Maternity: Women's Health/Disorders and Childbearing Health Promotion Set#1

On the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. How should the nurse respond? 1 "It seems that you've changed your mind about rooming in." 2 "I think you're having difficulty caring for the baby." 3 "All right. I'll inform the other nurses of your decision." 4 "You must be tired. I'll bring the baby back at feeding time."

1 "It seems that you've changed your mind about rooming in."

A 20-year-old woman is known to be heterozygous for the cystic fibrosis (CF) gene. Her husband's genotype is unknown at present and the couple is expecting their first child. What should the nurse tell the couple about the probability of their baby's having CF? 1 25% or less 2 50% or more 3 Extremely common 4 Unknown at this time

1 25% or less

A nurse is teaching a prenatal class about the changes that occur during the second trimester of pregnancy. What cardiovascular changes should the nurse include? Select all that apply. 1 Cardiac output increases. 2 Blood pressure decreases. 3 The heart is displaced upward. 4 The blood plasma volume peaks. 5 The hematocrit level is lowered.

1 Cardiac output increases. 2 Blood pressure decreases. 3 The heart is displaced upward.

A client past menopause undergoes an anterior-posterior colporrhaphy. What should the nurse include in the client's discharge teaching? 1 Eating a high-fiber diet 2 Limiting daily activities 3 Reporting signs of urine retention 4 Being alert to signs of a rectovaginal fistula

1 Eating a high-fiber diet

A client in labor states that she feels an urge to push. After a vaginal examination, the nurse determines that the cervix is 10 cm dilated. Which breathing pattern does the nurse encourage the client to use? 1 Expulsion breathing 2 Rhythmic chest breathing 3 Continuous blowing-breathing 4 Accelerated-decelerated breathing

1 Expulsion breathing

A client asks the nurse about the use of an intrauterine device (IUD) for contraception. What information should the nurse include in the response? Select all that apply. 1 Expulsion of the device 2 Occasional dyspareunia 3 Delay of return to fertility 4 Risk for perforation of the uterus 5 Increased number of vaginal infections

1 Expulsion of the device 2 Occasional dyspareunia 4 Risk for perforation of the uterus

A nurse is teaching a female client about the side effects of estrogen in an oral contraceptive. Which common side effect identified by the client indicates to the nurse that the teaching was effective? 1 Nausea 2 Lethargy 3 Amenorrhea 4 Hypomenorrhea

1 Nausea

What does the nurse teach a client to do when performing breast self-examination? 1 Squeeze the nipples to examine for discharge. 2 Use the right hand to examine the right breast. 3 Place a pillow under the shoulder opposite the examined breast to raise it. 4 Compress breast tissue to the chest wall with the palm to palpate for lumps.

1 Squeeze the nipples to examine for discharge.

During her first prenatal visit a client tells the nurse that she needed an exchange transfusion when she was born because of Rh incompatibility. She asks the nurse whether her baby will need one also. How should the nurse respond? 1 "Your baby has a 50% chance of being affected." 2 "You should have no problem, because you're Rh positive." 3 "You'll be given RhoGAM, which will prevent the development of antibodies." 4 "Your baby's cord blood will be tested to determine whether there's going to be a problem."

2 "You should have no problem, because you're Rh positive."

A couple interested in delaying the start of a family discuss the various methods of family planning. Together they decide to use the basal body temperature method. The nurse explains that the fertile period surrounding ovulation lasts from: 1 12 hours before to 24 hours after ovulation 2 72 hours before to 24 hours after ovulation 3 72 to 80 hours before to 72 hours after ovulation 4 24 to 48 hours before to 48 hours after ovulation

2 72 hours before to 24 hours after ovulation

A client gives birth to a baby weighing 7 lb 2 oz and decides to breastfeed. The nurse is instructing the client regarding breastfeeding. What should the nurse tell the client to expect? 1 Weight loss will occur rapidly. 2 Lochial flow will be increased. 3 Uterine involution will be delayed. 4 Cold compresses will promote lactation.

