Health Promotions - (FON 25, 26 & HPM 15, 16) Questions

A pregnant patient comes to the clinic for a prenatal visit. At how many weeks' gestation would the patient need to be to hear fetal heart tones using a Doppler scan?

10 weeks

While in the clinic, a first time patient asks the nurse when she should be able to feel the fetus move. What is the nurse's best response?

14-16 weeks gestation

During a health screening of Hispanic children for lead poisoning, the initial question the nurse should ask is:

"Do you use ceramic containers made outside the United States for cooking?"

A pregnant woman comes into the clinic complaining of constipation. Which statement by the patient indicated a need for further teaching?

"I can stop taking my vitamins if I have hemorrhoids."

A pregnant patient asks the nurse about a darkened line that is seen on her abdomen. What would be the best response?

"That is linea nigra, a darkened line from the pubis to the umbilicus, as a result of increased hormones."

What are the roles of the nurse in caring for the patient in the laboring process? (select all that apply)

-Assess labor discomfort every 20 to 30 minutes. -Implement nursing interventions to deal with labor discomfort as needed. -Assess cultural beliefs during labor and delivery management. -Provide teaching about the labor and delivery process

Which of the following statements accurately describe biological growth? (select all that apply)

-Extremely rapid growth occurs in the prenatal, infancy, and adolescent periods -Slower rates of growth occur during the toddler, preschool, and school-age periods. -Infants typically double their birth weight by 6 months of age.

Which of the following elements of nutrition education are included when teaching the lactating mother about her nutritional needs? (select all that apply)

-Lactating women need 7 to 11 servings of carbohydrates per day - Seventy grams of protein per day should come from eating lean meat, fish, eggs, poultry, milk, and dairy products. -Lactating women should consume 500 micrograms of folic acid.

Which of the following are goals of Gilligan's stages of moral development for women in the postconventional stage? (select all that apply)

-Principle of nonviolence -Do not hurt self or others

Which entities recommend that health practitioners within the United States use growth charts for children from birth to 24 months? (select two that apply)

-World Health Organization -Centers for Disease Control and Prevention

Which characteristics are indications of true labor?

-contractions follow a regular pattern -cervix softens, effaces, and dilates -contractions get stronger with ambulation

A nurse is collecting data on a patient who is 28 weeks pregnant. What would the nurse expect the fundal height to measure in centimeters?

28 cm

The nurse assesses the newborn 1 minute after delivery and documents the following data: • Body pink, extremities blue • Heart rate is 120 beats/min • Weak cry, hypoventilation • Some flexion of extremities • Grimace The nurse documents the 1 minute Apgar score as:

6

Which mother is a candidate for the administration of Rho(D) immune globulin (RhoGAM)?

A pregnant Rh-negative mother who experiences a spontaneous abortion

Which of the following maternal changes are presumptive signs of pregnancy?

Amenorrhea Breast Changes Chadwick Sign

A woman comes to the clinical for her first prenatal visit. The nurse asks when her first day of her last menstrual cycle was. The woman reports July 10, 2004. What would the nurse calculate her estimated date of delivery to be using the Naegele rule?

April 17, 2005

The nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development. which statement most accurately represents these concepts?

Development is a gradual change that includes advances in skills.

A pregnant patient comes to the clinic for a prenatal visit. She complains of being frequently awakened at night by leg cramps. What instructions should the nurse give this patient?

Dorsiflex her foot when the cramp occurs

What is the term for the shortening and thinning of the cervix during the first stage of labor?

Effacement

When assessing cultural preferences of a laboring patient, the nurse remembers to ask about traditional birth practices. Which birth practice is the most common in non-American cultures?

Father is not present

The nurse performs assessments of the mother and her fetus throughout the labor process. Which finding indicates a complication?

Fetal heart rate below 100 beats/min

Based on the definitions of gravida and para, what documentation best describes a woman in the clinic who is currently pregnant and has had two prior children?

Gravida III, para II

Which theorist developed his ideas based on interviews that focused on hypothetical moral dilemmas?

Kohlberg

The physician is performing the Leopold maneuver on a laboring patient to check for fetal position. What is the most common position for delivery?

LOA

While assessing a laboring patient, which fetal heart tone, would the nurse consider cause for further or constant?

Late deceleration

The laboring patient has just had membranes ruptured by the physician. The amniotic fluid is greenish-brown in color. What does this abnormal finding indicate?

Passage of meconium stool by the fetus

Which maternal action demonstrates a mother's ability to ensure safe passage for her fetus?

Seeks prenatal care from a health care provider

When the delivery of the placenta is complete, which stage of labor is complete?

Third Stage

Which theory of development asserts that learning precedes development?

Vygotsky's theory of cognitive development

Erikson's theory of psychosocial development identifies the toddler stage as:

autonomy versus shame and doubt

A pregnant patient comes to the hospital saying she thinks she water has broken. The nurses checks the fluid with Nitrazine test paper to determine if the fluid is amniotic fluid or vaginal secretions. What color will the nurse expect the paper to turn if the fluid is amniotic?

deep blue

The nurse assesses the woman for positive signs of pregnancy, which include:

detection of fetal heart tones by Doppler auscultation

Piaget's stage of cognitive development states that characteristics of the sensorimotor stage include:

development of the concept of object permanence

The nurse prevents cold stress in the newborn in the delivery room by:

drying the baby with warm blankets

The nurse teaches the expectant client about interventions that decrease sibling rivalry after birth. These instructions would include:

encouraging the sibling to participate in decisions such as selecting toys for the newborn.

The goal for the couple who attends childbirth education classes is to:

increase knowledge of labor and delivery

The process of gaining specific knowledge or skills that result from exposure, experience, education, and evaluation is known as:

learning

The nurse is caring for her patient in labor. While assessing the patient's vital signs, the nurse notes a drop in patient's blood pressure. To prevent supine hypotension, the nurse should encourage the patient to be in what position?

left lateral side lying

A pregnant patient complains of having to go to the bathroom frequently and sometimes even has stress incontinence. What can the nurse teach the patient to do to increase the tone of the perineum muscles?

perform Kegel exercises