Maternity

During a community health presentation, one of the participants asks the nurse. Which contraceptive method provides protection against sexually transmitted infections?

Male or female condoms

A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?

Pelvic pain

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

A 38-year-old client who reports smoking one pack of cigarettes every day.

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2015. Which of the following is the appropriate response by the nurse? A. February 11, 2016 B. February 27, 2016 C. April 27, 2016 D. April 11, 2016

A. February 11, 2016

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor? A. Rupture of the membranes B. Changes in the cervix. C. Station of the presenting part D. Pattern of contractions

B. Changes in the cervix.

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure? A. Monitor the client's temperature. B. assess the fetal heart rate. C. Assess the odor of the amniotic fluid. D. Provide clean, dry under pads.

B. assess the fetal heart rate.

A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect? A. Fetal heart rate 100/min B. weakened uterine contractions. C. Enhanced production of fetal lung surfactant D. Maternal blood glucose 63 mg/dL

B. weakened uterine contractions.

A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client's medical record? A. Vertex B. Shoulder C. Breech D. Mentum

C. Breech

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block? A. Vomiting B. Tachycardia C. Respiratory depression D. Hypotension

D. Hypotension

A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make? "

You seem scared to talk to your parents"

A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk of contracting TSS?

high-absorbency tampons.

A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?

"Before I can help you, I need to know more about your sexual activity."

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

"Implantation occurs between 2 and 3 weeks after conception."

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations? A. "It is used to stop preterm labor contractions." B. "It halts cervical dilation." C. "It promotes fetal lung maturity." D. "It increases the fetal heart rate."

"It promotes fetal lung maturity."

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

"This infection is treated with one dose of azithromycin."

A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

"What part of the exam makes you most nervous?"

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make? A. "This is a presumptive sign of pregnancy." B. "This is a probable sign of pregnancy." C. " This is a possible sign of pregnancy." D. "This is a positive sign of pregnancy."

A. "This is a presumptive sign of pregnancy."

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be, okay?" Which of the following responses should the nurse say? A. "You must be feeling scared and powerless." B. "Everyone worries about her baby when she's in labor." C. "Your pregnancy is advanced so your baby should be fine." D. "We have a neonatal unit here that's equipped to handle emergencies."

A. "You must be feeling scared and powerless."

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status? A. 4-0-1-2-2 B. 3-0-2-0-2 C. 2-0-0-2-0 D. 4-2-0-2-2

A. 4-0-1-2-2

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings concern to the nurse that the client is in labor? A. Cervical dilation. B. Report of pain above the umbilicus C. Brownish vaginal discharge D. Amniotic fluid in the vaginal vault

A. Cervical dilation.

11-A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider? A. Contractions lasting longer than 90 seconds. B. Contractions occurring every 3 to 5 min. C. Contractions are strong in intensity. D. Client reports feeling contractions in lower back.

A. Contractions lasting longer than 90 seconds.

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? A. Discontinue the medication infusion. B. Prepare for an emergency cesarean birth. C. Assess maternal blood glucose. D. Place the client in Trendelenburg position.

A. Discontinue the medication infusion.

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2015. Which of the following is the appropriate response by the nurse? A. February 11, 2016 B. February 27, 2016 C. April 27, 2016 D. April 11, 2016

A. February 11, 2016

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse. What is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.) A. Fetal breathing B. Fetal motion C. Fetal neck translucency D. Amniotic fluid volume E. Fetal gender

A. Fetal breathing B. Fetal motion D. Amniotic fluid volume

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis? A. Painless red vaginal bleeding B. Increasing abdominal pain with a nonrelated uterus. C. Abdominal pain with scant red vaginal bleeding D. Intermittent abdominal pain following passage of bloody mucus.

A. Painless red vaginal bleeding

A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first. A. Place the client in the lateral position. B. Increase the rate of maintenance IV infusion. C. Elevate the client's legs. D. Administer oxygen using a nonrebreather mask.

