family mid term
A normal umbilical cord contains
2 arteries and 1 vein
how long can you wait for the placenta to deliver before calling an OB/surgeon?
30 min
A group of students is reviewing information about bone healing in children. the students demonstrate understanding of this information when they state:
A child's bones heal more quickly than those of an adult
A nurse is caring for a patient in the first stage of labor and is encouraging the patient to void every two hours. which of the following statements should the nurse make?
A distended bladder reduces pelvic space needed for fetal descent.
a Japanese client refuses to eat food from the hospital cafeteria since that food is not in her normal diet. which action will the nurse implement regarding nutritional needs for this client?
Ask a family member to provide food that is appealing culturally.
a parent brings a preschooler to the behavioral clinic for evaluation. upon entering the room, the child appears not to notice the nurse's presence. the child screams upon the nurse's touch. what condition should the nurse suspect?
Autism
Your patient is in preterm labor at 33 weeks gestation. which of the following drug regimens would you expect to see the patient on?
Betamethasone, clindamycin, procardia, Nifedipine
A patient calls the clinic and reports having contractions for two hours that have increased with activity and did not decrease with hydration, Tylenol and rest. she denies leaking of vaginal fluid but reports mucous and blood when wiping after voiding. Which of the following is the patient experiencing?
Cervical change
which of the following is not a part of the first prenatal visit?
Drawing a Group Beta strep (GBS) status
which of the following is an approved screening tool to assess for the presence of postpartum depression
Eidenburgh
Your patient is pregnant with twins. she has 3 living children and has had 1 spontaneous miscarriage and 1 elective abortion. After this delivery her G/P would be...
G6p4
which of the following would NOT be considered a goal of Healthy People 2020 according to lecture?
Giving free formula to low income mothers who are pregnant and cannot afford to purchase formula once they deliver
a young client in the intensive care unit is in a coma after a sever head injury. the primary nurse is teaching a nursing student hot to assess the clients level of consciousness using a coma scale. what type of scale could be used for this purpose?
Glasgow scale
which is a way that you can contribute to the promotion of the goals Healthy People 2020 chose in your community?
Going to a grocery store and reading product labels to see which brands have a higher content of folic acid. Distribute that information to the WIC clinics and have them promote those products to their clients
which of the following statements from the father of the baby may indicate that he is suffering from postpartum depression?
I dont like talking to baby yet. she cant talk back to me yet
Which of the following statements shows your patients understanding of why they are on continuous fetal monitoring during labor?
I know I have to be monitored due to having a history of fibroids being removed from my uterus 10 years ago.
your patient had a cesarean section 24 hours ago. You know she understands her postoperative teaching when she tells you:
I know I will have to use hibiclens for 5 days after my surgery
What is an appropriate response to a patient who tells you they are afraid of harming himself
I know that things may seem overwhelming right now but talking to someone may help you
Anne is in 1st stage latent labor and is requesting help with pain relief. Her membranes are not ruptured and she is 1 cm dilated. what is the best choice for latent labor?
Iv Fentanyl
when reviewing the medical record of a child what would the nurse interpret as the most sensitive indicator of intellectual disability
Language delay
how can you help a mother with NO risk history avoid depression after delivery
Plan a balanced program including nutrition, exercise, and sleep.
which of the following statements is false?
Postpartum blues occur after at least 3 months postpartum and is characterized by mood swings, tearfulness, insomnia, lack of appetite, and a feeling of letdown
while completing admission questions, the client asks the nurse, 'what is the difference between race and ethnicity"? which response by nurse is appropriate?
Race refers to one's physical characteristics or biology while ethnicity refers to cultural factors.
you are taking care of a full term newborn which is 1 hour old and you hear a heart. murmur. the father of the baby starts crying and asks you what this means. your response should be
This is a normal physiological response as the PDA valve starts to close and his lungs start to work"
Your patient is 45 minutes post delivery and the placenta hasn't delivered spontaneously. which is one of the reasons that the OB/ Surgeon may take your patient to the operating room?