2 Lochial flow will be increased.

The nurse, teaching a client in early pregnancy about the need to increase her intake of complete proteins, asks the client to identify foods that contain these proteins. Which response indicates that client understands the teaching? Select all that apply. 1 Spinach and broccoli 2 Milk, eggs, and cheese 3 Beans, peas, and lentils 4 Fish, hamburger, and chicken 5 Whole-grain cereals and breads

2 Milk, eggs, and cheese 4 Fish, hamburger, and chicken

A client who has become a mother for the first time appears anxious about her new parenting role. The nurse recommends that she join a support group for new mothers at the local YWCA. Which type of prevention is this? 1 Tertiary 2 Primary 3 Secondary 4 Therapeutic

2 Primary

A 30-year-old client with a 35-day menstrual cycle is trying to become pregnant. The nurse counsels the client and her partner about the optimal timing of intercourse during the cycle. The nurse determines that the counseling has been effective when the couple state that they should have intercourse on the: 1 12th day of the cycle 2 14th day of the cycle 3 21st day of the cycle 4 25th day of the cycle

3 21st day of the cycle

While caring for a family on a postpartum unit, a nurse must consider that parenting includes all of the tasks, responsibilities, and attitudes that make up child care and that either parent can exhibit these qualities. Which factor is the most important influence on parenting ability? 1 Inborn instincts 2 Marriage with flexible roles 3 Childhood roles and concepts 4 Education about growth and development

3 Childhood roles and concepts

A newly arrived Russian immigrant attends the prenatal clinic for the first time. Although she states that she has had immunizations, she does not know which ones. Which immunizations should the nurse recommend? Select all that apply. 1 Mumps 2 Measles 3 Diphtheria 4 Hepatitis B 5 Chickenpox

3 Diphtheria 4 Hepatitis B

The nurse is caring for a couple who just received amniocentesis results indicating that their fetus has trisomy 18. Why is it important for a nurse to support the parents' decision to abort a fetus with a birth defect even if the nurse is morally opposed to abortion? 1 Supporting them will eliminate feelings of guilt. 2 The parents are legally responsible for the decision. 3 It is important for maintenance of the family equilibrium. 4 The nurse's support will relieve the pressure caused by this decision.

3 It is important for maintenance of the family equilibrium.

A nurse performs Leopold's maneuvers on a pregnant client and documents the following data: soft, firm mass in the fundus; several small parts on the right side; hard, round, movable object in pubic area; and cephalic prominence on right side. Applying these findings, which fetal position does the nurse identify? 1 Left sacroposterior (LSP) 2 Right sacroposterior (RSP) 3 Left occipitoanterior (LOA) 4 Right occipitoanterior (ROA)

3 Left occipitoanterior (LOA)

A client comes to the fertility clinic for a hysterosalpingography using radiopaque contrast material to determine whether her fallopian tubes are patent. When preparing for the test, the nurse explains to the client that she: 1 Will receive a local anesthetic and the pain will lessen 2 Will have to rest in bed for 8 hours after the test is completed 3 May have some persistent shoulder pain for 14 hours after the test 4 May become nauseated during the test, but the nausea will subside

3 May have some persistent shoulder pain for 14 hours after the test

A nurse is teaching arm exercises to a woman who has undergone a right mastectomy. The nurse instructs the client to: 1 Wear a sling between exercise periods. 2 Exercise the right arm before the left arm. 3 Perform exercises with both arms simultaneously when possible. 4 Wait until the drain has been removed before starting the exercises.

3 Perform exercises with both arms simultaneously when possible.

A 35-year-old client is scheduled for a vaginal hysterectomy. She asks the nurse about the changes she should expect after surgery. How should the nurse respond? 1 "You will stop ovulating." 2 "Surgical menopause will happen immediately." 3 "Sexual intercourse will be uncomfortable when you resume it." 4 "A hysterectomy doesn't affect the chronological age when menopause usually occurs."

4 "A hysterectomy doesn't affect the chronological age when menopause usually occurs."

A client asks the nurse what she should do if she forgets to take the pill one day. How should the nurse respond? 1 "Take your pills as instructed." 2 "Call your practitioner immediately." 3 "Continue as usual, and there shouldn't be a problem." 4 "On the next day take one pill in the morning and one before bedtime."

4 "On the next day take one pill in the morning and one before bedtime."

A client with systemic lupus erythematosus (SLE) is at 39 weeks' gestation. What does the nurse anticipate regarding this client? 1 A large-for-gestational age newborn 2 The possible need for postpartum dialysis 3 Greater prominence of the butterfly-shaped rash 4 A need to discontinue the client's salicylate therapy

4 A need to discontinue the client's salicylate therapy

A nurse is caring for a client with tertiary syphilis. Which body system should the nurse monitor most closely? 1 Respiratory 2 Reproductive 3 Integumentary 4 Cardiovascular

4 Cardiovascular

What antidote to the side effects of terbutaline (Brethine) should a nurse have available? 1 Levodopa (L-dopa) 2 Furosemide (Lasix) 3 Ritodrine (Yutopar) 4 Propranolol (Inderal)

4 Propranolol (Inderal)