Maternity final exam pt3

Which test does the Centers for Disease Control and Prevention (CDC) recommend all pregnant women be screened for at 35 to 37 weeks' gestation? a. Group B streptococcus (GBS) b. Biophysical profile (BPP) c. Amniocentesis d. Amniotic fluid index 2)3)4)

Group B streptococcus (GBS)

A pregnant woman with a BMI of 38 presents to the clinic for a routine prenatal checkup. The nurse knows that she is at risk for which potential pregnancy complications? (Select all that apply) a. Cesarean birth b. Hypotension c. Gestational diabetes d. Small-for-gestational-age (SGA) fetus e. Spontaneous abortion

- Cesarean birth - Gestational diabetes - Spontaneous abortion

A patient known to have an incompetent cervix should be offered which of the following? (Select all that apply) a. Emotional support b. Cervical length checks c. Bed Rest until the end of her pregnancy d. Cerclage e. D&C

- Emotional support - Cervical length checks - Cerclage

A woman at 38 weeks of gestation was involved in a car accident. She has numerous abrasions but no broken bones or head injury. The emergency department nurse knows that most common complication that may occur for this woman is: a. Placenta abruptio b. HELLP syndrome c. Place into knee-chest position d. Pre- clampsia e. Placenta previa

Placenta abruptio

When caring for a pregnant patient with a history of recreational cocaine use, the nurse recognizes that the woman is at risk for which disorders? (Select all that apply) a. Pre-eclampsia b. Hydatidiform mole c. Placenta accreta d. Placenta abruption e. Placenta previa

- Placenta abruption - Placenta previa

A patient who is 19 weeks pregnant reports to the hospital complaining of painless vaginal bleeding. Which complications should the nurse consider? (Select all that apply) a. Placenta previa b. Isoimmunization c. Pre-eclampsia d. Gestational diabetes e. Ectopic pregnancy

- Placenta previa - Ectopic pregnancy

The nurse recognizes that which of the following factors increase the risk of developing pre-eclampsia and eclampsia? (Select all that apply) a. Primigravida b. Obesity c. Chronic hypertension d. Gestational diabetes e. Taking aspirin daily

- Primigravida - Obesity - Chronic hypertension - Gestational diabetes

The measurement of a pregnant woman's abdomen reveals that her amniotic fluid may be low. The nurse knows that amniotic fluid serves what function(s)? (Select all that apply) a. Protecting the fetus from bacteria from the vagina b. Preventing compression of the umbilical cord c. Preventing the amniotic membrane from adhering to the fetus d. Cushioning the fetus e. Providing fluid for the analysis of sexual orientation

- Protecting the fetus from bacteria from the vagina - Preventing compression of the umbilical cord - Preventing the amniotic membrane from adhering to the fetus - Cushioning the fetus

Events in the order that they occur: a. Secretion of luteinizing hormone b. Release of an egg c. Release of progesterone by the corpus luteum d. Fertilization of the ovum e. Implantation into the endometrium

- Secretion of luteinizing hormone - Release of an egg - Release of progesterone by the corpus luteum - Fertilization of the ovum - Implantation into the endometrium

Forms of exercise appropriate for the pregnant patient are (Select all that apply) a. Ice skating b. Scuba diving c. Skiing d. Swimming e. Walking

- Swimming - Walking

Which nursing interventions should be included in the plan of care for a patient who is diagnosed with a pelvic floor disorder? (Select all that apply) a. Teaching Kegel exercises b. Encouraging a low-sugar diet c. Teaching relaxation exercises d. Encouraging an increase in water intake e. Providing educational materials for inserting a pessary

- Teaching Kegel exercises - Encouraging an increase in water intake - Providing educational materials for inserting a pessary

A pregnant patient has been receiving care in the maternal-child clinic. During labor, the fetus demonstrates signs of distress. Which nursing professional is best suited to provide care? a. RN b. NP c. CNM d. CNS

CNM

During the physical exam of a pregnant woman, the health care provider notes a bluish-purple coloration of the vaginal mucosa and cervix. The nurse knows that this finding indicates which probable sign of pregnancy? a. Ballottment b. Chadwick's sign c. Goodell's sign d. Hegar's sign

Chadwick's sign

A 17-year-old female presents to a family planning clinic seeking to terminate the pregnancy. Which action should the nurse take next? a. Notify the patient's parents b. Refuse to schedule the abortion c. Check state laws and proceed accordingly d. Perform an ultrasound and schedule the abortion.

Check state laws and proceed accordingly

When caring for a pregnant patient the nurse recognizes that the woman is at risk for developing gestational diabetes when she notes which of the following? (Select all that apply) a. The patient previously delivered a 10-pound baby b. The patient is African American c. The patient is of advanced maternal age d. The patient is underweight e. The patient has type 1 diabetes

- The patient previously delivered a 10-pound baby - The patient is African American - The patient is of advanced maternal age

The nurse reviews a pregnant patient's medical record and sees G5, T2, P5, A1, L5. Which statements reflect an accurate analysis of this information? (Select all that apply) a. The woman has been pregnant a total of five times, including the current pregnancy b. The woman requested to have one pregnancy terminated c. Two of the children born alive died after birth d. One pregnancy resulted in the birth of quintuplets e. The woman adopted one of her children

- The woman has been pregnant a total of five times, including the current pregnancy - Two of the children born alive died after birth

The nurse is conducting a prenatal program at a community health center. What are some of the warning signs that a pregnant patient might experience and must be reported to a health-care provider? (Select all that apply) a. Vaginal bleeding b. Fatigue c. Cough d. Preterm labor e. Absence of fetal movement

