mom baby practice questions

A nurse is caring for a client who is in the first stage of labor and is encouraging the client to void every 2 hours. Which of the following statements would the nurse make?

"A distended bladder reduces pelvic space needed for birth"

during labor, a woman undergoing induction with oxytocin should be monitored frequently. which assessment findings should result in the oxytocin being discontinued immediately and the health care provider notified. select all that apply 1. Fatigue 2. Drowsiness 3. Uterine hyperstimulation 4. Late decelerations of the fetal heart rate 5. Early decelerations of the fetal heart rate

3 & 4

A nurse teaches a post partum woman about her risk for thromboembolism. The nurse determines additional teaching is necessary when the woman identifies which as a factor that increases her risk 1 increase in clotting factors 2 vessel damage 3 immobility 4 increase in red blood cell production

4

A nurse suspects that a pregnant client may be experiencing abruptio placenta based on assessment of which finding? Select all that apply A) Dark red vaginal bleeding B) Insidious onset C) Absence of pain D) Rigid uterus E) Absent fetal heart tones

A, D, E

After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching? A) Holding a pillow against my incision will help me when I cough .B) Im going to have to wait a few days before I can start breast-feeding .C) I guess the nurses will be getting me up and out of bed rather quickly. D) Ill probably have a tube in my bladder for about 24 hours or so.

B

A client asks a nurse what causes a spontaneous abortion in the first trimester. The best response is a) Lack of sufficient progesterone produced by the corpus luteum b) Abnormal fetal development c) Rejection of the embryo through an immune response d) Implantation abnormality

B (teratogen or chromosome)

Which information on the clients health history would the nurse identify as contributing to the clients risk for ectopic pregnancy? A) Use of oral contraceptives for 5 years B) Ovarian cyst 2 years ago C) Recurrent pelvic infections D) Heavy, irregular menses

C

what may be a problem upon a PP assessment A) Lochia rubra with a fleshy odor B) Respiratory rate of 16 breaths per minute C) Temperature of 101° F D) Pain rating of 2 on a scale from 0 to 10

C

A PP woman is having trouble voiding. What would be least effective in helping stimulate voiding

COOL water

A nurse is conducting an assessment of a woman who has experienced PROM/ Which finding would lead the nurse to suspect infection as the cause of the clients PROM? A. Ferning B. Yellow-green fluid C. Blue color on Nitrazine testing D. Foul odor

D

When caring for a client with a forceps-assisted birth, the nurse would be alert for a) Increased risk for cord entanglement b) Increased risk for uterine rupture c) Damage to the maternal tissues d) Potential lacerations and bleeding

D

While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first? A) Alert the physician stat and turn the newborn to her right side. B) Administer oxygen via facial mask by positive pressure. C) Lower the newborn's head to stimulate crying. D) Aspirate the oral and nasal pharynx with a bulb syringe.

D

The nurse is caring for four clients. Which client is at highest risk of developing cervical cancer? client with human immunodeficiency virus (HIV) who smokes daily and birthed her first child when she was 15 years of age client who has diabetes, has birthed 5 full-term newborns over a 7-year span, and whose sister had human papillomavirus (HPV) client who was prescribed diethylstilbestrol(DES) when she was younger and who does not like many fruits or vegetables client diagnosed with polycystic ovary syndrome (PCOS) who has had 10 sexual partners, and has an intrauterine device (IUD)

HIV and first child at 15 risk factors = HPV, having HIV, smoking, LT birth control,

A nurse is explaining the apgar scoring to new mother and her partner. What should the nurse point out about this scoring method?

It is done at 1 and 5 minutes after birth The baby is considered vigorous if the 5-minute score is above 7. The Apgar score is an immediate assessment of newborn cardiopulmonary adaptation.

Explain the use of effleurage as a pain relief measure. What is effluarage?

The technique involves light stroking of the abdomen with breathing.

