Fam Health Exam 2

A nurse notes the following fetal heart rate pattern on the external fetal monitor. FHR baseline of 120-130 with V shaped decelerations to 100 noted before and after contractions. The nurse understands that this pattern is related to which of the following? Head compression Fetal movement Placental insufficiency Cord compression

Cord compression

During a vaginal examination, the nurse determines that the patient is in a LOP position. The best non-pharmacological intervention that can be done with this patient to relieve her pain is: Have her perform effleurage during contractions Allow her to labor in a tub of warm water Use aromatherapy in the room and play soothing music Have her labor in the hands/knee position

Have her labor in the hands/knee position

A client who is 7 cm dilated and 100% effaced is breathing at a rate of 50 breaths per minute during contractions. Immediately after a contraction, she complains of tingling in her fingers and some light-headedness. Which of the following actions should the nurse take at this time? Assess her blood pressure Turn the woman on her side Have the woman breathe into a bag Check the fetal heart rate

Have the woman breathe into a bag

The nurse is assessing a client who states "I think I am in labor." Which of the following findings would positively confirm the client's belief? She is contracting every 2 minutes Her membranes have ruptured The fetal head is engaged Her cervix has dilated from 2 to 4 cm.

Her cervix has dilated from 2 to 4 cm.

When performing Leopold's maneuvers, the nurse notes that the fetus is in the left occiput anterior position (LOA). Which is the best position for the nurse to place the fetal heart rate monitor? LUQ RLQ RUQ LLQ

LLQ

A patient that had a cesarean section two days ago has been diagnosed with a post-dural puncture headache. The nurse understands that the following interventions should be implemented (Select all that apply). Decrease fluid intake Increase caffeine intake Place patient in a semi-fowlers position Encourage bedrest in a quiet and dimly lit room Administer oral analgesics for the pain

Increase caffeine intake Encourage bedrest in a quiet and dimly lit room Administer oral analgesics for the pain

The nurse notes that the fetal heart rate is 140-170 bpm and charts that the variability is which of the following? Marked Minimal Absent Moderate

Marked

The FHR baseline is 120-130 bpm. The nurse will chart the variability as which of the following? Absent Moderate Minimal Marked

Moderate

The patient in labor is having multiple deep variable decelerations down to 60-70 bpm. The health care provider has ordered an amnioinfusion. The nurse understands that the primary intervention is to: Monitor the uterine resting tone Monitor for accelerations Cool the intravenous fluid prior to infusion Administer the infusion per gravity

Monitor the uterine resting tone

The nurse is reviewing a non-stress test (NST) and notes the following: FHR baseline of 120-130 bpm with increase in FHR noted to 150 for 15 seconds and an increase of FHR noted to 135 for 10 seconds over a 20 minute time frame. The nurse understands that this NST will be read as: Reactive Negative Nonreactive Positive

Nonreactive

The nurse is administering a contraction stress test and notes the presence of late decelerations corresponding to three contractions in a ten-minute period of time. The nurse understands that the test will be read as which of the following? Negative Equivocal Unsatisfactory Positive

Positive

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. What signs and symptoms should the nurse include in her discussion? ( Select all that apply.) a. An area of redness on the breast often resembling the shape of a pie wedge b. Breast tenderness c. Warmth in the breast d. A small white blister on the tip of the nipple e. Fever and flulike symptoms

a. An area of redness on the breast often resembling the shape of a pie wedge b. Breast tenderness c. Warmth in the breast e. Fever and flulike symptoms

The patient is scheduled for an amniocentesis at 16 weeks gestation. The nurse understands that this is being done for which of the following reasons? To check lung maturity To determine the sex of the fetus To check for genetic abnormalities To determine EDD

To check for genetic abnormalities

A woman who states that she "thinks" she is in labor enters the labor suite. Which of the following assessments will provide the nurse with the most valuable information regarding the client's labor status? Leopold's maneuvers Fundal contractility Vaginal examination Fetal heart assessment

Vaginal examination

The nurse has taught a vegetarian pregnant woman foods that are high in iron. Which menu selections demonstrate good understanding of the material? (Select all that apply.) a. Raisin bran cereal b. Cooked soybeans c. Canned stewed tomatoes d. Peaches e. White bread

a. Raisin bran cereal b. Cooked soybeans c. Canned stewed tomatoes

The nurse is caring for a patient in labor when repetitive late decelerations are noted on the external fetal monitor. The nurse's action after turning the patient to her left side should be: Applying oxygen per nasal cannula Increase the mainline IV Applying oxygen per face mask at 8-10 L/min Turn the patient to her right side after 5 minutes on the left side

