Labor and delivery final
In some cultures, how many days of rest is recovery time postpartum to promote maternal rest? A) 40 B) 60 C) 3 D) 10
Answer: A. 40
What type of cells produce surfactant? A. Helper T cells B. Type II alveolar cells C. Plasma cells D. Basal cells
Answer: B. Type II alveolar cells
what is a sign that a baby is latching on correctly?: A) baby latching to the nipple B) baby is sucking C) baby is falling asleep
Answer: B. baby is sucking
Drag and drop 1st Interruption of pregnancy performed at women's request 2nd Purposeful interruption of a pregnancy before 20 weeks of gestation 3rd Interruption of pregnancy for reasons of maternal or fetal health or disease
1st elective abortion 2nd induced abortion 3rd therapeutic abortion
Drag and drop 1st the latter milk that has a higher fat content and helps satisfy infants hunger 2nd what hormone from the posterior pituitary gland causes the milk to be delivered from the alveoli through the duct system to the nipple (let-down reflex) 3rd the first mild the infant obtains 4th what hormone from the anterior pituitary gland causes the production of breast milk
1st hindmilk 2nd oxytocin 3rd foremilk 4th prolactin
Drag and drop 1st Normal duration of pregnancy 2nd Gravida 3rd Para
1st term 2nd any pregnancy 3rd birth after 20 weeks
Drag and drop 1st: Umbilical cord contains 2nd: Placenta has fetal side 3rd: Placenta has maternal side
1st: 2 arteries, 1 vein 2nd: Chorionic villi ( shiny Shultz) 3rd: Decidua basalis ( dirty Duncan)
Drag and drop 1st Fluid that surrounds the developing baby in utero 2nd Developing baby from 9 weeks of gestation until end of Pregnancy 3rd Union of a single egg and sperm, marks the beginning of pregnancy
1st: amniotic 2nd: fetus 3rd: conception
Drag and drop 1st: yolk sac develops as part of this 2nd: second membrane to form (inner) fetal membrane that will contain amniotic fluid 3rd: first outer membrane to form of the fetal membrane
1st: blastocyte 2nd: amnion 3rd: chorion
Drag and drop 1st Positive sign of pregnancy 2nd Presumptive sign of pregnancy 3rd Probable sign of pregnancy
1st: determined by ultrasound, blood or urine test 2nd N/V 3rd Goodall sign
What drug should be immediately available for emergency use when a women receives narcotics during labor? a. diphenhyramine (benadryl) b. naloxone (narcan) c. fentanyl (sublimaze) d. lidocaine (xylocaine)
Answer: B. naloxone (narcan)
A postpartum mother is concerned that her newborn has passed a stool since birth. The newborn is 18 hours old. What is the nurse's best response? A. I will call your pediatrician immediately .B. Passage of the first stool within 48 hours is normal. C. Your newborn might not have a stool until the fourth day. D. Your newborn must be dehydrated.
Answer B. Passage of the first stool within 48 hours is normal.
The postpartum client is concerned about developing Mastitis. Which preventative measures can the nurse can teach? Select all that apply A. Wearing a tight-fitting bra B. Limiting breastfeedings C.Frequent breastfeedings D. Warm compress
Answer C. Frequent breastfeedings & D. Warm compress
During a physical assessment of an at-risk client, the nurse notes generalized edema, crackles at the base of the lungs, and some pulse irregularity. These are most likely signs of: a. Euglycemia. b. Rheumatic fever. c. Pneumonia. d. Cardiac decompensation.
Answer D. Cardiac decompensation.
What information is normally collected from a newborn assessment? (Select all that apply) A. Apgar scores at 1 and 5 minute marks B. Physical Examination C. Vital Signs D. Passing of Meconium E. Circumcision
Answer: (A, B, C, D,) - Apgar scores at 1 and 5 minute marks - Physical Examination - Vital Signs - Passing of Meconium
Order: Valium (diazepam) 4.5 mg IM q4h p.r.n. for anxiety ( the picture of diazepam)
Answer: .9 mL
What is the average amount of blood that is loss from the mom giving vaginal birth?
Answer: 500 mL
The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate? A. Assess fundus and bladder status. B. Catheterize the client. C. Administer Methergine IM per order. D. Contact the physician immediately.
Answer: A Assess fundus and bladder status.
