Maternal NB, final exam
A nurse is interviewing a couple who has come for a preconception visit. The couple asks the nurse about inheritance and how it occurs, When describing the concept of genes and inheritance, the nurse explains that there is a phenomenon of one variant of a gene on a chromosome masking or overriding the effect of a different variant of the same gene on the other copy of the chromosome. What is this called? B) recessive. D) heterozygous. A) dominant. C) karyotyping.
A) Dominant
A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will: D) no longer reflect basal body temperature. A) increase a degree. C) fluctuate a degree daily. B) decrease a degree.
A) Increase a degree
What instructions should the nurse include when teaching a mother to care for her newborn's umbilical cord? D) Apply petroleum jelly to it daily. B) Cover it with dry gauze. A) Keep it dry. C) Wash it with soap and water.
A) Keep it dry
To teach a pregnant woman effleurage, which of the following would you include? C) Holding her breath and pushing with contractions. B) Massaging the uterine fundus at the peak of each contraction. D) Exhaling into a paper bag to prevent dizziness. A) Lightly tracing a pattern on her abdomen with her fingertips.
A) Lightly tracing a pattern on her abdomen with her fingertips
When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone? A) Luteinizing hormone C) Follicle-stimulating hormone D) Estrogen B) Progesterone
A) Luteinizing hormone
The nurse is planning to instruct a new mother on the care of the newborn. Which instructions support the 2020 National Health Goals for the newborn? Select all that apply. A) Place the infant on the back to sleep. D) Bath the baby from the most soiled to the cleanest areas. B) Wash the baby's hair at least once a day. C) Continue to breast-feed the baby until age 6 months. E) Do not provide the baby with a bottle while falling asleep.
A) Place the infant on the back to sleep C) Continue to breast-feed the baby until age 6 months E) Do not provide the baby with a bottle while falling asleep
A woman is 36 weeks and 5 days pregnant, what would be the appropriate term(s) for her pregnancy status. B) Term, Primigravida A) Preterm, Primigravida D) Term, Nulligravida C) Preterm, Nulligravida
A) Preterm, primigravida
The nurse is caring for a boy who states that his mother is a psychologist while his father is unemployed. His mother is the one who reminds him to take his medicine and also comforts his sister when she cries. Analyzing this description of his parents' roles, you would conclude that his: A) mother is the provider and nurturer. D) mother is the decision maker. C) father is the peacemaker. B) father is the health supervisor and nurturer.
A) mother is the provider and nurturer
A new mother with an HIV infection is questioning whether she should breastfeed. Which of the following would be the best response? D) "It is safe as long as you pump." A) "That is an excellent goal, we will support you." B) "With your condition, it is safer for baby get their nutrition via formula feeding." C) "The milk supply is lessened with this condition."
B) "With your condition, it is safer for baby to get their nutrition via formula feeding"
Two parents were both married once before. The father has two children from his previous marriage, and the mother has one child from her previous marriage. When they combine their families, they become which type of family? D) Extended C) Single unit B) Blended A) Double unit
B) Blended
A woman who is 4 months pregnant has pyrosis. Which suggestion would the nurse give her? D) Increase vitamin intake by adding more citrus fruit. C) Try to include complex carbohydrates in meals. B) Eat small meals and do not lie down for at least 2 hours after meals. A) Take 30 mL of milk of magnesia after every meal.
B) Eat small meals and do not lie down for at least 2 hours after meals
The nurse records a newborn's Apgar score at birth. A normal 1-minute Apgar score is: B) 5 to 9. C) 7 to 10. A) 1 to 2. D) 12 to 15.
C) 7 to 10
A woman you meet is interested in childbirth preparation. She asks why tailor sitting is recommended as an exercise for pregnancy. Your response would be that it A) improves the blood supply to the uterus. C) decreases respiratory effort. B) strengthens abdominal muscles. D) stretches perineal muscles.
D) Stretches perineal muscles
The nurse instructs a patient on the use of a vaginal estrogen/progestin rings for contraception. Which patient statement indicates that additional instruction is needed? A) "I am to take the ring out overnight." C) "I leave the ring in place during intercourse." B) "I will leave the ring in place for 3 weeks." D) "I am to use other birth control if I take the ring out for 4 hours."
A) "I am to take the ring out overnight"
A pregnant patient has a history of genital herpes lesions and has experienced outbreaks periodically throughout the pregnancy. What should the nurse instruct the patient regarding this virus if lesions are present at the time of delivery? D) The baby will be given a vaccination against the virus at birth. C) The patient will need medication immediately after birth. B) There are no precautions needed at the time of birth. A) A cesarean section will be advised at the time of birth.
A) A cesarean section will be advised at the time of birth
While assessing a family, the nurse constructs a genogram. The nurse uses this tool to achieve which result? D) A teaching aid for showing how far family members live from each other. C) A map of the relationship of the family to the community. B) A diagram of an individual's jean sizes through the lifespan. A) A visual presentation of the relationships of family members.
A) A visual presentation of the relationships of family members
Which actions should the nurse perform when supporting the goals of maternal and child health care? Select all that apply. E) Adheres to principles that focus on convenience for health care providers. A) Advocates protecting the rights of the mother and fetus B) Teaches family members interventions to improve health D) Encourages maternal hospitalization during pregnancy to protect from infections acquired at home or in the community. C) Assesses family members for strengths and specific needs or challenges
A) Advocates protecting the rights of the mother and fetus B) Teaches family members interventions to improve health C) Assess family members for strengths and specific needs or challenges
A patient with type 2 diabetes mellitus is planning to become pregnant within the next several months. What should the nurse instruct the patient to support the 2020 National Health Goals of reducing the complications of pregnancy from diabetes? C) Limit the intake of carbohydrates and fats in the diet. D) Reduce the use of insulin for blood glucose coverage. A) Avoid episodes of hyperglycemia. B) Reduce the current exercise regimen by half.
A) Avoid episodes of hyperglycemia
The nurse manager of a postpartum care area is planning educational sessions for the nursing staff to support the 2020 National Health Goals for postpartum care. Which information should be included in this staff training? Select all that apply. B) Provide information on reproductive life planning if requested. D) Recommend new mothers to attend prenatal classes to learn infant care after delivery. A) Encourage postpartum patients to participate in breast-feeding. C) Suggest postpartum patients remain on bed rest for at least 2 postpartum days. E) Explain the importance of close observation to detect postpartum maternal hemorrhage.