Applying oxygen per face mask at 8-10 L/min

Which of the following vaginal examination results demonstrate that the fetus is engaged? (Select all that apply) 4 cm 80% 0 9 cm 100% -2 6cm 90% +1 2cm 90% +1 8cm 90% -1

4 cm 80% 0 6cm 90% +1 2cm 90% +1

The nurse notes that the fetal heart rate baseline is 120-130 with an increase in FHR to 145 bpm lasting 15 seconds. The nurse would chart this change in baseline as which of the following? Acceleration Early deceleration Variable deceleration Late deceleration

Acceleration

Upon examination, a nurse notes that a woman is 10 cm dilated, 100% effaced, and -3 station. Which of the following actions should the nurse perform first based on this assessment? Encourage the woman to push Assess bladder Move the client into a supine position with legs in stirrups Provide firm fundal pressure

Assess bladder

The nurse is assessing the fetal monitor tracings of a patient in labor. Which of the following heart rate patterns would the nurse interpret as normal during the transitional phase of stage one? Baseline of 140 - 150 with decelerations to 120 noted beginning with the contraction and returning to baseline by the end of the contraction. Baseline of 140-150 with decelerations to 120 noted after the start of the contraction with return to baseline after the end of the contraction. Baseline of 140-145 with V-shaped decelerations to 120 bpm unrelated to contractions. Baseleine of 140-141 with decelerations to 105 noted after the start of the contracton and returning to baseline after the end of the contraction.

Baseline of 140 - 150 with decelerations to 120 noted beginning with the contraction and returning to baseline by the end of the contraction.

The nurse is instructing a new staff nurse on reassuring FHR patterns. Which of the following information should be included? (SELECT ALL THAT APPLY) Baseline rate of 110-160 bpm Moderate variability Late decelerations are present Early decelerations are present or absent Accelerations are either present or absent

Baseline rate of 110-160 bpm Moderate variability Early decelerations are present or absent Accelerations are either present or absent

A woman has just received pain medication in labor. Which of the following fetal heart responses would the nurse expect to see on the internal monitor tracing? Variable decelerations Late decelerations Decreased variability Accelerations

Decreased variability

Recommendations to reduce the risk of Toxoplasmosis during pregnacy includes all of the following except? Have someone else change cat litter daily Throughly cook meat Eat fresh fruits and vegetables Separate raw meat from other foods in the refrigerator

Eat fresh fruits and vegetables

Through vaginal examination, the nurse determines that a woman is 6cm dilated and 100% effaced with the fetus at a 0 station. The nurse reports this as: First stage, latent phase First stage, transition phase First stage, active phase Second stage, latent phase

First stage, active phase

Immediately following administration of an epidural anesthesia, the nurse must monitor the mother for which of the following? Severe headache Hypotension Increase in bladder retention Fetal heart accelerations

Hypotension

The nurse notes a prolonged deceleration of the FHR to 80 bpm and begins intrauterine resuscitation. Which of the following steps are included in this intervention? (SELECT ALL THAT APPLY). Provide oxygen per nasal cannula at 2L/min Place mom on her back with a wedge under her right hip Increase mainline IV Turn off oxytocin (Pitocin) Turn mother to her left side

Increase mainline IV Turn off oxytocin (Pitocin) Turn mother to her left side

While performing Leopold's maneuvers on a woman in labor, the nurse palpates a hard round mass in the fundus, a long flat object on the mother's left side, small irregular objects on the mother's right side, and a soft round mass above the symphysis. Which of the following positions is consistent with these findings? ROA LSA LSP ROP

LSA

A woman in active labor has just received an epidural. The nurse understands that that if the woman has hypotension the fetal monitor tracing would indicate which of the following? Early decelerations Late decelerations Accelerations Variable decelerations

Late decelerations

A woman who is in active labor is told by her obstetrician, "Your baby is in the flexed attitude." When she asks the nurse what that means, what should the nurse say? The baby's chin is resting on its chest The baby's presenting part is engaged The baby is in the horizontal lie The baby is in a breech position

The baby's chin is resting on its chest

A patient who just entered the recovery room after a cesarean section is requesting pain medication. The nurse understands that nalbuphine (Nubain) is contraindicated for this patient after noting the following: The patient has a history of malignant hyperthermia in her family history. The patient is opiate dependent. The patient has already received morphine in her spinal anesthesia. The patient has a history of vomiting with this medication.