Your patient has a suspected placenta accreta.
the term succenturiate refers to
a condition where a lobe of the placenta is separate than the main placenta and may be retained.
which of the following pre-existing conditions increase a patients risk of postpartum psychosis?
a family history of bipolar disorder
what is not a common risk for birth trauma
a mother being induced for controlled chronic hypertension
a school age boy is on methylphenidate for ADHD. what negative side effect should the mother be advised to monitor for in the child?
appetite suppression
a nurse is applying a cast to a 12 year old boy with a simple fracture of the radius in the arm. what is most important for the nurse to do when she has finished applying the cast?
assess the fingers for warmth, pain, and function
What constitutes labor?
cervical change and contractions
A nurse is teaching a group of parents about characteristics of infants who have failure to thrive. which of the following characteristics should the nurse include in the teaching?
developmental delays
which of the following is not a nursing consideration when assessing a possible shoulder dystocia in labor?
does the mother have diabetes?
which of the following is appropriate nursing education during pregnancy for a patient with severe scoliosis
educate her why someone from anesthesia should come to a clinic appointment to talk to her about her options for pain management during labor and delivery.
A nurse is caring for a patient with postpartum psychosis. what is her main priority?
ensure she has no thoughts of harming herself or her baby
the type of fracture often seen in young children is one in which there is not complete ossification of the bone, and the bone bends and just partially breaks. what types of fracture is this?
greenstick
the nurse is assessing a child and notes s-shaped curvature of the spine. what terminology would the nurse use when documenting this assessment finding?
idiopathic scoliosis
which of the following is a false statement
illicit drug use causes the baby's liver to mature slower making it more difficult to excrete bilirubin
during a home visit, the nurse observes a mother prepare a bottle of skim milk for an 18 month old child. which nursing diagnosis should the nurse use to base instruction for this mother?
imbalanced nutrition
a 9 year old boy was in a car accident. the child is suffering form Post traumatic stress disorder. which would be the best approach for treatment?
individual psychotherapy sessions
The nurse is caring for a child admitted with juvenile idiopathic arthritis (JIA). which clinical manifestation would likely have been noted in the child with this diagnosis?
inflammation of the joints
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. what must be included in teaching parents about how to protect a toddler from accidental poisoning?
keep cleaning solutions locked up
which of the following statements is false?
postpartum depression and postpartum psychosis are normal and may not need therapy
which of the following is a way that you can ensure a patient understands what you are telling them if they speak another language?
use a hospital approved interpreter on a zoom meeting
you are taking care of a patient in labor and deliver and she has a history of drug use. which of the following conditions are not a result of this history?
vasa previa
A nurse is having trouble communicating with a Somali couple regarding how to administer medication to their infant son. Neither parents speak english proficiently. they have a 10 year old daughter however, who appears to speak it fluently. which would be the best course of action for the nurse?
wait for an interpreter to arrive to relay the instructions
the nurse is preforming an assessment on a newborn client. which assessment should the nurse use to measure the clinet's growth? select all that apply -turning or lifting head -weight -height -head circumference -grasping
weight height head circumference
a 13 year old adolescent is being treated for scoliosis with a brace. during the fist followup appointment after the brace was initiated, which statement by the adolescent indicates the need for further instruction?
when I get home from school, i look forward to taking off my brace for a few hours before I go to bed.
At what point should a nurse first offer pharmaceutical intervention for postpartum mental illness in a breastfeeding mother
when the mother seeks help with postpartum depression 3 months after her baby is born
your patients blood type is O- and her husband's blood type is O+. you can deduce that
you will need to obtain the baby's blood type to determine if the mother will need to receive RhoGAM
which of the following is an appropriate response to a patient who states, "I want my baby circumcised before we are discharged home form the hospital"
your baby may be circumcised as long as the shot of vitamin k was given after delivery
which of the following is an indicator of a patient needing a cervical ripening?
