The Point Questions OB

Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? The station in which the fetus is located Maternal request for pain medication Maternal heart rate and blood pressure Fetal heart rate in relation to contractions

Fetal heart rate in relation to contractions

Which is the most important nursing assessment of the mother during the fourth stage of labor? Hemorrhage Blood pressure Heart rate The mother's psyche

Hemorrhage

The community health nurse is seeing a mother and newborn for the first home visit. Which information best indicates an understanding of visiting clients in their home? The home visit places the newborn at risk of acquiring an infection from the nurse. The home visit is a way of monitoring the well-being of all family members. The home visits are much more cost-effective than office visits. The home visits are essential only for those clients in high-risk situations.

The home visit is a way of monitoring the well-being of all family members.

A pregnant client is reporting shortness of breath. To ensure there are no developing complications, a tidal volume is obtained. What type of results will the nurse expect? increase up to 25% decrease up to 25% decrease between 30% and 40% increase between 30% and 40%

increase between 30% and 40%

A nurse is reviewing the medical record of a female client diagnosed with vaginal cancer. Which factors would the nurse identify as increasing this client's risk? Select all that apply. age 62 years negative for diethylstilbestrol (DES) exposure history of previous chest radiation history of genital warts chronic vaginal discharge

age 62 years history of genital warts chronic vaginal discharge

The nurse is caring for a client at 39 weeks' gestation who is noted to be at 0 station. The nurse is correct to document which? The fetus has descended down the birth canal. The client is fully effaced. The fetus is in the true pelvis and engaged. The fetus is floating high in the pelvis.

The fetus is in the true pelvis and engaged.

If a woman is 3 months pregnant, which of the following findings related to breast changes would you expect to assess? darkened breast areolae slack, soft breast tissue enlarged lymph nodes deeply fissured nipples

darkened breast areolae

When going through the transition phase of labor, women often feel out of control. What do women in the transition phase of labor need the most? intense nursing care positive reinforcement just to be left alone their significant other beside them

positive reinforcement

A woman comes to the prenatal clinic and undergoes a pelvic exam. The doctor notes a softening of the uterine isthmus. The nurse recognizes that this finding is known as what sign? Chadwick sign Goodell sign Hegar sign Quickening

Hegar sign

A nurse is developing a plan of care for a client of Muslim faith. Which action demonstrates an understanding of providing culturally competent care? *The client is asked to encourage family members to bring in special foods. *The client is asked if there are any meal preferences to be included in the care plan. *The client's traditional healing and health practices will be assessed for implementation. *The client will be referred to the hospital chaplain for spiritual support.

The client is asked if there are any meal preferences to be included in the care plan.

A woman of menopausal age is taking aspirin as a heart preventative and large doses of vitamin E to "slow the aging process." When taking a health history, what question is important for the nurse to ask first? "What is the dosage of aspirin you take?" "Did your health care provider prescribe the vitamin E?" "Have you noticed an increase in bruising?" "What dosage of vitamin E are you taking?"

"Have you noticed an increase in bruising?

What is a key element of providing family-centered care? Avoid cultural issues by providing care in a standardized fashion. Give only the health information that is necessary while providing care. Be in control of the way care is given. Communicate specific health information.

Communicate specific health information.

A 28-year-old client states that she has not had her menstrual period for the past 3 months and suspects she is pregnant. Which should the nurse do next? Have the client take a pregnancy test. Ask the client the date her last period ended. Assess the client for a fetal heart tone. Determine at what age the client began menstruating.

Have the client take a pregnancy test.

A community health nurse is actively involved in various community projects. The nurse is providing a secondary prevention activity by organizing which event? application of a colostomy device internet instruction for older adults sexually transmitted infection (STI) education a skin cancer screening fair

a skin cancer screening fair

The nurse is assessing a woman at 37 weeks' gestation who has presented with possible signs of labor. The nurse determines the membranes have ruptured based on which color of the nitrazine paper? pink yellow white blue

blue

A nurse is teaching a group of pregnant women about the signs that labor is approaching. When describing these signs, which sign would the nurse explain as being essential for effacement and dilation (dilatation) to occur? Braxton Hicks contractions bloody show cervical ripening and softening lightening

cervical ripening and softening

A laboring client, 2 cm dilated and 50% effaced, is screaming in pain. The nurse caring for this client recognizes this woman's response to pain should be documented using which label? *low pain threshold *high pain tolerance *inappropriate response to pain *lack of pain control

low pain threshold

Which symptom is an early symptom of vulvar cancer? severe abdominal pain headache pruritus with genital burning fever accompanied by chills

pruritus with genital burning

Which physical characteristic of the neonate is typically present in the neonate of a primigravid mother? single palmar crease thick vernix absence of testicular rugae significant head molding

significant head molding

A urinalysis is done on a client in her third trimester. Which result would be considered abnormal? Straw-like color Trace of glucose 2+ Protein in urine Specific gravity of 1.010

2+ Protein in urine

The nurse is preparing to discuss birthing options with a 25-year-old female who is in a low-risk pregnancy with one older child. Which option will be best for the nurse to recommend for this client? Birthing center Any birthing settings Home setting Hospital

Any birthing settings

Which cardinal movement allows the fetus to travel through the birth canal most efficiently? External rotation Extension Flexion Engagement

Flexion

A nurse is explaining how hormones affect the pregnancy. Which hormone would the nurse describe as being responsible for stimulating uterine contractions during labor and birth? oxytocin estrogen prolactin progesterone

oxytocin

What term is used to describe the position of the fetal long axis in relation to the long axis of the mother? Fetal lie Fetal attitude Fetal presentation Fetal position

Fetal lie

A pregnant mother may experience constipation and the increased pressure in the veins below the uterus can lead to development of what problem? Varicose veins Hemorrhoids Umbilical hernia Gastrointestinal reflu

Hemorrhoids

Which intervention best demonstrates the L & D nurse is respectful of a client who is deaf and in early labor? *Utilize the labor coach so he or she can interpret and relay information to the client. *Seek assistance from another health care professional who can converse in sign language. *Write down information on a piece of paper that the client can keep. *Utilize hand signals like in charades to try to communicate important pieces of information.

Seek assistance from another health care professional who can converse in sign language.

At her 16-week checkup, a client's blood pressure is slightly decreased from her prepregnancy level. The nurse evaluates this change based on which statements concerning blood pressure during pregnancy? Blood pressure progressively decreases throughout the entire pregnancy. A decrease in blood pressure in the second trimester may occur because of placental growth. Normally, blood pressure increases steadily throughout pregnancy. Blood pressure remains stable until decreasing the day of the birth.

A decrease in blood pressure in the second trimester may occur because of placental growth

The community nurse is visiting a client who is two weeks postoperative after a cesarean birth. What criteria would the nurse use to determine the effectiveness of the home visits? Select all that apply. The amount of time spent with the client and other visits scheduled would be assessed. The client's ability to care for her newborn would be evaluated. The nurse would use Erikson's hierarchy of needs to assess the client's situation. The client's health status would be assessed. A review of the previous reasons for the home visits would be conducted.

A review of the previous reasons for the home visits would be conducted. The client's health status would be assessed. The client's ability to care for her newborn would be evaluated.

During pregnancy, which situation would interfere with mother-child bonding? A woman's sister recently had a baby boy. A woman's husband was awarded a large year-end bonus. A woman's neighbor is planning an extensive vacation. A woman's father has been very ill during the pregnancy.

A woman's father has been very ill during the pregnancy.

During an admission assessment of a client in labor, the nurse observes that there is no vaginal bleeding yet. What nursing intervention is appropriate in the absence of vaginal bleeding when the client is in the early stage of labor? Monitor vital signs. Monitor hydration status. Assess the amount of cervical dilation (dilatation). Obtain urine specimen for urinalysis.

Assess the amount of cervical dilation (dilatation).

A client has just received combined spinal epidural. Which nursing assessment should be performed first? Assess for spontaneous rupture of membranes. Assess vital signs. Assess for fetal tachycardia. Assess for progress in labor. Assess pain level using a pain scale.

Assess vital signs.

The nurse in a free clinic is caring for a 1-year-old girl and her single mother. Which nursing intervention would most likely be needed initially? Discussing family beliefs. Obtaining food stamps for the family. Providing a list of low-cost child care centers. Assessing the child's nutritional status.

Assessing the child's nutritional status.

The nurse notes that a 5-year-old boy is approaching obesity. Which is the priority intervention? *Asking about culturally related eating habits *Determining the activity level of the child *Assessing the diet of the child and family *Screening the child for metabolic disorders

Assessing the diet of the child and family

During which time is the nurse correct to document the end of the third stage of labor? When pushing begins When the mother is moved to the postpartum unit At the time of placental delivery Following fetal birth

At the time of placental delivery

A pregnant woman arrives in the L & D unit following premature rupture of membranes along with her spouse, who insists on being present and demands only female nurses assess his wife. When obtaining history and assessment data, the spouse provides all the answers. What is the best approach for the nurse to handle this situation? *Act as an advocate for the woman who has a male-dominant partner. *Evaluate whether it is essential to stand up to the spouse or pacify him. *Call security and then inform the spouse that staff members need to speak with the woman alone. *Educate the spouse about his expected role in the birthing process.

Act as an advocate for the woman who has a male-dominant partner.

A client in labor has requested the administration of opioids to reduce pain. At 2 cm cervical dilation (dilatation), she says that she is managing the pain well at this point but does not want it to get ahead of her. What should the nurse do? Agree with the client, and administer the drug immediately to keep the pain manageable. Advise the client to hold out a bit longer, if possible, before administration of the drug, to prevent slowing labor. Refuse to administer opioids because they can develop dependency in the client and the fetus. Explain to the client that opioids should only be administered an hour or less before birth.

Advise the client to hold out a bit longer, if possible, before administration of the drug, to prevent slowing labor.

The nurse is assessing a child of a different cultural background. Which nursing action should the nurse prioritize when providing nursing care? *Expect the family to adopt the cultural beliefs of that facility. *Use personal cultural experiences with the family. *Use a standard nursing care plan for the family. *Ask the family for input into their care based on their cultural beliefs.

Ask the family for input into their care based on their cultural beliefs.

A nurse is preparing to visit a home care client for the first time. Which would be the priorityfor the nurse upon entering the client's home? Decline offers for food or drinks Limit interactions with animals Assess it for personal safety Sit on wood furniture

Assess it for personal safety

Today, families come in a variety of structures. Which statement best describes a blended family? All the adult relatives living in the household participate in raising the children and grandchildren. Custodial parents live together and raise one parent's children as one family. Both adults are custodial parents and bring their children to the family structure. The parents choose to legally take into their family structure a child who is not a biological child to either parent.

Both adults are custodial parents and bring their children to the family structure.

The nurse reviews the medical record of a woman diagnosed with ovarian cancer, stage II. The nurse interprets this information, understanding that the disease: has metastasized to distant sites. is limited to the ovary. involves one or both ovaries and extends into the pelvis. has spread to the lymph nodes and other organs within the abdomen.

involves one or both ovaries and extends into the pelvis.

A 40-year-old pregnant client tells her nurse that she would like to give birth in a birthing center because she wants several friends and family members to be there and will have more freedom at the center. What would be the most important factor for the nurse to point out when discussing this option with the client? Birthing centers limit the number of friends and family who can attend the birth. Birthing centers allow the client to eat and move around during labor. Birthing centers do not always have pediatricians on staff if the newborn has special needs. Birthing centers allow the client to give birth in any position.

Birthing centers do not always have pediatricians on staff if the newborn has special needs.

A pregnant client in her third trimester, lying supine on the examination table, suddenly grows very short of breath and dizzy. Concerned, she asks the nurse what is happening. Which response should the nurse prioritize? Cerebral arteries are growing congested with blood. Blood is trapped in the vena cava in a supine position. The uterus requires more blood in a supine position. Sympathetic nerve responses cause dyspnea when a woman lies supine.

Blood is trapped in the vena cava in a supine position.

Which change related to the vital signs is expected in pregnant women? Lung space increases. Blood pressure decreases. Pulse decreases. Temperature decreases.

Blood pressure decreases.