The patient is opiate dependent.

A woman had a baby by normal spontaneous vaginal delivery a few minutes ago. The nurse notes that a gush of blood was just expelled from the vagina, the umbilical cord lengthened, and the fundus has risen in the abdomen. What should the nurse conclude? The woman has an internal laceration The woman is about to deliver the placenta The woman has uterine atony The woman is about to deliver a second baby

The woman is about to deliver the placenta

The nurse is assessing a fetal monitor tracing and notes that the FHR baseline is 140-150 bpm with decreases to 120 bpm noted beginning after the contraction begins with return to baseline after the contraction ends. The nurse's first action should be which of the following? Document the findings Turn the patient to her left side Call the health care provider Turn the mainline intravenous fluid rate up

Turn the patient to her left side

A student asks how pregnant women can usually tolerate the normal blood loss associated with childbirth. Which response by the nurse is best? "It is because they have a. increased leukocytes. b. increased blood volume. c. a lower fibrinogen level. d. a higher hematocrit."

b. increased blood volume.

A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's best response is a. "The test results are within normal limits. b. "Further tests are needed to determine the meaning of this score." c. "We will inform you of your options within the next week." d. "Immediate delivery by cesarean birth is needed."

a. "The test results are within normal limits.

What information about iron supplementation should the nurse teach a new mother? a. Iron-fortified formula will meet the infant's iron requirements. b. Iron supplements must be given when the infant begins teething. c. Start iron supplementation shortly after birth if the infant is breastfeeding exclusively. d. Infants need a multivitamin with iron every day.

a. Iron-fortified formula will meet the infant's iron requirements.

A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available? a. Naloxone (Narcan) b. Butorphanol (Stadol) c. Promethazine (Phenergan) d. Nalbuphine (Nubain)

a. Naloxone (Narcan)

Which type of formula is not diluted before being administered to an infant? a. Ready-to-use b. Concentrated c. Modified cow's milk d. Powdered

a. Ready-to-use

The student nurse learns that breastfed babies are less likely to develop certain health conditions as adults. Which conditions does this include? ( Select all that apply.) a. Some cancers b. Obesity c. Diabetes d. Kidney failure e. Asthma

a. Some cancers b. Obesity c. Diabetes e. Asthma

Which pregnant woman should have the least weight gain during pregnancy? a. Woman who was obese before pregnancy b. Woman in early adolescence c. Woman pregnant with twins d. Woman shorter than 62 inches or 157 cm

a. Woman who was obese before pregnancy

A woman wants to breastfeed, but her nipples are inverted and she is concerned it won't be possible. What does the nurse teach the woman about this condition? a. You can use a breast pump just prior to feeding to evert the nipples. b. A woman with inverted nipples rarely is successful at breastfeeding. c. Try changing the infant's position during feedings. d. Massage the breasts prior to feeding to allow milk let-down.

a. You can use a breast pump just prior to feeding to evert the nipples.

A laboring woman is lying in the supine position. The most appropriate nursing action is to a. ask her to turn to one side. b. take her blood pressure. c. elevate her feet and legs. d. let her stay in a position of comfort.

a. ask her to turn to one side.

to prevent breast engorgement, the new breastfeeding mother should be instructed to a. breastfeed frequently and for adequate lengths of time. b. feed her infant no more than every 4 hours. c. apply cold packs to the breast before feeding. d. limit her intake of fluids for the first few days.

a. breastfeed frequently and for adequate lengths of time.

A pregnant woman in the perinatal clinic is a recovering anorexic. She is distressed at the emphasis on weight gain. The nurse explains that the most important reason for evaluating the pattern of weight gain in pregnancy is to a. identify potential nutritional problems or complications of pregnancy. b. prevent excessive adipose tissue deposits. c. determine cultural influences on the woman's diet. d. assess if this woman has relapsed.

a. identify potential nutritional problems or complications of pregnancy.

During labor, a vaginal examination should be performed only when necessary because of the risk of a. infection. b. discomfort. c. perineal trauma. d. fetal injury.

a. infection.

To increase the absorption of iron in a pregnant woman, the nurse teaches her that iron preparations should be given with a. orange juice. b. tea. c. coffee. d. milk.

a. orange juice.

The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is a. respiratory depression. b. bradycardia. c. tachypnea. d. acrocyanosis.

a. respiratory depression.