- Vaginal bleeding - Preterm labor - Absence of fetal movement

Human chorionic gonadotropin (hCG) is produced to support the development of the embryo and is an indicator for pregnancy. How long after conception is hCG detectable in urine? a. 4-6 days b. 8-10 days c. 12-14 days d. 16-18 days

12-14 days

At which point will the nurse begin scheduling a pregnant woman for weekly obstetric visits? a. 22 weeks b. 28 weeks c. 36 weeks d. 38 weeks

36 weeks

A fetus weighs 780 g and has developed hand grip and startle reflex but is not yet using the senses of vision and hearing. This growth and development pattern of the fetus is consistent with what gestational age? a. 4 months b. 5 months c. 6 months d. 7 months

6 months

A nurse is completing several intake histories for a group of women at the prenatal clinic. Which client does the nurse flag for a possible referral to a high-risk obstetrician? a. A 39-year-old patient who is pregnant for the first time b. A 25-year-old patient pregnant with twins c. A 21-year-old patient who recently broke up with her boyfriend d. A 30-year-old patient with anemia

A 39-year-old patient who is pregnant for the first time

While assisting the physician with a physical exam, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy? a. Positive Goodell's sign b. Quickening felt by mother c. Auscultation of fetal heart sounds d. Breast enlargement and tenderness

Auscultation of fetal heart sounds

The provider explains the need for amniocentesis, but the patient declines the procedure. The nurse supports the patient's right to make this decision, demonstrating an understanding of which ethical principle? a. Autonomy b. Beneficence c. Nonmaleficence d. Justice

Autonomy

The nurse is caring for a patient in her first trimester who frequently complains of heartburn. What nursing intervention would provide the most relief to this patient? a. Increase fiber intake to 35 g per day b. Eat spicy meals more than 3 hours before bedtime c. Avoid overeating and eat small frequent meals d. Exercise daily

Avoid overeating and eat small frequent meals

Which of the following female external genital organs is correctly matched to its description? a. Bartholin glands - secrete lubricating fluids b. Mons pubis - folds of tissue that form a hood-like structure c. Perineum - a muscular triangle-shaped organ located between the rectum and bladder d. Clitoris - have sweat and sebaceous glands to lubricate the surface

Bartholin glands - secrete lubricating fluids

The nurse joins a community outreach program to promote vaccination of children, demonstrating which ethical principle? a. Autonomy b. Beneficence c. Nonmalificence d. Justice

Beneficence

The nurse is conducting an assessment on a pregnant patient. Which symptom does the nurse recognize as abnormal for a pregnant patient? a. Urinary frequency b. Urinary urgency c. Stress incontinence d. Burning upon urination

Burning upon urination

A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion with acute vaginal bleeding and abdominal pain accompanied by shoulder pain. What does the nurse suspect as the cause? a. Gestational trophoblastic disease b. Threatened abortion c. Hyperemesis gravidarum d. Ectopic pregnancy

Ectopic pregnancy

A laboring patient introduces several adults as being members of the family. How should the nurse interpret this information? a. The family is binuclear b. The patient lives in a half-way house c. Family is who the patient says they are d. Any adult is viewed as being a family member

Family is who the patient says they are

The nurse reviews a pregnant patient's lab values and notes a reduced red blood cell count and hemoglobin level. Which symptom should the nurse expect the patient to report? a. Insomnia b. Pica c. Fatigue d. Leg pain

Fatigue

The nurse can interact efficiently with medical interpreters by doing which of the following? a. Having a pre-conversation to review the planned discussion b. Using sign language when needed c. Speaking directly to the interpreter d. Using long sentences and medical terminology

Having a pre-conversation to review the planned discussion

Infant mortality rates in the Black population being double the rates in the White population is an example of which of the following? a. Ethnicity b. Endemic c. Race d. Health disparity

Health disparity

Most placental abruptions are caused by which of the following? a. Cervical examinations b. Hypertension c. Cocaine use d. Short umbilical cords

Hypertension

The nurse is teaching a patient about the barrier methods of contraception. Which of the following should not be included in the discussion? a. IUD b. Sponge c. Condom d. Diaphragm

IUD

Which is the priority nursing action when providing care to a patient who would like to use a home remedy as part of the prescribed treatment? a. Telling the patient that the remedy cannot be used until the provider approves it b. Asking the patient's family to discourage the use of the remedy c. Imploring the patient to share information about the remedy, such as ingredients d. Stating the hospital policy related to the use of home remedies

Imploring the patient to share information about the remedy, such as ingredients

The nurse is educating a woman who is pregnant with twins about the difference between monozygotic and dizygotic twins. Which statement should the nurse include in the teaching? a. Dizygotic twins form when a single fertilized egg splits b. Babies born from the same egg are termed fraternal c. In monozygotic twins, each embryo will have its own amniotic sac but will share a placenta d. In monozygotic twins, each zygote develops separately and implants in the uterus

In monozygotic twins, each embryo will have its own amniotic sac but will share a placenta

A 16 yr old patient is acting indifferently when the nurse is asking questions about her pregnancy. This is consistent with what expected behavior of pregnant teens? a. Inconsistency b. Acceptance c. Ambivalence d. Commitment

Inconsistency

The nurse is caring for a woman carrying multiple gestations. When providing nutritional teaching, the nurse encourages which dietary changes? a. Increased calories, protein, and iron b. Increased folic acid and calcium and reduced protein c. Increased calcium and reduced fat and increase calories d. Decreased fat, increased calories with reduced protein

Increased calories, protein, and iron

While caring for a patient with placental abruption, the nurse recognizes which sign is not an indication of hypovolemic shock? a. Low blood pressure b. Increased urine output c. Confusion d. Increased heart rate

