vascular damage c. Stasis d. Altered coagulation

Mr. Craig, age 55, is seen by his family physician today for follow-up care. He was hospitalized 2 months ago for a myocardial infarction. Mr. Craig is taking the following medications: atenolol, Zetia, and Zestril. In addition to requesting a refill of his medication for his cardiac condition, he also asks for something to help with his erectile dysfunction, which has increased in severity over the last year. What would be the most appropriate response to Mr. Craig with regard to sildenafil? Select one: a. It is not recommended that you take sildenafil, because you are on atenolol. b. Prior to being prescribed sildenafil, you will need to have a stress test. c. It is not recommended that you have sexual intercourse for a year after having a heart attack. d. Sildenafil will not work for you because of the type of erectile dysfunction that you have.

b. Prior to being prescribed sildenafil, you will need to have a stress test.

The nurse was teaching a college student how to properly take the prescribed combination oral contraceptive (COC). The nurse determines the session is successful when the client correctly chooses which instruction to follow when taking the COC? Select one: a. Take with a meal b. Same time of day, each day c. Same day of the week, once a week d. Empty stomach, full glass of water

b. Same time of day, each day

The nurse is caring for a new mother and newborn in a rooming-in unit and watches the mother put the infant in its bed, lying on its side, propped up with a pillow. The nurse would point out that this position can increase the risk of which situation? Select one: a. Sleeping for short intervals b. Sudden infant death syndrome c. Gastroesophageal reflux d. Apnea episodes

b. Sudden infant death syndrome

A child born with a single transverse palmar crease, a short neck with excessive skin at the nape, a depressed nasal bridge, and cardiac defects is most likely to have which of the following autosomal abnormality? Select one: a. Trisomy 18 b. Trisomy 21 c. Trisomy 13 d. Trisomy 14

b. Trisomy 21

The nurse is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a but his social interactions seem "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion by himself. Given this information, which diagnosis does the nurse suspect the patient may have? Select one: a. Down Syndrome b. Autism c. Tourette Disorder d. ADHD

b. autism

Question text An assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that which part is presenting? Select one: a. Shoulders b. Occiput c. Buttocks d. Brow

b. occiput

A nurse is collecting assessment data from a premenopausal client who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow? Select one: a. Dysmenorrhea b.Amenorrhea c. Menorrhagia d. Hypermenorrhea

b.Amenorrhea

Upon assessing the newborn's respirations, which finding would cause the nurse to notify the primary care provider? Select one: a.coughing and sneezing in the newborn b.a respiratory rate of 15 breaths per minute with nasal flaring c.short periods of apnea that last 10 seconds in a pink newborn d.a respiratory rate of 45 breaths per minute with acrocyanosis

b.a respiratory rate of 15 breaths per minute with nasal flaring

Question text A woman's primary care provider has told her he wants to use an episiotomy for birth. She asks the nurse what the purpose of this is. Which answer would be best? Select one: a. "It prevents distention of the bladder." b. "It is done primarily for the care provider's benefit." c. "It relieves pressure on the fetal head." d. "It aids contraction of the uterus following birth."

c. "It relieves pressure on the fetal head."

Question text After a regular prenatal visit, a pregnant client asks the nurse to describe the differences between abruptio placentae and placenta previa. Which statement would the nurse include in the teaching? Select one: a. "Placenta previa causes painless, bright red bleeding during pregnancy due to an abnormally implanted placenta that is too close to or covers the fundus; abruptio placentae is associated with dark red painful bleeding caused by premature separation of the placenta from the wall of the uterus before the end of labor." b. "Placenta previa causes painful, dark red bleeding during pregnancy due to an abnormally implanted placenta that is too close to or covers the fundus; abruptio placentae is associated with right red painless bleeding caused by premature separation of the placenta from the wall of the uterus before the end of labor." c. "Placenta previa causes painless, bright red bleeding during pregnancy due to an abnormally implanted placenta that is too close to or covers the cervix; abruptio placentae is associated with dark red painful bleeding caused by premature separation of the placenta from the wall of the uterus before the end of labor." d. "Placenta previa causes painful, dark red bleeding during pregnancy due to an abnormally implanted placentae that is too close to or covers the cervix; abruptio placenta is associated with bright red painless bleeding caused by premature separation of the placenta from the wall of the uterus before the end of labor."

c. "Placenta previa causes painless, bright red bleeding during pregnancy due to an abnormally implanted placenta that is too close to or covers the cervix; abruptio placentae is associated with dark red painful bleeding caused by premature separation of the placenta from the wall of the uterus before the end of labor."