A. Place the client in the lateral position.

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider? A. Respiratory depression B. Facial flushing C. Nausea D. Drowsiness

A. Respiratory depression

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV "fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding? A. Variable decelerations are due to umbilical cord compression. B. Variable decelerations are caused by uteroplacental insufficiency. C. Variable decelerations are a result of the administration of IV narcotic analgesics. D. Variable decelerations are related to fetal head compression.

A. Variable decelerations are due to umbilical cord compression.

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D) immunoglobulin. Which of the following should be included in the teaching? A. it prevents the formation of Rh antibodies in the mothers who are Rh negative. B. It destroys Rh antibodies in mothers who are Rh negative. C. It destroys Rh antibodies in newborns who are Rh positive. D. It prevents the formation of Rh antibodies in newborns who are Rh positive.

A. it prevents the formation of Rh antibodies in the mothers who are Rh negative.

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make? A. the presenting part is 1 cm above the ischial spines. B. The presenting part is 1 cm below the ischial spines. C. The cervix is 1 cm dilated. D. The cervix is enlaced 1 cm.

A. the presenting part is 1 cm above the ischial spines.

A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching?

Abstain from ejaculation for at least 2 to 5 days prior to the test.

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?

An intrauterine device (IUD)

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Anticonvulsants

A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make? A, "It would be best if you gained about 11 to 20 pounds." B. "The recommendation for you is about 15 to 25 pounds." C. "A gain of about 25 to 35 pounds is recommended for you." D. "A gain of about 1 pound per week is the best pattern for you."

B. "The recommendation for you is about 15 to 25 pounds."

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients? A. A client who is experiencing fetal death at 32 weeks of gestation B. A client who is experiencing preterm labor at 26 weeks of gestation. C. A client who is experiencing Braxton-Hicks's contractions at 36 weeks of gestation D. A client who has a post-term pregnancy at 42 weeks of gestation.

B. A client who is experiencing preterm labor at 26 weeks of gestation.

A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are two decelerations of 15 /min in the fetal heartrate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make. A. A negative test B. A nonreactive test C. A positive test D. A reactive test

B. A nonreactive test

A nurse in is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure? A. Observe color and consistency of fluid. B. Assess the fetal heart rate pattern. C. Assess the client's temperature. D. Evaluate client for the presence of chills and increased uterine tenderness using palpation.

B. Assess the fetal heart rate pattern.

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded, and her fingers are tingling. Which of the following actions should the nurse take? A. Administer oxygen via nasal cannula. B. Assist the client to breath into a paper bag. C. Have the client tuck her chin to her chest. D. Instruct the client to increase her respiratory rate to more than 42 breaths per min.

B. Assist the client to breath into a paper bag.

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first? A. Expulsion of a blood-tinged mucous plug B. Continuous contraction lasting 2 min. C. Pressure on the perineum causing the client to bear down. D. Expulsion of clear fluid from the vagina

B. Continuous contraction lasting 2 min.

A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum? A. Chvostek's sign B. Cullen's sign C. Chadwick's sign D. Goodell's sign

B. Cullen's sign

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take? A. Decrease the rate of infusion of the maintenance IV solution. B. Discontinue the infusion of the IV oxytocin. C. Increase the rate of infusion of the IV oxytocin. D. Slow the client's rate of breathing.

B. Discontinue the infusion of the IV oxytocin.

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.) A. Prostaglandin E2 B. Indomethacin C. Magnesium sulfate D. Methylergonovine E. Oxytocin

B. Indomethacin C. Magnesium sulfate

A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications? A. Hearing loss B. Intrauterine growth restriction C. Type 1 diabetes mellitus D. Congenital heart defects

B. Intrauterine growth restriction

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not. accompanied by contractions. The client is not in distress, and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following? A. Fetal lung maturity B. Location of the placenta C. Viability of the fetus D. The biparietal diameter

B. Location of the placenta

A nurse is admitting a client who is at 36 weeks' gestation and has painless, bright red vaginal bleeding. The nurse should recognize this finding as an indication of which of the following conditions? A. Abruption placenta B. Placenta previa C. Precipitous labor D. Threatened abortion.