Increased urine output

Which clinical manifestation should the nurse educate a perimenopausal woman to anticipate? a. Cool, moist skin b. Night sweats c. Vaginal hypertrophy d. Osteoporosis

Night sweats

A young woman in her second trimester tells the nurse that she frequently has to urinate throughout the night. Which term accurately describes what this patient is experiencing? a. Nocturia b. Anuria c. Oliguria d. Dysuria

Nocturia

A 26-year-old patient comes to the clinic for her 36-week checkup. The nurse explains the procedure to the patient and places a monitor on the woman's abdomen. Which test is the nurse performing? a. Fundal height measurement b. Amniocentesis c. Fetal kick counts d. Nonstress test (NST)

Nonstress test (NST)

A pregnant woman is being assessed by the nurse and reports pain and swelling in her right calf. Which action should the nurse take? a. Call 911 b. Massage the patient's calf c. Recommend that the patient go for a walk d. Notify the health care provider

Notify the health care provider

The nurse is uncomfortable with caring for a patient planning to undergo an abortion. What action should the nurse take? a. Continue to care for the patient b. Talk to the patient about her decision c. Notify the nurse manager d. Delegate care to unlicensed assistive personnel

Notify the nurse manager

A pregnant patient is complaining of constipation. The nurse should recommend that the patient incorporate which food into her diet? a. Saltine crackers b. Lean meats c. Nuts d. Eggs

Nuts

The nurse cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency cesarean section because of breech presentation with her last pregnancy. Which health care provider is most appropriate to care for this patient? a. Family medicine b. Obstetrician-gynecologist c. Certified nurse midwife d. Doula

Obstetrician-gynecologist

The nurse caring for a patient 1 hour post-salpingostomy recognizes which priority of care? a. Fertility planning b. Administration of RhoGAM c. Pain management d. Psychosocial support

Pain management

Which data collected by the nurse during the health history support the suspected diagnosis of an ovarian cyst? a. Vasomotor episodes b. Painful intercourse c. Insomnia d. Pelvic pressure

Painful intercourse

Which method of family planning requires the woman to track her menstrual periods and estimate the time of ovulation? a. Coitus interruptus b. Lactational amennorhea c. Periodic abstinence d. Diaphragm use

Periodic abstinence

Which complication would put the patient at the greatest risk for an emergency hysterectomy? a. Placental abruption b. Placenta previa c. Placenta accrete d. Ectopic pregnancy

Placenta accrete

What should the nurse consider when preparing a birth plan for a patient during the second stage of labor? a. Placenta delivery b. Induction preferences c. Cord cutting d. Pushing positions

Pushing positions

The nurse is unable to locate fetal heart tones in a woman who is at 10 weeks' gestation. What is the nurse's priority action? a. Reassuring the woman that this is a normal finding b. Notifying the provider immediately c. Recommending complete bed rest d. Scheduling the patient for an abdominal ultrasound

Reassuring the woman that this is a normal finding

Which finding does the nurse recognize as a normal result of pregnancy? a. Reduction in red blood cell count b. Reduced platelet count c. Increased urine glucose level d. Elevated hematocrit value

Reduced platelet count

A patient is admitted to the labor and delivery unit, and a plan of care based on that patient's needs is developed by which member of the health care team? a. Licensed practical nurse (LPN)/licensed vocational nurse (LVN) b. Registered nurse (RN) c. Nurse practitioner d. Certified nurse midwife

Registered nurse (RN)

Which nursing intervention is most appropriate when providing care to pregnant women who complain of nasal stuffiness and congestion? a. Nonsteroidal anti-inflammatory drug (NSAID) b. Antihistamine c. Saline nasal spray d. Nasal decongestant

Saline nasal spray

A patient reports to the emergency department 4 days after the onset of menstruation with influenza-like symptoms and a rash on her palms and feet. What diagnosis does the nurse suspect? a. Polycystic ovary syndrome (PCOS) b. Toxic shock syndrome (TSS) c. Chlamydia d. Herpes simplex virus (HSV)

Toxic shock syndrome (TSS)

The nurse is caring for a patient who presents to the prenatal clinic for the first time at 10 weeks' gestation. What screening should the nurse recommend after discovering that she recently adopted a kitten from her neighbor? a. West Nile virus b. Measles virus c. Parvovirus d. Toxoplasmosis

Toxoplasmosis

A patient who was recently prescribed an oral contraceptive calls the nurse to ask for advice. She has forgotten to take her pill for the last 3 days and wants to know how long she and her partner should use a second form of protection. How should the nurse respond? a. "A second form of protection is needed until your menstrual period begins and you start a new pill package." b. "A second form of protection is needed for one week." c. "A second form of protection is needed for your next two cycles." d. "A second form of protection is not needed if you begin taking the pills again."

"A second form of protection is needed until your menstrual period begins and you start a new pill package."

A 17 yr old in her first trimester visits the clinic for a prenatal appointment. She is upset because her parents want her to have an abortion but she does not. What should the nurse ask to find out the emancipation status of the patient? a. "Are you married?" b. "Do you have a lawyer?" c. "Do you have a job?" d. "Have you graduated high school?"

"Are you married?"

A 17 yr old girl comes to the clinic for a sports physical. Which statement by the patient would cause the nurse to suspect she has secondary amenorrhea? a. "I have not started my period yet." b. "I have severe cramping when I am on my period." c. "I haven't had a period since I started running cross country." d. "I feel like I am overly emotional the week before my period."

"I haven't had a period since I started running cross country."

The nurse is speaking with a patient at a routine prenatal visit at 12 weeks' gestation. The patient asks the nurse how much weight gain is recommended in order to maintain a healthy pregnancy. Which of the following statements made by the patient demonstrate a good understanding of maintaining a healthy weight during pregnancy? a. "I should gain 40 pounds because I am a normal weight. b. "I should gain 35 pounds because I am underweight." c. "I shouldn't gain any weight because I am underweight." d. "I shouldn't gain any weight because I am obese."