During an exam, the nurse notes that the blood pressure of a client at 22 weeks' gestation is lower, and her heart rate is 12 beats per minute higher than at her last visit. How should the nurse interpret these findings? The blood pressure should be higher since the cardiac volume is increased. Both findings are normal at this point of the pregnancy. Combined, both of these findings are very concerning and warrant further investigation. The heart rate increase may indicate that the client is experiencing cardiac overload.

Both findings are normal at this point of the pregnancy.

A nurse is assessing a pregnant woman and suspects that the woman may be experiencing pica. To help support this suspicion, the nurse evaluates the woman for signs and symptoms of which condition? diarrhea heartburn urinary tract infection iron-deficiency anemia

iron-deficiency anemia

There are four essential components of labor. The first is the passageway. It is composed of the bony pelvis and soft tissues. What is one component of the passageway? False pelvis Cervix Perineum Uterus

Cervix

The nurse is caring for a young couple who are expecting their first baby. They are experiencing the phenomenon known as couvade syndrome. What can the nurse explain to this family to help them understand this syndrome? Couvade syndrome is a reflection of an unhealthy relationship between the partner and the pregnancy. Couvade syndrome is when the partner begins to experience the same physical symptoms as the pregnant woman experiences. Couvade syndrome is when the pregnant woman becomes self-centered and changes her behavior based on the event taking place inside of her. The more in tune the partner is with the pregnancy, the less likely this syndrome will take place.

Couvade syndrome is when the partner begins to experience the same physical symptoms as the pregnant woman experiences.

What would the nurse recommend to a pregnant client at 35 weeks' gestation who reports irregular contractions and lower backache? Have a family member rub her back and place moist heat on it. Ask her if she is having urinary frequency that may indicate an infection. Suggest that she try some isometric exercises to relieve the back pain. Lie down and rest and see if the contractions stop and pain subsides.

Lie down and rest and see if the contractions stop and pain subsides.

The nurse is caring for a 4-year-old girl of Mexican descent who is recovering in the hospital following a diagnosis of epileptic seizures. The child's mother insists on a visit from her curandera to provide healing powers to her daughter. What would be the best intervention of the nurse in this situation? Discuss the situation with the child's physician and arrange for a visit from the curandera at the hospital if appropriate. Encourage the mother to arrange a visit with her curandera when her daughter is released from the hospital. Distract the child's mother from her demands by focusing on child and family teaching related to her daughter's condition. Explain to the mother that hospital policy does not allow visits from unlicensed practitioners.

Discuss the situation with the child's physician and arrange for a visit from the curandera at the hospital if appropriate.

A nurse is teaching a new mother about self-care measures. Which action would the nurse do as the final step in this process? *Reinforce positive behavioral changes. *Develop goals for the future. *Document the teaching and effectiveness. *Reassess the teaching plan.

Document the teaching and effectiveness.

The nurse is preparing to teach a class on cultural differences to a group of clients from the community. Which principle of culture will the nurse consider while planning the class information? Individuals are born with an understanding of their specific culture. Culture is determined by one's own morals and personal beliefs. Culture is always centered around religious activities and beliefs. Each generation learns about culture from family and the community.

Each generation learns about culture from family and the community.

The endometrial biopsy of a client reveals cancerous cells, and the primary health care provider has diagnosed it as endometrial cancer. Which responsibilities of the nurse are part of the treatment of the client? Select all that apply. Make sure the client understands all the available treatment options. Inform the client that follow-up care is not required unless something unusual occurs. Inform the client that changes in sexuality are normal and need not be reported. Inform the client about the possible advantages of a support group. Offer the family explanations and emotional support throughout the treatment.

Make sure the client understands all the available treatment options. Inform the client about the possible advantages of a support group. Offer the family explanations and emotional support throughout the treatment.

A woman comes to the prenatal clinic and undergoes a pelvic exam. The doctor notes a softening of the uterine isthmus. The nurse recognizes that this finding is known as what sign? Goodell sign Chadwick sign Hegar sign Quickening

Hegar sign

The nurse is caring for several clients in the prenatal clinic. Which action by the nurse demonstrates cultural competency? The nurse asks each client about dietary restrictions and preferences during the postpartum period. The nurse requests that non-family members wait in the waiting room while the client is evaluated. The nurse informs each client of the clinic hours, phone number, and after-hours emergency number. The nurse reminds the clients the clinic is not open on Sundays.

The nurse asks each client about dietary restrictions and preferences during the postpartum period.

The obstetrical nurse notes that a Muslim client has not been eating any of the meals supplied to her. Which actions performed by the nurse best demonstrate cultural competence? *A referral will be made to the dietitian to assess the Muslim client's preferences. *The nurse becomes familiar with the Muslim client's meal practices. *The nurse recognizes that Muslim clients prefer rest, which encourages appetite. *The nurse recognizes that Muslim clients do not have an interest in food.

The nurse becomes familiar with the Muslim client's meal practices.

Which statement about time orientation most accurately exemplifies a person who is oriented in the present? The person is focused on preserving cultural traditions with minimal variation in practice. The person is making plans to attend college in the next 2 years. The person focuses on what food to buy and prepare for a holiday celebration next month. The person places a low priority toward saving money for college.

The person places a low priority toward saving money for college

A 47-year-old woman was just diagnosed with a cancer of her reproductive tract. The public health nurse is aiding in counseling. Which nursing interventions would be supportive in counseling this woman? Select all that apply. Be judgmental of the women's previous lifestyle. Use sincere, basic communication techniques. Give care based on all women diagnosed with cancer. Validate the client's feelings and provide realistic hope. Give postoperative care and instructions when prescribed.

Use sincere, basic communication techniques. Validate the client's feelings and provide realistic hope. Give postoperative care and instructions when prescribed.

Which changes in the female body occur to allow the passage of the fetus down the birth canal? Select all that apply. The cervix dilates to 10 cm. Round ligaments contract. Effacement is noted as 0%. The cervix softens. Vaginal rugae stretch and smooth out.

Vaginal rugae stretch and smooth out. The cervix dilates to 10 cm. The cervix softens.

A nursing student is exploring community-based nursing as a career focus. The nurse is prepared to prioritize which activity as a primary focus? Emergency care Wellness Rehabilitation Cost containment

Wellness

The nurse is caring for clients who have STIs. Which client is most at risk for becoming infertile due to the infection? a woman diagnosed with trichomoniasis a woman diagnosed with herpes simplex virus a woman diagnosed with syphilis a woman diagnosed with chlamydia

a woman diagnosed with chlamydia

An elderly woman who has not seen a health care provider in 15 years comes to the gynecology (GYN) clinic with reports of pelvic and back pain, along with weight loss which she attributes to her lack of appetite. She states that she has been very weak and fatigued for the last 12 months and attributes this to depression. What should the nurse expect this client to be diagnosed with? advanced cervical cancer ovarian cancer vaginal cancer endometrial cancer

advanced cervical cancer

A nurse will be speaking at a local high school about women's health. The nurse is planning to talk about sexually transmitted infections (STIs) as well as routine checks, along with guidelines for Papanicolaou testing. What should the nurse include in the Papanicolaou test guidelines about when to have a first test? 2 years after first sexual intercourse at the age of 21 or within 3 years of first sexual intercourse at the age of 18 or within 2 years of first sexual intercourse at the age of 16

at the age of 21 or within 3 years of first sexual intercourse

A community-based nurse has a different set of skills than those of counterparts who work in a hospital. Community-based nurses also face unique issues and challenges. What is one of the unique aspects of community-based nursing? disease-oriented autonomous action less holistic focus teamwork

autonomous action

What is the major concern for a lactose intolerant woman who is pregnant? dangerous symptom of abdominal cramping nausea and vomiting vitamin D deficiency calcium deficiency SUBMIT ANSWER

calcium deficiency

A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds that can prolong labor. The nurse is referring to which compounds? oxytocin relaxin catecholamines prostaglandins

catecholamines

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client? clear information on the disease, management, and treatment offering words of hope to the client remaining cheerful through all of the interactions touching the client's hand for comfort

clear information on the disease, management, and treatment

A 25-year-old client has been informed that the recent Papanicolaou (Pap) test results are abnormal. The nurse will plan to prepare the client for which procedure? colposcopy human papillomavirus (HPV) testing cryosurgery repeat Pap test

colposcopy

The nurse is caring for a pregnant woman and her family who are immigrants. Which intervention would be the priority for helping to achieve a successful outcome? inquiring about the family's ability to buy medicine referring them to state and local aid programs communicating using understandable terms asking how they got to the appointment

communicating using understandable terms

The nurse is assisting a client in labor and delivery and notes the placenta is now delivered. What will the nurse document? transition phase completion of the fourth stage of labor attachment phase completion of the third stage of labor

completion of the third stage of labor

A client is now in the second stage of labor. While doing the assessment, which data should the nurse prioritize? early decelerations on the EFM tracing contraction pattern every 15 minutes vital signs every hour deep tendon reflexes

contraction pattern every 15 minutes

When teaching a group of nursing students about the stages of labor, the nurse explains that softening, thinning, and shortening of the cervical canal occur during the first stage of labor. Which term is the nurse referring to in the explanation? effacement dilation (dilatation) crowning molding

effacement

A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage? I III IV II

III

A pregnant client arrives at the community clinic reporting fever blisters and cold sores on the lips, eyes, and face. The health care provider has diagnosed it as the primary episode of genital herpes simplex virus (HSV), for which antiviral therapy is recommended. Which information should the nurse offer the client when educating her about managing the infection? Antiviral drug therapy cures the infection completely. Recurrent HSV infection episodes are longer and more severe. Kissing during the primary episode does not transmit the virus. Safety of antiviral therapy during pregnancy has not been established.

Safety of antiviral therapy during pregnancy has not been established.

The camp nurse is reviewing the health information of the participants at a school-age summer camp for children with diabetes. What topic would be most appropriate for this group of campers? Long-term effects of diabetes Weight control measures Self-administration of insulin Latest trends in medication delivery

Self-administration of insulin

A hospital nurse is considering changing roles to become a home health nurse. What skill(s) will be important for this nurse to possess to be successful in the new role? Select all that apply. be able to work with less structure have good assessment skills have good critical thinking skills understand that not all environments will be desirable be knowledgeable about community resources

be able to work with less structure have good assessment skills have good critical thinking skills understand that not all environments will be desirable

A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client? diffuse abdominal cramping dilation (dilatation) of cervix diameter to 10 cm start of regular contractions rupturing of fetal membranes

dilation (dilatation) of cervix diameter to 10 cm

A nurse is monitoring a female client with an epidural block. Which complication would be the most important for the nurse to monitor in the client? accidental intrathecal block respiratory depression postdural puncture (spinal) headache a failed block

respiratory depression

The nurse arrives for a home care visit to a client with gestational diabetes. Which action will the nurse take next? Call the client on the phone to ask someone to open the door. Phone the agency to call the client to say that the nurse is at the door. Walk into the home and announce that they are here. Knock on the door or ring the bell and wait for someone to say come in.

Knock on the door or ring the bell and wait for someone to say come in.

A nurse is reviewing the symptoms of ovarian cancer with a recently diagnosed 60-year-old woman. Which are common symptoms of ovarian cancer? Select all that apply. decrease in urination back pain abdominal pressure abdominal fullness

back pain abdominal pressure abdominal fullness

The nurse determines a client is 7 cm dilated. What is the best response when asked by the client's partner how long will she be in labor? "She is still in early latent labor and has much too long to go to tell when she will give birth." "She is doing well and is in the second stage; it could be anytime now." "She is in the transition phase of labor, and it will be within 2 to 3 hours, though it might be sooner." "She is in active labor; she is progressing at this point and we will keep you posted."

"She is in active labor; she is progressing at this point and we will keep you posted."

The home care nurse is conducting the final home care visit before a scheduled delivery. The client states, "My baby will not receive any shots, because I do not believe in them!" What is the most appropriate response by the nurse? *"Immunization helps keep children healthy and from getting diseases." *"That is your choice to not have your baby get any immunizations." *"I think that you will change your mind and get the baby immunized." *"Why do you not want your baby to get immunized?"

"Immunization helps keep children healthy and from getting diseases."