A new mother recalls that she should feed her newborn when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically. Based on this information, this woman should feed her infant when she a. waves her arms in the air. b. makes sucking motions. c. stretches out her legs straight. d. has hiccups.

b. makes sucking motions.

A breastfeeding mother who was discharged yesterday calls to ask about a tender, hard area on her right breast. The nurse's first response should be a. "Notify your doctor so he can start you on antibiotics." b. "Try massaging the area and apply heat, as this is probably a plugged duct." c. "This is a normal response in breastfeeding mothers." d. "Stop breastfeeding because you probably have an infection."

b. "Try massaging the area and apply heat, as this is probably a plugged duct."

The nurse auscultates the fetal heart rate (FHR) and determines a rate of 152. Which nursing intervention is most appropriate? a. Apply oxygen and turn the mother on her left side. b. Document the findings in the chart. c. Report the FHR to the provider or nurse-midwife immediately. d. Reassess the FHR every 5 minutes.

b. Document the findings in the chart.

The registered nurse tells the nursing student that which stage of labor varies most in length? a. Fourth b. First c. Third d. Second

b. First

A student nurse in the perinatal clinic sees the term "pica" on a woman's chart and asks the registered nurse what this means. What definition is most accurate? a. Iron deficiency anemia b. Ingestion of nonfood substances c. Episodes of anorexia and vomiting d. Intolerance of milk products

b. Ingestion of nonfood substances

How can the nurse help the mother who is breastfeeding and has engorged breasts? a. Apply heat to her breasts between feeding and cold to the breasts just before feedings b. Instruct and assist the mother to massage her breasts. c. Suggest that she switch to bottled formula just for today. d. Assist her in removing her bra, making her more comfortable.

b. Instruct and assist the mother to massage her breasts.

The best time to teach nonpharmacologic pain control methods to an unprepared laboring woman is during which phase? a. Second stage b. Latent phase c. Active phase d. Transition phase

b. Latent phase

The nurse teaches a pregnant woman that which diagnostic test evaluates the effect of fetal movement on fetal heart activity? a. Contraction stress test (CST) b. Nonstress test (NST) c. Sonography d. Biophysical profile

b. Nonstress test (NST)

A nurse is teaching a woman how to do "kick counts." What information about this assessment is most appropriate? a. Count the number of fetal movements over 2 hours once a day b. Notify your provider if the baby's movement slows down c. Have your partner verify your count at the same time you perform it. d. Call the OB triage area if there are fewer than 10 movements/hour.

b. Notify your provider if the baby's movement slows down

A woman is experiencing most of her labor pain in her back. What action by the nurse is best? a. Assisting the woman to sit upright with the legs straight b. Showing the support person how to apply firm pressure to the sacrum c. Massaging her upper back during a contraction d. Positioning the woman lying supine with head slightly elevated

b. Showing the support person how to apply firm pressure to the sacrum

Which are examples of appropriate techniques to wake a sleepy infant for breastfeeding? ( Select all that apply.) a. Apply a cold towel to the infant's abdomen. b. Talk to the infant. c. Unwrap the infant. d. Slap the infant's hands and feet. e. Change the diaper.

b. Talk to the infant. c. Unwrap the infant. e. Change the diaper.

The nurse explains to the expectant mother that which vitamin or mineral can lead to congenital malformations of the fetus if taken in excess by the mother? a. Vitamin D b. Vitamin A c. Folic acid d. Zinc

b. Vitamin A

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine if the fetus has a. hemophilia. b. a neural tube defect. c. sickle cell anemia. d. a normal lecithin/sphingomyelin (L/S) ratio.

b. a neural tube defect.

A new mother wants to be sure that she is meeting her daughter's needs while feeding her commercially prepared infant formula. The nurse determines that the mother meets her child's needs when she a. adds rice cereal to her formula at 2 weeks of age to ensure adequate nutrition b. burps her infant during and after the feeding as needed c. refrigerates any leftover formula for the next feeding d. warms the bottles using a microwave oven.

b. burps her infant during and after the feeding as needed

A new mother asks if she should feed her newborn colostrum, because it is not "real milk." The nurse's best answer is that a. colostrum is unnecessary for newborns. b. colostrum is high in antibodies, protein, vitamins, and minerals. c. giving colostrum helps the mother learn how to breastfeed. d. colostrum is lower in calories than milk and should be supplemented by formula.

b. colostrum is high in antibodies, protein, vitamins, and minerals.