"I should gain 35 pounds because I am underweight."

A patient asks the student nurse whether a medication is safe to take during pregnancy. The student thinks it is an approved medication during pregnancy. Which is the student's best response? a. "I'm pretty sure it is a safe medication." b. "I'm not qualified to answer that question." c. "I will ask your obstetric provider." d. "I really don't know."

"I will ask your obstetric provider."

The nurse is conducting an educational program on the importance of personal hygiene to a group of newly expecting mothers. Which statement made by one of the participants indicates the need for further teaching? a. "I will take daily showers; I hate taking baths." b. "I will stop using the sauna and start taking more baths." c. "I will use the jacuzzi every day." d. "I will continue taking daily baths."

"I will use the jacuzzi every day."

A patient with dysfunctional uterine bleeding is asking about her plan of care. How should the nurse respond? a. "If your test results are normal, the provider will likely prescribe hormone therapy." b. "If the test results are normal, the problem will likely go away its own." c. "If the test results are normal, the provider will likely perform an endometrial ablation." d. "If the test results are normal, the provider will likely perform a colposcopy."

"If your test results are normal, the provider will likely prescribe hormone therapy."

The nurse is assessing the knowledge of a patient newly diagnosed with endometriosis. Which statement by the patient would the nurse need to follow up? a. "My endometriosis is likely causing my painful menstrual cramps." b. "I might have a hard time getting pregnant." c. "My endometriosis will go away in a few years." d. "I have endometrial tissue outside of my uterus."

"My endometriosis will go away in a few years."

A nurse is discussing rubella immunity with a pregnant woman. Which statement indicates that the nurse needs further education regarding rubella immunity? a. "Rubella is a virus that can cause congenital defects." b. "If you are not immune, you should be careful of foreign travel." c. "You will be screened for rubella early in pregnancy." d. "You may receive a rubella vaccine during pregnancy."

"You may receive a rubella vaccine during pregnancy."

The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular exam. The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. Which is the nurse's best response? a. "Acetaminophen is a Category A medication, so it is safe to take during pregnancy." b. "The safest thing for the growing fetus is to avoid all medications during pregnancy." c. "What kind of medication have you taken in the past for minor pain?" d. "Talk with the provider about the safest medications to take during pregnancy."

"Talk with the provider about the safest medications to take during pregnancy."

The nurse is obtaining personal information as part of the patient history. How should the nurse ask the woman about physical abuse and overall safety in her living situation? a. "Has your spouse ever hit you?" b. "Are you married?" c. "Tell me about your home life." d. "How is your marriage?"

"Tell me about your home life"

A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization. The woman says she heard that measles is teratogenic and does not know what that means. Which statement by the nurse best explains this concept? a. "The growing baby can catch measles and get very sick." b. "The measles virus acts as a harmful substance that could hurt the fetus." c. "A teratogen, such as the measles virus, can cause fetal death." d. "It means that a mother exposed to measles will probably miscarry."

"The measles virus acts as a harmful substance that could hurt the fetus."

A breastfeeding woman has requested her provider prescribe the mini pill for her birth control method. The nurse will include which statement in her teaching plan to educate her patient? a. "The pills are taken for 3 weeks and then off for 1 week." b. "The pills must be taken at the same time daily." c. "The pill can cause nausea and vomiting." d. "The mini pill cannot be taken if you continue to breast feed."

"The pills must be taken at the same time daily."

Which statement indicates that a mother understood the information about the function of the placenta taught by the nurse? a. "My blood flows through the placenta into the baby and returns to my body to oxygenate." b. "My body removes wastes and provides nutrients and oxygen to the baby when our blood mixes." c. "The placenta grows and functions because of the production of progesterone from the ovaries." d. "The placenta separates my blood from the baby's and produces hormones until delivery."

"The placenta separates my blood from the baby's and produces hormones until delivery."

A patient is informed that her pregnancy is a complete molar pregnancy and says to the nurse, "So my baby died?" What is the nurse's best response? a. "This is a genetic abnormality that resulted in a nonviable fetus." b. "The pregnancy resulted in the development of a placenta, but there was no baby." c. "Have you ever experienced a molar pregnancy before?" d. "Yes, I'm afraid that's true, but you can get pregnant again.

"The pregnancy resulted in the development of a placenta, but there was no baby."

The nurse is educating a patient about the process of fertilization. Which statement by the patient requires correction? a. "The sex of the embryo is determined at fertilization." b. "Of 14 million sperm deposited into the vagina during ejaculation, only 1 to 10 sperm reach the fallopian tube." c. "The sperm and the egg are called zygotes." d. "The male can contribute an X or Y chromosome, which determines the sex of the baby."

"The sperm and the egg are called zygotes."

During a routine prenatal visit with a patient, the patient asks the nurse if she should increase her caloric intake now that she is 14 weeks pregnant. Which of the following statements is the most appropriate response? a. "You should consume fewer calories now that you are in the second trimester." b. "You should consume 600 more calories a day." c. "You should consume 300 more calories a day." d. "You should decrease the number of calories you are eating."

"You should consume 300 more calories a day."

When talking with the nurse, a pregnant patient points out her darkened areolas, the linea nigra on her abdomen, and the brown patches on her forehead and nose and says, "I'm never going to be able to wear a bikini again." Which is the nurse's best response? a. "Makeup will help you hide these after you have the baby." b. "Be sure to point these out to the doctor. You may need to see a dermatologist." c. "These changes normally go away after you have the baby." d. "Applying vitamin E oil or cocoa butter will reverse these discolorations."