A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which of the following possible fetal outcomes? A) Congenital anomalies B) Incompetent cervix C) Placenta previa D) Abruptio placentae

a

A nurse is caring for a postpartum client whose most recent assessment reveals a large, purple area of edema on the left side of her perineum. What is the nurse's best action? a. Report the finding promptly to the primary care provider. b. Apply an ice pack and reassess in 30 minutes. c. Provide the client with a hot pack and analgesia as prescribed. d. Document this expected finding and reassess frequently.

a

Which action is a priority when caring for a woman during fourth stage of labor A) Assessing the uterine fundus B) Offering fluids as indicated C) Encouraging the woman to void D) Assisting with perineal care

a

A patient reports red, painless bleeding during her 32nd week of pregnancy. A sonogram reveals that the placenta has implanted low in the uterus and is partially covering the cervical os. Which immediate care measures are initiated? Select all that apply a) Attach external monitoring equipment to record fetal heart sounds. b) Perform a pelvic examination. c) Obtain baseline vital signs. d) Place the woman on bed rest in a side-lying position. e) Continue to assess blood pressure every 5 to 15 minutes. f) Determine from the client the time the bleeding began and about how much blood has been lost.

a, c, d e, f DO NOT TOUCH PLACENTA, could cause rupture

A patient in labor and delivery has just been diagnosed with pre-eclampsia. Which sign and symptom should the nurse prioritize when assessing the client. Select all that apply A) BP 140/90 mm Hg B) slow reflexes C) glucose in urine D) edema of face E) headache

all

the nurse assesses a client for signs of hypovolemic shock. What signs indicate the presence of hypovolemic shock. Select all that apply

anxiety cool clammy, pale thready, weak pulse increased RR sweating light headed

A nurse is caring for a pregnant client with asthma. Which intervention would the nurse perform first?

assess O2

When caring for a client with premature rupture of membranes (PROM), the nurse observes an increase in the clients pulse. What should the nurse do next?

assess temp

The nurse is caring for an client diagnosed with trichomoniasis. The health care provider has prescribed a single dose of metronidazole. Which information will the nurse provide this client? "You may crush or chew this tablet if you have difficulty swallowing medications." "Once you are healed, you need to come back to get the human papillomavirus (HPV) vaccination." "We need to complete a pregnancy test first, to be sure you can take this medication." "Avoid alcohol consumption for at least 24 hours after you take this medication."

avoid alcohol

A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following? A) Increased energy level with alternating strong and weak contractions B) Moderately strong contractions every 4 minutes, lasting about 1 minute C) Contractions noted in the front of abdomen that stop when she walks D) Pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds

b

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention? A) Position changes B) Pain relief measures C) Immediate cesarean birth D) Oxytocin administration

b

What is the purpose of a hemoglobin A1C level test

blood sugar over last 3 months can diagnose diabetes

How can a woman determine the best point in her monthly cycle to get pregnant a) Have sex when the cervical mucus is thick and scant b) Have sex when fernlike patterns appear on a microscope slide of cervical mucus c) Have sex when the cervical mucus is thin, stretchy, and copious d) Have sex immediately after menstruation has ended

c

WHat intervention may be suggested for a woman experiencing swollen feet at the end of the day at 36 weeks A) Limit your intake of fluids. B) Eliminate salt from your diet. C) Try elevating your legs when you sit. D) Wear Spandex-type full-length pants.

c

a nurse is caring for a postpartum client who has a history of thrombus during pregnancy and is at high risk of developing a pulmonary embolism. for which sign or symptom should the nurse monitor the client to prevent the occurrence of pulmonary embolism

calf swelling

A nurse is caring for a 16-year-old immigrant. The nurse wishes to asses if the client is a victim of human trafficking. Which questions should the nurse ask? Select all that apply. "Can you leave your job or situation if you wish?" "Can you come and go as you please?" "Are you enrolled in school?" "What do your parents and siblings do?" "Is there a lock on your door at home so you cannot get out?"

can you leave your job/situation if you wish can you come and go as you please is there a lock on your door at home so you cannot get out?