A nurse is uncomfortable caring for a pregnant client who is married to her female life partner. The best advice another nurse can give her would include which statement? *"Maybe it would be best if you don't care for this group of families and focus on caring for the classic husband and wife team." *"Maybe you should take another nursing course that focuses on cultural competencies; then you might have a better feeling caring for this family." *"If you can just put on your happy face and focus on the baby rather than the parents, you will be able to care for all families." *"Spend some time self-reflecting why this family difference might be bothering you."

"Spend some time self-reflecting why this family difference might be bothering you."

A 45-year-old woman comes to the clinic for a routine check up. During the assessment, the woman asks the nurse, "I had a friend who developed ovarian cancer and she just died from it because it was diagnosed late. I know there is screening available for colon cancer and cervical cancer, but is there anything for ovarian cancer?" Which response by the nurse would be mostappropriate? "The best screening is making sure that you have a yearly pelvic exam." "The experts recommend using the CA-125 test for screening." "You should have a transvaginal ultrasound starting at age 50." "There really isn't any routine screening used for ovarian cancer."

"There really isn't any routine screening used for ovarian cancer."

A client follows traditions of the Chinese culture. The client is 7 weeks' pregnant and admitted with vaginal bleeding. During admission, the client tells the nurse, "This is all my fault. I never should have raised my arms above my head." Which response by the nurse is mostappropriate? "I know you are scared, but we will do all we can to help your baby." "You should not blame yourself. The cause of your bleeding is unknown." "You sound concerned. Let's talk about potential causes of miscarriage." "What caused you to raise your arms up above your head?"

"You sound concerned. Let's talk about potential causes of miscarriage."

A client makes an appointment with an obstetrician and assessment reveals positive Hegar and Chadwick signs. What should the nurse teach the client about these results? She is probably pregnant, but this must be confirmed by other means The client more likely has a gynecologic disorder rather than pregnancy Pregnancy cannot be confirmed The client is definitively pregnant

She is probably pregnant, but this must be confirmed by other means

The nurse is caring for a 7-year-old boy and his family, who are immigrants. Which intervention will most significantly affect the success of the care provided? *Inquiring about common health problems in their home country *Referring them to state and local aid programs *Communicating with sensitivity using understandable terms *Asking about transportation to the appointment

Communicating with sensitivity using understandable terms

A community-based nurse is assessing the needs of a family of four, which includes a physically challenged 9-year-old. Which activity would the nurse prioritize to be an advocate for this family? Ensure case history is complete for all family members. Train the school nurse on the needs of the child. Establish eligibility for assistive devices for child. Ensure the client follows physical therapy recommendations.

Establish eligibility for assistive devices for child.

While assessing the progress of the labor, the nurse explains that the fetal heart rate variability is moderate. Which explanation is best to use with the parents? FHR fluctuation range is undetectable. FHR fluctuates from 6 to 25 beats per minute. FHR fluctuates less than 5 beats per minute. FHR fluctuates over 25 beats per minute.

FHR fluctuates from 6 to 25 beats per minute.

The nursing instructor is teaching a session outlining the necessary skills of a community nurse. The instructor determines the session is successful when the students correctly choose which factor as the foundation of all nursing care? Nursing process Case management Teaching Communication

Nursing process

The nurse is counseling a young woman who has just entered her second trimester, after an uneventful first trimester. She tells the nurse, "It still doesn't seem real. It's just hard to believe that I will really have a baby." Which future events should the nurse point out that will help the young woman come to believe it is real? Select all that apply. Taking prenatal vitamins Receiving a positive result on a pregnancy test Seeing an ultrasound image of the baby Giving up alcohol Feeling the baby kick

Feeling the baby kick Seeing an ultrasound image of the baby

In which manner is the fetal status best assessed during the active and transition stages of labor? Fetal kicks over a 1-minute period Fetal heart rate at the peak of a contraction Fetal heart rate between contractions Fetal movement on the tocometer

Fetal heart rate at the peak of a contraction

A postmenopausal client is told at her routine gynecological exam that the primary care provider has found a cyst on her right ovary. The nurse notices that this does not cause worry for this client. What should the nurse and/or care provider tell this client? "You may get a second opinion if you would like." "We will keep a eye on it and recheck it at your next yearly appointment." "You are correct not to be concerned; after all, it is only a cyst." "After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise."

Focus on screening. Provide education to all women. Tell women about early symptoms.

The nurse is working with a same-sex couple, both of whom have children from previous relationships. Although the couple have no plans of marrying, they view their relationship as monogamous and long-term. Which family structure would apply to this family? Select all that apply. Gay or lesbian family Blended family Extended family Foster family Cohabitation family

Gay or lesbian family Cohabitation family Blended family

A multigravida client admitted in active labor has progressed well and the client and fetus have remained in good condition. Which action should the nurse prioritize if the client suddenly shouts out, "The baby is coming!"? Contact the primary care provider. Time the contractions. Auscultate the fetal heart tones. Inspect the perineum.

Inspect the perineum.

When orienting a new home health nurse on safety policies, which should the nurse include? Always carry your identification in your purse or wallet. Keep the agency informed of your visit schedule. If the client, family, or situation is hostile, call the police. Night and weekend visits are allowed with permission.

Keep the agency informed of your visit schedule.

A client calls to cancel an appointment for the first prenatal visit after reporting a home pregnancy test is negative. Which instruction should the nurse prioritize? Keep the appointment. Refrain from eating for 4 hours before testing. Use a diluted urine specimen. Wait until after two missed menstrual periods.

Keep the appointment.

The nurse is interacting with a family in the clinic setting. Which function would the nurse identify as the affective function of the family? Meeting the love and belonging needs of each member Ensuring the family has necessary resources with appropriate allocation Teaching children how to function and assume adult roles in society Involving the provision of physical care to keep the family healthy

Meeting the love and belonging needs of each member

The nurse is assessing a pregnant client at 12 weeks' gestation and the client reports some new bumps on the dark part of her nipples. What is the best response from the nurse when questioned by the client as to what they are? might be sign of cancer; need to speak with health care provider striae, stretching of the breast tissue normal bumps of pregnancy; they do nothing Montgomery glands (Montgomery tubercles); secrete lubricant for the nipples

Montgomery glands (Montgomery tubercles); secrete lubricant for the nipples

The nurse is instructing on maternal hormones which may impact the onset of labor. Which hormones are included in the discussion? Select all that apply. Testosterone Thyroxine Prostaglandins Oxytocin Progesterone Insulin

Oxytocin Progesterone Prostaglandins

A nurse is preparing a woman for a Papanicolaou test. The nurse has already washed her hands and gathered all necessary equipment (maintaining sterility). What is the next step in the procedure? Drape the client with a sheet, leaving the perineal area exposed. Transfer the specimen to a container or a slide. Provide support to the client as the provider obtains the sample. Position the client in stirrups or foot pedals so that her knees fall outward.

Position the client in stirrups or foot pedals so that her knees fall outward.

The nursing instructor is teaching a group of nursing students about the various responsibilities of the labor and delivery medical team. The instructor determines the session is successful when the students correctly choose which function as the primary role of the LPN/LVN members of the team? Assist the providers in the delivery room. Provide direct independent care to the client. Observatory to assist the RN. Provide care under the supervision of an RN.

Provide care under the supervision of an RN.

A 33-year-old client has been progressing slowly through an unusually long labor. The nurse assesses the fetal scalp pH and determines it is 7.26. How should the nurse explain this result to the client when asked what it means? Reassuring; it is associated with normal acid-base balance. Critical; it represents metabolic acidosis. Damaging; it is frequently associated with fetal neurological damage. Worrisome; it may be associated with metabolic acidosis.

Reassuring; it is associated with normal acid-base balance.

A nurse is assigned the task of educating a pregnant client about birth. Which nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive birth experience? Select all that apply. Provide the client clear information on procedures involved. Encourage the client to have a sense of mastery and self-control. Instruct the client to begin changing the home environment. Instruct the client to spend some time alone each day. Encourage the client to have a positive reaction to pregnancy.

Provide the client clear information on procedures involved. Encourage the client to have a sense of mastery and self-control. Encourage the client to have a positive reaction to pregnancy.

A 32-year-old woman presents to the labor and birth suite in active labor. She is multigravida, relaxed, and talking with her husband. When examined by the nurse, the fetus is found to be in a cephalic presentation. His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude. How does the nurse document the position of the fetus? ROP LOP LOA ROA

ROA

A pregnant woman comes to the emergency department stating she thinks she is in labor. Which assessment finding concerning the pain will the nurse interpret as confirmation that this client is in true labor? Slows when the woman changes position Lasts about 20 to 25 seconds Occurs in an irregular pattern Radiates from the back to the front

Radiates from the back to the front

A homeless client diagnosed with human papillomavirus (HPV) is seen in the maternity clinic requesting a pregnancy test. Which nursing action would be the best example of the secondary level of prevention? Discuss with her the need for folic acid supplementation. Suggest she have a Papanicolaou test. Arrange for her to have the HPV vaccination. Send a referral to social work for adequate housing assessment.

Suggest she have a Papanicolaou test.

During late pregnancy, the nurse teaches a pregnant woman to lay on her left side to avoid what condition? Frequent urination Supine hypotension syndrome Preeclampsia Heartburn

Supine hypotension syndrome

The nurse identifies from a client's prenatal record that she has a documented gynecoid pelvis. Upon the client entering the labor and delivery department, which nursing action is best? Notify the client's support person that the labor is typically long. Prepare for vital signs and fetal monitoring hourly. Take no extra measures; prepare for a standard labor. Anticipate this client is a one-to-one registered nursing assignment.

Take no extra measures; prepare for a standard labor.

A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client? Client may experience pain during urination for a week following the test. The test is conducted because of abnormal results in a Papanicolaou test. Client may feel pain in the vaginal area during the examination. Intercourse should be avoided for at least 1 week afterward.

The test is conducted because of abnormal results in a Papanicolaou test.

A nurse is leading a discussion in a prenatal class for a group of primigravida clients. Which factor would the nurse include when explaining the changes that are expected to occur in the uterus during the pregnancy? The uterus moves into the abdomen by the second month of pregnancy. The uterus reaches its maximum height in the abdomen at 39 weeks. Uterine growth occurs because of an increase in the number of cells in the uterus. The uterus changes from a pear-shaped organ to an oval one.

The uterus changes from a pear-shaped organ to an oval one.

The nurse is holding an education class for clients in their third trimester and their partners. What information would she share with them in preparation for the birth of their child? Select all that apply. It is recommended that the couple attend childbirth classes soon. If backaches occur, the mother needs to be examined due to the possibility of an often-seen disc problem induced by pregnancy. Nesting instincts begin during this period, allowing the mother to prepare for the baby. The mother will sleep more at night during the third trimester in preparation of the birth. Urinary frequency will return toward the end of the pregnancy.

Urinary frequency will return toward the end of the pregnancy. It is recommended that the couple attend childbirth classes soon. Nesting instincts begin during this period, allowing the mother to prepare for the baby.

A pregnant woman with premature ruptured membranes is trying to decide whether home care might be the best option for her. Which advantage should the nurse mention to the client that is most pertinent to her condition? prevention of disruption of the family lower cost for the health care delivery system prevention of social isolation decreased exposure to infection

decreased exposure to infection

A pregnant client comes to the prenatal clinic complaining of urinary frequency and lower back pain on the right, stating that this has never happened before. An exam validates the diagnosis of pyelonephritis. Which factor would contribute to this condition? dilated renal pelvis from pregnancy increased glomerular filtration rate decreased peristalsis of urinary tract drinking too many caffeinated liquids

decreased peristalsis of urinary tract

A pregnant woman who is a vegetarian asks the nurse, "What would you suggest to make sure that I get enough protein in my diet while I am pregnant?" Which food(s) would be appropriate for the nurse to suggest? Select all that apply. lentils beans orange juice green leafy vegetables nuts

beans lentils nuts

A pregnant client is being discharged from the labor and birth suite because of false labor. The client asks the nurse how to tell whether the contractions are true contractions or Braxton Hicks contractions. Which description(s) will the nurse mention as characteristic of true contractions? Select all that apply. increase in duration, frequency, and intensity begin irregularly but become regular and predictable begin and remain irregular felt first in lower back and sweep around to the abdomen in a wave often disappear with ambulation or sleep felt first abdominally and remain confined to the abdomen and groin

begin irregularly but become regular and predictable felt first in lower back and sweep around to the abdomen in a wave increase in duration, frequency, and intensity

A nurse is meeting with a group of pregnant clients who are in their last trimester to teach them the signs that may indicate they are going into labor. The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply. weight gain bloody show lightening constipation backache

bloody show lightening backache

During pregnancy a woman has many psychological adaptations that must be made. The nurse must remember that the baby's father is also experiencing the pregnancy and has adaptations that must be made. Some fathers actually have symptoms of the pregnancy along with the mothers. What is this called? pregnancy syndrome pseudo pregnancy couvade syndrome cretinism

couvade syndrome

A new dad is alarmed at the shape of his newborn's head. When responding to the dad, the nurse reminds him this is due to: cranial bones overlapping at the suture lines. a congenital defect. prolonged labor. extreme pressure in the vaginal vault.

cranial bones overlapping at the suture lines.