"These changes normally go away after you have the baby."

The nurse is educating a patient at 4 weeks' gestation about the development of the fetus. How should the nurse respond when the patient asks when she can find out the gender of the fetus? a. "We can do an ultrasound today and determine the sex." b. "We can do an ultrasound at 8 weeks and determine the sex." c. "We can do an ultrasound at 12 weeks and determine the sex." d. "We can do an ultrasound at 20 weeks and determine the sex."

"We can do an ultrasound at 12 weeks and determine the sex."

A clinical instructor is observing a student nurse obtain a patient history on a new prenatal patient. Which statement allows the clinical instructor to determine that the student nurse effectively understands therapeutic communication? a. "Do you use drugs?" b. "Is this your first pregnancy?" c. "Are your parents living?" d. "What is your current living situation?"

"What is your current living situation?"

During a woman's initial prenatal visit, she learns that the obstetrician will perform a complete physical exam. What is the best response when the client asks the nurse, "Why is a complete physical exam required?" a. "Your overall health will influence your pregnancy. The doctor will need to obtain a complete physical exam." b. "If you have current health problems, the doctor needs to know." c. "The doctor needs to learn as much as possible about you." d. "The doctor wants to make sure that you have a healthy pregnancy without complications."

"Your overall health will influence your pregnancy. The doctor will need to obtain a complete physical exam."

A patient calls the clinic because she thinks she may have an STI. The best responses by the nurse are which of the following? (Select all that apply) a. "Can you come in for an appointment today?" b. "We will need a list of all of your sexual contacts as soon as possible." c. "Abstain from sex until your appointment." d. "It sounds like you had unprotected sex. What were you thinking?" e. "We don't have any open appointments until next month."

- "Can you come in for an appointment today?" - "Abstain from sex until your appointment."

The nurse caring for an Rh-negative patient knows that RhoGAM should be administered when? (Select all that apply) a. At 12 weeks' gestation b. After a car accident c. At 28 weeks' gestation d. After chorionic villus sampling e. Upon admission to the hospital after delivery

- After a car accident - At 28 weeks' gestation - After chorionic villus sampling

The nurse who is caring for a pregnant woman diagnosed with gestational diabetes includes which topics in the teaching plan? (Select all that apply) a. Bringing glucose logs to all appointments b. Need for a cerclage c. Increasing exercise d. Not eating carbohydrates e. Blood sugar monitoring

- Bringing glucose logs to all appointments - Increasing exercise - Blood sugar monitoring

A patient who is pregnant for the first time tells the nurse that she has been craving ice for the past 2 weeks. The nurse understands that this practice of eating can be dangerous. What information does the nurse provide to help the patient manage this type of eating disorder? (Select all that apply) a. Encourage a well-balanced diet with sufficient vitamins and minerals b. Increase access to the non-nutritive substance c. Use distraction techniques such as walking, calling a friend, or reading a book d. Substitute chewing gum or healthy, low-calorie snacks e. Recommend not telling anyone because this type of disorder is embarrassing

- Encourage a well-balanced diet with sufficient vitamins and minerals - Use distraction techniques such as walking, calling a friend, or reading a book - Substitute chewing gum or healthy, low-calorie snacks

Which interventions should the nurse include in the plan of care for the patient who is experiencing menopause? (select all that apply) a. Encouraging weight-bearing exercises b. Encouraging natural approaches to coping with vasomotor episodes c. Providing information related to the use of clonidine to treat osteoporosis d. Providing information related to the use of selective serotonin reuptake inhibitors for hot flashes e. Educating about the use of a transdermal estradiol patch

- Encouraging weight-bearing exercises - Encouraging natural approaches to coping with vasomotor episodes - Providing information related to the use of selective serotonin reuptake inhibitors for hot flashes - Educating about the use of a transdermal estradiol patch

The nurse reviews the chart of a man undergoing testing to determine the cause of infertility. Which hormone levels will the nurse review as a possible cause of the patient's low sperm count? (Select all that apply) a. Follicle-stimulating hormone b. Testosterone c. Estrogen d. Progesterone e. Luteinizing hormone

- Follicle-stimulating hormone - Testosterone - Luteinizing hormone

The nurse is examining a woman who is at 20 weeks' gestation. Which findings does the nurse consider appropriate at this stage of pregnancy? (Select all that apply) a. Fundal height - 20 cm b. Fetal heart rate - 148 bpm c. Quickening d. +1 glycosuria e. 3 lb weight loss

- Fundal height - 20 cm - Fetal heart rate - 148 bpm - Quickening

The nurse performs a cervical exam on a woman in labor and recognizes that the elasticity of the cervix results from which characteristics of the anatomy? (Select all that apply) a. High fibrous content of the supportive tissue b. Large number of folds in the cervical lining c. High collagenous content of the supportive tissue d. Location of the uterosacral ligaments e. Mucus-secreting glands

- High fibrous content of the supportive tissue - Large number of folds in the cervical lining - High collagenous content of the supportive tissue

Which clinical manifestations support the diagnosis of PMS and PMDD? (Select all that apply) a. Irritability b. Dysmenorrhea c. Monthly weight gain d. Acne with menstruation e. A marked or significant lack of energy

- Irritability - Dysmenorrhea - Monthly weight gain - Acne with menstruation

The nurse works in a community health center and completes an intake history for a lesbian couple seeking pregnancy counseling. Identify some of the challenges that lesbian women may face during pregnancy? (Select all that apply) a. Health-care providers always include the patient's partner b. Medical forms may only have designated spaces for mother and father c. Pregnant lesbian couples receive the same education as other pregnant couples d. Health-care providers exclude or ignore the patient's partner e. Health-care providers ask overly personal questions regarding sexuality

