Reproduction PrepU Quizzes
The physician knows the client, G1P0, has correctly understood the prenatal education regarding sexually transmitted infection as evidenced by which statement listed below?
"My baby could become infected either across the placenta or during the birth itself." Explanation: Vertical transmission may occur across the placenta in utero or during the birth event itself. Cytomegalovirus and HIV are the most common congenital infections; HIV signs and symptoms are not immediately apparent in the infant. Prophylactic immunization is not noted as a proven intervention for preventing vertical transmission.
A client presents to the birthing center in labor. The client's membranes have just ruptured. Which assessment is the nurse's priority?
FHR When membranes rupture, the priority focus should be on assessing fetal heart rate first to identify a deceleration, which might indicate cord compression secondary to cord prolapse. Prolonged rupture can lead to an infection. Assessing the fetal position and maternal comfort are important but should not be the primary focus.
A young couple are disappointed that they are not yet pregnant and are seeking assistance at the health clinic. After assessing their medical history, the nurse discovers the female has a history of several episodes of PID. The nurse predicts this may be a source of the infertility related to which factor?
It interferes with the transport of ova due to tubal scarring. Explanation: Pelvic inflammatory disease results in scarring and adhesions of the tubes, leading to poor transport of ova. PID does not affect hormone metabolism, nor does it affect the production of cervical mucus. Antibodies are present only in a few cases and are unrelated to PID.
A nurse is inspecting the perineal pad of a client who gave birth vaginally to a healthy newborn 6 hours ago. The nurse observes a 5-inch stain of lochia on the pad. The nurse would document this as:
Moderate Explanation: Typically, the amount of lochia is described as follows: scant-a 1- to 2-inch lochia stain on the perineal pad or approximately a 10-ml loss; light or small- an approximately 4-inch stain or a 10- to 25-ml loss; moderate- a 4- to 6-inch stain with an estimated loss of 25 to 50 ml; and large or heavy-a pad is saturated within 1 hour after changing it.
If an Rh-negative mother is giving birth to an Rh-positive infant, the nurse should be prepared to administer:
Rh immune globulin Explanation: The injection of Rh immune globulin prevents sensitization in Rh-negative mothers who have given birth to Rh-positive infants if administered at 28 weeks' gestation and within 72 hours of delivery, abortion, or genetic amniocentesis. Antihistamines, alpha interferon, or infliximab are not used in this situation.
A young pregnant patient with intestinal amebiasis is prescribed a tetracycline. Which can be an adverse effect of the drug?
Toxic effects to the developing fetus There is a possibility of toxic effects to the developing fetus if the patient takes tetracycline drugs during pregnancy. Tetracyclines may cause permanent yellow-gray-brown discoloration of the teeth in children younger than 9 years of age. Tetracyclines do not cause an increase in the blood pressure. Only prolonged or repeated therapy of tetracyclines may result in bacterial or fungal overgrowth of nonsusceptible organisms.
The end of the third stage of labor is marked by what event?
delivery of the placenta Explanation: The third stage of labor is marked by the delivery of the placenta. The first stage of labor ends with complete cervical dilation and effacement. The second stage of labor ends with the birth of the neonate. The fourth stage of labor includes the first 2 hours after birth.
