EAQs

Perform serial glucose readings

A newborn is admitted to the nursery weighing 10lbs 2oz (4592 g). Which intervention would the nurse implement in relation to this baby's birth weight?

Rocker-bottom feet

Congenital vertical talus, a rare birth defect of the foot in which the talus bone has formed in the wrong position and other foot bones have shifted on top of it. can be associated with Edwards' syndrome (trisomy 18), Patau syndrome (trisomy 13), Trisomy 9 and mutation in the gene HOXD10.

risk factor of IUGR

- inadequate maternal nutrition - diabetes - preeclampsia - oligohydramnios

can produce sterility

In addition to being highly infectious, which additional fact would the nurse teach the client with gonorrhea?

spina bifida

_______ is associated with an increased alpha-fetoprotein level.

Intrauterine growth restriction (IUGR)

a client exhibits oligohydramnios at 36 weeks gestation. For which newborn complication would the nurse monitor?

oral contraceptives transdermal agents

a client is concerned about taking hormones for birth control. Which contraceptives, explained to the client by the nurse, have a hormonal component?

primigravida

a woman who is pregnant for the first time

tracheoesophageal fistula

abnormal passageway pertaining to the trachea and esophagus

the father

an infant needs emergency surgery, the child's mother is 13 yrs old and the father is 16 yrs old. The father and the paternal grandmother, who both take care of the infant, are the only family members at the bedside. From whom would the nurse obtain the informed consent?

each morning before exiting the bed or increasing her activity

at which time would the nurse instruct a 24yr old woman to check her temp when using the basal body temperature (BBT) method for natural family planning?

neural tube defects

information about which factor can be obtained by means of an amniocentesis done during the 16th week of gestation?

macrosomia

large-bodied baby commonly seen in diabetic pregnancies

oligohydramnios

not enough amniotic fluid

webbed neck female sex organs widely spaced nipples

the nurse assessing a newborn identifies several characteristics of Turners syndrome. Which features would the nurse observe?

155 lb (68 kg)

the pregnant client is 5'3" (160 cm) tall and weighs 130 lbs (57 kg) at the beginning of her pregnancy. Which weight would be recommended for her to reach at the end of the pregnancy?

anytime in the cycle

what time in the menstrual cycle would the nurse recommend the client come in for intrauterine device (IUD) insertion?

Inadequate food intake can result in a low-birth-weight infant

which advice would the nurse provide to the primigravida wanting to diet during pregnancy because of concerns about regaining her figure after delivery?

anemia poor maternal weight gain pregnancy-induced HTN

which are the medical concerns in adolescent pregnancies?

preeclampsia

which complication would the nurse anticipate when a client who is 36 weeks pregnant presents with swelling of the face, blurred vision, and epigastric discomfort?

- report worsening symptoms - refrain from sexual relations - use barrier protection devices - contact partners to be tested - take the entire course of antibiotics

which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline

- headache - right upper quadrant (RUQ) abdominal pain - nausea & vomiting

a client with mild preeclampsia is admitted to the labor and birthing suite. Which signs or symptoms would the client be likely to display if she were developing hemolysis, elevated liver enzymes, and low platelet count (HELLP syndrome)?

hypotonia

a condition in which there is diminished tone of the skeletal muscles

Ovaries

which is the primary reproductive organ of the female?

large for gestational age near term

which would the nurse expect the size of a newborn to be if the mother had inadequately controlled type 1 diabetes during her pregnancy?

placenta previa

which is likely cause of painless vaginal bleeding during the last trimester of pregnancy?

imperforate anus

a congenital defect in which the rectal opening is missing or blocked.

- Sickle cell screening (1st visit and/or 11 weeks) - Alpha-fetoprotein (AFP) testing for neural tube defects (14-16 weeks) - Serum glucose for gestational diabetes (26-28 weeks) - fetal movement test (28 weeks) - Group B strep culture (36-37 weeks)

a number of routine screens are performed on the pregnant client during the course of her gestation. Place the tests in order from first to last test done.

Progesterone

a primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. Which hormone would the nurse tell the client maintains pregnancy?

Transdermal agents

a route of administration wherein active ingredients are delivered across the skin for systemic distribution.