The nurse is teaching about an iron supplement that the client is going to take every day. The nurse teaches the client to take the iron supplement with which type of fluid? citrus juice ice water low-fat milk hot tea

citrus juice

The nurse is helping her client to recognize the signs of hunger in her newborn. The nurse knows that her client needs additional teaching when she states that which signs is one of the early signs of hunger?

crying

A 34 year old woman at 36 weeks gestation has been scheduled for a BPP. She asks why the test needs to be performed. The nurse tells her that the test is performed because it' A. determines how well her baby will breathe after it's born B. evaluates response of her baby's heart to uterine contractions C. measures her baby's head and length D. observes her baby's activities in utero to ensure that her baby is getting enough O2

d

a postpartum client is experiencing subinvolution. When reviewing the womans labor and birth history, which contributor would the nurse identify as being significant to this conditon A. short duration of labor B. early ambulation C. breast-feeding D. use of anesthetics

d

The nurse admins Rho immune globulin to an Rh - client after delivery of Rh + baby based on the understanding that this drug will prevent her from

developing antibodies that attack rbcs

What is the goal of placing a newborn under the phototherapy lights

dissolve bilirubin, treat hyperbilirubinemia/jaundice by adding o2

A nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (GnRH) medication for uterine fibroids (uterine myomas). For which side effect of GnRH medications should the nurse monitor the client? increased vaginal discharge vaginal dryness urinary tract infections vaginitis

dryness

Which assessment findings are most prominent in the infant with Tetralogy of Fallot and significant pulmonary stenosis? Irregular heart rate, fatigue, pink tinged skin Dry mucous membranes, poor urine output Poor weight gain, nausea, decreased muscle tone Dyspnea on limited exertion, fatigue, cyanosis

dyspnea on limited exertion, fatigue, cyanosis

Clients who have had PID are prone to which complication? ectopic pregnancy multiple gestation ovarian cancer inguinal lymphadenopathy

ectopic pregnancy

Small white cysts on the gums and hard palate of newborn are

epsteins pearls

A woman that delivered several hours ago asks the nurse, why am i perspiring so much? the nurse integrates knowledge that a decrease in which hormone plays a role in this occurrence

estrogen

The nurse has completed an assessment and interview on a client being treated for lacerations and abrasions. What acquired data support the nurse's suspicion that the client may be a victim of human trafficking? Select all that apply. Female Age 16 Speaks minimal English Arrived for treatment unaccompanied Presented immigration document

female age 16 minimal english

After teaching a group of young women how to reduce their risk for ovarian cancer, the nurse determines that additional teaching is needed when the group identifies which element as a way to reduce risk? pregnancy use of oral contraceptives use of feminine hygiene sprays breastfeeding

feminine hygiene note: pregnancy, OC, and breastfeeding ARE risk reducers

A nursing instructor is teaching about fertility and realizes a need for further instruction when a student states: "Sterility is the inability to conceive because of a known condition, such as absence of a uterus." "In most couples with a subfertility problem, it is the man who is subfertile." "In primary subfertility, there have been no previous conceptions." "In secondary subfertility, there has been a previous viable pregnancy."

in most couples it is the man

Which definition best explains the term "subfertility/infertility"? failure to achieve pregnancy after 6 months of unprotected intercourse failure to achieve pregnancy after 1 year of unprotected intercourse inability to achieve pregnancy because of a known factor that prevents conception inability to achieve pregnancy following a previous viable pregnancy

inability to achieve pregnancy after 1 year of unprotected intercourse

x What would the nurse expect to prioritize in the assessment of a newborn who has a positive Coombs test? tremor activity hyperglycemia jaundice development phenylketonuria

jaundice coombs test detects antibodies against RBCs

When preparing a woman with suspected vulvar cancer for a biopsy, the nurse expects that the lesion would most likely be located at which area? labia majora labia minora clitoris prepuce

labia majora

A pregnant woman asks the nurse, "I'm a big coffee drinker. Will the caffeine in my coffee hurt my baby?" Which response by the nurse would be most appropriate? "The caffeine in coffee has been linked to birth defects." "Caffeine has been shown to restrict growth in the fetus." "Caffeine is a stimulant and needs to be avoided completely." "If you keep your intake to less than 200 mg/day, you should be okay."