your patient's cervix is 2cm/20%/-3 station with a firm cervix
you are taking care of a patient on postpartum. she is breastfeeding her baby and wondering how to know if the baby is getting enough milk. your response should be
" you will know she's getting enough milk when you see milk in your nipple shield and you hear the baby swallowing during feeding" and 'you will know shes getting enough food when her stool turns to a seedy yellowish color'
Your patient has an epidural so as she is comfortable she is asking you questions. One of the questions she asks is "how does my body know when to start producing milk?" your response should be
"when your placenta is delivered your estrogen and progesterone suddenly drop which causes the high prolactin levels to stimulate breast milk production."
what is an appropriate statement from the nurse when her patient asks her why she needs an ultrasound
'you will need an ultrasound around 38 weeks of gestation for fetal growth and amniotic fluid index due to the fact that you are on insulin and your blood sugars have not been stable
you know that your patient understands why her significant other should be included in her prenatal care when she states:
I know that my husband does not have the same typeof bonding with the baby as I do, so its important to involve him as much as possible
you are working in labor and delivery and taking care of a type 2 diabetic patient. you know she understands why she has been admitted when she tells you:
I know that steroids can make my blood sugars high so in need to be monitored.
You are taking care of a patient who is 35 weeks pregnant. You know she understands what delayed cord clamping means when she states..
I know you delay cord clamping to help the baby perfuse better after delivery.
You know that your patient understands her education when you hear her state:
I understand that my mother may be in the room with my husband and I because as the matriarche of the family she will need to pray during my delivery for a safe passage for the baby. Because of our religious beliefs we may have 2 support people in the room instead of 1. and the circumcision one
you know your patient understands how to do fetal kick count when she tells you:
I will count the amount of times my baby moves in 2 hours if there are less than 10 movements I will come into labor and delivery to have a nonstress test
when are you going to decide that there is enough information to conclude that an emergency cesarean section is indicated?
a mother has sever chronic hypertension not controlled by medications, she is 37 weeks pregnant, the amniotic fluid index is below normal, the baby hasn't moved in 3 days, and the baby has not had any accelerations in 60 min on the fetal monitor
which is an example of prejudice?
a nurse does not explain a procedure to a 9-year old boy because the nurse believes that the child wouldn't understand anyways
a home care nurse provides health education to parents regarding the care of their toddler. which precaution should the nurse suggest the parents take to protect the toddler from downing?
avoid unattended baths for the toddler
The mother of a 6 month old infant asks the nurse at a community health center what she should do about her baby, who always wants to put everything in his mouth. what would be an appropriate response by the nurse, based on Freud's theory?
babies at this age explore an enjoy their world with their mouths.
your patient is 2 hours post delivery and complains of increasing bleeding. she shows you her pad and she has bled through 1/2 the pad in 30 min. what are your next actions?
bring the patient to bed check her fundus stay with her and call for help
a young patient comes to the emergency department after getting hit in the head while playing football. the boy states that he does not remember anything from a few minutes before to a few minutes after the injury. he reports having a slight headache; he vomited once on the way to the hospital. what does the nurse expect the diagnosis to be for the patient?
concussion
which of the following is NOT a risk for postpartum depression?
having no history of depression
according to Piaget, one basic concept that a child will learn during the first year is that:
he is separate from his parents
when teaching the parents of a 6 month old born with downs syndrome who is moderately cognitively challenge, which of the following would you include in the teaching plan
he will probably benefit from an early education program
what is one of the most important nursing interventions you can provide to a family whose newborn has a birth defect that wasnt found prior to delivery?
promote bonding and answer all fo their questions openly and honestly
A nursing student will correctly identify that growth is measured by which of the following patterns
hight and weight
which of the following is not an influence on how someone may cope with their pregnancy
how a nurse tells a patient they should be coping with a pregnancy
which of the following is not a cause for late decelerations during labor?
maternal hemorrhaging from a vasa previa
a nurse is caring for a 17 year old female client with bulimia. which complication of this disease may the nurse see in this child?
menstrual problems
which of the following is common birth trauma associated with a vaginal delivery
molding and caput succedaneum
You are caring for a newborn born to a mother with polysubstance abuse. which of the following is not a priority?
monitor baby for low pitched cry.