A) Encourage postpartum patients to participate in breast-feeding B) Provide information on reproductive life planning if requested E) Explain the importance of close observation to detect postpartum maternal hemorrhage
A client family recently moved to the United States. They live with their relatives, who were already residing in the United States. This is an example of which family form? A) Extended D) Blended B) Nuclear C) Communal
A) Extended
A woman asks the nurse if she can take an over-the-counter vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that makes them important for pregnancy nutrition is: B) vitamin B12. A) folic acid. D) potassium. C) vitamin C.
A) Folic acid
A pregnant woman tells the nurse she often has allergic responses to drugs. She is concerned that she will be allergic to her fetus or her body will reject the pregnancy. The nurse's reply would be based on which statement? A) Immunologic activity is decreased during pregnancy. C) The decreased corticosteroid activity during pregnancy ensures this will not happen. B) The level of aldosterone during pregnancy reduces production of IgG antibodies. D) The kidneys release a hormone during pregnancy to prevent this from happening.
A) Immunologic activity is decreased during pregnancy
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? D) lochia alba A) lochia rubra B) lochia serosa C) lochia normalia
A) Lochia rubra
For which reasons would a nurse review infant mortality statistics in the United States? Select all that apply C) Compares health with those of other states D) Provides an index of the country's general health E) Determines teen mental health and available care B) Reviews information on overall nutrition A) Measures the quality of pregnancy care
A) Measure the quality of pregnancy care B) Reviews information on overall nutrition E) Determines teen mental health and available care D) Provides an index of the country's general health
The nurse is evaluating a new mother's ability to breastfeed her infant. Which criteria indicate that the mother is able to breastfeed independently? Select all that apply. A) Nipples are everted. D) Baby swallows spontaneously and frequently. E) Nurse places pillows under the baby for support. B) Breasts are soft and nontender. C) Mother holds the nipple in the baby's mouth.
A) Nipples are everted B) Breasts are soft and nontender D) Baby swallows spontaneously and frequently
A patient received a scheduled dose of depot medroxyprogesterone acetate (DMPA) 6 weeks ago. Today, the patient reports that a regular menstrual cycle is 2 weeks late. What is the first thing that should be done for this patient? A)Perform a pregnancy test B)Explain side effects of the contraceptive C)Provide prenatal counseling D)Discuss pregnancy termination options
A) Perform a pregnancy test
A woman develops HELLP syndrome. During labor, which prescription would the nurse question? A) Prepare her for epidural anesthesia. B) Assess her blood pressure every 15 minutes. C) Assess the urine output every hour. D) Urge her to lie on her left side during labor.
A) Prepare her for epidural anesthesia
Early in pregnancy, frequent urination results mainly from which cause? B) increased concentration of urine D) decreased glomerular selectivity A) pressure on the bladder from the uterus C) addition of fetal urine to maternal urine
A) Pressure on the bladder from the uterus
A male patient is considering a vasectomy. Which information should the nurse instruct thepatient about this procedure? Select all that apply. E) Spermatozoa present in the vas deferens will be viable for 2 weeks. A) Sexual intercourse can resume in a week. B) The procedure can be done as an outpatient. C) An opioid analgesic will be prescribed for pain control. D) Use a birth control method until a negative sperm reports occur
A) Sexual intercourse can resume in a week B) The procedure can be done as an outpatient D) Use a birth control method until a negative sperm reports occur
A patient asks you if it will be all right to continue sexual relations during her pregnancy. Which of the following would be the best advice? A) Sexual relations can be continued safely during a normal pregnancy. D) Sexual relations can continue, but she must use a diaphragm. B) Sexual relations are dangerous during pregnancy after 3 months. C) Sexual relations are dangerous for the first 2 months
A) Sexual relations can be continued safely during a normal pregnancy
A woman in labor is at risk for abruptio placentae. Which assessment would most likely lead the nurse to suspect that this has happened? A) sharp fundal pain and discomfort between contractions B) painless vaginal bleeding and a fall in blood pressure D) an increased blood pressure and oliguria C) pain in a lower quadrant and increased pulse rate
A) Sharp fundal pain and discomfort between contractions
A young adult who is mildly cognitively challenged is pregnant and concerned that if her baby is floating in water inside her, it will drown. Which of the following teaching strategies would you use to explain how it is safe for the baby to be in fluid in utero? A) Show her an illustration of a fetus in utero. C) Explain that it is safe for a small baby to be underwater. B) Provide a taped explanation for her to play at home. D) Advise her not to worry about things she cannot understand
A) Show her an illustration of a fetus in utero
A mother points out to the nurse that following three meconium stools, her newborn has had a bright green stool. The nurse would explain to her that: D) her child will need to be isolated until the stool can be cultured. B) this is most likely a symptom of impending diarrhea. A) this is a normal finding. C) her child may be developing an allergy to breast milk.
A) This is a normal finding
A pregnant patient has an anthropoid pelvis. How should the nurse explain this finding to the patient? D) Has weaker bones than normal A) Transverse narrow B) Ideal for childbearing C) Similar in shape to a male
A) Transverse narrow
The nurse is asked to schedule a hysterosalpingogram. Which question would be most important for the nurse to ask the woman before scheduling the procedure? C) What is your blood type and Rh factor? A) When do you expect your next menstrual flow? B) Are you allergic to any sedatives? D) When did you have coitus last?
A) When do you expect your next menstrual flow?
During a physical assessment, the nurse palpates a pregnant patient's fundus at the level of the umbilicus. What statement should the nurse make to the patient about this assessment finding? A) "You are at 12 weeks of your pregnancy." D) "You are at 16 weeks of your pregnancy" C) "You are at 22 weeks of your pregnancy." B) "You are at 20 weeks of your pregnancy."