less than 200 mg

Normal A1C level

less than 5.7%

Which instruction should be given to a woman newly diagnosed with genital herpes? Obtain a Papanicolaou test every 3 years. Have your partner use a condom when lesions are present. Use a water-soluble lubricant for relief of pruritus. Limit stress and emotional upset as much as possible.

limit stress/emotional upset

What is the pigmented line down the middle of the abdomen of a pregnant women

linea alba/negra

The nurse is preparing a presentation for a health fair presenting the risks which can lead to sudden infant death syndrome (SIDS). Which factors would the nurse include as increasing the risk for SIDS? A low birth weight baby girl, March birth, middle-class, 25-year-old G2P2 nonsmoker An average weight baby boy, January birth, a poor, 16-year-old G1P1 nonsmoker A low birth weight baby boy, November birth, wealthy, educated, 19-year-old G1P1 smoker An average weight baby boy, April birth, poor, 27 year old G2P2 nonsmoker

low birth weight, boy, smoker, nonwhite

A newborn is suspected to have fetal alcohol syndrome as a result of maternal use of alcohol during pregnancy. Which of the following would the nurse expect to assess. Thick upper lip Large bulging eyes Low nasal bridge Long nose

low nasal bridge

Progesterone is highest during which phase of the endometrial/uterine/menstrual cycle

luteal

the most desireable positon for a baby to be situated in the uterus is

occiput anterior, cephalic

how is GBS treated

pen G at start of labor clinda/cefa/vanco if allergic

After teaching a class about intimate partner violence to a group of young adults, the nurse determines that additional teaching is needed based on which statement by the group? "People who are battered typically come from lower socioeconomic groups." "Violence is a learned behavior that can be changed." "Violence against women and children is a crime in every state." "Intimate partner violence reflects a pattern of behavior that is repeated over time."

people who are battered typically come from lower SES groups

hormone that stimulates contractions, released during breast feeding, given to stimulate labor

pitocin/oxytocin

The nurse is monitoring a client who has had a previous cesarean section and is trying a vaginal birth with an epidural. The nurse observes a sudden drop in blood pressure, increased heart rate and deep decelerations on the fetal monitor. The client reports severe pain in her abdomen. What should the nurse prepare to do first.

plan for cesarean birth

A nurse is caring for a newborn client who is diagnosed with myelomeningocele. Which nursing intervention would protect the newborn from injury? Place the newborn in a prone or lateral position. Delay the parents from holding the newborn. Place petroleum jelly gauze on the spinal sac to keep it moist. Place a urine collection bag on newborn for the continuous leakage.

prone/lateral position

The nurse is performing a nonstress test (NST) on a client at 36 weeks gestation. the fetal heart rate is between 134 and 140 except for the three times the fetus moved. When the fetus moved the heart rate increased to 155 and 170. The test was completed in 20 minutes. how would the nurse document the findings

reactive/positive

A woman received an opioid close to birth. The nurse would assess the newborn for what

resp depression

The fundus feels like a forehead upon palpation. This indicates what kind of contraction

strong

What finding would alert the nurse the placenta is separating in the third stage of labor

sudden gush of dark blood

A young woman says she needs a temporary contraceptive but has a latex allergy. She mentions that she has a papillomavirus infection. Also, she says she is terrible about remembering to take pills. Which method should the nurse recommend? transdermal contraception sterilization cervical cap diaphragm

transdermal The fact that this woman has a latex allergy rules out the cervical cap and diaphragm. Moreover, the diaphragm is contraindicated in her case due to her papillomavirus infection. The best choice for her is transdermal contraception, which involves wearing a patch for a week at a time and does not require taking pills daily.

A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply. in vitro fertilization counseling fertility drugs semen analysis ovulation monitoring tubal patency

tubal patency semen analysis ovulation monitoring

What criteria does a nurse look for on a NST at 36 weeks

variable accelerations at least twice for 10 seconds within 20 min window

A woman comes to the clinic reporting vaginal discharge. The nurse suspects trichomoniasis based on which symptoms? Select all that apply. urinary frequency yellow/green discharge joint pain blister-like lesions muscle aches

yellow green urinary frequency