What is the primary cell layer that forms muscles a. Mesoderm b. Ectoderm c. Endoderm
Answer: A Mesoderm
A variety of drugs are used either alone or in combination to provide relief of postpartum pain. Which of the following would be an option for pain relief? A. Nonsteroidal anti-inflammatory agents B. Labetalol C. Methergine D. Intravenous oxytocin
Answer: A Nonsteroidal anti-inflammatory agents
Which hormone causes the let down reflex in mothers? A. Oxytocin B. Prolactin C. Estrogen D. Progesterone
Answer: A oxytocin
The following common physical characteristics in the gestational age assessment include the following (Select all that apply): A. Sole creases B. Breast Tissue C. Ear Form and Cartilage D. Blood pressure E. Temperature
Answer: A, B, C - Sole creases - Breast Tissue - Ear Form and Cartilage
Which of the following are causes of postpartum hemorrhage? A. Coagulation disorders B. Episiotomy C. Diabetes D. Retained Placental fragments E. Firm Fungus
Answer: A, B, D - Coagulation disorders - Episiotomy - Retained Placental fragments
Which are fetal/neonatal risk factors for resuscitation? Select all that apply. A. No reassuring fetal heart rate patter. B. Anything affecting blood flow through the placenta. C. A female baby. D. Prematurity. E. Structural lung abnormalities.
Answer: A, B, D, E - no reassuring fetal heart rate patter - anything affected blood flow through the placenta - prematurity - structural lung abnormalities
What are factors that can lead to the development of Mastitis? Select all that apply A.)Poor latch on B.)Failure to change the babies position C.)Loose clothing D.)Never missing a feeding E.)Stress
Answer: A, B, E - poor latch on - failure to change the babies position - stress
Which of the following provide relief of perineal discomfort postpartum? Select all that apply. A) Ice Packs B) Sitz Baths C) Stretching D) Topical Agents
Answer: A,B, D - ice packs - sitz baths - topical agents
Select all that apply: Signs of a UTI A. Dysuria B. Nocturia C. Hematuria D. Tachycardia
Answer: A,B,C - Dysuria - Nocturia - Hematuria
What are possible postpartum bladder changes to notice during an assessment? (Select all that apply) A. Increased bladder capacity B. Decrease in sensitivity to fluid pressure C. Increased chance of infection due to dilated ureters and renal pelvises D. Patient may exhibit hunger and thirst
Answer: A,B,C - Increased bladder capacity - Decrease in sensitivity to fluid pressure - Increased chance of infection due to dilated ureters and renal pelvises
The nurse is discussing storage of breast milk with a mother whose infant is preterm and in the special care unit. What statement would indicate that the mother needs additional teaching? A. "I can store my breast milk in the refrigerator for 3 months." B. "I can store my breast milk in the freezer for 3 months." C. "I can store my breast milk at room temperature for 8 hours." D. "I can store my breast milk in the refrigerator for 3 to 5 days."
Answer: A. "I can store my breast milk in the refrigerator for 3 months."
A careful review of the literature on the various recreational and illicit drugs reveals that: A. More longer-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs. B. Heroin and methadone cross the placenta; marijuana, cocaine, and phencyclidine (PCP) do not. C. Mothers should get off heroin (detox) any time they can during pregnancy. D. Methadone withdrawal for infants is less severe and shorter than heroin withdrawal.
Answer: A. More longer-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs.
To provide competent care to an Asian-American family, the nurse should include which of the following questions during the assessment interview? a. "Do you prefer hot or cold beverages?" b. "Do you want milk to drink?" c. "Do you want music playing while you are in labor?" d. "Do you have a name selected for the baby?"
Answer: A. "Do you prefer hot or cold beverages?"
After you complete your nutritional counseling for a pregnant woman, you ask her to repeat your instructions so you can assess her understanding of the instructions given. Which statement indicates that she understands the role of protein in her pregnancy? a. "Protein will help my baby grow." b. "Eating protein will prevent me from becoming anemic." c. "Eating protein will make my baby have strong teeth after he is born." d. "Eating protein will prevent me from being diabetic."
Answer: A. "Protein will help my baby grow."
Your client is being induced because of her worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active despite several hours of oxytocin administration. She asks the nurse, "Why is it taking so long?" The most appropriate response by the nurse would be: a. "The magnesium is relaxing your uterus and competing with the oxytocin. It may increase the duration of your labor." b. "I don't know why it is taking so long." c. "The length of labor varies for different women." d. "Your baby is just being stubborn."
Answer: A. "The magnesium is relaxing your uterus and competing with the oxytocin. It may increase the duration of your labor."
What is the recommended weight gain for an average body type during pregnancy a. 25-35 lbs b. 15-25 lbs c. 35-45 lbs d. 5-15 lbs
Answer: A. 25- 35 lbs
The recommended dosage of kanamycin is 15 mg/kg/day q8h. The child weighs 25 kg. The amount for one dose is _______________. a. 375 mg b. 125 mg c. 187.5 mg d. 93.75 mg
Answer: A. 375 mg
With regard to spinal and epidural block anesthesia, a nurse should know that: A. A high incidence of post birth headache is seen with spinal blocks. B. Epidural blocks allow the woman to move freely. C. Spinal and epidural blocks are never used together. D. This anesthesia is commonly used for a C-section but is not suitable for vaginal births.
Answer: A. A high incidence of post birth headache is seen with spinal blocks.