B) "You are 20 weeks of your pregnancy"
Which of the following correctly identifies the daily caloric requirement per kilogram for 2 month old newborn? D) 200 to 225 A) 50 to 55 B) 100 to 120 C) 150 to 170
B) 100 to 120
A newborn is being breastfed. To evaluate nutritional adequacy, you should be aware that breast milk contains an average of how many calories? C) 24 calories per ounce B) 20 calories per ounce D) 30 calories per ounce A) 12 calories per ounce
B) 20 calories per ounce
The nurse prepares a couple to have a karyotype performed. What describes a karyotype? A) a blood test that will reveal an individual's homozygous tendencies D) the dominant gene that will exert influence over a correspondingly located recessive gene C) the gene carried on the X or Y chromosome B) a visual presentation of the chromosome pattern of an individual
B) A visual presentation of the chromosome pattern of an individual
Which of the following would you suggest to a pregnant woman who follows a vegetarian diet? B) Anticipate needing a vitamin B12 supplement during pregnancy. A) Include at least one serving of meat daily. D) Discontinue a vegetarian diet for the remainder of pregnancy. C) Be careful not to eat more than four servings of fruit daily.
B) Anticipate needing a vitamin B12 supplement during pregnancy
A woman who is Rh-negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that: A) no more than three children is recommended. B) as long as she receives Rho(D) immune globulin, there is no limit. D) she will have to ask her primary care provider. C) only her next child will be affected.
B) As long as she receives Rho(D) immune globulin, there is no limit
Which precaution should the nurse take with a pregnant woman following an amniocentesis? D) Assess for increased abdominal distention. C) Perform a vaginal examination for a ferning pattern. A) Remind her not to raise her head for 4 hours. B) Assess fetal heart rate and possible uterine contractions.
B) Assess fetal heart rate and possible uterine contractions
A postpartum patient is prescribed docusate sodium (Colace) as a treatment for constipation. What should the nurse include when teaching the patient about this medication? Select all that apply. C) One pill should be taken after every meal for the first week. A) This medication has no adverse effects. E) Take each dose of the medication with a full glass of water or juice. D) This medication works the best when a high-fiber diet is consumed. B) Be sure to engage in activity to aid in intestinal motility.
B) Be sure to engage in activity to aid in intestinal motility D) This medication works the best when a high-fiber diet is consumed E) Take each dose of the medication with a full glass of water or juice
Which of the following is an advantage of breastfeeding for the infant? C) It takes less effort for an infant to suck at a breast than from a bottle. A) Breast milk is more difficult to digest, so it makes the infant feel fuller longer. B) Breast milk contains antibodies and thus decreases the possibility of gastrointestinal illnesses. D) Breast milk leads to firmer stools, increasing bowel tone
B) Breast milk contains antibodies and thus decreases the possibility of gastrointestinal illnesses
A woman tells the nurse she has difficulty achieving orgasm. Orgasm in females results mainly from which stimulus? C) uterine stimulation D) sensory arousal B) clitoral stimulation A) penile penetration
B) Clitoral stimulation
A woman calls the clinic to report that she has had some cramping and spotting since the insertion of her IUD three days ago. Which instruction would be most appropriate? B) "Consider this normal, because your IUD is newly inserted." A) "Come to the clinic as soon as possible." C) "Take your blood pressure daily for the rest of the month." D) "You'll have to change your method of birth control."
B) Consider this normal, because your IUD is newly inserted
On what day during pregnancy does the embryo implant on the uterine surface? C) ten days after the start of the menstrual flow B) eight days after ovulation A) the 14th day of a "typical" menstrual cycle D) four days after ovulation
B) Eight days after ovulation
The nurse is providing care to a new mother and infant according to the Quality & Safety Education for Nurses competency approach. Which action should the nurse perform to demonstrate the skill for the competency of safety? B) Ensure the mother and newborn have intact identification bands. A) Assess the mother for preferences based on personal values D) Document patient care using computerized spreadsheets and forms. C) Introduce all members of the care team to the mother and family.
B) Ensure the mother and newborn have intact identification bands
Which definition best explains the term "infertile couple" who are less than 35 years old? C) inability to achieve pregnancy because of a known factor that prevents conception B) failure to achieve pregnancy after 1 year of unprotected intercourse A) failure to achieve pregnancy after 6 months of unprotected intercourse D) inability to achieve pregnancy following a previous viable pregnancy
B) Failure to achieve pregnancy after 1 year of unprotected intercourse
What is a positive sign of pregnancy? A) positive pregnancy test C) Hegar's sign D) uterine contractions B) fetal movement felt by examiner
B) Fetal movement felt by examiner
The nurse completes an assessment of an adolescent patient's menstrual pattern. Which finding should the nurse identify as being within normal limits? C) Menstruation started at age 9 years. D) The average amount of flow is 500 ml. B) Flow usually lasts 4 to 6 days. A) The usual cycle is 19 days.
B) Flow usually lasts 4 to 6 days
The nurse is explaining the process of breast milk production with a client pregnant with her first child. What should the nurse include when providing this teaching? Select all that apply. E) Most mothers have copious amounts of breast milk immediately after giving birth to the baby. C) Uterine cramping is a contraindication to breastfeeding. Correct! D) Breast milk "comes in" by the 3rd-5th day after giving birth. A) Breast milk is thin, yellow, watery fluid and you should produce 300ml's in the 1st day. B) For approximatly the first 3 days, the breast milk is colostrum.
B) For approximately the first 3 days, the breast milk is colostrum
A patient is 34.5wks pregnant and had a prior vaginal delivery of a term male newborn. Today her blood pressures were 148/72 & 150/80 respectively that were taken 4 hours apart with all normal labs. Select the best answer provided that explains her clinical picture. D) Pre-eclampsia, preterm, multiparous pregnant woman. B) Gestational hypertension, preterm, multiparous pregnant woman. A) Gestational hypertension, term, multiparous pregnant woman. C) Gestational hypertension, preterm , nulliparous pregnant woman.
B) Gestational hypertension, preterm, multiparous pregnant woman
What is a current trend in child health care? D) Nursing roles are decreasing because of the increasing role of families. B) Health promotion rather than health restoration is stressed. A) Children are hospitalized for observation more than previously C) Child health care is moving out of regional centersWhat is a current trend in child health care?