Question text When a client is counseled about the advantages of epidural anesthesia, which statement made by the counselor would indicate the need for further teaching? Select one: a. "If you end up having a cesarean, the epidural can be used for anesthesia during surgery." b. "Epidural anesthesia is more effective than opioid analgesia in providing pain relief." c. "You have no trouble walking around and using the bathroom after you receive the epidural." d. "You can continuously receive epidural anesthesia until you have the baby, and even afterward if you need it."

c. "You have no trouble walking around and using the bathroom after you receive the epidural."

Question text Place the following events in the sequence the pregnant woman would experience them, from first to last. All options must be used. a. amennorhea b. uterine enlargement c. quickening d. Braxton Hicks contractions e. labor Select one or more: a. 1a, 2d, 3b, 4c, 5e b. 1a, 2b, 3d, 4c, 5e c. 1a, 2b, 3c, 4d, 5e d. 1a, 2c, 3b, 4d, 5e

c. 1a, 2b, 3c, 4d, 5e

Question text The nurse is assessing a client at her first prenatal visit and notes the fundal height is palpable at the level of the umbilicus. The nurse predicts the client is at which gestational age? Select one: a. 24 weeks b. 18 weeks c. 20 weeks d. 16 weeks

c. 20 weeks

ACHES is an acronym used for early signs of complications for users of combined contraceptives. What are the correct warning signs? Select one: a. A: aortic dissection, C: chest pain or SOB, H: hearing issues, E: eye problems, S: still birth b. A: abdominal pain, C: contraceptive missed, H: heart attack, E: erythema, S: stinging c. A: abdominal pain, C: chest pain or SOB, H: headache, E: eye problems, S: sever leg pain d. A: abdominal pain, C: chronic hypertension H: hemorrhoids , E: ear problems, S: severe leg pain

c. A: abdominal pain, C: chest pain or SOB, H: headache, E: eye problems, S: sever leg pain

A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds which can prolong labor. Which compounds is the nurse referring to in the explanation? Select one: a. Oxytocin b. Prostaglandins c. Catecholamines d. Relaxin

c. Catecholamines

Which definition best explains the term infertility? Select one: a. Failure to achieve pregnancy after 6 months of unprotected intercourse. b. Inability to achieve pregnancy following a previous viable pregnancy. c. Failure to achieve pregnancy after 1 year of unprotected intercourse. d. Inability to achieve pregnancy because of a known factor that prevents conception.

c. Failure to achieve pregnancy after 1 year of unprotected intercourse.

Rubin identified a series of changes that a new mother makes during the postpartum period. What is the correct sequence of these changes? Select one: a. Taking, holding-on, letting-go. b. Taking-in, taking-on, letting-go. c. Taking-in, taking-hold, letting-go. d. Taking-in, holding-on, letting-go.

c. Taking-in, taking-hold, letting-go.

The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of central nervous system birth defects? Select one: a. Iodine b. Ferrous sulfate c. Folic acid d. Vitamin A

c. folic acid

A nurse is caring for a baby girl born at 34 weeks' gestation. Which feature should the nurse identify as those of a preterm newborn? Select one: a. scant coating of vernix b. paper-thin eyelids c. shiny heels and palms d. closely approximated labia

c. shiny heels and palms

The mother has given birth to a premature infant at 30 weeks. To ensure the alveoli can function properly, the infant needs to be evaluated for: Select one: a. hematocrit. b. oxygen. c. surfactant. d. blood flow.

c. surfactant.

Question text A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. How does the nurse document the patellar reflexes? Select one: a. 1+ b. 2+ c. 3+ d. 4+

d. 4+

Question text A 29-year-old multigravida at 37 weeks' gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 2 g/h. What is the priority nursing intervention is to maintain safety for this client? Select one: a. Encourage family members to remain at bedside. b. Monitor maternal liver studies every 4 hours. c. Assess fetal heart rate intermittently. d. Assess reflexes, clonus, visual disturbances, and headache.

d. Assess reflexes, clonus, visual disturbances, and headache.