which of the following is a way in which you could help a baby withdraw from opioids
monitor closely for signs of withdrawl so you know when you will need to admit the baby into the NICU for morphine
a nursing student tells the staff nurse on the pediatric orthopedic unit that she has heard of musculoskeletal disorder in which there is an infection of the bone. which disorder does this statement describe?
osteomyelitis
which of the following is not a physical assessment finding on a patient with postpartum depression
paranoia
the history of a 2 year old child reveals ingestion of clay over the past 6 weeks. the nurse documents this as:
pica
a pregnant women comes into labor and delivery with regular painful contractions. she has only gone to 2 prenatal visits and is bleeding more than normal bloody show. she is screaming for pain medications and is reluctant to tell you anything about her history. what is your top nursing priority?
place the fetal monitors to obtain fetal monitoring. you need to see what is happening with the fetal heart rate.
you have a patient in preterm labor. treatment may include all of the following except: - placing the patient on a continuous fetal and contracting monitoring. - placing the patient on a strict bed rest -placing a foley catheter -iv bolus of lactated ringer 1 liter
placing the patient on strict bed rest
An indian-american 10year old boy is anemic. the nurse is aware that this client has been vegetarian his entire life. what actions should the nurse take?
provide the client with iron rich foods taken from vegetarian sources
the nurse is working with a child diagnosed with encopresis. after a complete medical workup has been done, no organic cause has been found for the disorder. what follow-up will the nurse expect?
referred for counseling
what is a nursing intervention you should provide a patient whose female baby was breech?
schedule a hip ultrasound in 6 weeks
you are taking care of a patient who is 34 weeks pregnant and you know that:
she is more likely to have an episiotomy to decrease cranial pressure
the type of traction in which a pin, wire, tongs, or other devices is surgically inserted through a bone is:
skeletal traction
The nurse is preforming an assessment on an adolescent after the parents report concern about a risk of suicide. which statement by the adolescent is of greatest concern?
sometimes I wish I would not wake up
a nurse is assessing a little boy who has been diagnosed with tourette syndrome. which of the following would the nurse expect to see
speaks sudden, fast phrases out of context
what is an appropriate intervention while helping a postpartum mother with postpartum psychosis
stay with the mother and her newborn until you can get her help so that she doesnt harm herself
A client originally from china is admitted to a medical floor right when lunch trays are being delivered. when the client expresses hunger, the nurse tells the client that the nurse will order some rice for lunch. what is the nurse practicing when telling the client this?
stereotyping
the nurse is teaching a group of teachers how to recognize symptoms of schizophrenia that may occur in adolescence. which statement by a teacher indicates that the teaching was effective
symptoms include hallucinations with a flat affect or paranoia
if a preschooler sees you pour his liquid medicine from a tall thin glass into a short wide one he will probably reason that
the amount of medicine is less (the glass is not as full).
Which of the following is a reason in which a fetus would lose scoring (-2) during a BPP (biophysical profile)?
the baby hasn't has gross fetal movement in 30 min
A mother brings her 15 year old girl to the gynecologists office for a physical examination. the. mother pulls the nurse aside and sats that she is concerned that her daughter may have an eating disorder. which finding would tend to confirm a diagnosis of anorexia nervosa?
the girl repeatedly describes herself as "fat" even though she appears to be severely underweight
which of the following is not a reason to place internal monitors on a patient in labor?
the provider suspects a placenta previa
The parents of an 8 month old hospitalized child tell the nurse they are not going to visit as often since the child screams and is upset when they leave. select the nurses best response
this is a normal behavior and is called separation anxiety
the nurse is caring for a child who has just received a cast for a broken wrist. why should the nurse elevate the limb onto a pillow
to prevent edema
all of the following are causes of preterm labor EXCEPT which? -hypertension -illicit drug use -twin pregnancy -infection
twin pregnancy
which of the following is not an indication of dysfunctional labor? -your patient is 4 ft 11 inches tall and her bmi is 45 pregnancy -the patients contractions are every 2 minutes lasting 100 seconds each palpating strongly -the baby is occiput posterior (face up) -your patient is contracting every 15 min and her cervix is not dilating
your patient is contracting every 15 min and her cervix is not dilating