B. Placenta previa

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action? A. Elevate the client's legs. B. Position the client on her side. C. Administer oxygen via face mask. D. Increase the infusion rate of the IV fluid.

B. Position the client on her side.

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action? A. Elevate the client's legs. B. Position the client on her side. C. Administer oxygen via face mask. D. Increase the infusion rate of the IV fluid.

B. Position the client on her side.

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take? A. Notify the provider of the findings. B. Position the client with one hip elevated. C. Ask the client if she needs pain medication. D. Have the client void.

B. Position the client with one hip elevated.

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion? A. Diminished deep tendon reflexes. B. Respiratory rate of 16/min. C. Urine output of 50 mL in 4hr D. Heart rate of 56/min

B. Respiratory rate of 16/min.

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus? A. 3 cm above the umbilicus B. Slightly above the umbilicus C. Slightly below the umbilicus D. 3 cm below the umbilicus

B. Slightly above the umbilicus

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse? A. "This will determine if there is more than one fetus." B. "It is useful for estimating fetal age." C. "It assists in identifying the location of the placenta and fetus." D. "This is a screening tool for spina bifida."

C. "It assists in identifying the location of the placenta and fetus."

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide? A, "There is an increased risk of introducing infection." B. "This could initiate preterm labor." C. "This could result in profound bleeding." D. "There is an increased risk of rupture of the membranes."

C. "This could result in profound bleeding."

A woman who is at 36 weeks of gestation is having a nonstress test. Which statement by the woman indicates a correct understanding of the test. A. "This test will help to determine if the baby has Down syndrome or a neural tube defect." B. "I should have my husband drive me home after the test because I may be nauseous and somnolence." C. "This test will observe for fetal activity and an acceleration of the fetal heart rate to determine. the well- being of the baby." D. "I will need to have a full bladder for the test to be done accurately."

C. "This test will observe for fetal activity and an acceleration of the fetal heart rate to determine. the well- being of the baby."

A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make? A. "This will occur during the last trimester of pregnancy." B. "This will happen by the end of the first trimester of pregnancy." C. "This will occur between the fourth and fifth months of pregnancy." D. "This will happen once the uterus begins to rise out of the pelvis.

C. "This will occur between the fourth and fifth months of pregnancy."

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action? A. Recheck the client's temperature in 4 hr. B. Administer glucocorticoids intramuscularly. C. Assess the odor of the amniotic fluid. D. Prepare the client for emergency cesarean section.

C. Assess the odor of the amniotic fluid.

A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be included in the teaching? A. Consume 40 to 50 g of protein daily. B. Avoid salting of foods during cooking. C. Drink 48 to 64 ounces of water daily. D. Limit intake of whole grains, raw fruits, and vegetables.

C. Drink 48 to 64 ounces of water daily.

A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client? A. Food and fluids should not be consumed the day of the procedure. B. Complete a bowel prep protocol the day before the procedure. C. Empty her bladder immediately prior to the procedure. D. Wash her abdomen with soap and water the morning of the procedure.

C. Empty her bladder immediately prior to the procedure.

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% elacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take? (select all that apply) A. Assist the client into a comfortable position. B. Observe the perineum for signs of crowning. C. Have the client pant during the next contractions. D. Help the client to the bathroom to void.

C. Have the client pant during the next contractions.

A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature? A. Phosphatidylglycerol (PG) absent B B. biophysical profile score of 8 C. Lecithin/sphingomyelin (L/S) ratio of 2:1 D. Nonstress test is reactive.