After instructing a primigravid client at 38 weeks' gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which problem? Select all that apply. Select one or more: a. Intrauterine growth restriction b. Preterm delivery c. Poor placental perfusion d. Hydrocephalic infant e. Abruptio placentae

d. Hydrocephalic infant

Question text A nurse is teaching a couple about patterned breathing during their birth education. Which technique should the nurse suggest for slow-paced breathing? Select one: a. Hold breath for 5 seconds after every 3 breaths. b. Inhale and exhale through the mouth at a rate of 4 breaths every 5 seconds. c. Punctuated breathing by a forceful exhalation through pursed lips every few breaths. d. Inhale slowly through nose and exhale through pursed lips.

d. Inhale slowly through nose and exhale through pursed lips.

The nurse is working with a patient who expects to begin menopause in the next few years. What educational topic should the nurse prioritize when caring for a healthy woman approaching menopause? Select one: a. Drug therapy options b. Referrals to local support groups c. Nutritional counseling regarding osteoporosis prevention d. Patient teaching and counseling regarding healthy lifestyles

d. Patient teaching and counseling regarding healthy lifestyles

A nurse is caring for a 5-hour-old newborn. The primary care provider has asked the nurse to maintain the newborn's temperature between 97.7° F and 99.5° F (36.5° C and 37.5° C). Which nursing intervention would be the best approach to maintaining the temperature within the recommended range? Select one: a. Delay weighing the infant, as the scales may be cold. b. Place the newborn's crib close to the outer wall in the room. c. Use the stethoscope over the newborn's garment. d. Place the newborn skin-to-skin with the mother.

d. Place the newborn skin-to-skin with the mother.

Question text A multiparous client, 28 hours after cesarean birth, who is breastfeeding has severe cramps or afterpains. The nurse would explain that these are caused by which of the following? Select one: a. Adverse effects of the medications administered after birth. b. Flatulence accumulation after a cesarean birth. c. Healing of the abdominal incision after cesarean birth. d. Release of oxytocin during the breastfeeding session.

d. Release of oxytocin during the breastfeeding session.

While trying to decide whether to bottle feed or breastfeed her newborn infant, a new mother questions the lactation specialist concerning the greatest benefit of breastfeeding her infant. What would be the best response? Select one: a. convenience of breastfeeding b. decreased expense for feedings c. ease of digestion of breast milk d. immunity against many different bacteria

d. immunity against many different bacteria

A mother has recently been informed that her child has Down's syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down's syndrome? Select one: a. Brachycephaly b. Epicanthal folds c. Hypotonicity d. Oily skin

d. oily skin

A nurse is caring for a child diagnosed with ADHD. Which of the following characteristics of this child is not related to ADHD? Select one: a. Blurting out answers b. Forgetful c. Failure to pay close attention d. Organized

d. organized

Question text The client with preeclampsia asks the nurse why she is receiving magnesium sulfate. What is the nurse's most appropriate response? Select one: a. Increase diuresis b. Slow the process of labor c. Reduce blood pressure d. Prevent seizures

d. prevent seizures

Question text Which of the following statements includes an important nursing intervention for failure to thrive? Select one: a. check CSMs every 4 hours b. perform chest physiotherapy before every meal c. feed the infant on a demand schedule d. weigh the infant daily on the same scale

d. weigh the infant daily on the same scale

A nurse is assigned to care for a newborn with an elevated bilirubin level. Which symptom would the nurse expect to find during the infant's physical assessment? Select one: a. abdominal distension b. respiratory rate of 24 breaths/minute c. heart rate of 130 bpm d. yellow sclera

d. yellow sclera

A mother is concerned because her 2-day-old newborn's birth weight was 8 lb (3584 g) and his current weight is 7 lb 8 oz (3360 g). What would be the nurse's response to the mother's concern? Select one: a."Although newborns lose some weight after birth due to poor nutrition, this amount is concerning." b."The newborn needs to be fed more frequently to stop this weight loss pattern." c."The weight loss may be indicative of some underlying health problem. I need to notify the doctor." d."The weight loss is a normal finding, since newborns lose 5% to 10% of their birth weight in the first week of life." Ricci

d."The weight loss is a normal finding, since newborns lose 5% to 10% of their birth weight in the first week of life." Ricci

What is the best way for the nurse to assess the newborn's heartbeat? Select one: a.palpating the femoral pulse for 30 seconds and multiplying by 2 b.palpating the brachial pulse for 60 seconds c. auscultating the apical pulse for 30 seconds and multiplying by 2 d.auscultating the apical pulse for 60 seconds

d.auscultating the apical pulse for 60 seconds

A young, sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which method would the nurse recommend? Select one: a.Oral contraceptives b.Withdrawal c.Condom d.Intrauterine device

c.Condom

polyhydrainos

A condition in which there is too much amniotic fluid surrounding the fetus; associated with fetal anomalies and maternal diabetes.