A woman is lightly stroking her abdomen in rhythm with her breathing during contractions. The nurse identifies this technique as: therapeutic touch. patterned breathing. effleurage. acupressure.

effleurage.

A woman is 10 weeks' pregnant and tells the nurse that this pregnancy was unplanned and she has no real family support. The nurse's most therapeutic response would be to: encourage her to identify someone that she can talk to and share the pregnancy experience. tell her to move home so her family will be nearby to help her. remind her that she is still early in the pregnancy and she will feel better about it as the pregnancy progresses. offer to meet with the client on a regular basis to provide her someone to talk to about her concerns.

encourage her to identify someone that she can talk to and share the pregnancy experience.

A 30-year-old female is attending a health fair for women. The nurse at the fair is reviewing risk factors for cervical cancer. Which important risk factor should the nurse include at the fair? one life partner exposure to diethylstilbestrol (DES) in utero protected sexual intercourse first intercourse after age 25

exposure to diethylstilbestrol (DES) in utero

Which of the following is a positive sign of pregnancy? Hegar's sign positive pregnancy test uterine contractions fetal movement felt by examiner

fetal movement felt by examiner

A nurse is caring for a pregnant client during labor. Which methods should the nurse use to provide comfort to the pregnant client? Select all that apply. chewing gum hand holding massaging prescribed pain killers acupressure

hand holding massaging acupressure

The nurse is appraising the post-birth laboratory results of a client and discovers the WBC is 22,000 cells/μL (22 x 109/L). Which action should be prioritized in response? none, a normal variation due to labor occurs in clients after a cesarean birth further testing is required to determine source. an abnormal finding, needs antibiotics

none, a normal variation due to labor

A nurse is educating a group of nursing students about the molding of the fetal skull during the birth process. What would the nurse include as the usual cause of molding? rigid bones at the base of the skull well-ossified bones of the face tight membranous attachments poorly ossified bones of the cranial vault

poorly ossified bones of the cranial vault

While discussing labor with a client and her partner, the nurse is asked what the best position is for giving birth to the baby. The nurse provides them with information that indicates research has shown which position as the best? squatting position of comfort for the mother lying on her back with feet in stirrups semi-Fowler position

position of comfort for the mother

A 19-year-old female presents in advanced labor. Examination reveals the fetus is in frank breech position. The nurse interprets this finding as indicating: the fetus is sitting cross-legged above the cervix. one leg is presenting. the buttocks are presenting first with both legs extended up toward the face. one arm is presenting.

the buttocks are presenting first with both legs extended up toward the face.

A nurse is assessing a 20-year-old female. Which data finding taken during the history would indicate endometrial cancer? vaginal bleeding that is painless and abnormal severe back pain diagnosis of diabetes mellitus diagnosis of liver disease

vaginal bleeding that is painless and abnormal

A client in her 39th week of gestation reports swelling in the legs after standing for long periods of time. The nurse recognizes that this factor increases the client's risk for which condition? supine hypotension syndrome embolism venous thrombosis hemorrhoids

venous thrombosis

A 10-year-old girl is living with a foster family. Which intervention is the priority for the child in this family structure? establishing who is the child's actual caretaker dealing with mixed expectations of parents determining if the child is being bullied at school performing a comprehensive health assessment

performing a comprehensive health assessment

The nurse is preparing to teach a community class to a group of first-time parents. Which information should the nurse include concerning what the pregnant woman's partner may experience as a normal response? desire to be the woman and give birth no changes, only the mother has changes during pregnancy feeling distanced from the mother physical symptoms similar to the mother

physical symptoms similar to the mother

A client at 39 weeks' gestation calls the OB triage and questions the nurse concerning a bloody mucus discharge noted in the toilet after an OB office visit several hours earlier. What is the best response from the triage nurse? "If the provider did an exam, it might be just normal vaginal secretions, so don't worry about it." "A one time discharge of bloody mucus in the toilet might have been your mucus plug." "Bloody mucus is a sign you are in labor. Please come to the hospital." "It might be nothing. If it happens again call your provider who is on-call."

"A one time discharge of bloody mucus in the toilet might have been your mucus plug."

A client at 39 weeks' gestation calls the OB triage and questions the nurse concerning a bloody mucus discharge noted in the toilet after an OB office visit several hours earlier. What is the best response from the triage nurse? "It might be nothing. If it happens again call your provider who is on-call." "Bloody mucus is a sign you are in labor. Please come to the hospital." "A one time discharge of bloody mucus in the toilet might have been your mucus plug." "If the provider did an exam, it might be just normal vaginal secretions, so don't worry about it."

"A one time discharge of bloody mucus in the toilet might have been your mucus plug."

During a visit to the clinic, a client in the first trimester tells the nurse, "My nose is so stuffy, lately. Could I have a cold?" Which response by the nurse is appropriate? "Probably. Let's see if you have any other symptoms." "A stuffy nose is common in pregnancy because of high estrogen levels." "I will check to see if you we can give you an antihistamine to help." "It is more likely that you are having some allergies to something."

"A stuffy nose is common in pregnancy because of high estrogen levels."

A child is seen in the pediatric clinic for update of immunizations prior to starting middle school. During the intake process the nurse asks the parents if the family is involved in any neighborhood or community activities. The parents ask the nurse, "What does that have to do with immunizations?" What is an accurate response by the nurse? "This is a standard question that we ask all of our clients' families prior to starting middle school." "We collect this data for our community health department statistics." "Our physician just likes to know what activities his clients are involved in." "Based on research, our physician feels that better connection to community leads to better health in many ways."

"Based on research, our physician feels that better connection to community leads to better health in many ways."

The pediatric nurse assists the parents of a 26-month-old child newly diagnosed with childhood diabetes. Which statements and questions by the nurse would be appropriate to help the parents grasp the necessary care information? Select all that apply. "What do you already know about your baby's illness?" "There is an informative lecture on childhood diabetes to attend today." "Tell me how your baby's illness has affected your life." "Do you have a support system for you and your family in your community?" "I will leave the learning materials on childhood diabetes for you to read overnight."

"Do you have a support system for you and your family in your community?" "Tell me how your baby's illness has affected your life." "What do you already know about your baby's illness?"

A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? after lightening happens around the third month after the seventh month when quickening occurs

when quickening occurs

The nurse is teaching the pregnant woman about nutrition for herself and her baby. Which statement by the woman indicates that the teaching was effective? "I can eat any seafood that I like because it contains phosphorus, which is a nutrient that pregnant women need." "I will need to take iron supplementation throughout my pregnancy even if I am not anemic." "Milk production requires higher levels of calcium; therefore, if I am going to breastfeed, I must take a calcium supplement during pregnancy." "Because I am pregnant, I can eat anything I want and not worry about weight gain."

"I will need to take iron supplementation throughout my pregnancy even if I am not anemic."

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? "My partner doesn't need to be treated." "I'm temporarily not contagious once the warts are destroyed." "One or two treatments should get rid of the warts." "Once the warts are gone, then I know I'm cured."

"I'm temporarily not contagious once the warts are destroyed."

A pregnant woman is discussing nonpharmacologic pain control measures with the nurse in anticipation of labor. After discussing the various breathing patterns that can be used, the woman decides to use slow-paced breathing. Which instruction would the nurse provide to the woman about this technique? "Forcefully exhale every so often after inhaling and exhaling through your mouth." "Inhale through your nose and exhale through pursed lips." "Inhale and exhale through your mouth about 4 times in 5 seconds." "Take a cleansing breath before but not after each contraction."

"Inhale through your nose and exhale through pursed lips."

A nurse recommends to a client in labor to try concentrating intently on a photo of her family as a means of managing pain. The woman looks skeptical and asks, "How would that stop my pain?" Which explanation should the nurse give? "It causes the release of endorphins." "It disrupts the nerve signal of pain via mechanical irritation of the nerves." "It blocks the transmission of nerve messages of pain at the receptors." "It distracts your brain from the sensations of pain."

"It distracts your brain from the sensations of pain."

The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan for this right now and I am not happy or excited about this pregnancy. I am not sure what to do." Which response by the nurse is best? "Many women feel this way during the first trimester." "Do not worry. Once you hold this baby, everything will be fine." "We can refer you to a clinic for potential termination if you desire." "You will become excited and happy when you feel the baby move."

"Many women feel this way during the first trimester."

A couple had decided not to circumcise their newborn for nonreligious reasons. What is the appropriate response from the nurse? *"That's very unusual; tell me what has led you to this decision." *"It's much better for the health of your newborn if you circumcise him." *"What arrangements have you made outside the hospital?" *"OK, great. I will let the physician know."

"OK, great. I will let the physician know."

A client at 40 weeks' gestation informs the nurse that she is tired of being pregnant. What is the best response from the nurse? "Do you need to speak with someone about your feelings?" "Most woman would have asked to be induced by this point. Is that what you want?" "Are you getting enough rest? If you don't take time for rest, that is why you might be tired." "That is a very normal feeling, especially at this point in pregnancy."

"That is a very normal feeling, especially at this point in pregnancy."

An experienced nurse is mentoring a graduate nurse and critiquing the graduate's shift handoff. Which statement requires clarification? "The client is experiencing lower back pain and I gave a backrub." "I changed the client position from her back to her side." "I instructed the client to ring if she felt the need to move her bowels." "The client reports a pain level of 8. She has a low pain tolerance."

"The client reports a pain level of 8. She has a low pain tolerance."

The community health nurse is conducting a presentation on labor and delivery. When illustrating the birth process, the nurse should point out "0 station" refers to which sign? "This is just a way of determining your progress in labor." "This indicates that you start labor within the next 24 hours." "The presenting part is at the true pelvis and is engaged." "This means +1 and the baby is entering the true pelvis."

"The presenting part is at the true pelvis and is engaged."

A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate? "You need to be assessed for a fungal infection." "Use a local antifungal agent regularly." "This discharge is normal during pregnancy." "You should refrain from any sexual activity."

"This discharge is normal during pregnancy."

A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate? "You need to be assessed for a fungal infection." "You should refrain from any sexual activity." "Use a local antifungal agent regularly." "This discharge is normal during pregnancy."

"This discharge is normal during pregnancy."

At a prenatal class, the nurse is told by a client that her mother advises her not raise her hands above her head during pregnancy in order to avoid umbilical cord problems. What is the nurse's best response? "This really isn't a worry as your mother's advice is not true." "This is a belief from your mother's culture about what to avoid during pregnancy." "This is a health promotion strategy recommended to avoid harm to the baby." "This belief of your mother's is not evidenced based."

"This is a belief from your mother's culture about what to avoid during pregnancy."

A client in her second trimester of pregnancy is anxious about the blotchy, brown pigmentation appearing on her forehead and cheeks. She also reports increased pigmentation on her breasts and genitalia. Which statement by the nurse is most appropriate? "I understand your concern; I would be concerned too." "I will let the health care provider know about the pigmentation." "I can tell you are anxious. Are there any other things worrying you?" "This is called facial melasma (chloasma) and should fade after the birth."

"This is called facial melasma (chloasma) and should fade after the birth."

As part of an education program for pregnant women and their partners, the nurse illustrates the various settings available for birth. The nurse determines that the program was successful when the group correctly chooses which statement about home births? "Women giving birth at home have control over every part of labor." "There are very rigid screening procedures that must be followed." "A wide range of pain medications is readily available to the woman." "A home birth is probably the most expensive setting for childbirth."