C. Lecithin/sphingomyelin (L/S) ratio of 2:1C. Lecithin/sphingomyelin (L/S) ratio of 2:1

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain? A. Administer prescribed analgesic medication. B. Encourage the client to rest between contractions. C. Massage the client's back. D. Turn the client onto her left side.

C. Massage the client's back.

A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take? A. Apply fundal pressure. B. Observe for the presence of a nuchal cord. C. Observe for crowning. D. Prepare to administer oxytocin.

C. Observe for crowning.

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform? A. Immediately report the situation to the client's provider and prepare the client for induction of labor. B. Encourage the client to walk around without the monitoring unit for 10 min, then resume monitoring. C. Offer the client a snack of orange juice and crackers. D. Turn the client onto her left side.

C. Offer the client a snack of orange juice and crackers.

nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this "finding as which of the following? A. Ballottement B. Lightening C. Quickening D. Chloasma

C. Quickening

A nurse is assessing a client who is receiving magnesium sulfate to treat pre- eclampsia. Which of the following findings should the nurse report to the provider? A. Respirations 16/min B. Headache for 30 min C. Urinary output 40 mL in 2 hr D. Fetal heart rate 158/min

C. Urinary output 40 mL in 2 hr

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

Consume foods fortified with folic acid.

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make. A. "It's a minor inconvenience, which you should ignore." B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." C. "There is no way to predict how long it will last in each individual client." D. "It occurs during the first trimester and near the end of the pregnancy."

D. "It occurs during the first trimester and near the end of the pregnancy."

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching? A. "You will need to increase your calcium intake during breast feeding." B. "Prenatal vitamins will meet your need for increased vitamin D during pregnancy." C. "Vitamin E requirements decline during pregnancy due to the increase in body fat." D. "You will need to double your intake of iron during pregnancy."

D. "You will need to double your intake of iron during pregnancy."

A nurse is caring for a client who is in preterm labor with a current L/S ratio of 1:1. Which of the following actions should the nurse take? A. Infuse a bolus of IV fluid. B. Administer hydralazine 25 mg IV. C. Prepare the client for immediate delivery. D. Administer betamethasone 12 IM.

D. Administer betamethasone 12 IM.

A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action? A. Monitor vaginal bleeding. B. Administer glucocorticoids. C. Insert an IV catheter. D. Apply an external fetal monitor.

D. Apply an external fetal monitor.

A nurse is caring for a client who is at 40 weeks' gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical enlacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform? A. Prepare for a cesarean birth. B. Assist the client to an upright position. C. Prepare for an immediate vaginal delivery. D. Assist the client to turn onto her side.

D. Assist the client to turn onto her side.

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following Findings should the nurse identify as inconsistent with preeclampsia? A. 1+ pitting sacral edema B. 3+ protein in the urine C. Blood pressure 148/98 mHg D. Deep tendon reflexes of +1

D. Deep tendon reflexes of +1

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify? A. Fetal attitude is in general flexion. B. Fetal lie is longitudinal. C. Maternal pelvis is gynecoid. D. Fetal position is persistent occiput posterior.

D. Fetal position is persistent occiput posterior.

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions? A. Cephalic B. Transverse C. Posterior D. Frank breech.

D. Frank breech.

A nurse in a prenatal clinic is caring for a client who is at 12 weeks' gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make? A. Retained bile in the liver results in delayed digestion. B. Increased estrogen production causes increased secretion of hydrochloric acid. C. pressure from the growing uterus displaces the stomach. D. Increased progesterone production causes decreased motility of smooth muscle.

D. Increased progesterone production causes decreased motility of smooth muscle.

Which is a priority nursing intervention while caring for a pregnant patient with hyperemesis gravidarum? A. Initiate seizures precautions B. Administer magnesium sulfate. C. Initiate enteral nutrition. D. Initiate intravenous (IV) Fluid therapy

D. Initiate intravenous (IV) Fluid therapy

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first? A. Cover the cord with a sterile, moist saline dressing. B. Prepare the client for an immediate birth. C. Place the client in knee-chest position. D. Insert a gloved hand into the vagina to relieve pressure on the cord.