B) Health promotion rather than health restoration is stressed
What is the physiology behind an male erection? C) The three cylindrical masses of tissue are stimulated by an endogenous chemical D) Stimulation of the sympathetic nervous system causing tissue to contract B) Ischiocavernousus muscle at the base of the penis further increases in blood supply leading to distension of the shaft A) Dioxide chemicals are released into the endothelium of the blood vessels
B) Ischiocavernousus muscle at the base of the penis further increases in blood supply leading to distention of the shaft
Which information is true of home care as a whole? D) The amount of care remains even because only a limited number of nurses are available to give care. A) It is decreasing because many new care measures are too technical for use in the home C) It is decreasing because the overall incidence of children's illnesses is decreasing in number. B) It is increasing because new technology makes so many procedures available in the home.
B) It is increasing because new technology makes so many procedures available in the home
What would be the physiologic basis for a placenta previa? C) a placenta with multiple lobes A) a loose placental implantation D) a uterus with a midseptum B) low placental implantation
B) Low placental implantation
Which of the following would be a danger signal of labor for a woman in preterm labor? A) Blood-tinged vaginal mucus/discharge at full dilation C) Maternal pulse of 90 to 95 beats per minute D) Fetus presenting in an LOA position B) Meconium-stained amniotic fluid
B) Meconium-stained amniotic fluid
After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan are to address this? B) Passageway D) Psychological outlook C) Passenger A) Powers
B) Passageway
The nurse reminds a patient in active labor to perform cleansing breaths. Why should the nurse encourage the patient to do this type of breathing? A) Ensures fetal perfusion D) Encourages cervical dilation B) Prevents hyperventilation C) Promotes hypoventilation
B) Prevents hyperventilation
The nurse visits a pediatric client at home for complications of sickle cell. Upon entering the home, the nurse notices a significant number of candles being burned, statues surrounding the client, and herbs around the room. What is the most appropriate response by the nurse? C) Call 9-1-1 A) Call the social worker. B) Proceed with the visit D) Remove the items from the room.
B) Proceed with the visit
A client the nurse meets in a prenatal clinic states that she has vaginal discharge and asks about douching. Which rule is safe regarding douching during pregnancy? B) Routine douching is not advised. D) A room-temperature solution should not be used. A) Only commercial solutions should be used. C) The solution used never should be acid.
B) Routine douching is not advised
Which action would most make the nurse believe that a postpartum woman is accepting a child well? D) She asks the nurse to use her camera to take a photo of the child. A) She states she has named the child after a well-loved friend. B) She turns her face to meet the infant's eyes when she holds her. C) She comments that her baby has the most hair of any in the nursery.
B) She turns her face to meet the infant's eyes when she holds her
A newborn infant has loose, yellow stools. Although the infant is healthy, his mother is concerned that this means he is allergic to breast milk. The nurse would explain to her that: B) the stools of breastfed infants are normally loose. C) she might consider changing to a soybean formula. D) her child may need to be investigated for bile duct disease. A) she might try burping the infant more frequently.
B) The stools of breastfed infants are normally loose
Implantation generally occurs at which place on the uterus? C) directly over the cervical os A) the lower anterior surface B) the upper posterior surface D) directly over an opening to a fallopian tube
B) The upper posterior surface
A patient tells you that she cannot get an IUD placed because she heard that you need to have a baby before getting an IUD placed. Which answer is the best response? B) This is not true. It is safe to place an IUD in someone who has not had a baby. C) This is not true, it is a good birth control method and protects against STIs. D) This is true because it is difficult to place in someone who has never had cervical dialation before. A) This is true, but we have plenty of birth control options that we can talk about today.
B) This is not true. It is safe to place an IUD in someone who has not had a baby
A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method? B) trisomy 21 D) impetigo C) phenylketonuria A) diabetes mellitus
B) Trisomy 21
Which term(s) represent 47XY13 C) Trisomy, Down's syndrome B) Trisomy, Patau syndrome A) Trisomy, Edwards syndrome D) Trisomy, Turner syndrome
B) Trisomy, Patau syndrome
A woman has a normal BMI of 23 and asks you what an ideal weight gain is during pregnancy. Which of the following would be your best answer? B) Twenty-five to thirty-five pounds is ideal. D) Any gain over 30 lb is ideal. A) She should not gain over 20 lb. C) The amount of weight gain is not important.
B) Twenty-five to thirty-five pounds is ideal
The nurse is concerned that a pregnant patient is using cocaine. What should the nurse suggest to the health care provider to confirm this suspicion? D) Stool test for occult blood C) Complete blood count B) Urine drug screen A) Serum drug screen
B) Urine drug screen
A couple, both age 22, want to know what they can do to improve the chances of conceiving. What should the nurse respond to this couple? A) Have coitus every day B) Have coitus every other day C) Maintaining an BMI >24.9 D) The female-superior position is the best for conception.
B) have coitus every other day
A woman refuses to have an epidural block because she does not want to have a spinal headache after birth. What would be the nurse's best response? C) "Spinal headache is not a common complication of epidural blocks." A) "The anesthesiologist will do her best to avoid this." D) "Your health care provider knows what is best for you." B) "The pain relief offered will compensate for the discomfort afterward."
C) "Spinal headache is not a common complication of epidural blocks"
A mother asks you how she can judge that her infant is receiving sufficient breast milk. What would be the most appropriate response? A) "You need to weigh the infant before and after each feeding." D) "The infant should not become constipated." C) "The infant should gain weight and have six wet diapers daily." B) "The infant should sleep at least 4 hours between feedings."
C) "The infant should gain weight and have six wet diapers daily"
A woman's husband expresses concern about risk of paralysis from an epidural block being given to his wife. Which would be the most appropriate response by the nurse? B) "I have never read or heard of this happening." C) "The injection is given in the space outside the spinal cord." A) "An injury is unlikely because of expert professional care given." D) "The injection is given at the third or fourth thoracic vertebrae so paralysis is not a problem."
C) "The injection is given in the space outside the spinal cord"
A pregnant client from a nondominant culture explains that milk and dairy products cannot be consumed for 2 months during the pregnancy because of the need to fast for her religion. B) "Avoiding milk and dairy products for 2 months will harm the fetus." C) "There are other food sources where you can obtain the nutrients that are in milk." A) "I'm sure that you don't need to follow this while you are pregnant." D) "You must have a great deal of will power to avoid milk and dairy products for 2 months."
C) "There are other food sources where you can obtain the nutrients that are in milk"
A client who is in the transition phase reports her pain medication last given 3 hours ago has worn off. She asks if she can have another dose of fentanyl. How should the nurse respond to her request? A) "Since it has been over 3 hours, you should be able to have more of the medication." B) "It is too early as the medication should be given only every 4 hours." C) "Your stage of labor makes giving another dose unsafe." D) "I will get permission from your health care provider."
C) "Your stage of labor makes giving another dose unsafe"
A couple is undergoing fertility testing. The male partner is scheduled for semen analysis. When teaching the male partner about this procedure, the nurse would instruct him to refrain from sexual intercourse for which time frame before the analysis? B) 12 to 24 hours C) 2 to 4 days D) at least 1 week A) 4 to 8 hours
C) 2 to 4 days
The nurse assessing a patient who just arrived at the birth center for a labor evaluation. The patient's respiratory rate is 36 breaths/min and shallow, her contractions are q3-5 minutes apart lasting 40-60 seconds. From this information, what should the nurse determine as being the status of the patient's cervical dilation? A) 0 to 1 cm C) 4 to 6 cm D) 7 to 10 cm B) 2 to 3 cm
C) 4 to 6 cm
The nurse is caring for a woman in a prenatal clinic who thinks she might be pregnant. Which assessment is a probable sign of pregnancy? B) nausea and vomiting C) a positive pregnancy test D) amenorrhea A) fatigue
C) A positive pregnancy test
Down syndrome may occur because of a translocation defect. This means the: A) infant inherits chromosomal material from only one parent. D) parents are such close relatives that their genes are incompatible. C) additional chromosome was inherited because it was attached to a normal chromosome. B) parents have a chromosomal pattern that is exactly alike.
C) Additional chromosome was inherited because it was attached to a normal chromosome
A pregnant patient received a narcotic analgesic 2 hours before delivery. The newborn is lethargic and difficult to arouse. What should the nurse prepare to do to help this newborn? A) Administer intravenous fluids. D) Provide tactile stimulation to encourage crying. B) Apply oxygen and place in a heated bassinet. C) Administer naloxone hydrochloride (Narcan).
C) Administer naloxone hydrochloride (Narcan)
After the delivery of the placenta, a patient's uterus is sluggish to contract. What should the nurse prepare to do to assist the patient at this time? B) Measure blood pressure every 15 minutes. A) Administer intravenous fluids. D) Prepare to administer blood products as prescribed. C) Administer oxytocin as prescribed.
C) Administer oxytocin as prescribed
When is the earlist that cfDNA can be obtained? A) After 6 weeks gestation B) Once the placenta is fully functional D) Between 11-14 weeks gestation C) After 10-11 weeks gestation
C) After 10-11 weeks gestation
You see a 3-year-old girl in an ambulatory clinic because she has a bad cold. Her mother tells you the girl's problem was caused by her being affected by "mal ojo." What would be the best action? A) Tell her mother this is not a legitimate illness. B) Teach her mother that colds are caused by viruses. C) Ask her mother what symptoms her daughter is experiencing D) Explain there is nothing to do for illnesses caused by evil spirits.
C) Ask her mother what symptoms her daughter is experiencing
During a family assessment, the nurse learns that the male parent smokes. What should the nurse do first with this information to support the 2020 National Health Goals? Hint: think about the nursing process. D) Suggest that smoking be done away from other family members because of health concerns. C) Ask if the male parent has made any efforts towards smoking cessation. A) Document the information in the medical record. B) Explain that smoking can cause long-term health problems.
C) Ask if the male parent has made any efforts towards smoking cessation
A school-age child, a member of a family with a mother, father, and toddler, is hospitalized. The father is employed outside of the home, and the mother stays at home with the other child. The mother is challenged with supporting both children at this time. What should the nurse suggest to the mother? D) Have the mother spend some time with friends to avoid burnout. C) Ask if they have extended family members to help out during this time. B) Suggest the father take time off to help. A) Place the toddler in day care.
C) Ask if they have extended family members to help out during this time
What advice would you give to a woman who is 4 months pregnant and owns an outdoor cat? B) Be careful that it doesn't scratch her. C) Ask someone else to change the cat litter. D) Refrain from cleaning the cat's dish. A) Give it away until after delivery.
C) Ask someone else to change the cat litter
A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? C) assessing fetal heart tones by use of an external monitor A) performing a vaginal examination to assess the extent of bleeding D) assessing uterine contractions by an internal pressure gauge B) helping the woman remain ambulatory to reduce bleeding
C) Assessing fetal heart tones by use of an external monitor
The nurse determines that a pregnant patient is at risk for developing a deep vein thrombosis. What should the nurse instruct the patient to reduce the risk of this potential complication? Select all that apply. A) Avoid foods high in calcium. E) Do not wear knee-high stockings. C) Avoid standing in one position. D) Do not cross the legs at the knee. B) Take a baby aspirin every other day.
C) Avoid standing in one position D) Do not cross the legs at the knee E) Do not wear knee-high stockings
The nurse is caring for a child with Down syndrome (trisomy 21). This is an example of which type of inheritance? The nurse is caring for a child with Down syndrome (trisomy 21). This is an example of which type of inheritance? A) Mendelian recessive D) Phase 2 atrophy B) Mendelian dominant C) Chromosome nondisjunction
C) Chromosome nondisjunction
Which nursing action supports a 2020 National Health Goal that addresses cultural diversity? C) Discussing breastfeeding with a pregnant client who is Hispanic D) Analyzing the client's compliance with health promotion activities A) Focusing on actions to enhance disease prevention B) Reviewing actions to prevent accidents in the home environment
C) Discussing breastfeeding with a pregnant client who is hispanic
A patient with heart disease who is 28 weeks pregnant asks the nurse why office appointments have been scheduled every week for the next 4 weeks. What should the nurse respond to the patient? A) This is the routine schedule for all pregnant patients. B) This is when most patients have a risk of going into early labor. C) During weeks 28 and 32, blood volume peaks, and heart function can be affected. D) Extra care is needed to make sure the fetus is developing normally during this time period.
C) During weeks 28 and 32, blood volume peaks, and heart function can be affected
The nurse encourages a woman with gestational diabetes to maintain an active exercise period during pregnancy. Prior to this exercise period, the nurse would advise her to take which action? A) Inject a bolus of insulin. D) Dont give herself her long-acting insulin the night before. C) Eat a sustaining-carbohydrate snack. B) Eat a high-protein snack.
C) Eat a sustaining-carbohydrate snack
A pregnant patient tells the nurse that drinking enough fluids has always been a problem for her. What should the nurse counsel the patient as being an adequate daily amount of fluid to drink while pregnant? A) Two-four glasses C) Eight glasses D) Thirteen glasses B) Four-eight glasses
C) Eight glasses
Transcutaneous electrical nerve stimulation (TENS) reduces pain by which of the followingmechanisms? B) Pain is prevented from traveling from the uterus to spinal cord synapses. C) Electrical impulses are created that interfere with nerve transmission. A) Efferent fibers are blocked by continuously applied high-intensity stimulation. D) TENS reduces apprehension and thereby complements narcotic action.
C) Electrical impulses are created that interfere with nerve transmission
During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breast-feeding for first-time mothers. Which Quality & Safety Education for Nurses competency does this nurse's action support? B) Patient-centered care C) Evidence-based practice D) Teamwork and collaboration A) Quality improvement
C) Evidence-based practice
The fetus of a woman in labor is in a vertex presentation and at a -1 station. The nurse would interpret this to mean that the fetal head is: A) at the ischial spines. C) floating. B) engaged. D) crowning.
C) Floating
A nurse is reviewing the medical record of a client who has undergone genetic testing. The record reveals the client's complete set of genes, recorded as 46XX. The nurse interprets this as indicating the client's: A) phenotype. B) karyotype. C) genome. D) genotype.
C) Genome
A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare? A) bed rest for the next 4 weeks B) intravenous administration of a tocolytic C) immediate surgery D) magnesium sulfate administration
C) Immediate surgery
The nurse is completing a physical assessment with a patient who has just learned of being pregnant. The patient's last menstrual period was August 15. When should the nurse instruct the patient that the baby will be due? C) May 22 A) July 15 D) April 15 B) June 22
C) May 22
A new mother asks the nurse if all of the new baby's injections can be given in one visit because the mother is losing income from missing work because of the office visits. What does this new mother's issue indicate to the nurse? D) This mother is not experiencing barriers to accessing healthcare. C) Missing work does not support the baby's health maintenance visits. A) The mother needs to find an alternative employer B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits
What are the six QSEN competencies? D) Patient-centered care, evidenced-based practice, independent practice, holistic care, safety, health advocacy C) Patient-centered care, evidenced-based practice, teamwork and collaboration, safety, quality improvement, informatics B) Patient-centered care, teamwork and collaboration, disruptive innovation, community outreach, safety, informatics A) Patient-centered care, evidenced-based practice, healthcare advocacy, health literacy, quality improvement, safety
C) Patient-centered care, evidence-based practice, teamwork and collaboration, safety, quality improvement, informatics
The nurse is teaching a patient in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the patient about this vitamin? B) Controls the risk of hypertension while pregnant A) Maintains energy throughout the pregnancy D) Sustains a slow and steady weight gain while pregnant C) Prevents neural tube disorders in the developing fetus
C) Prevents neural tube disorders in the developing fetus
The nurse notices that a new mother who is beginning postpartum day 2 handles the newborn tentatively and does not kiss the child when holding him. What should the nurse suspect as the probable reason for this behavior? B) Difficulty accepting the role changes D) Cultural customs do not include kissing children A) Disappointment with the child's sex C) Reacting normally to accepting a new child
C) Reacting normally to accepting a new child
A postpartal primipara asks immediately after delivery if she should request rooming-in with her infant. Your best response would be that: C) rooming-in allows increased maternal-newborn contact. A) this puts too much responsibility on a first-time mother. B) it depends on whether she will breastfeed or not. D) resting for the first 3 days postpartum will be better for her.
C) Rooming-in allows increased maternal-newborn contact
A pregnant adolescent is angry she was denied permission to deliver her baby at an alternative birthing center. You would recognize the reason for this refusal based on which of the following? C) She is at high risk for pelvic disproportion. B) She must have been rude to the center director. A) She would need a parent at the delivery. D) She is too high risk for iron deficiency anemia after the delivery of her baby.
C) She is at high risk for pelvic disproportion
A woman is concerned that orgasm will be harmful during pregnancy. Which statement is factual? B) Orgasm during pregnancy is potentially harmful. D) Venous congestion in the pelvis makes orgasm painful. A) Most women do not experience orgasm during pregnancy. C) Some women experience orgasm intensely during pregnancy.
C) Some women experience orgasm intensely during pregnancy
The nurse is monitoring a pregnant patient who is receiving intravenous magnesium sulfate for eclampsia. During the last assessment, the nurse was unable to elicit a patellar reflex and urine output has significantly decreased. What should the nurse do? D) Increase the infusion rate. A) Check fetal heart rate. C) Stop the current infusion. B) Measure blood pressure.
C) Stop the current infusion
A woman telephones the nurse after taking an ovulation suppressant for 3 months to state that she has forgotten to take her pill two mornings in a row. What would be the best advice to give her regarding this? D) Take two pills a day for the rest of the month. A) Start a new cycle of 21 pills immediately plus additional estrogen for the next 3 days. B) Take three pills immediately and avoid coitus for the remainder of the month. C) Take two pills now and use a second back up method of contraception for a week
C) Take two pills now and use a second back up method of contraception for a week
A woman reports to the clinic to have her IUD checked. During the visit, it is determined she is 6 weeks pregnant. How should this situation NOT be handled? B) Following an ultrasound to confirm placement, it may remain in place to avoid disturbing the growing embryo. D) The patient should be asked for her preference in this matter. C) Tell the patient that she will most likely have a miscarriage so there is no need for action. A) It may be removed vaginally to prevent infection or spontaneous miscarriage.
C) Tell the patient that she will most likely have a miscarriage so there is no need for action
A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications of this finding, what should the nurse include? A) This finding indicates the need for surgery. C) This finding should not cause fertility issues. B) This finding will render the patient infertile. D) Typically this finding will interfere with conception.
C) This finding should not cause fertility issues
Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the following topics would be most important to include in the teaching plan? C) Ways to remember to take prenatal vitamins D) Nutritional advantages of frozen foods over fresh foods A) Restricting protein to prevent proteinuria during pregnancy. B) Ways to obtain good pregnancy nutrition in fast food restaurants
C) Ways to remember to take prenatal vitamins
The nurse is concluding her initial visit with a client 28 weeks pregnant on bedrest for premature rupture of membranes. What information should the nurse consider when determining the timing of the next home visit? B) client's type of health insurance D) the home visit schedule and needs of the agency to plan the visit C) amount of supervision and health education needed by the client A) the location of the home
C) amount of supervision and health education needed by the client
You help take vaginal cultures on a woman at a prenatal visit. When inserting a culture applicator for this procedure, it would be important to slant the applicator: B) sharply downward. C) downward and backward D) upward for 2 cm, then downward A) parallel with the bed surface.
C) downward and backward
A woman of 16 weeks' gestation telephones the nurse because she has passed some "berrylike" blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do? D) "Come to the health facility with any vaginal material passed." C) "Continue normal activity, but take the pulse every hour." A) "Maintain bed rest, and count the number of perineal pads used." B) "Come to the health care facility if uterine contractions begin."
D) "Come to the health facility with an vaginal material passed"
A woman tells you that both she and her husband like to continue sexual relations during her menstrual period. They have a monogamous relationship. She asks you if this will harm her. Which of the following would be the bestresponse? C) "You will not be able to achieve orgasm during your menses." D) "If this is satisfying for you and your partner, then there is no harm in it." B) "The risk of infection is too great for sexual relations during this time." A) "Avoid sexual relations because orgasm may be painful for during your menses."
D) "If this is satisfying for you and your partner, then there is no harm in it"
A nurse is teaching a pregnant patient about the importance of practicing perineal exercises during pregnancy. The nurse determines that the teaching was successful based on which patient statement? C) "My muscles will get back into shape much more quickly." A) "These exercises will help make my labor less painful." B) "I'll need less stitches with my episiotomy." D) "My muscles will be able to stretch more easily during labor."
D) "My muscles will be able to stretch more easily during labor"
A 19 year old woman is diagnosed with pelvic inflammatory disease (PID) following an untreated sexually transmitted infection (STI). What should the nurse explain to the patient about future success with fertility? D) "This can cause scarring in your fallopian tubes that could make it difficult to become pregnant in the future." A) "You won't ovulate normally due to scarring on your ovaries" C) "Your cervical mucus is changed, and sperm will be killed." B) "Your body will reject any embryo implantation, due to damage to the lining of your uterus."
D) "This can cause scarring in your Fallopian tubes that could make it difficult to become pregnant in the future"
When caring for a newborn several hours after birth, the nurse assesses the newborn's respiratory rate. In a normal newborn, this would be: A) 12 to 16 breaths per minute. D) 30 to 60 breaths per minute. C) 20 to 30 breaths per minute. B) 16 to 20 breaths per minute.
D) 30 to 60 breaths per minute
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. She gave birth to one baby vaginally at 26 weeks who is deceased, experienced a miscarriage, and has one living child who was delivered at 38 weeks' gestation. B) 4, 1 0, 2, 1 C) 4, 1, 2, 1, 1 A) 3, 1, 1, 1, 1 D) 4, 1, 1, 1, 1
D) 4, 1, 1, 1, 1
What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy? A) Assess a list she makes describing a good diet. C) Assess her skin for hydration and color. D) Ask her to describe her intake for the last 24 hours. B) Ask her to describe her total intake for a week.
D) Ask her to describe her intake for the last 24 hours
As a woman enters the second stage of labor, her membranes spontaneously rupture. When this occurs, what would the nurse do next? B) Ask her to bear down with the next contraction. A) Test a sample of amniotic fluid for protein. C) Elevate her hips to prevent cord prolapse. D) Assess fetal heart rate for fetal safety
D) Assess fetal heart rate for fetal safety
On the first day postpartum, a new mother is concerned that her milk has not yet "come in." The nurse would explain to her that: B) she will not have breast milk until 7 days postpartum. A) most mothers do have milk by 1 day postpartum. C) her infant must not be sucking well or she would have milk by now. D) breast milk normally comes in on the third to fifth postpartum day.
D) Breast milk normally comes in on the third to fifth postpartum day
The home care nurse visits a Hispanic pregnant client who speaks very little English. At this visit her husband, who is fluent in English, is not present. Which intervention is most appropriate for the nurse to do? C) Just wait at the client's home for the husband to return. D) Call for a telephone interpreter and conduct the visit. A) Continue with the visit and call the husband later. B) Cancel the visit and reschedule for another time.
D) Call for a telephone interpreter and conduct the visit
On inspecting a newborn's abdomen, which finding would you note as abnormal? D) Clear drainage at the base of the umbilical cord C) Bowel sounds present at two to three per minute B) Liver palpable 2 cm under the right costal margin A) Abdomen slightly protuberant (rounded)
D) Clear drainage at the base of the umbilical cord
If a woman is 3 months pregnant, which finding related to breast changes would the nurse expect to assess? B) deeply fissured nipples D) darkened breast areolae A) a fair amount of itching on the breast tissue C) hard, irregular, and immobile tissue
D) Darkened breast areolae
During an assessment, a patient who is 5 months pregnant tells the nurse that she has to change her diet because she is just becoming too fat. Which nursing diagnosis should the nurse use to guide interventions for the patient at this time? D) Disturbed body image A) Powerlessness B) Imbalanced nutrition C) Deficient knowledge
D) Disturbed body image
When doing a health assessment, at which location would the nurse expect to palpate the fundus in a woman on the second postpartal day and how should it feel? B) fundus two fingerbreadths above symphysis pubis and hard A) fundus height 4 cm below umbilicus and midline D) fundus two fingerbreadths below umbilicus, midline, and firm C) fundus 4 cm above symphysis pubis and boggy
D) Fundus two fingerbreaths below umbilicus, midline, and firm
The nurse is beginning an assessment with a pregnant client from a non-English-speaking culture. The interpreter is having difficulty understanding what the client is trying to say and the client is becoming frustrated. Which nursing diagnosis would be most appropriate for this situation? A) Fear C) Powerlessness B) Anxiety D) Impaired verbal communication
D) Impaired verbal communication
A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care? A) offering increased WICC availability B) reducing the number of home births C) increasing the education level of parents D) increasing the number of women receiving prenatal care
D) Increasing the number of women receiving prenatal care
If someone is due for a Papanicolaou smear, why is it recommended to be done at the first prenatal visit? A) It predicts whether cervical cancer will occur. B) It helps to date the pregnancy. C) It detects if uterine cancer is present. D) It identifies abnormal cervical cells.
D) It identifies abnormal cervical cells
A pregnant patient is planning to travel to a foreign country as part of a work assignment and needs immunizations. What should the nurse instruct the patient about immunizations while pregnant? D) Live virus immunizations are contraindicated while pregnant. A) Immunizations should be restricted to live viruses only. B) There are no restrictions on immunizations while pregnant. C) The only immunization that should be avoided is for the flu
D) Live virus immunizations are contraindicated while pregnant
The following are nursing measures commonly offered to women in labor. Which nursing intervention probably would be most effective in applying the gate-control theory for the relief of labor pain? C) Give the prescribed medication. D) Massage the woman's back. B) Change the woman's position. A) Encourage the woman to rest between contractions.
D) Massage the woman's back
A woman develops gestational diabetes. Which assessment should she make daily? C) Measure her uterine height by hand-span distance. D) Measure serum for glucose level by a finger prick in the morning and after every meal. A) Test her urine for protein with a chemical reagent strip. B) Measure her abdominal diameter with a tape measure.
D) Measure serum for glucose level by a finger prick in the morning and after every meal
The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance? D) orange juice B) milk C) legumes A) meals high in iron
D) Orange juice
The purpose of a circulatory shunt, such as the ductus arteriosus, is to: D) permit oxygenated blood to supply the most important fetal organs. C) direct blood flow to the lungs to supply nutrients necessary for growth and maturation. A) allow blood to bypass the fetal heart, which does not function as a pump until birth. B) allow fetal blood and maternal blood to mix freely.
D) Permit oxygenated blood to supply the most important fetal organs
A woman who is 7 weeks' pregnant is admitted with vaginal bleeding. She reports she never should have raised her arms above her head. Based upon your knowledge, what is your best response? A) Advise the client to keep her arms down to reduce the risk of bleeding. B) Explain to the client that this an unfounded myth. D) Recognize her cultural beliefs and explain in a nonjudgmental manner the potential causes of miscarriage. C) Ignore her comment.
D) Recognize her cultural beliefs and explain in a nonjudgmental manner the potential causes of miscarriage
A nurse is assessing a postpartal woman. Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartal period? B) She is eager to talk about her birth experience. A) She reports she is afraid to hold her baby and worried she will drop her infant. C) She has not asked for anything for pain all day. D) She did her perineal care independently.
D) She did her perineal care independently
A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her? C) She has a history of allergy to foreign protein B) She has irregular menstrual cycles. D) She has a family history of thromboembolism. A) She is 30 years old.
D) She has a family history of thromboembolism
When using the contraceptive patch, a client should understand that it: A) should be applied to the breasts, hips, or back. D) should be applied to the abdomen, buttocks, or back. C) is immediately effective after application. B) should be covered when swimming in a pool because of chlorine's effect on the adhesive.
D) Should be applied to the abdomen, buttocks, or back
The estrogen content in the contraceptive pill performs which action? D) Suppresses follicle-stimulating hormone (FSH) and luteinizing hormone (LH) to suppress ovulation C) Interferes with uterine endometrial proliferation A) Decreases the permeability of cervical mucus B) Increases the level of luteinizing hormone (LH)
D) Suppresses follicle-stimulating hormone (FSH) and luteinizing hormone (LH) to suppress ovulation
An adolescent who is pregnant asks the nurse which sport would be the safest for her to learn during pregnancy. Which activity would the nurse suggest as safe? A) bicycling B) jogging C) skiing D) swimming
D) Swimming
The nurse is preparing to assess the duration of contractions for a patient in labor. Which process should the nurse use to time the contractions? A) Number of contractions that occur in 5 minutes D) The interval between the beginning and the end of one contraction B) The end of one contraction to the beginning of the next C) The interval between the acmes of two consecutive contractions
D) The interval between the beginning and the end of one contraction
A pregnant woman asks you how the uterine arteries will be able to supply blood to the uterus after the uterus increases to four times its prepregnant size. You would explain that this will happen easily because of which of the following? B) The muscle of the uterus decreases during pregnancy. D) The normally twisted and coiled uterine vessels uncoil and elongate. C) Venous congestion causes stasis of arterial blood. A) More arteries form during pregnancy
D) The normally twisted and coiled uterine vessels uncoil and elongate
The nurse instructs the client about skin massage and the gate-control theory of pain. Which statement would be appropriate for the nurse to include for client understanding of the nonpharmacologic pain relief methods? A) The gate control mechanism is located at the pain site. D) This is a technique to prevent the painful stimuli from entering the brain. B) Pain perception is decreased if anxiety is present. C) The gate control mechanism opens so all the stimuli pass through to the brain.
D) This is a technique to prevent the painful stimuli from entering the brain
You are performing a fundal height measurements on a 36 wk patient. You measured her as 34wks , but she has been measuring appropriately during pregnancy. What does this finding tell you? A) This is not normal and you should sent her to labor and delivery for extended monitoring. C) This is not a normal finding and you should get another coworker to repeat the measurement. B) This is likely normal and you should notify the provider to order an abdominal growth ultrasound. D) This is likely a normal finding, reassure the patient that there is a margin of error of about 3cm above and below.
D) This is likely a normal finding, reassure the patient that there is a margin of error of about 3cm above and below
Immediately following an epidural block, a pregnant patient's blood pressure suddenly falls to 90/50 mmHg. What action should the nurse take first? B) Raise the head of the bed. D) Turn onto the left side or raise the legs. A) Place the patient trendelenberg position. C) Ask the patient to take deep breaths.
D) Turn onto the left side or raise the legs
The term used to guide the cultural aspects of nursing care and respect individual differences is: B) ethnicity nursing. C) family nursing. D) transcultural nursing. A) diversity nursing.
D) transcultural nursing