An intrauterine device has been inserted into a client as a requested birth control method. What is an advantage of intrauterine devices (IUDs)? Select one: a. Continuous protection without client's active participation b. Decreased incidence of pelvic inflammatory disease c. Decreased incidence of tubal pregnancies d. Protection against sexually transmitted infections

a. Continuous protection without client's active participation

Understanding infertility is a widespread problem, the nurse would assess for impacts on what aspects of a couple? Select one or more: a. Emotional b. Nutritional c. Conceptual d. Economical e. Social

a. Emotional d. Economical e. Social

Question text How can a change in the health status of one family member affect the whole family unit? (Select all that apply). Select one or more: a. Frequent hospitalizations b. Economic problems c. Increased social interaction d. Alterations in roles and lifestyles e. Elicit feelings of guilt

a. Frequent hospitalizations b. Economic problems d. Alterations in roles and lifestyles e. Elicit feelings of guilt

A young client has just been told by her primary care provider that she has a problem with ovulation. Which treatment would the nurse expect the care provider to prescribe for this client? Select one: a. Hormones b. Radiation c. Antibiotics d. Surgery

a. Hormones

A nurse realizes that a child's hospitalization is stressful for the family for which reasons? (Select all that apply.) Select one or more: a. The illness's treatment b. Disruption in family life c. A child-life program d. Guilt about the illness e. Cause of the illness f. Past experiences of illness and hospitalization

a. The illness's treatment b. Disruption in family life d. Guilt about the illness e. Cause of the illness f. Past experiences of illness and hospitalization

A nurse who has worked in a nursery for 15 years informs the nursing student that feeding an infant early has advantages. The nurse describes which biggest advantage? Select one: a. allows the baby to pass stools, which helps to reduce bilirubin b. allows the mother to see if the baby can tolerate formula c. helps to ease the baby's hunger d. allows the baby to sleep longer

a. allows the baby to pass stools, which helps to reduce bilirubin

The nurse explains to parents that Attention Deficit Hyperactivity Disorder that the symptoms of this disease appears Select one: a. before 7yrs and lasts at least 6 months. b. before 18yrs c. before 21yrs and lasts at least 12 months. d. anytime throughout life.

a. before 7 yrs and lasts at least 6 months

A nurse is assisting in developing a teaching plan for a client who is about to enter the third trimester of pregnancy. The teaching plan should include identification of which danger sign that must be reported immediately? Select one: a. Blurred vision b. Dyspnea on exertion c. Hemorrhoids d. Increased vaginal mucus

a. blurred vision

When assessing the stools of a 1-week-old newborn who is being breast-fed, which would the nurse expect to find? Select one: a.Yellow-gold loose seedy stool page 965 Ricci b.Greenish-black tarry stool c.Seedy greenish-brown stool d.Yellow-green soft formed stool

a.Yellow-gold loose seedy stool page 965 Ricci

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which nursing action would be the priority for this woman on admission? Select one: a. Perform a vaginal examination to assess the extent of bleeding b. Assess fetal heart tones by use of an external monitor c. Assess uterine contractions by an internal pressure gauge d. Help the woman remain ambulatory to reduce bleeding

b. Assess fetal heart tones by use of an external monitor

Question text A postpartum client calls the nurse into her room and asks her what to do with the "squirt bottle" she found in the bathroom. The client is referring to the peribottle used to clean her perineum. What instructions would the nurse provide the client to explain how to use it? Select one: a. Fill the bottle with hot, sudsy water and wash the perineum four times per day. b. Fill the peribottle with warm water and squeeze it so water flows from front to back after using the restroom. c. Fill the peribottle with sterile water and cleanse area after stooling. d. Fill the peribottle with one-quarter strength vinegar water and clean the perineum after voiding.

b. Fill the peribottle with warm water and squeeze it so water flows from front to back after using the restroom.

Question text A nurse in a prenatal clinic is assessing a client who's 24 weeks pregnant. Which findings lead this nurse to suspect that the client has mild preeclampsia? Select one: a. Hematuria, blurry vision, reduced urine output b. Hypertension, edema, proteinuria c. Glycosuria, hypertension, seizures d. Burning on urination, hypotension, abdominal pain

b. Hypertension, edema, proteinuria

Question text The nurse assesses a postpartum woman's perineum and notices that her lochial discharge is moderate in amount and red. The nurse would record this as what type of lochia? Select one: a. Lochia serosa b. Lochia rubra c. Lochia normalia d. Lochia alba

b. Lochia rubra

Question text A pregnant woman at 38 weeks' gestation is receiving care for preeclampsia and suddenly complains of sharp abdominal pain. Which action should the nurse prioritize if the nurse notes a firm, distended and painful abdomen and dark red vaginal bleeding? Select one: a. Dipstick the urine for protein b. Obtain a full set of vital signs. c. Implement a tocometer d. Insert fetal scalp electrode.

b. Obtain a full set of vital signs.