- Medical forms may only have designated spaces for mother and father - Health-care providers exclude or ignore the patient's partner - Health-care providers ask overly personal questions regarding sexuality

All birth control methods have advantages and disadvantages. Which of the following statements are correct? (Select all that apply) a. Hirsutism is an adverse effect of the Depot injection b. Oral contraceptives do not prevent STI's c. The transdermal patch decreases breast tenderness d. The implant is effective for 2 years

- Oral contraceptives do not prevent STI's - The transdermal patch decreases breast tenderness

Which preventative health screenings should the nurse include in the plan of care for a woman who is 30 years of age? (Select all that apply) a. Pap test b. Colonoscopy c. Mammogram d. Breast self-examination e. Blood pressure screening

- Pap test - Breast self-examination - Blood pressure screening

Which woman is at greatest risk for Rh incompatibility? a. A mother who has O- blood type, the father has A- blood type b. A mother who has A+ blood type, the father has B+ blood type c. A mother who has AB- blood type, the father has O+ blood type d. A mother who has O+ blood type, the father has B- blood type

A mother who has AB- blood type, the father has O+ blood type

The nurse is caring for a patient with blood type O-negative following a spontaneous abortion. Which is the priority of care? a. Administering RhoGAM b. Notifying the laboratory for a blood type and crossmatch c. Providing emotional support d. Administering oxytocin

Administering RhoGAM

The nurse is providing nutritional education to a client who is seeking information prior to conception. Which item(s) below should the nurse include in her education? a. No alcohol b. Limit caffeine c. Include a folic acid supplement d. All of the above

All of the above

Which finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed? a. Audible fetal heart tones b. Fetal movement felt by the nurse c. Fetal ultrasound showing a growing a fetus d. Amenorrhea

Amenorrhea

Which professional organization states that pregnant women without complications can continue to work throughout pregnancy? a. American Academy of Husband-Coached Childbirth b. American College of Obstetricians and Gynecologists c. International Childbirth Education Association d. American Pregnancy Organization

American College of Obstetricians and Gynecologists

Which term should the nurse use when talking with other members of the health-care team about the ingestion of raw starch or similar substances? a. Amylophagy b. Autophagy c. Pagophagy d. Geophagy

Amylophagy

The nurse has many tasks to complete and is trying to ensure that they are all done in a timely manner. What is the first step the nurse should take when delegating? a. Review the legal standards of the task b. Decide if the legal standards and specific activity of the task allow the task to be delegated c. Clarify what the specific activity or task is by defining all aspects of the issue d. Model the established practice that is accepted as the correct way to provide care

Clarify what the specific activity or task is by defining all aspects of the issue

The provider orders a hysterosalpingogram for a patient. The nurse knows that this test is used for: a. Verifying sterilization post vasectomy b. Confirming the effectiveness of a hysterectomy c. Visualizing vaginal atrophy d. Visualizing the uterus

Confirming the effectiveness of a hysterectomy

Which dietary modification should the nurse recommend to a patient with a family history of uterine fibroids? a. Decrease sugar intake b. Eat bland foods c. Eliminate dairy products from your diet d. Consume less red meat

Consume less red meat

Which term should the nurse use to describe the display of culturally appropriate behaviors? a. Cultural awareness b. Cultural sensitivity c. Diversity d. Worldview

Cultural sensitivity

A patient is at 36 weeks gestation with an uncomplicated pregnancy. She has arrived for her prenatal visit. Which of the following tests may be performed at her visit today? a. Chorionic villi sampling is a test for 3rd trimester b. Glucose challenge test c. Contraction stress test d. Culture of vagina and rectum (GBS)

Culture of vagina and rectum (GBS)

The emergency department nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy. Assessment findings include a distended, pregnant-appearing abdomen and fetal heart tones. How does the nurse interpret these contradictory findings? a. Denial of pregnancy until late in gestation is not uncommon in adolescence b. The adolescent is mentally ill and incapable of recognizing pregnancy c. The adolescent is developmentally delayed and does not recognize pregnancy d. Further testing is needed to determine the cause of the assessment findings

Denial of pregnancy until late in gestation is not uncommon in adolescence

Why is it important for nurses to understand the worldview when caring for the individuals from different cultures? a. Controls the cost of health care b. Standardizes care for a cultural group c. Develops an appreciation of differences d. Reduces the use of health care resources

Develops an appreciation of differences

Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound? a. Pain medication will be administered before the procedure b. Do not eat or drink anything for 4 hours prior to the procedure c. The probe will be inserted through the vagina d. Do not empty the bladder prior to the procedure

Do not empty the bladder prior to the procedure

A patient is late for her prenatal visit and when she arrives, she blames symptoms, suggesting a urinary tract infection for her late arrival. Upon exam, the nurse finds mild spotting and notes bruising on the woman's abdomen. What does the nurse suspect? a. Preterm labor b. Placental abruption c. Pre-eclampsia d. Domestic violence

Domestic violence

In fetal circulation, the oxygenated blood bypasses the liver through which structure? a. Foramen ovale b. Placenta c. Ductus venosus d. Ductus arteriosus

Ductus venosus

The newborn nursery admits a baby born with a congenital defect of the digestive tract and recognizes that this is due to an anomaly in which layer during cell differentiation? a. Ectoderm b. Mesoderm c. Endoderm d. Pyloderm

Endoderm

The nurse is caring for a patient who is 18 weeks pregnant and has a complete placenta previa. Which risk factor will the nurse assess for? a. History of premature delivery b. Multiple pregnancies c. Endometriosis d. Excessive exercise