A postpartum woman telephones about her 4-day-old infant. She is not scheduled for a weight check until the infant is 10 days old, and she is worried about whether breastfeeding is going well. Effective breastfeeding is indicated by the newborn who a. gains 1 to 2 ounces per week. b. has at least six to eight wet diapers per day. c. sleeps for 6 hours at a time between feedings d. has at least one breast milk stool every 24 hours.

b. has at least six to eight wet diapers per day.

The best reason for recommending formula over breastfeeding is that a. the mother sees bottle-feeding as more convenient. b. the mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk. c. the mother lacks confidence in her ability to breastfeed. d. other family members or care providers also need to feed the baby.

b. the mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.

When responding to the question "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?" the nurse should explain that a. as the infant requires more milk, feedings can be supplemented with cow's milk. b. the mother's milk supply will increase as the infant demands more at each feeding. c. early addition of baby food will meet the infant's needs. d. the breast milk will gradually become richer to supply additional calories.

b. the mother's milk supply will increase as the infant demands more at each feeding.

At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed. The infant's trunk is pink, but the hands and feet are blue. What is the Apgar score for this infant? a. 8 b. 10 c. 9 d. 7

c. 9

The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth. Which suggestion by the nurse is most appropriate? a. Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed. b. Elicit the Moro reflex to wake the baby and remove the breast when the baby cries. c. Break the suction by inserting your finger into the corner of the infant's mouth. d. A popping sound occurs when the breast is correctly removed from the infant's mouth.

c. Break the suction by inserting your finger into the corner of the infant's mouth.

A pregnant woman is at a picnic and asks a friend of hers, who is a nurse, what foods she can eat. What response by the nurse is best? a. Hot dog b. Smoked salmon spread c. Cheddar cheese and crackers d. Bologna sandwich

c. Cheddar cheese and crackers

A pregnant patient would like to know a good food source of calcium other than dairy products. Which answer by the nurse is best? a. Lean meat b. Whole grains c. Legumes d. Yellow vegetables

c. Legumes

A student nurse is placing a tocotransducer on a woman for electronic fetal monitoring. What action by the student indicates to the registered nurse that the student understands the procedure? a. Positions the tocotransducer on the woman's upper arm b. Prepares sterile field for fetal scalp electrode placement c. Places the tocotransducer over the uterine fundus d. Attaches the tocotransducer to the woman's lower abdomen

c. Places the tocotransducer over the uterine fundus

The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones. On the basis of this observation, the nurse should a. determine whether the mother is too fatigued to interact normally with her infant. b. request a social service consult for psychosocial support. c. document this evidence of normal early maternal-infant attachment behavior. d. observe for other signs that the mother may not be accepting of the infant.

c. document this evidence of normal early maternal-infant attachment behavior.

As the nurse assists a new mother with breastfeeding, she asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains a. more calories. b. more calcium. c. important immunoglobulins. d. essential amino acids.

c. important immunoglobulins.

To initiate the milk ejection reflex, the mother should a. apply cool packs to her breast. b. wear a firm-fitting bra. c. place the infant to the breast d. drink plenty of fluids.

c. place the infant to the breast

In order to prevent nipple trauma, the nurse should teach the new mother to a. wash the nipples daily with mild soap and water. b. limit the feeding time to less than 5 minutes. c. position the infant so the nipple is far back in the mouth. d. assess the nipples before each feeding.

c. position the infant so the nipple is far back in the mouth.

The nurse thoroughly dries the infant immediately after birth primarily to a. stimulate crying and lung expansion. b. remove maternal blood from the skin surface. c. reduce heat loss from evaporation. d. increase blood supply to the hands and feet.

c. reduce heat loss from evaporation.

A primiparous woman wants to begin breastfeeding as soon as possible. The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant a. with his arms folded together over his chest. b. with his head cupped in her hand. c. with his head and body in alignment. d. curled up in a fetal position.

c. with his head and body in alignment.