The neonatal period is inclusive of what time frame? Select one: a. The first 3 months of life b. The first 28 days of life c. The first week of life d. The first year of life

b. The first 28 days of life

Which statement is true regarding analgesia versus anesthesia? Select one: a. Decreased fetal heart rate variability is a common side effect when regional anesthesia is used. b. Regional anesthesia should be given with caution close to the time of birth because it crosses the placenta and can cause respiratory depression in the newborn. c. Analgesia only reduces pain, but anesthesia partially or totally blocks all pain in a particular area. d. Hypotension is the most common side effect when systemic analgesia is used.

c. Analgesia only reduces pain, but anesthesia partially or totally blocks all pain in a particular area.

How would the nurse assess the frequency of a woman's labor contractions? Select one: a. Assess from the end of one contraction to the beginning of the next. b. Assess how many contractions occur in 5 minutes. c. Assess from the beginning of one contraction to the beginning of the next. d. Assess the interval between the acme of two consecutive contractions.

c. Assess from the beginning of one contraction to the beginning of the next.

The nurse is caring for a woman in a prenatal clinic who thinks she might be pregnant. Which of the following assessments would be the most definitive method to confirm pregnancy? Select one: a. Darkening of the areolas b. Amenorrhea for 3 months c. Fetal movements felt by the health care provider d. Positive Chadwick's sign

c. Fetal movements felt by the health care provider

What are the five "Ps" of labor? Select one: a. Passenger, posture, position, presentation, psych. b. Passenger, position, powers, presentation, psych. c. Passageway, passenger, position, powers, psych. d. Passenger, position, presentation, pushing, psych.

c. Passageway, passenger, position, powers, psych.

The nurse would teach the client with erectile dysfunction (ED) to alter his lifestyle to: Select one: a. increase attempts at sexual intercourse. b. follow a low-salt diet. c. avoid alcohol. d. decrease smoking.

c. avoid alcohol.

Question text An infant is hospitalized for treatment of organic failure to thrive. Which of the following is NOT a cause for organic failure to thrive. ? Select one: a. malabsorption b. sensory motor delays c. lack or maternal interaction d. inability to suck and or swallow

c. lack or maternal interaction

Question text The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. How should the nurse document this finding? Select one: a. Presentation b. Position c. Lie d. Attitude

c. lie

During assessment of the mother during the postpartum period, what sign should alert the nurse that the client is likely experiencing uterine atony? Select one: a. Foul-smelling urine b. Purulent vaginal drainage c. Firm fundus d. Boggy or relaxed uterus

d. Boggy or relaxed uterus

A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. Which information would the nurse include in the teaching plan? Select one: a. Couples must abstain from coitus for 5 days after menses. b. The male partner uses condoms for significant effectiveness. c. This method has a 50% failure rate during the first year of use. d. Cervical mucus is carefully monitored for changes.

d. Cervical mucus is carefully monitored for changes.

Question text A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which instruction should the nurse give this client? Select one: a. Lie down or recline for at least 2 hours after eating. b. Avoid dry crackers, toast, and soda. c. Decrease intake of carbonated beverages. d. Eat small, frequent meals throughout the day.

d. Eat small, frequent meals throughout the day.

When assessing the episiotomy site of a postpartum client that delivered 3-hours ago, the nurse would document which findings as expected? Select all that apply. Select one or more: a. Discharge b. Redness c. Bleeding d. Edema e. Slight bruising

d. Edema e. Slight bruising

The nurse is assessing a couple who have come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility? Select one: a. Patent fallopian tubes b. Age of 25 years c. Dysmenorrhea d. Endometriosis

d. Endometriosis

Question text As a woman enters the second stage of labor, which of the following would the nurse expect to assess? Select one: a. Expressions of of satisfaction with her labor progress. b. Falling asleep from exhaustion. c. Reports of feeling hungry and unsatisfied. d. Feelings of being frightened by the change in contractions.

d. Feelings of being frightened by the change in contractions.