"Women giving birth at home have control over every part of labor."

A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? when quickening occurs after lightening happens after the seventh month around the third month

when quickening occurs

A 25-year-old woman is at the health care provider's office for her annual checkup. The nurse educated the woman on risks for cervical cancer. Which question would be important to ask as part of a risk screening? "Have you had problems trying to get pregnant?" "Do you have a history of high blood pressure?" "How long have you been severely overweight?" "Were you sexually active at an early age?"

"Were you sexually active at an early age?"

During a health education session, a teenage client asks the nurse when she should have her first "Pap test." How should the nurse reply? "When you turn 21 years old." "It all depends on your family history of cancer." "As soon as possible and every year thereafter." "When you first start having sex." SUBMIT ANSWER

"When you turn 21 years old."

The nurse is caring for a client who is a primigravida. Which statement is best to improve the client's psyche? "You will be finished soon." "Your second pregnancy will be easier." "You are doing a great job" "You will be pushing very soon."

"You are doing a great job"

A nurse is performing a vaginal examination of a woman in the early stages of labor. The woman has been at 2 cm dilated for the past 2 hours, but effacement has progressed steadily. Which statement by the nurse would best encourage the client regarding her progress? Don't mention anything to the client yet; wait for further dilation (dilatation) to occur. "There has been no further dilation (dilatation); effacement is progressing." "You haven't dilated any further, but hang in there; it will happen eventually." "You are still 2 cm dilated, but the cervix is thinning out nicely."

"You are still 2 cm dilated, but the cervix is thinning out nicely."

A client in her third trimester comes to the clinic for an evaluation. Assessment reveals that the cervix is thinning. The client says, "I know my cervix needs to dilate, but why does it get thinner?" Which response by the nurse would be appropriate? "It thins to let your baby change positions during labor." "Your cervix thins so that your contractions can increase." "You need the cervix to thin so it can stretch more easily." "Cervical thinning is a sign that you are in true labor."

"You need the cervix to thin so it can stretch more easily."

The nurse is caring for a 22-year-old client at high risk of developing cervical cancer. The client asks the nurse how to best be screened for cervical cancer. Which response by the nurse is best? "Your health care provider will perform a cervical biopsy annually to check for cancerous cells." "A transvaginal ultrasound every 3 years is highly recommended because you are high risk." "You should consult with your health care provider on how often to have a Papanicolaou (Pap) test." "Being tested for the human papillomavirus (HPV) with each new sexual partner is a great start."

"You should consult with your health care provider on how often to have a Papanicolaou (Pap) test."

A client newly diagnosed with cervical cancer states, "I cannot believe I am going to die so young. My mother and aunt died from cervical cancer and I am next." Which response by the nurse is most appropriate? "You sound worried. Let's talk about how you are feeling with this new diagnosis." "Tell me about the treatments your mother and aunt received, so those can be avoided." "I understand your concerns and fears. This is a scary diagnosis and genetics are a factor." "There are several treatment options for you to consider including chemotherapy, radiation, and surgery."

"You sound worried. Let's talk about how you are feeling with this new diagnosis."

A client in her second trimester of pregnancy arrives at the health care facility for a routine follow-up visit. The nurse is required to educate the client so that the client knows what to expect during her second trimester. Which information should the nurse offer? "You may have mood swings that could overwhelm your partner." "You will be more conscious of the changes taking place in your body now." "You may feel physical discomfort as the baby inside grows." "You will experience quickening, and you will actually feel the baby."

"You will experience quickening, and you will actually feel the baby."

The nurse is teaching a family about the benefits of circumcising their male neonate. The parents decline this procedure. How does this decision reflect the use of the family-centered approach by the nurse? *It empowers the family to make their own decision. *Evidence-based research is presented to the parents about circumcision. *Education about circumcision is provided to both parents. *It applies the ethical principle of beneficence.

*It empowers the family to make their own decision.

Which concept characterizes transcultural nursing? *Performing health-related activities and restoring wellness *Acknowledging that clients with the same skin have similar social situations *Influencing culture by specific conditions related to an environment *Planning care compatible with the client's health belief system

*Planning care compatible with the client's health belief system

A nurse is caring for a Turkish American client. The nurse understands that there could be major cultural differences between herself and the client. The nurse contemplates assigning this client to a staff member who is of the same culture as the client. What is a potential consequence? *ensuring better care and understanding *helping in assessing client's culture *building a better nurse-client relationship *stereotyping of the client

*stereotyping of the client

A nurse is providing home care to a pregnant woman who is on bed rest. The woman has two other children. During her assessment, the nurse asks the woman how she occupies her time. What is the best rationale for asking this question? *to build rapport with the client *to ensure that the woman is not engaging in activities that would disrupt her rest *to learn about the client's hobbies *to pick up tips to pass on to other clients who are on bed rest

*to ensure that the woman is not engaging in activities that would disrupt her rest

A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week? 1 lb (0.45 kg) 1.5 lb (0.68 kg) 2 lb (0.90 kg) 2/3 lb (0.30 kg)

1 lb (0.45 kg)

The nurse is teaching a pregnant woman with a prepregnancy body mass index (BMI) of 26 about recommended weight gain. The nurse determines that the teaching was successful when the woman states that she should gain approximately how much during her pregnancy? 25 to 35 pounds (11 to 16 kilograms) 35 to 40 pounds (16 to 18 kilograms) 15 to 25 pounds (7 to 11 kilograms) 28 to 40 pounds (13 to 18 kilograms)

15 to 25 pounds (7 to 11 kilograms)

A urinalysis is done on a client in her third trimester. Which result would be considered abnormal? Straw-like color 2+ Protein in urine Specific gravity of 1.010 Trace of glucose

2+ Protein in urine

A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolaou test? 18 30 25 21

21

A mother comes in with her 17-year-old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24 cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks pregnant? 18 20 24 22

24

A 23-year-old female has come to the clinic for her first prenatal visit. After the examination reveals no concerns and potential low-risk pregnancy, the nurse discusses nutritional needs for her and her growing baby. As per the Institute of Medicine, the nurse suggests the client take which amount of ferrous iron daily? 20 mg 10 mg 40 mg 27 mg

27mg

The nurse is counseling a client with a BMI of 23 about weight gain during pregnancy. The nurse teaches the client that during the second and third trimester of pregnancy, dietary intake should be increase by how many calories per day above what she was eating prior to the pregnancy? 100 300 500 1000

300

The nurse obtains a human chorionic gonadotropin (hCG) level from a woman who thinks that she is pregnant. Which result would the nurse identify as a positive pregnancy result? 8 mIU/mL (8 IU/L) 24 mIU/mL (24 (IU/L) 32 mIU/mL (32 IU/L) 16 mIU/mL (16 IU/L)

32 mIU/mL (32 IU/L)

The nursing student correctly identifies that ovarian cancer occurs more frequently in which age group? 35 to 55 years of age 25 to 50 years of age 55 to 75 years of age over 70 years of age

55 to 75 years of age

The nurse has been monitoring a multipara client for several hours. She cries out that her contractions are getting harder and that she cannot do this. The nurse notes the client is very irritable, nauseated, annoyed, and doesn't want to be left alone. Based on the assessment the nurse predicts the cervix to be dilated how many centimeters? 8 to 10 3 to 4 0 to 2 5 to 7

8 to 10

A woman in active labor begins to recite a lullaby to "call the baby outside." Which action by the nurse caring for this woman is most appropriate at this time? Allow the client to perform a ritual. Ask the family to join in with the singing of this lullaby. Ask the woman the importance of this lullaby to her culture. Administer IV pain medication.

Allow the client to perform a ritual.

The client in active labor overhears the nurse state the fetus is ROA. The nurse should explain this refers to which component when the client becomes concerned? Fetal attitude Fetal size Fetal position Fetal station

Fetal position

A nurse is working with a culturally diverse patient population. Which strategy would the nurse most likely use to assist in recognizing cultural influences on pain perception? Select all that apply. Develop an awareness of personal values and beliefs. Assume that everyone who is in pain will behave like they are in pain. Remember that if someone is in enough pain, he or she will inform others. Use an assessment tool (e.g., rating scale from 0 to 10) to assist in measuring the pain. Recognize that communication of pain may not even be acceptable within a culture. Appreciate that the meaning of pain varies among cultures. Appreciate that not all people communicate or express their level of pain in the same way.

Appreciate that the meaning of pain varies among cultures. Appreciate that not all people communicate or express their level of pain in the same way. Recognize that communication of pain may not even be acceptable within a culture. Develop an awareness of personal values and beliefs. Use an assessment tool (e.g., rating scale from 0 to 10) to assist in measuring the pain.

The nurse is documenting the length of time in the second stage of labor. Which data will the nurse use to complete the documentation? Effacement time and time when contractions are regular Complete cervical dilation (dilatation) and time of fetal birth Admission time and time of fetal birth Time of mucus plug expulsion and full cervical dilation

Complete cervical dilation (dilatation) and time of fetal birth

A pregnant client is concerned she may develop preeclampsia, so she has stopped adding any salt to her food and is now questioning the nurse about avoiding prepared foods. The nurse should point out some salt is very beneficial and can help prevent which negative outcome for her baby? Congenital hypothyroidism Neural tube defects Low birth weight Night blindness

Congenital hypothyroidism

The nurse cares for a pregnant client in labor and determines the fetus is in the right occiput anterior (ROA) position. Which action by the nurse is best? Auscultate fetal heart rate (FHR) in the left upper quadrant. Prepare the client for cesarean birth of the fetus. Continue to monitor the progress of labor. Educate the client this fetal position may result in a longer labor.

Continue to monitor the progress of labor.

A nurse is assessing a pregnant client. The nurse understands that hormonal changes occur during pregnancy. Which hormones would the nurse most likely identify as being inhibited during the pregnancy? LH and MSH T4 and GH FSH and LH FSH and T4

FSH and LH

Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? The station in which the fetus is located Maternal heart rate and blood pressure Maternal request for pain medication Fetal heart rate in relation to contractions

Fetal heart rate in relation to contractions

The nurse is appraising the laboratory results of a pregnant client who is in her second trimester and notes the following: thyroid stimulating hormone (TSH) slightly elevated, glucose in the urine, complete blood count (CBC) low normal, and normal electrolytes. The nurse prioritizes further testing to rule out which condition? Anemia Preeclampsia Gestational diabetes Hyperthyroidism

Gestational diabetes

A 22-year-old client comes to the walk-in clinic complaining of fatigue, breast heaviness and extreme tenderness, and a clear vaginal discharge. What question would the nurse ask this client? Have you been sexually active in the past 2 months? Do you have a family history of breast cancer? Are you taking oral contraceptives? Do you have vaginal itching?

Have you been sexually active in the past 2 months?

A pregnant woman's husband does not voice concerns at prenatal visits. You would believe he is emotionally involved in the pregnancy by observing which of the following actions? He has refused to paint the baby's room blue. He states he is concerned about the loss of his free time. He states he definitely wants a girl. He walks around furniture as if his abdomen is enlarged.

He walks around furniture as if his abdomen is enlarged.

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention? Help the woman change positions. Prepare the woman for an emergency cesarean birth. Obtain assistance to check for a compressed umbilical cord. Document the finding.

Help the woman change positions.

The nurse is monitoring the electronic fetal heart rate monitor and notes the following: variable V-shaped decelerations in the fetal heart rate (FH)R lasting about 30 seconds, accelerations of about 5 beats/min before and after each deceleration, no overshoot, and baseline FHR within normal limits. Which response should the nurse prioritize? Discontinue supplemental oxygen. Start an oxytocic infusion and decrease the rate of IV fluids. Encourage pushing with contractions during second stage of labor. Help the woman change positions.

Help the woman change positions.

The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include? High-grade dysplasia progresses to invasive cervical cancer in about 9 years. High-grade dysplasia progresses to invasive cervical cancer in about 4 years. High-grade dysplasia progresses to invasive cervical cancer in about 2 years. High-grade dysplasia progresses to invasive cervical cancer in about 7 years.

High-grade dysplasia progresses to invasive cervical cancer in about 2 years.

The nurse is assisting a client through labor, monitoring her closely now that she has received an epidural. Which finding should the nurse prioritize to the anesthesiologist? Inability to push Urinary retention Rapid progress of labor Dry, cracked lips

Inability to push

A nurse is completing an assessment of the community in which a family lives. Which question will help the nurse determine the level of education in the community? Is there a public library available? Are homes mainly privately owned? What is the unemployment rate in the community? What is the average income level of the families?

Is there a public library available?

A pregnant client is admitted to a maternity clinic for birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which of the following is an advantage of adopting a kneeling position during labor? It facilitates vaginal examinations. It helps the woman in labor to save energy. It facilitates external belt adjustment. It helps to rotate the fetus in a posterior position.

It helps to rotate the fetus in a posterior position.

Which information is true of home care as a whole? *It is decreasing because many new care measures are too technical for use in the home. *It is decreasing because the overall incidence of children's illnesses is decreasing in number. *It is increasing because new technology makes so many procedures available in the home. *The amount of care remains even because only a limited number of nurses are available to give care.

It is increasing because new technology makes so many procedures available in the home.

A 55-year-old client presents to the clinic with persistent vulvar pruritus, burning, and a lump. She states she has had the symptoms for 5 months and has been trying to treat them with over-the-counter creams. She has a history of multiple sexual partners and HPV and is a smoker. What should the nurse do next? Schedule the client for cryosurgery. Determine what creams the client has used. Prepare the client for a biopsy of the lesion. Assess how much the client smokes daily.

Prepare the client for a biopsy of the lesion.

When caring for a client in the third stage of labor, the nurse notices that the expulsion of the placenta has not occurred within 5 minutes after birth of the infant. What should the nurse do? Nothing. Normal time for stage three is 5 to 30 minutes. Do a vaginal exam to see if the placenta is stuck in the birth canal. Increase the IV tocolytic to help in expulsion of the placenta. Notify the primary care provider of the problem.

Nothing. Normal time for stage three is 5 to 30 minutes.

A nurse is auscultating the fetal heart rate of a woman in labor. To ensure that the nurse is assessing the FHR and not the mother's heart rate, which action would be most appropriate for the nurse to do? Instruct the woman to bend her knees and flex her hips. Palpate the mother's radial pulse at the same time. Have the woman lie completely flat on her back while auscultating. Ask the woman to hold her breath while assessing the FHR.

Palpate the mother's radial pulse at the same time.

The partner of a pregnant client in her first trimester asks the nurse about the client's behavior recently, stating that she is very moody, seems happy one moment and is crying the next and all she wants to talk about is herself. What response would correctly address these concerns? What you are describing may be normal but we need to talk to her more in depth. Pregnant women often experience mood swings and self-centeredness but this is normal. Her body is changing and she may be angry about it. Moodiness and irritability are not usual responses to pregnancy.

Pregnant women often experience mood swings and self-centeredness but this is normal.

The nurse is teaching a primigravida who does not speak the dominant language. The nurse will teach about the most common type of fetal presentation. Which presentation will the nurse prepare? occiput presentation using a PowerPoint presentation cephalic presentation using preprinted materials in the client's language breech presentation using a picture footling presentation drawing a hand-prepared diagram

cephalic presentation using preprinted materials in the client's language

A nurse working in the Family Birthing Center is answering the nurse hotline phone. A client calls in to schedule her annual Papanicolaou test. How could the nurse best educate the client before her procedure to make sure the results are not affected? It is safe to use tampons 72 hours before testing. The client may douche at least 48 hours before testing. Refrain from sexual intercourse 48 hours before testing to ensure clear results. Make sure the appointment is 5 days after the last menses.

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

The nurse is monitoring a client who is in active labor. The nurse will carefully monitor which phase of the involuntary uterine contraction to ensure the fetus is progressing adequately? Relaxation Acme Increment Decrement

Relaxation

A nurse is working to develop cultural competence. Which aspect would the nurse need to incorporate as the foundation for this concept? Respect Empathy Technical skill Knowledge

Respect

A client at 29 weeks' gestation reports she experiences a sharp pain in her lower abdomen when she stands up suddenly. The nurse explains this is most likely a result of tension on which structure? Cardinal ligament Broad ligament Round ligament Sacral-pubic ligament

Round ligament

A nurse is conducting a class for the staff at the clinic about sexual orientation. The nurse determines that additional teaching is needed when the class makes which statement? *"Gay is used to refer to individuals with emotional attractions to people of the same sex." *"Sexual orientation refers to a person's emotional attraction to another person." *"The terms heterosexual and straight refer to the same sexual orientation." *"Sexual orientation is the same as gender identity."

Sexual orientation is the same as gender identity."

The community nurse is preparing a presentation for a health fair illustrating successful pregnancies. Which component should the nurse prioritize as the most critical to ensure a positive psychological experience with the pregnancy by the mother? Having a planned pregnancy Early prenatal care Social support Age at the time of pregnancy

Social support

The nurse is teaching a pregnant teenager the importance of proper nutrition and adequate weight gain throughout the pregnancy. What is the best response when the client refuses to eat due to fear of possible weight gain? There may be little impact on the infant, but the mother can suffer complications. It will just make the baby smaller, but there are no other problems associated. The infant will be smaller but should quickly gain weight. The infant will be small and could have problems.

The infant will be small and could have problems.

During a routine prenatal visit, a pregnant woman reports a white, thick, vaginal discharge. She denies any itching or irritation. Which action would the nurse take next? Tell the woman that this is entirely normal. Check the discharge for evidence of ruptured membranes. Notify the health care provider of a possible infection. Advise the woman about the need to culture the discharge.

Tell the woman that this is entirely normal.

A primigravida client at 38 weeks' gestation calls the clinic and reports, "My baby is lower and it is more difficult to walk." Which response should the nurse prioritize? "That is something we expect with a second or third baby, but because it is your first, you need to be checked." "The baby has dropped into the pelvis; your body and baby are getting ready for labor in the next few weeks." "The baby moved down into the pelvis; this means you will be in labor within 24 hours, so wait for contractions then come to the hospital." "This is not normal unless you are in active labor; come to the hospital and be checked."

The baby has dropped into the pelvis; your body and baby are getting ready for labor in the next few weeks."

The nurse is caring for a client who is late in her pregnancy. What assessment finding should the nurse attribute to the role of prostaglandins? The uterus is relaxing The cervix is dilating The perineum is relaxing The cervix is softening

The cervix is softening

A pregnant client at 24 weeks' gestation calls the clinic crying after a prenatal visit, where she had a pelvic exam. She states that she noticed blood on the tissue when she wiped after voiding. What initial statement by the nurse would explain this finding? Some bleeding during pregnancy is not uncommon and this finding is expected. She may have a bleeding disorder so she needs to come back to the clinic for blood work. The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. It is possible she is losing her mucus plug, which can cause bloody show.

The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual.

A school-aged child with immigrant parents expresses concern to the school nurse about feeling embarrassed over the parents' limited ability to speak the dominant language, noting that classmates are sometimes cruel. After counseling the child, the nurse identifies that which evaluation reflects a positive outcome for this child? *The child sees their differences but no longer feels isolated because of the family's differences. *The child tries to blend in with the peer group and tries to avert attention from the parents' culture. *The child does not directly confront the teasing classmates about the parents' heritage and instead talks with a teacher. *The child finds a voice and confronts the children who have been making fun of the parents' heritage.

The child sees their differences but no longer feels isolated because of the family's differences.

The primigravid client at 18 weeks' gestation states, "I feel a fluttering sensation, kind of like gas." What change in the client typically follows this experience? The client will begin to notice changes in body appearance. The client will begin to experience stretching pains and discomforts from fetal movement. The client acknowledges the fetus's existence as a separate identity. The client will bond with one's partner and build a family unit.

The client acknowledges the fetus's existence as a separate identity.

The client may spend the latent phase of the first stage of labor at home unless which occurs? The contractions vary in length and intensity The client passes the bloody show The client experiences a rupture of membranes The client begins back labor

The client experiences a rupture of membranes

During an interview with a client, the nurse asks the client about their sexual orientation. The client tells the nurse, "I am queer." The nurse interprets this statement as indicating which situation? The client is not exclusively heterosexual. The client does not identify as being solely male or female. The client's gender identity differs from their sex assigned at birth. The client is strictly bisexual.

The client is not exclusively heterosexual.

Which client outcome during active and transitional labor is best? The client will tolerate 8 oz (240 ml) of clear liquids during labor process. The client will state a pain level of 7 and under during contractions. The client will walk in the hall for 15 minutes every 2 hours. The client will practice breathing techniques during contractions.

The client will practice breathing techniques during contractions.

Which description is best when documenting an accurate client contraction? The client's contractions are 5 minutes apart and last 45 seconds. The client states the contraction as an 8 on the pain scale. The client cries with each contraction and holds the support partner's hand. The client's contractions last 30 seconds with rest between.

The client's contractions are 5 minutes apart and last 45 seconds.

While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which cancer? endometrial cancer cervical cancer vulvar cancer breast cancer

cervical cancer

During the data collection in a well-child visit the parent reports divorcing the spouse about 6 months ago. The parent is concerned about the child's well-being and asks for input on the effects of divorce. Which statements by the parent demonstrates the need for further education? Select all that apply. Utilizing family strengths can help the child deal constructively with divorce. The largest number of problems noted in the child are most visible 3 to 5 years after the divorce. Divorce may lead the child to feel anger, guilt, anxiety and depression. The effects of divorce vary by the age of the child. An estimated 50% of children of divorce may have problems with relationships in the future.

The largest number of problems noted in the child are most visible 3 to 5 years after the divorce. An estimated 50% of children of divorce may have problems with relationships in the future.

A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding labor? These contractions increase oxytocin sensitivity. These contractions increase the release of prostaglandins. These contractions help in softening and ripening the cervix. These contractions make maternal breathing easier.

These contractions help in softening and ripening the cervix.

A nurse is assessing a woman who has a history of genital warts (HPV). The nurse understands that this increases the risk of vulvar cancer. The nurse should teach which prevention method to decrease the risk of cancer? A genital exam should be completed by the health care provider only. The woman should use oral contraceptives instead of using barrier methods. The woman should avoid tight undergarments. A genital exam should be done by the woman herself only. The woman should take OTC drugs to self-medicate and treat lesions.

The woman should avoid tight undergarments.

The nurse is presenting a nutritional plan to a primigravida client who is questioning the addition of iodized salt to her diet. Which explanation should the nurse prioritize in answering this client? Thyroid activity, which depends on iodine intake, increases during pregnancy. Progesterone formation is dependent on a high iodine intake. Adrenal gland activity during pregnancy decreases iodine's effectiveness. Because of decreased thyroid activity during pregnancy, the thyroid does not produce as much as normal.

Thyroid activity, which depends on iodine intake, increases during pregnancy.

During an examination, a client at 32 weeks' gestation becomes dizzy, lightheaded, and pale while supine. What should the nurse do first? Listen to fetal heart tones. Turn the client on her left side. Take the client's blood pressure. Ask the client to breathe deeply.

Turn the client on her left side.

At what time is the laboring client encouraged to push? When the fetal head can be seen When the nurse wants the client to push When the health care provider has arrived When the cervix is fully dilated

When the cervix is fully dilated

The nurse is assessing a family to determine if they have access to adequate health care. Which statement accurately describes how certain families are affected by common barriers to health care? The proportion of children between the ages of 6 and 18 who are overweight is decreasing, but a large increase is occurring in Black females. White, non-Hispanic children overall are more likely than Black and Hispanic children to be in very good or excellent health. After a decade of escalation, the percentage of children living in low-income families has been on the decline since 2000. The overall health care plan of working families may improve access to specialty care but limit access to preventive services.

White, non-Hispanic children overall are more likely than Black and Hispanic children to be in very good or excellent health.

Which nursing action has a negative effect on fetal descent? administering opioid pain medication walking the client in the hall using a tap water enema laying the client on the left side

administering opioid pain medication

The nurse is caring for a 2-year-old girl who is wheezing and has difficulty breathing. Which interview question would provide the most useful information related to the symptoms of the child? asking about the child's diet inquiring about child safety in the home asking the parents if they smoke in the home asking about the temperament of the child

asking the parents if they smoke in the home

A 14-year-old tells the nurse that he feels like he can never live up to his parents' standards and that they won't even discuss their rules. What parenting style do this child's parents mostlikely practice? authoritarian rejecting uninvolved authoritative

authoritarian

While caring for a hospitalized child, the nurse notes the parent does not take into consideration the wishes or opinions of the child. During a period of discussion, the parent states "My child needs clear rules and knows I expect my child to do as I say." This is consistent with which style of parenting? permissive authoritarian authoritative uninvolved

authoritarian

A pregnant client being cared for at home is prescribed bed rest and should only get out of bed to go to the bathroom. During care planning, which activity will the home care nurse assign to the home care assistant? Select all that apply. fetal heart rate monitoring bathing ambulation feeding medication administration

bathing feeding ambulation

A nurse is preparing a presentation for a group of women of childbearing age about the risk for cancer during pregnancy. When describing the risk, which cancer would the nurse most likely include as being the most common cancer to occur during pregnancy? breast cervical melanoma lymphoma

breast

The nurse is examining a woman who came to the clinic because she thinks she is pregnant. Which data collected by the nurse are presumptive signs of her pregnancy? Select all that apply. amenorrhea hydatidiform mole ultrasound pictures morning sickness fetal heartbeat breast changes

breast changes amenorrhea morning sickness

During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding? striae bruising darkening of the umbilicus linea nigra

bruising

A nurse is providing care to a woman in labor. When reviewing the woman's medical record, the nurse notes that fetal position is documented as LSA. The nurse interprets this to mean that which part of the fetus is presenting? acromion process chin occiput buttocks

buttocks

While interviewing a client, a nurse assesses the client's reaction to health care and determines that the reaction reflects the client's preferred ways of acting based on traditions. Which term would the nurse use to document this information? cultural values culture ethnicity race

cultural values

A nurse is caring for a client who is in labor. For which fetal response should the nurse monitor? decrease in circulation and perfusion to the fetus increase in fetal breathing movements decrease in arterial carbon dioxide pressure increase in fetal oxygen pressure

decrease in circulation and perfusion to the fetus

A nurse is caring for a client in her fourth stage of labor. Which assessment(s) indicates a normal physiologic change occurring during the fourth stage of labor? Select all that apply. decreased intra-abdominal pressure increase in the blood pressure decrease in the pulse rate well-contracted uterus in the midline mild uterine cramping and shivering

decrease in the pulse rate decreased intra-abdominal pressure well-contracted uterus in the midline mild uterine cramping and shivering

A client received IV nalbuphine in labor. The labor progressed rapidly and the nurse is preparing for the birth of the neonate less than 1 hour later. What medication will the nurse ensure is available immediately after birth of the neonate? vitamin K vitamin D naloxone morphine sulfate

naloxone

A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client? start of regular contractions dilation (dilatation) of cervix diameter to 10 cm rupturing of fetal membranes diffuse abdominal cramping

dilation (dilatation) of cervix diameter to 10 cm

The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction. The nurse would document this as which finding? duration frequency peak intensity

duration

A 39-year-old woman is pregnant with her first child and appears to be thrilled about it. Now in her second trimester, she talks enthusiastically with the nurse about the latest maternity clothes she has bought and models them for the nurse. She also discusses the latest trends in health foods, which she has adopted since learning of her pregnancy. The nurse interprets this information as reflecting which primary emotional response to pregnancy? emotional lability narcissism introversion stress

narcissism

Which intervention would be least effective in caring for a woman who is in the transition phase of labor? urging her to focus on one contraction at a time encouraging the woman to ambulate providing one-to-one support having the client breathe with contractions

encouraging the woman to ambulate

The nurse is teaching the parents of a 2-year-old about the extinction method of discipline. What is an example of this method of discipline? enforcing a "time-out" spanking the child reprimanding the child praising the child for good behavior

enforcing a "time-out"

The nurse is assessing a pregnant client at 37 weeks' gestation and notes the fetus is at 0 station. When questioned by the client as to what has happened, the nurse should point out which event has occurred? expulsion extension engagement flexion

engagement

A nurse is caring for a woman in labor and understands that as the fetus travels through the birth canal, the fetus makes positional changes that occur concurrently. Based on the nurse's conceptualization of their sequential occurrence, list the cardinal movements of labor in the correct order that the nurse would expect the fetus to move. All options must be used.

engagement flexion internal rotation extension expulsion

A pregnant client states she was unable to breastfeed her last child because her breasts did not produce milk. She desires to breastfeed this child. Which hormones would the nurse monitor to during this pregnancy? estrogen and human placental lactogen (hPL) oxytocin and progesterone relaxin and human chorionic gonadotropin (hCG) progesterone and relaxin

estrogen and human placental lactogen (hPL)

A nurse practitioner is conducting an in-service education program for a group of nurses working in the labor and birth unit. The program is focusing on interpreting FHR patterns. The nurse practitioner determines that the teaching was successful when the group identifies which patterns as indicating abnormal fetal acid-base status? Select all that apply. minimal variability recurrent late decelerations fetal tachycardia fetal bradycardia sinusoidal pattern

fetal bradycardia sinusoidal pattern recurrent late decelerations

The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. The client insists she is not pregnant due to a negative home pregnancy test. Which assessment should the nurse use to assess confirm the pregnancy? uterine size and shape changes positive urine human chorionic gonadotropin (hCG) fetal heartbeat Chadwick sign

fetal heartbeat

A nurse assesses and suspects vulvar cancer based on which assessment finding? vulvar bleeding fleshy, ulcerated mass on the labia majora dysuria vulvar itching that responds to creams

fleshy, ulcerated mass on the labia majora

After teaching a local woman's community group about cervical cancer, the nurse understands that teaching has been successful when the group identifies which condition as a risk factor for cervical cancer? chronic vulvitis genital herpes obesity and menopause vulvar dermatosis

genital herpes

The nurse is caring for a client in active labor. Which assessment finding requires health care provider notification? hyperventilation nausea gross proteinuria elevated WBC count

gross proteinuria

A nurse is assessing an adolescent in a clinic with both parents accompanying the child. The nurse questions whether the family is functioning in a healthy way after noting which action? The family pays cash for health care. The mother states, "This family couldn't function without me." The father comforts his crying daughter. The father does not share his concerns with his wife.

he father does not share his concerns with his wife.

A client is in the first stage of labor and asks the nurse what type of pain she should expect at this stage. What is the nurse's most appropriate response? hypoxia of the contracting uterine muscles distention of the vagina and perineum pain from the dilation (dilatation) or stretching of the cervix pressure on the lower back, buttocks, and thighs

pain from the dilation (dilatation) or stretching of the cervix

The nurse is evaluating a female client who reports irregular vaginal bleeding, recent weight loss, and dyspareunia. Which finding will the nurse highlight for the health care provider to review first?

history of human papillomavirus (HPV)

A primary care provider tells a pregnant woman with slightly elevated blood pressure to return home on bed rest until her next scheduled checkup. This is an example of which type of care? community care skilled home care hospice care home care

home care

A client comes to the clinic and tells the nurse, "I think I might be pregnant." After completing the history and physical examination, the nurse obtains a blood specimen for pregnancy testing. When explaining this test to the client, which hormone will the nurse identify as being measured by this test? estrogen human chorionic gonadotropin progesterone follicle-stimulating hormone

human chorionic gonadotropin

The nursing student correctly identifies which procedure as the treatment of choice for endometrial cancer? dilation and curettage (D&C) hysterectomy salpingo-oophorectomy hysterectomy and salpingo-oophorectomy

hysterectomy and salpingo-oophorectomy

A lactose intolerant client is concerned about getting enough calcium in her diet. Which foods could the nurse suggest she include in her diet to increase her calcium intake? Select all that apply. carrots peanuts molasses almonds broccoli

peanuts almonds broccoli molasses

Which is the most important factor on how much admission data is obtained when a client reports to the hospital in labor? support person with client participation in childbirth class imminence of birth amount of prenatal care

imminence of birth

A nurse is providing care to a client in labor. A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis. When developing this client's plan of care, which intervention would the nurse include? preparing the client for a cesarean birth implementing measures for a vaginal birth instituting continuous internal fetal monitoring assisting with artificial rupture of the membranes

implementing measures for a vaginal birth

A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client as the client progresses through birth? Select all that apply. slight decrease in body temperature increase in respiratory rate increase in heart rate increase in gastric emptying and pH increase in blood pressure

increase in heart rate increase in blood pressure increase in respiratory rate

pregnant client is being discharged. The nurse is educating the client about the advantages of continuing her treatment at home. Which advantages would the nurse include? Select all that apply. lifestyle assessments increased individual teaching increased health care costs increased self-care value influence from nurse

increased individual teaching lifestyle assessments increased self-care

A nurse sees a pregnant client at the clinic. The client is close to her due date. During the visit the nurse would emphasize that the client get evaluated quickly should her membranes rupture spontaneously based on the understanding of which possibility? potential rapid birth of fetus increased risk of infection increased risk of breech presentation potential placenta previa

increased risk of infection

The nursing instructor is presenting the basic physiologic changes in the woman that can occur during a pregnancy. The instructor determines the session is successful when the students correctly choose which change in the respiratory function during pregnancy as normal? increased expiratory volume decreased oxygen consumption decreased respiratory rate increased tidal volume

increased tidal volume

A 30-year-old client asks the nurse about risk factors for ovarian cancer. Which risk factor should be included in client education? infertility breastfeeding menopause before age 50 less than 40 years of age

infertility

A client who is in her sixth week of gestation is being seen for a routine prenatal care visit. The client asks the nurse about changes in her eating habits that she should make during her pregnancy. The client informs the nurse that she is a vegetarian. The nurse knows that she has to monitor the client for which risks arising from her vegetarian diet? Select all that apply. iron-deficiency anemia decreased mineral absorption epistaxis low gestational weight gain constipation

iron-deficiency anemia decreased mineral absorption low gestational weight gain

A nursing instructor is conducting a class on the various types of pelvic shapes to a group of nursing students. The instructor determines the class is successful when the students correctly choose which factor is specific for an anthropoid pelvis? is narrow transversely is "male" shaped is ideal for birth has weaker bones than normal

is narrow transversely

The nurse is monitoring a client who is in labor and notes the client is happy, cheerful, and "ready to see the baby." The nurse interprets this to mean the client is in which stage or phase of labor? transition phase latent phase stage three stage two

latent phase

The student nurse is preparing to assess the fetal heart rate (FHR) and has determined that the fetal back is located toward the client's left side, the small parts toward the right side, and there is a vertex (occiput) presentation. The nurse should initially begin auscultation of the fetal heart rate in the mother's: left upper quadrant. right upper quadrant. right lower quadrant. left lower quadrant.

left lower quadrant.

The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. How should the nurse document this finding? attitude lie presentation position

lie

A client calls the clinic asking to come in to be evaluated. She states that when she went to bed last night the fetus was high in the abdomen, but this morning the fetus feels like it has dropped down. After asking several questions, the nurse explains this is probably due to: start of labor. lightening. placenta previa. rupture of the membranes.

lightening.

A woman in her third trimester shows the nurse a narrow, brown line that has formed on her abdomen, running from her belly button down to her pubic region. She expresses concern about this and asks the nurse whether it is normal. The nurse explains that this is a normal occurrence of pregnancy and that it results from the release of melanocyte-stimulating hormone from the pituitary, causing the appearance of extra pigmentation on the skin. What is the name of this phenomenon? diastasis recti linea nigra striae gravidarum (stretch marks) melasma (chloasma)

linea nigra

A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. The nurse understands that which factors are causing the extreme pain in the client? Select all that apply. lower uterine segment distention fetus moving along the birth canal stretching and tearing of structures spontaneous placental expulsion dilation (dilatation) of the cervix

lower uterine segment distention stretching and tearing of structures dilation (dilatation) of the cervix

A client presents for a routine checkup at a local health care center. One of the client's distant relatives died of ovarian cancer, and the client wants to know about measures that can reduce the risk of ovarian cancer. The nurse informs the client about which measure to reduce the risk of ovarian cancer? maintaining a healthy weight not breastfeeding avoiding the use of oral contraceptive pills (OCPs) using perineal talc or hygiene sprays

maintaining a healthy weight

A Native American/First Nations mother has just arrived in the L & D department in active labor. Following the birth, which cultural practice may the nurse help arrange? *making arrangements for the mother to take home placenta after the birth *allowing the elders of the tribe to stay in her room throughout the hospitalization for protection from evil spirits *allowing incense to burn in the mother's room as part of her "rooming-in" ritual *allowing no one to touch the baby's head for the first 24 hours post-birth

making arrangements for the mother to take home placenta after the birth

Many changes occur in the body of a pregnant woman. Some of these are changes in the integumentary system. What is one change in the integumentary system called? melasma (chloasma) ballottement linea rubria Chadwick sign

melasma (chloasma)

A nurse is reviewing the history and physical examination findings of a 60-year-old woman just diagnosed with ovarian cancer. Which findings would the nurse correlate with an increased risk for developing this disease? Select all that apply. multiparty menarche at age 14 years hormone replacement use for 2 years menopause at age 58 years use of perineal talcum powder

menopause at age 58 years use of perineal talcum powder

A woman who just gave birth tells the obstetrical nurse that her mother has noticed that so much has changed in maternity care in recent years. One change she could likely be referring to is: *newborns stay at the mother's bedside as long the infant is well. *the family is now allowed to visit at prescribed visiting hours. *infections are prevented as births happen in highly advanced, sterile rooms. *the newborn stays in a newborn nursery for care to allow the mother to rest.

newborns stay at the mother's bedside as long the infant is well.

Assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that which part is presenting? occiput brow buttocks shoulders

occiput

A nurse is conducting an in-service program for a group of oncology nurses. The nurse explains that which nursing intervention is most important when assisting clients who are diagnosed with any form of carcinoma? being an advocate offering extensive information offering emotional support being the case manager

offering emotional support

The nurse is educating a female client about lifetime risk for developing cancer. The nurse determines that the teaching was successful when the woman states that regardless of her risk factors, her chances for developing cancer are: one-in-five. one-in-seven. one-in-nine. one-in-three.

one-in-three.

A middle-aged woman is seen in the OB/GYN clinic and reports abdominal bloating, fatigue, abdominal pain, urinary frequency, and constipation. She also says that she had lost 24 pounds in the last month without trying to lose. For which disease should the primary care provider screen this client? breast cancer fibroids (leiomyomas) ovarian cancer pelvic organ prolapse (POP)

ovarian cancer

A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a "silent killer"? ovarian cancer cervical cancer endometrial cancer vaginal cancer

ovarian cancer

The nurse is teaching a pregnant woman about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as being released when the newborn sucks at the breast? antidiuretic hormone cortisol oxytocin follicle-stimulating hormone

oxytocin

A client's menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea in the morning. What classification of pregnancy symptoms is this client experiencing? presumptive probable no classification positive

presumptive

A client's menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea in the morning. What classification of pregnancy symptoms is this client experiencing? probable presumptive positive no classification

presumptive

A new mother voices concerns about breastfeeding her infant. The nurse would explain to the mother the two hormones that control lactation and letdown are: follicle-stimulating hormone and thyroid hormone. prolactin and oxytocin. estrogen and progesterone luteinizing hormone and hCG

prolactin and oxytocin.

A nurse has been asked to present information to a group of civic leaders concerning women's health issues. In preparing the information, the nurse includes what goal from Healthy People 2030? ensure prenatal care includes immunizations encourage women with previous cesarean births to always have a cesarean birth reduce the rate of cesarean births among low-risk births ensure all couples receive preconceptional counseling

reduce the rate of cesarean births among low-risk births

A nurse is explaining to a pregnant client about the changes occurring in the body in preparation for labor. Which hormone would the nurse include in the explanation as being responsible for causing the pelvic connective tissue to become more relaxed and elastic? relaxin oxytocin prolactin progesterone

relaxin

A female client comes to the clinic for an evaluation. Assessment reveals flu-like symptoms and a maculopapular rash on her trunk, and the palms of her hands and the soles of her feet. The client also reports hair loss and fatigue. She states, "I had a small ulcer near my vagina about 6 weeks ago that went away." Based on these findings, the nurse suspects that the client has syphilis at which stage? primary late latent secondary early latent

secondary

A female-to-male (FTM) transgender individual who has undergone breast surgery wants to become a parent. During the teaching session, which instruction is essential for the client to understand to achieve the goal of pregnancy? *discussing safety concerns if victimization occurs during pregnancy *discussing how to deal with leakage of milk from nipples *stopping current testosterone hormone therapy *feeling confident in selecting a supportive health care provider

stopping current testosterone hormone therapy

A nurse working in a busy urban family clinic has noted a high percentage of single mothers. What should the nurses in this clinic be prepared to offer these single mothers? financial planning for college accounts for each child contraceptive advice to prevent future pregnancies support when a problem related to childrearing occurs organizational and time management skills

support when a problem related to childrearing occurs

When caring for woman who speaks a different language than one's own, the nurse must ask for an interpreter before having the client sign which forms to ensure clarity can be confirmed? Select all that apply. surgical permit end-of-life care dietary preferences consent to blood transfusions smoking cessation policy

surgical permit end-of-life care consent to blood transfusions

A nurse working at a child health clinic is involved in primary prevention activities. Which activity will the nurse perform in this role? reviewing laboratory test results performing hearing screenings teaching about healthy food choices assisting with physical therapy exercises after knee surgery

teaching about healthy food choices

To assess the frequency of a woman's labor contractions, the nurse would time: how many contractions occur in 5 minutes. the end of one contraction to the beginning of the next. the interval between the acme of two consecutive contractions. the beginning of one contraction to the beginning of the next.

the beginning of one contraction to the beginning of the next.

A woman's perception of pain can differ according to all of the following except: the length of her labor. her expectations and preparation for labor. the presentation, lie, and attitude of the fetus. psychosocial, physiologic, and cultural influences. fear, anxiety, and self-efficacy.

the presentation, lie, and attitude of the fetus.

The nurse is assessing a pregnant woman on a routine prenatal visit. Which breast assessment finding will the nurse document as a normal and expected finding? expression of colostrum in the first trimester hypopigmentation of the areola and nipples tingling sensations and tenderness disappearance of superficial veins

tingling sensations and tenderness

A nurse urges a pregnant client at the first prenatal office visit to begin taking iron supplements immediately. What is the rationale for this intervention? to reduce the risk for hypertension to maintain proper blood glucose levels to prevent megalohemoglobinemia to avoid anemia

to avoid anemia

The term used to guide the cultural aspects of nursing care and respect individual differences is: family nursing. ethnicity nursing. transcultural nursing. diversity nursing.

transcultural nursing.

A multigravid client has been in labor for several hours and is becoming anxious and distressed with the intensity of her frequent contractions. The nurse observes moderate bloody show and performs a vaginal examination to assess the progress of labor. The cervix is 9 cm dilated. The nurse knows that the client is in which phase of labor? active phase latent phase early phase transition phase

transition phase

The postmenopausal woman who has bleeding and spotting and cannot tolerate a endometrial biopsy in the office would have which test done to rule out endometrial cancer? abdominal ultrasound Papanicolaou test transvaginal ultrasound pelvic examination

transvaginal ultrasound

The nurse is assessing a primigravida woman at a routine prenatal visit. Which assessment finding is reinforcing to the client that she is definitely pregnant? uterine growth continued amenorrhea ultrasound picture of her fetus positive hCG blood result

ultrasound picture of her fetus

An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make? polyps vaginal cancer cervical cancer vulvar cancer

vulvar cancer

A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep. Which suggestion for sleeping should the nurse prioritize for this client? without a pillow with a pillow under her shoulders with a pillow under her right hip with a pillow under both hips

with a pillow under her right hip

The nurse is caring for a child from a different culture. Which statement(s) by the nurse demonstrates an understanding of how culture impacts a client? Select all that apply. "A client's cultural beliefs can impact spirituality and/or religion." "Culture can impact who a client chooses to see for health care needs." "Culture can impact the diet a client follows." "When a client moves to a different city, the client follows the cultural practices that are prevalent in the new city." "A client's cultural beliefs should be incorporated into the care a client receives.

"Culture can impact who a client chooses to see for health care needs." "Culture can impact the diet a client follows." "A client's cultural beliefs can impact spirituality and/or religion." "A client's cultural beliefs should be incorporated into the care a client receives.

A pregnant woman in her first trimester has come to the clinic for a check-up. The woman mentions to the nurse that she would like to try some complementary and alternative medicine (CAM) therapies to control her nausea. When teaching the woman about these methods, which information would be important for the nurse to emphasize? Select all that apply. "Check the package to make sure that all the ingredients and their amounts are listed." "It is okay to try more than one remedy with another to get a better effect." "Remember that just because it says the remedy is natural, it does not always mean it is safe." "Try using some ginger tea to help control the nausea you are having." "It would be important for you to talk with your provider about what might be best for you."

"Remember that just because it says the remedy is natural, it does not always mean it is safe." "It would be important for you to talk with your provider about what might be best for you." "Check the package to make sure that all the ingredients and their amounts are listed.

The nurse is talking with a newly married couple who are asking questions about genetic testing. Which statement by the couple indicates the need for further teaching regarding genetics? Select all that apply. "We are glad that heart disease just runs in our family and can't be a genetic disease." "We have a 50% chance of our child being a boy!" "We are thankful that our child's temperament won't be anything like either of our fathers' temperaments." "Since both of our parents are Asian, we will definitely be having an Asian baby." "Genetic testing will help in identifying at least some genetic disorders."

"We are glad that heart disease just runs in our family and can't be a genetic disease." "We are thankful that our child's temperament won't be anything like either of our fathers' temperaments."

The nurse determines that both parents share the role as the culture bearer in the family. Which client statement did the nurse use to make this assessment? "We make sure we celebrate holidays with both our traditions." "We sit down and pay all the bills together twice a month." "We both make decisions about how we spend our off-time together." "We split the time being the primary caregiver to the children."

"We make sure we celebrate holidays with both our traditions."

A pregnant woman reports she does not see the value in attending prepared childbirth classes because she plans to have an epidural to manage the discomfort from the contractions. What information should be included in responses by the nurse? Select all that apply. "You can learn tools to assist you in the labor process both before and after your epidural." "Preparation for labor and birth can enhance your experience and coping abilities." "There are many different topics included in prepared childbirth classes aside from pain management." "You are correct since the focus of these courses is on pain management." "You are limiting your options by not considering attending the classes."

"You can learn tools to assist you in the labor process both before and after your epidural." "Preparation for labor and birth can enhance your experience and coping abilities." "There are many different topics included in prepared childbirth classes aside from pain management."

Which nursing action supports a 2030 National Health Goal that addresses cultural diversity? Analyzing the client's compliance with health promotion activities Discussing breastfeeding with a pregnant client Focusing on actions to enhance disease prevention Reviewing actions to prevent accidents in the home environment

Discussing breastfeeding with a pregnant client

The nursing instructor is teaching a session on the increase of health care costs associated with the advancement of modern technology. The instructor determines the session is successful when the students correctly choose which focus of community-based health care that has been implemented to combat the increased cost? *Providing care for the client as an individual *Tracking reportable diseases *Preventing disease and its sequelae *Keeping clients with chronic illnesses in their homes

Preventing disease and its sequelae

A community health nurse is preparing to teach childbirth classes at the local high school. This nurse is actively involved in which type of community health care? Tertiary prevention Couplet care Secondary prevention Primary prevention

Primary prevention

A nurse is addressing a group of women on the issue of women's health during their reproductive years. Which reason does the nurse provide regarding the need for comprehensive, community-centered care to women during this time period? *Women have more health problems during their reproductive years. *A woman's immune system weakens immediately after birth. *Increased stress causes more health problems during their reproductive years. *Women's health care needs to change with their reproductive goals.

Women's health care needs change with their reproductive goals.

When assessing a woman, the nurse would suspect cervical cancer because of which findings? Select all that apply. vaginal bleeding after sexual intercourse dysuria pain with vaginal examination malodorous vaginal discharge postmenopausal bright red bleeding

malodorous vaginal discharge dysuria vaginal bleeding after sexual intercourse

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer: is closely associated with highly resistant sexually transmitted infections. spreads more easily than other female reproductive cancers. arises from extremely rare types of cells that are resistant to treatment. typically manifests with vague symptoms resulting in late diagnosis.

typically manifests with vague symptoms resulting in late diagnosis.