The nurse is assisting a normally active pregnant woman in developing a meal plan. Before she got pregnant, she ate 1800 calories a day. How many calories does she need now? a. 2000 b. 2342 c. 2400 d. 2140

d. 2140

Four women are admitted to Labor and Delivery. Which woman met the goal for a healthy weight gain in pregnancy? a. 24 years old, 5¢3² tall, initial weight 135, today's weight 182 pounds b. 27 years old, 5¢6² tall, initial weight 112 pounds, today's weight 135 pounds c. 17 years old, 5¢2² tall, initial weight 116 pounds, today's weight 120 pounds d. 22 years old, 5¢2² tall, initial weight 230 pounds, today's weight 245 pounds

d. 22 years old, 5¢2² tall, initial weight 230 pounds, today's weight 245 pounds

A pregnant woman's diet may not meet her need for folate. The nurse teaches the woman to take how much folate as a supplement each day? a. 100 to 200 mcg b. 400 to 600 mcg c. 200 to 400 mcg d. 400 to 800 mcg

d. 400 to 800 mcg

Which nutritional recommendation about fluids is accurate? a. Of the artificial sweeteners, only aspartame has not been associated with any maternity health concerns. b. Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay. c. Coffee should be limited to no more than 2 cups, but tea and cocoa can be consumed without worry. d. A woman's daily intake should be 8 to 10 cups, and most of it should be water.

d. A woman's daily intake should be 8 to 10 cups, and most of it should be water.

The nurse assesses a patient whose cervix is dilated to 5 cm. What phase of labor does the nurse recognize the woman to be in? a. Second stage b. Latent phase c. Third stage d. Active phase

d. Active phase

According to the recommendations of the American Academy of Pediatrics (AAP) on infant nutrition a. Infants fed on formula should be started on solid food sooner than breastfed infants. b. If infants are weaned from breast milk before 12 months, they should receive cow's milk, not formula. c. After 6 months, mothers should shift from breast milk to cow's milk. d. Infants should be given only human milk for the first 6 months of life.

d. Infants should be given only human milk for the first 6 months of life.

Which nursing intervention is necessary before a second trimester transabdominal ultrasound? a. Perform an abdominal prep. b. Administer a soapsuds enema. c. Place the woman NPO for 12 hours. d. Instruct the woman to drink 1 to 2 quarts of water.

d. Instruct the woman to drink 1 to 2 quarts of water.

A laboring woman has been given an injection of epidural anesthesia. Which assessment by the nurse takes priority? a. Urinary output b. Intravenous infusion rate c. Contraction pattern d. Maternal blood pressure

d. Maternal blood pressure

The student nurse is working with a laboring woman. What action by the student requires the registered nurse to intervene? a. Assisting the woman to a sitting position b. Providing safety while the woman labors while standing c. Turning the woman to a side-lying position d. Placing the woman in a supine position

d. Placing the woman in a supine position

The fetal heart rate baseline increases 15 beats per minute after vibroacoustic stimulation. What action by the nurse is most appropriate? a. Prepare to assist with obtaining cord blood gases. b. Position the woman on her left side. c. Administer oxygen at 4 L via nasal cannula. d. Reassure the family the finding is normal.

d. Reassure the family the finding is normal.

The purpose of initiating contractions in a CST is to a. identifying fetal acceleration patterns. b. increase placental blood flow. c. determine the degree of fetal activity. d. apply a stressful stimulus to the fetus.

d. apply a stressful stimulus to the fetus.

the nurse should explain to new parents that the most serious consequence of propping an infant's bottle is a. ear infections. b. dental caries. c. colic. d. aspiration.

d. aspiration.

The nurse explains to the student that increasing the infusion rate of non-additive intravenous fluids can increase fetal oxygenation primarily by a. preventing normal maternal hypoglycemia. b. increasing the oxygen-carrying capacity of the maternal blood. c. maintaining normal maternal temperature. d. expanding maternal blood volume.

d. expanding maternal blood volume.

A pregnant woman wants to breastfeed her infant; however, her husband is not convinced that there are any scientific reasons to do so. Which statement by the nurse is true? Bottle-feeding using commercially prepared infant formulas a. ensures that the infant is getting iron in a form that is easily absorbed. b. requires that multivitamin supplements be given to the infant. c. helps the infant sleep through the night. d. increases the risk that the infant will develop allergies.

d. increases the risk that the infant will develop allergies.

The student nurse learns that the hormone necessary for milk production is a. estrogen. b. lactogen. c. progesterone. d. prolactin.

d. prolactin

An NST in which two or more fetal heart rate (FHR) accelerations of 15 beats per minute (bpm) or more occur with fetal movement in a 20-minute period is termed a. negative. b. nonreactive. c. positive. d. reactive.

d. reactive.

Leopold's maneuvers are used by practitioners to determine a. whether the fetus is in the posterior position. b. cervical dilation and effacement. c. if the woman needs an amniotomy. d. the best location to assess the fetal heart rate (FHR).

d. the best location to assess the fetal heart rate (FHR).