In assessing a preterm newborn, which of the following findings would be of greatest concern? Select one: a. Poor muscle tone b. Milia over the bridge of the nose c. Thin transparent skin d. Heart murmur

d. Heart murmur

Question text A client who has just given birth to a baby girl demonstrates behavior not indicative of bonding when she performs which action? Select one: a. Strokes the infant's head b. Holds and smiles at the infant c. Kisses the infant on her cheek d. Talks to company and ignores the baby lying next to her

d. Talks to company and ignores the baby lying next to her

A nurse is completing a prenatal assessment on a client who is 28 weeks' pregnant with gestational hypertension. Which findings would be reported to the primary care provider? Select all that apply. Select one or more: a. 1 gm proteinuria b. Blurred vision c. Dull headache d. Weight gain of 1 lb per week e. Fundal height of 28 cm.

a. 1 gm proteinuria b. Blurred vision c. Dull headache

Fetal heart rate monitoring reveals baseline tachycardia in the fetus. Which rate would be most likely? Select one: a. 165 beats per minute b. 155 beats per minute c. 145 beats per minute d. 135 beats per minute

a. 165 beats per minute

What dilation is associated with the transition phase within the first stage of labor? 7 to 8 cm8 to 10 cm12 to 14 cm Select one: a. 8 to 10 cm b. 3 to 4 cm c. 4 to 6 cm d. 10 to 12 cm

a. 8 to 10 cm

para

The number of times a woman has given birth to a fetus of at least 20 gestational weeks (viable or not), counting multiple births as one birth event

Gravida

The total number of times a woman has been pregnant, regardless of whether the pregnancy resulted in a termination or if multiple infants were born from a pregnancy.,

A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess? Select one: a. "Knife-like" abdominal pain with vaginal bleeding. b. Generalized vasospasm. c. Painless bright red vaginal bleeding. d. Increased fetal movement.

a. "Knife-like" abdominal pain with vaginal bleeding.

Oligohydraminos

Decreased amount of amniotic fluid; caused by any condition that prevents the fetus from making urine or blocks it from going into the amniotic sac., Preterm premature rupture of membranes

New parents who bring their 2 week old infant to the clinic for treatment of a clubfoot. Which statement by the parents indicates a need for further teaching regarding this disorder? Select one: a. "I need to bring my infant back to the clinic in 6 weeks for a new cast." b. "Treatment needs to be started as soon as possible." c. "I realize my infant will require follow-up care until fully grown." d. "I need to come to the clinic every week with my infant for the casting.

a. "I need to bring my infant back to the clinic in 6 weeks for a new cast."

Which methods of contraception are considered a barrier methods? Select one or more: a. Cervical cap b. Vaginal ring c. Spermicidal creams d. Condom e. Diaphragm

a. Cervical cap d. Condom e. Diaphragm

The term for a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis is a(n) Select one: a. chancre. b. leukoplakia. c. lichen planus. d. actinic cheilitis.

a. chancre.

A mother of a 32-week-gestation neonate is encouraged to perform kangaroo care in the neonatal intensive care unit. What would best correlate with this suggestion? Select all that apply Select one or more: a.Breastfeeding attempts will be enhanced. b.There will be a decrease in episodes of apnea. c. This will increase the infant's perception of pain. d.The infant will have more awake periods. e.This will help promote maternal/infant bonding

a.Breastfeeding attempts will be enhanced. e.This will help promote maternal/infant bonding

Because subcutaneous and brown fat stores were used for survival in utero, the nurse would assess an SGA newborn for which of the following? Select one: a. Polycythemia b. Hypothermia c. Hypoglycemia d. Hyperbilirubinemia

b. Hypothermia

An assessment of a child reveals deficits in communication and social interaction. The child tends to engage in repetitive behaviors such as arranging and rearranging toys. Based on this assessment, the healthcare provider suspects which of these disorders? Select one: a. Down Syndrome b. Autism c. ADHD d. Tourettes

b. autism

While making a follow-up home visit to a client in her first week postpartum, the nurse notes that she has lost 5 pounds. Which reason for this loss would be the most likely? Select one: a. lactation b. diuresis c. blood loss d. nausea

b. diuresis

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea? Select one: a. Diffuse skin rash b. Painless chancre c. Burning on urination d. Dry, hacking cough

c. Burning on urination

Club foot may be classified into 4 categories that include all of the following except Select one: a. neurogenic b. postural c. Genetic d. syndromic e. idiopathic

c. genetic