Endometriosis

What is the nurse's responsibility in regard to informed consent? a. Answer the patient's questions about the procedure b. Explain what the provider will be doing during the procedure c. Ensure that the consent is signed by the provider and patient prior to procedure d. Telling the patient all of the risks associated with the procedure

Ensure that the consent is signed by the provider and patient prior to procedure

In evaluating pharmacotherapy interventions, the nurse recognizes that which of the following is true? a. Pharmacists rely on protocols to determine drug efficacy in individuals b. Environmental, cultural, and genetic factors affect how drugs act on an individual c. All patients respond to drug therapy in the same manner d. Dosing and age-specific considerations are minor factors in evaluation

Environmental, cultural, and genetic factors affect how drugs act on an individual

Which of the male reproductive organs transports sperm and brings the sperm to maturity? a. Urethra b. Vas deferens c. Seminiferous tubules d. Epididymis

Epididymis

If fertilization does not occur, shedding of the uterine lining begins due to a decrease in which hormones? a. Estrogen and progesterone b. Estrogen and luteinizing hormone c. Progesterone and follicle-stimulating hormone d. Progesterone and luteinizing hormone

Estrogen and progesterone

The nurse is providing teaching to a group of teen girls about menstrual cramp relief. What non-pharmacological suggestion should the nurse include? a. Place an ice pack on the lower abdomen b. Take ibuprofen c. Drink 2 L of water a day d. Exercise regularly

Exercise regularly

A physician caring for a laboring patient requests a medication that is categorized as pregnancy X. What should the nurse do? a. Report the physician b. Provide the medication c. Ask the CNM to give the medication d. Explain that the medication is categorized as an X

Explain that the medication is categorized as an X

A patient is telling the nurse about her irregular menstrual periods. The nurse considers the patient must have polycystic ovary syndrome (PCOS) when she mentions what other symptom? a. Extra hair growth on the face b. Difficulty sleeping c. Muscle aches d. Vaginal itching

Extra hair growth on the face

A defect in the ectoderm layer could cause issues with what organ of the body? a. Kidneys b. Lungs c. Eyes d. Heart

Eyes

The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body? a. Constipation b. Feeling short of breath c. Nasal congestion d. A dark line appearing on the abdomen

Feeling short of breath

A patient reports thick, curd-like discharge and vaginal itching. The nurse expects which of the following prescriptions for the patient? a. Acyclovir 200 mg orally every 4 hours while awake for 10 days b. Fluconazole 150 mg orally in a single dose c. Ceftriaxone 250 mg IM in a single dose d. Azithromycin 1 g orally in a single dose

Fluconazole 150 mg orally in a single dose

Which vitamin helps prevent neural tube defects in the developing fetus? a. Folate b. Vitamin B c. Iron d. Calcium

Folate

When discharging a woman following a spontaneous abortion, the nurse instructs her to report which priority complication? a. Vaginal bleeding similar to a heavy period b. Foul-smelling vaginal discharge c. Cramping d. Diarrhea

Foul-smelling vaginal discharge

A 38 yr old female patient is considering an IUD for contraception. What should the nurse include in teaching about this approach to birth control? a. It reduces the risk of pelvic infections b. It needs replaced every 6 months c. Menstrual flow will lessen with this device d. It requires a pelvic exam to insert and remove

It requires a pelvic exam to insert and remove

Using Naegele's rule, calculate the estimated date of delivery for a patient whose first day of their last menstrual period was October 8, 2016. a. January 1, 2017 b. July 15, 2017 c. July 1, 2016 d. June 14, 2017

July 15, 2017

A 17-year-old patient visits the prenatal clinic at 18 weeks' gestation. The nurse educates the patient on the recommended intake of iron during pregnancy. What does the nurse recommend she include in her diet? a. Beans and sweet potatoes b. Red meat and milk c. Lean red meat and beans d. Yogurt and sweet potatoes

Lean red meat and beans

The nurse is providing teaching to a pregnant patient. Which recommendation will help the patient avoid vena caval syndrome? a. Lie on your side b. Walk for 30 minutes per day c. Drink 2 L of water per day d. Wear low-heeled shoes

Lie on your side

Which of the following data collected during the assessment process causes the nurse to anticipate a diagnosis of endometriosis? a. Fatigue b. Light menses c. Low back pain during cycles d. Abdominal bloating between cycles

Low back pain during cycles

Which potential complication is the nurse unlikely to associate with amniocentesis? a. Spontaneous abortion b. Leaking of amniotic fluid c. Infection d. Maternal liver damage

Maternal liver damage

Which intervention should the nurse include in the plan of care for a patient who is diagnosed with PMS? a. Light therapy b. Increased intake of sugary foods c. Hormone therapy, such as prescribed drospirenone and estrogen d. Moderate physical activity for 2.5 hours each week

Moderate physical activity for 2.5 hours each week

Which of the following is the correct pathway of blood from mother to fetus? a. Mother's blood, placenta, umbilical vein, liver, heart b. Mother's blood, umbilical vein, placenta, liver, heart c. Mother's blood, placenta, liver, umbilical vein, heart d. Mother's blood, umbilical vein, liver, placenta, heart

Mother's blood, placenta, umbilical vein, liver, heart

The nurse is helping a couple enroll in a childbirth class. The couple indicates that they would like to take a class that uses the Bradley method. The nurse knows that this childbirth class will mainly focus on which technique? a. Muscle control b. Breastfeeding c. Positioning d. Breathing patterns

Muscle control

A woman arrives at the clinic and tells the nurse that she thinks she is pregnant. Which symptom, as related by the patient, does the nurse consider the best indicator of pregnancy? a. Amenorrhea b. Irritability c. Positive urine human chorionic gonadotropin (hCG) home test d. Enlarged abdomen