D. Insert a gloved hand into the vagina to relieve pressure on the cord.

A nurse is caring for a client who is scheduled for a maternal serum alpha- fetoprotein test at15 weeks of gestation. The nurse provides which of the following explanations about this test to the client? A. This test assesses fetal lung maturity. B. It assesses various markers of fetal well-being. C. This test identifies an Rh incompatibility between the mother and fetus. D. It is a screening test for spinal defects in the fetus.

D. It is a screening test for spinal defects in the fetus.

What parameter does the nurse check in the amniocentesis report of a pregnant patient to assess fetal lung growth and maturity? A. The antibody titer in the blood B. Creatinine levels in the blood C. Alfa-fetoprotein (AFP) levels D. Lecithin-to-sphingomyelin (L/S) ratio

D. Lecithin-to-sphingomyelin (L/S) ratio

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min. Which of the following is the priority nursing action? A. Elevate the client's legs. B. Monitor vital signs every 5 min. C. Notify the provider. D. Place the client in a lateral position.

D. Place the client in a lateral position.

nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client? A. Temperature B. Fetal heart rate (FHR) C. Bowel sounds D. Respiratory rate

D. Respiratory rate

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, !rm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones? A. Left lower. B. Right lower. C. Left upper. D. Right upper.

D. Right upper.

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding? A. The fetal head is in the left occiput posterior position. B. The largest fetal diameter has passed through the pelvic outlet. C. The posterior fontanel is palpable. D. The lowermost portion of the fetus is at the level of the ischial spines.

D. The lowermost portion of the fetus is at the level of the ischial spines.

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first? A. Palpate the client's uterus. B. Administer oxygen to the client. C. Increase the client's IV fluid infusion rate. D. Turn the client onto her side.

D. Turn the client onto her side.

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns? A. Early deceleration. B. Accelerations C. Late decelerations D. Variable decelerations

D. Variable decelerations.

The nurse is assessing a patient who is taking oral contraceptives and reports severe pain in the legs. What symptoms should the nurse primarily assess for in the patient?

Deep venous thrombosis.

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

Development of ovum.

What should the nurse teach to assist a woman in regaining control of the urinary sphincter?

Do Kegel exercises

A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder? A. Increased urine output B. vaginal discharge C. Elevated blood pressure D. Joint pain

Elevated blood pressure

A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Every morning before arising

A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

Folic acid

Which statement is true about primary dysmenorrhea?

It may be caused by excessive endometrial prostaglandin.

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?

Lubricant

A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?

Missed miscarriage

A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?

Offer option to view products of conception, assist md in d&c.

A nurse is reinforcing teaching about contraceptive methods with a client. Which of the following should the nurse recognize as a contraindication for diaphragm use?

The client has pelvic relaxation.

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

The client requires a rubella immunization following delivery.

A patient with dysmenorrhea has been prescribed nonsteroidal anti-inflammatory drugs (NSAIDs). The patient reports passing dark-colored stools 1 week after starting therapy. What can the nurse interpret from this?

The patient has gastrointestinal bleeding.

The nurse is reviewing the diagnostic test results with a pregnant patient and informs the patient that she is going to have twins. Based on which diagnostic test did the nurse make such a conclusion?

Ultrasound results

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

Vaginal intercourse can be resumed after 2 weeks.

The nurse has received a report regarding her patient in labor. The women last vaginal examination was recorded as 2 cm, 805, and -2. The nurse's interpretation of this assessment is that: a. The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines. b. The cervix is effaced 2 cm, it is dilated, 80%, and the presenting part is 2 cm above the ischial spines. c. The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines. d. The cervix is dilated 2 cm, it is affected 80%, and the presenting part is 2 inches below the ischial spines.

a. The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines.