CU 1 Quiz
A client has had a biophysical profile done and receives a score of 9. The client asks the nurse, "What does this mean?" Which response by the nurse would be appropriate? a. "Based on your results. your baby is doing well." b. "We'll have to watch you closely because your baby may be in jeopardy." c. "Your score means that you are likely to go into preterm labor." d. "Your score is a little low so we need to do more testing."
a A biophysical profile (BPP) is a prenatal test that assesses the well-being of the fetus. The test evaluates fetal well-being based on five parameters: fetal heart rate, fetal breathing movements, fetal movements, fetal tone, and amniotic fluid volume. Each parameter is scored as either 0 or 2, and the scores are added up to give a total score out of 10. A BPP score of 8 or 10 is considered normal, while a score of 6 is equivocal and may require further testing or monitoring. In this scenario, the client's BPP score is 9, which is considered normal. The appropriate response by the nurse would be to tell the client that based on the results, her baby is doing well. It is important for the nurse to provide the client with accurate information and to help her understand the significance of the BPP score. This will help alleviate any anxiety or concerns that the client may have about her pregnancy. Responses that suggest that the client may be in jeopardy or at risk of preterm labor are inaccurate and could cause unnecessary worry for the client. A score of 9 is not considered low and does not necessarily require additional testing.
While caring for a pregnant adolescent, the client states, "I want to deliver my baby at an alternative birth center. "Which information would be most important for the nurse to keep in mind when responding to the client? a. adolescent pregnancy is considered high-risk situation. b. lying-in birth centers are a suitable option for any pregnancy woman. c. lying-in birth centers only admit clients over the age of 21 years. d. typically, the adolescent support group will disapprove of this choice.
a Adolescent mothers are more likely to experience complications during pregnancy, such as preeclampsia, preterm labor, and anemia. Alternative birth centers may not have the same level of medical equipment and support as hospitals and may not be equipped to handle these types of complications. It is important for the nurse to provide the client with all the available options for birth, including hospital delivery and alternative birth centers, but also to discuss the potential risks and benefits of each option, particularly in the context of the client's individual situation. The nurse should also provide support and education to the client to help her make an informed decision that is right for her and her baby. The other options listed are not accurate; lying-in birth centers may not be a suitable option for all women, there is no age limit for lying-in birth centers, and it is not accurate to assume that an adolescent support group would disapprove of this choice.
A physically abused pregnant woman reports to the nurse that her spouse has stopped hitting her and promises never to hurt her again. Which response by the nurse would be most appropriate? a. "Remember, the cycle of violence often repeats itself." b. "You need to consider leaving him." c. "He probably didn't mean to hurt you." d. "That's great. I wish you both the best."
a It is important for the nurse to recognize the potential for domestic violence to escalate during pregnancy and to provide appropriate support and resources to the patient. The response that would be most appropriate would be to remind the patient that the cycle of violence often repeats itself. This statement acknowledges the possibility of further abuse and emphasizes the need for ongoing safety planning and support. The nurse should also provide information on resources and options for the patient, including the importance of seeking help from a domestic violence hotline, counseling, or a safe shelter.
A nurse is working with a group of clients who are victims of intimate partner violence. The nurse focuses interventions on which area as the primary goal? a. empowering them to regain control of their life. b. convincing them to leave the abuser soon. c. arresting the abuser so he or she cannot abuse again. d. helping them cope with their life as it is.
a The nurse's role is to provide support and resources to help the client gain control of their life and make decisions that are in their best interest. This involves helping them understand that they have the right to a safe and healthy relationship and supporting them in building a plan to achieve that. It also includes helping them access resources such as counseling, legal services, and housing assistance, as well as providing emotional support and encouragement.
Ms. Ruiz experience uterine bleeding and mild cramping at 20 weeks. She has previously aborted 2 pregnancies at 20 weeks. This history is indicative of: a. The presence of uterine fibrosis b. An incompetent cervical os c. An estrogen-progesterone imbalance d. A persistent placental defect
b An incompetent cervix is a condition in which the cervix is weak and opens prematurely without contractions, leading to second-trimester miscarriage or preterm birth. The risk factors for incompetent cervix include previous second-trimester loss, cervical surgery or trauma, and exposure to diethylstilbestrol (DES) in utero.
The parent of a pregnant adolescent says to the nurse, "I don't know what is wrong with my daughter. I found her eating chalk the other day and she says she is craving it!" What information can the nurse give to the parent? a. Gastrointestinal upset may be causing this behavior. Is she having a lot of morning sickness with her pregnancy?" b. "We will check her hemoglobin level. Often, iron deficiency anemia will cause craving for inedible substances." c. "That is not so unusual. Pregnant people often crave strange things during pregnancy and this must just be a craving." d. "This could be related to a substance use disorder. Do you know of any other high-risk behavior?"
b Craving and eating non-food substances, such as chalk, is known as pica, which can occur during pregnancy. One possible cause of pica is iron deficiency anemia, which is common during pregnancy. Iron deficiency can cause unusual cravings for non-food items such as ice, clay, and chalk. The best response by the nurse in this scenario would be to tell the parent that they will check the pregnant adolescent's hemoglobin level. Often, iron deficiency anemia will cause craving for inedible substances such as chalk. The nurse should also provide education on the importance of proper nutrition during pregnancy and encourage the pregnant adolescent to eat a healthy, balanced diet. The nurse should also discuss any concerns about pica with the healthcare provider.
Surgical treatment for a pregnant women with habitual abortion would be? a. Dilation and Curettage b. Cerclage Operation c. Vacuum Aspiration d. Completion Curettage
b Habitual abortion, also known as recurrent pregnancy loss, is defined as the occurrence of three or more consecutive pregnancy losses before the 20th week of gestation. The most common cause of habitual abortion is cervical incompetence, which is the inability of the cervix to retain a pregnancy. The standard surgical treatment for cervical incompetence is a procedure called cerclage, which involves the placement of a suture or band around the cervix to provide additional support and prevent premature dilation. Cerclage is typically performed between 12 and 14 weeks of gestation and is usually removed at around 36 weeks to allow for a vaginal delivery. Dilation and curettage (D&C), vacuum aspiration, and completion curettage are surgical procedures that are typically used to treat incomplete or missed abortions, which occur when the fetus dies in utero or is not completely expelled from the uterus. These procedures are not typically used to treat habitual abortion or cervical incompetence.
When caring for a 12-year-old child who has been admitted after being physically abused, which action should be the initial psychosocial intervention to include in the plan of care? a. Refer to a psychologist. b. Provide the opportunity to express feelings. c. Encourage a close relative to visit and talk with the child. d. Refer to a support group.
b It is important to provide the child with the opportunity to express their feelings in a safe and supportive environment. They may be feeling scared, alone, confused, and overwhelmed, and it is essential to address their emotional needs. By giving them the opportunity to talk about what has happened and how they are feeling, the nurse can help the child begin to process their emotions and start the healing process.
A client whose body mass index classifies as obese is trying to become pregnant. The client reports being on a diet and trying to lose weight. Which nursing instruction is best at this time? a. Any diet that is successful should be continued during pregnancy. b. Weight reduction should not be a priority during pregnancy. c. Weight reduction helps in ensuring a vaginal birth. d. Obesity has limited impact on the progression of pregnancy.
b The best nursing instruction at this time would be to tell the client that weight reduction should not be a priority during pregnancy. It is important for the client to maintain a healthy diet and lifestyle during pregnancy to promote the health of the mother and the developing fetus. The nurse should also provide education on healthy eating habits and regular exercise, as appropriate, for pregnant women. Any diet changes should be discussed with the healthcare provider to ensure that the client and her developing fetus receive the appropriate nutrition.
The term "abortion" is defined as; a. Termination of the pregnancy before the fetus weighs 1,000 grams. b. Termination of pregnancy at any time before term viability. c. Termination of pregnancy before the 28th week. d. Termination of pregnancy before the fetus weighs 2,500 grams.
b The term "abortion" is commonly used to refer to the intentional termination of a pregnancy before the fetus has reached the stage of viability, which is typically considered to be around 24 weeks of gestation. However, the precise definition of "viability" may vary depending on a variety of factors, including the health of the mother and the fetus, the medical resources available, and the legal and ethical considerations in a particular jurisdiction.
Which factor would contribute to a high-risk pregnancy? a. history of allergy to honey bee pollen b. first pregnancy at age 33 c. type 1 diabetes d. blood type O positive
c A history of type 1 diabetes would contribute to a high-risk pregnancy. Diabetes can affect both the mother and the fetus during pregnancy, increasing the risk of complications such as preterm labor, preeclampsia, macrosomia (large birth weight), birth defects, and neonatal hypoglycemia. Other factors that may contribute to a high-risk pregnancy include advanced maternal age, previous complications during pregnancy, multiple gestation (e.g. twins), and certain medical conditions such as hypertension or autoimmune disorders. A history of allergy to honey bee pollen or blood type O positive are not typically considered high-risk factors for pregnancy. While advanced maternal age may increase the risk of some complications, first pregnancy at age 33 alone would not be considered high-risk.
An expected symptom of a ruptured ectopic pregnancy would be: a. Easy fatigability b. Extensive external bleeding c. Sudden excruciating pain in lower abdomen d. Elevated blood glucose levels
c An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, most commonly in the fallopian tube. In some cases, the ectopic pregnancy can rupture, which is a medical emergency. A ruptured ectopic pregnancy can cause sudden and severe pain in the lower abdomen, which may be accompanied by vaginal bleeding, dizziness, weakness, and lightheadedness. Other possible symptoms of a ruptured ectopic pregnancy include shoulder pain, which may be caused by the presence of blood in the abdominal cavity that irritates the diaphragm and refers pain to the shoulder.
A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health.? a. "Since families are more stable than in the past, nurses are not as concerned about these problems as they used to be." b. "Asking every client about intimate partner and family violence is the best way to elicit accurate information." c. "The nurse is not legally responsible for reporting suspected intimate partner violence." d. "The nurse should screen for these problems at every client encounter."
d It is important for healthcare professionals to screen for intimate partner violence at every client encounter. Screening can help identify clients who may be experiencing violence and provide opportunities to intervene early and connect them with appropriate resources for help. Asking every client about intimate partner and family violence is the best way to elicit accurate information. Patients may be hesitant to disclose their experiences of intimate partner violence, and it is the nurse's responsibility to create a safe environment for clients to share their experiences. It is also important for the nurse to understand that they may be the only person in a position to help the client and take the necessary steps to address their concerns. It is important to note that the nurse is legally responsible for reporting suspected intimate partner violence, and failure to report can result in legal consequences for the nurse. Therefore, it is crucial for the nurse to be knowledgeable about their legal and ethical responsibilities regarding intimate partner violence.
Mrs. Cruz, 32 y/o, is a G3P2 at 34 weeks AOG. She has been admitted with premature labor. Her membranes are intact. Her cervix is 40% effaced and 1 cm dilated. You are assigned to care for Mrs. Cruz during her hospitalization. Which one of the following nursing action would you do first? a. Encourage her to express her fears. b. Assist her to sit upright in a comfortable position. c. Maintain bed rest and put in left side-lying position. d. Apply an external fetal monitor.
d Mrs. Cruz has been admitted with premature labor, and it is important to assess the fetal heart rate immediately. The external fetal monitor will provide continuous monitoring of the fetal heart rate and uterine contractions, which will help the healthcare team determine if the fetus is tolerating labor. This information will guide decisions about the need for further interventions or delivery.
A client states, "My spose loves me. My spouse did not mean to hit me. My spouse felt so bad. I received flowers to show me how sorry my spouse was for hitting me. I know this will not happen again." How will the nurse respond? a. "I recommend you talk to your spouse about how you felt when you were hit." b. "Will you tell me how many years you and your spouse have been married?" c. "It does seem like your spouse is sincere. I believe you will not be hit again." d. "This is a common action of abusers. It does not mean you will not be hit again."
d The response by the client suggests that they are rationalizing and minimizing the severity of the abuse, and it is important for the nurse to provide education on the cycle of violence and the potential for abuse to escalate. The response that would be most appropriate would be to explain that it is common for abusers to apologize, promise to change, and give gifts to their victims after an abusive incident. However, this behavior is not a guarantee that the abuse will not happen again. The nurse should provide support and education to the client regarding the nature of domestic violence and available resources.