Positive urine human chorionic gonadotropin (hCG) home test

The most common cause of amenorrhea is: a. Pregnancy b. A pituitary disorder c. A thyroid disorder d. Early ovarian failure

Pregnancy

The labor nurse admits a patient who is known to be carrying quadruplets at 28 weeks' gestation and is in active labor. The nursing plan of care will include all of the following except what? a. Continuous monitoring of fetal heart rates b. Ensuring that extra nurses and physicians will attend the birth c. Preparing the woman for prolonged vaginal delivery times d. Encouraging the woman to verbalize her fears and ask questions

Preparing the woman for prolonged vaginal delivery times

Which data collected during a patient's health history supports the current diagnosis of infertility? a. Current age of 30 yrs b. Denies use of tobacco c. Gallbladder removed 10 yrs ago d. Previous diagnosis of anorexia nervosa

Previous diagnosis of anorexia nervosa

The nurse recognizes which of the following as an appropriate intervention for the patient with hyperemesis gravidarum? a. Instructing the patient to drink a glass of water before each meal b. Initial management with ondansetron c. Providing patient education on the signs and symptoms of dehydration d. Recommending foods with strong odors

Providing patient education on the signs and symptoms of dehydration

A woman in her third trimester is reporting an itchy rash on her abdomen, arms, and legs. The nurse realizes that the patient may have what skin condition that is associated with pregnancy? a. Impetigo b. Eczema c. Pruritic urticarial papules and plaques d. Linea nigra

Pruritic urticarial papules and plaques

A patient who has been diagnosed with preeclampsia should be educated to be aware of which of the following symptoms? a. Increase in vaginal discharge b. Abdominal itching c. Severe headache d. Nausea

Severe headache

A nurse prepares a prenatal class for a group of adolescents in the first trimester of pregnancy. The nurse includes diet and nutrition information for which potential pregnancy complications? a. Large-for-gestational-age (LGA) infant b. Gestational Diabetes c. Small-for-gestational-age (SGA) infant d. Anorexia

Small-for-gestational-age (SGA) infant

Which statement is true about the herpes simplex virus (HSV)? a. An infection of HSV can be cured b. It can be treated with antibiotics c. If untreated, HSV can cause blindness d. Some people never have symptoms

Some people never have symptoms

Who or what regulates the nursing scope of practice? a. The nurse's employer b. States laws c. Physicians d. Professional organizations

States laws

Which nursing action is inappropriate when providing safe and effective nursing care? a. Stereotyping a patient on the basis of ethnicity b. Using a medical interpreter for a patient who does not speak English c. Asking the patient how culture impacts his or her medical decisions d. Monitoring drug effectiveness on the basis of race and gender

Stereotyping a patient on the basis of ethnicity

The nurse caring for a woman at 32 weeks' gestation finds elevated protein and nitrate levels in the urine. What will the nurse assess for next? a. Symptoms of preeclampsia b. Symptoms of urinary tract infection c. Symptoms of gestational diabetes d. Inadequate nutrition

Symptoms of urinary tract infection

Which childbirth preparation class emphasizes breathing patterns and relaxation techniques that conserve energy for the pushing stage of labor? a. The Lamaze technique b. The Alexander technique c. The Bradley method d. Mongan method

The Lamaze technique

The nurse is assisting a newborn and notes that the infant has a small head, flat face, and narrow eye openings. What is a possible explanation for this finding? a. The mother consumed a high quantity of tuna b. The newborn has trisomy 21 c. The mother consumed alcohol during pregnancy d. The mother had an excessive exposure to secondhand smoke

The mother consumed alcohol during pregnancy

Which finding is normal when assessing a newborn shortly after birth? a. The umbilical cord has two arteries and one vein b. The umbilical cord has one artery and one vein c. The umbilical cord has one artery and two veins d. The umbilical cord is 0.25 inches in diameter

The umbilical cord has two arteries and one vein

A pregnant woman presents to the clinic at 13 weeks' gestation with vaginal bleeding. Upon examination her cervix is found to be closed. How does the nurse document this pregnancy? a. Missed abortion b. Inevitable abortion c. Complete abortion d. Threatened abortion

Threatened abortion

When screening a patient who speaks a different language, it is important to do which of the following? a. Speak slowly b. Ask the family to leave the room when asking questions about safety and domestic violence c. Use a medical interpreter d. Speak louder than usual and use hand gestures

Use a medical interpreter

The nurse understands that normal adolescent development can have implications on the way in which a teen experiences pregnancy and prenatal care. Which nursing intervention is MOST appropriate when preparing the adolescent for prenatal care and pregnancy? a. Use direct, concrete communication b. Use abstract concepts c. Discuss the adolescent's financial stability d. Discuss the adolescent's future

Use direct, concrete communication

The nurse is providing education to a perimenopausal woman. What should the nurse recommend in regard to sexual intercourse? a. Perimenopausal women may experience a fish-like odor after intercourse b. Position with the female on top will be more comfortable c. Using vaginal lubricants will prevent pain during intercourse d. Birth control is not needed during perimenopause

Using vaginal lubricants will prevent pain during intercourse

Which nursing intervention is most appropriate when providing care to a pregnant woman with increased leukorrhea? a. Wear cotton underwear and shower daily to prevent infection b. Avoid straining at defecation c. Schedule rest periods throughout the day. d. Perform Kegel exercises once a day.

Wear cotton underwear and shower daily to prevent infection

A pregnant woman complains about backaches. Which of the following should the nurse recommend? a. Kegel exercises b. Increased fluid intake c. Sleeping on her back d. Wearing low-heeled shoes and using good body mechanics

Wearing low-heeled shoes and using good body mechanics