When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is: A. Absence of cyanosis in the buccal mucosa. B. Cool, dry skin. C. Diminished restlessness. D. Urinary output of at least 30 ml/hr.
Answer: A. Absence of cyanosis in the buccal mucosa.
Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue, joint deformities, ocular dislocation, and weakness to the aortic wall and root. While providing care to a client with Marfan syndrome during labor, which intervention should the nurse complete first? a. Antibiotic prophylaxis b. b-Blockers c. Surgery d. Regional anesthesia
Answer: A. Antibiotic prophylaxis
Order: Levophed 2 to 12 mcg/min Available: Levophed 4 mg in 500 mL D5W Calculate the IV flow rates for the lowest and highest dosages: _____ and _____ a. 15 and 90 mL/hr b. 8 and 24 mL/hr c. 15 and 30 mL/hr d. 120 and 240 mL/hr
Answer: A. 15 and 90 mL/hr
In evaluating the effectiveness of oxytocin induction, the nurse would expect: a. Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart. b. The intensity of contractions to be at least 110 to 130 mm Hg. c. Labor to progress at least 2 cm/hr dilation. d. At least 30 mU/min of oxytocin will be needed to achieve cervical dilation.
Answer: A. Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart.
Which of the following indicates DVT A. Homan's sign B. Fatigue C. Pain when standing D. Knob' s sign
Answer: A. Homan's sign
One day after giving birth vaginally, a patient develops painful vesicular lesions on her perineum and vulva. She is diagnosed with a primary herpes simplex 2 infection. The expected care for her neonate includes: Select one: a.Intravenous acyclovir (Zovirax) and contact precautions. b. Parental rooming-in and four intramuscular injections of penicillin. c. Meticulous hand washing and antibiotic eye ointment administration. d. Cultures of blood and CSF and serial chest x-rays every 12 hours.
Answer: A. Intravenous acyclovir (Zovirax) and contact precautions.
What position would be least effective when gravity is desired to assist in fetal descent? a. Lithotomy b. Kneeling c. Sitting d. Walking
Answer: A. Lithotomy
As the United States and Canada continue to become more culturally diverse, it isincreasingly important for the nursing staff to recognize a wide range of varying culturalbeliefs and practices. Nurses need to develop respect for these culturally diverse practicesand learn to incorporate these into a mutually agreed on plan of care. Although it is common practice in the United States for the father of the baby to be present at the birth, in many societies this is not the case. When implementing care, the nurse would anticipate that a woman from which country would have the father of the baby in attendance? A. Mexico B. China C. Iran D. India
Answer: A. Mexico
The woman's family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do? a. Observe the family members' interactions with the newborn and one another. b. Ask the woman to meet with her and the baby alone. c. Do a brief assessment on all family members present. d. Reschedule the visit for another time so that the mother and infant can be assessed privately.
Answer: A. Observe the family members' interactions with the newborn and one another.
The nurse can help a father in his transition to parenthood by: a. Pointing out that the infant turned at the sound of his voice. b. Encouraging him to go home to get some sleep. c. Telling him to tape the infant's diaper a different way. d. Suggesting that he let the infant sleep in the bassinet.
Answer: A. Pointing out that the infant turned at the sound of his voice.
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that: a. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. b. This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. c. The woman is a victim of domestic violence and is being hit in the face by her partner. d. The woman has been using cocaine intranasally.
Answer: A. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
A nursing instructor is demonstrating how to perform a heel stick on a newborn. To obtain an accurate capillary hematocrit reading, the nursing instructor tells the students to: Select one: a. Warm the heel with warm wash cloth or use heel warmer packet b. Cool the heel prior to obtaining blood. c. Use a sterile needle and aspirate. d. Use a previous puncture site.
Answer: A. Warm the heel with warm wash cloth or use heel warmer packet
A mother's household consists of her husband, his mother, and another child. She is living in a(n) a. Extended family b. Single-parent family c. Married-blended family d. Trinuclear family
Answer: A. extended family
The most serious potential problem if a woman's bladder is distended in the early postpartum period is: a. hemorrhage b. infection c. vomitting
Answer: A. hemorrhage
A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats/min, respiratory rate of 24 breaths/min, blood pressure (BP) of 155/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for: a. Hydralazine. b. Magnesium sulfate bolus. c. Diazepam. d. Calcium gluconate.
Answer: A. hydralazine
Delivery of the placenta until women's body returns to nonpregnant condition is called? a. Postpartum b. Intrapartum c. Antepartum
Answer: A. postpartum
The nurse is teaching a group of new parents about the experience of role transition. Which statement by a parent indicates a correct understanding of the teaching? A. "My marital relationship can have a positive or negative effect on the role transition." B. "If an infant has special care needs, the parents' sense of confidence in their new role is strengthened." C. "Young parents can adjust to the new role easier than older parents." D. "A parent's previous experience with children makes the role transition more difficult."
Answer: A. "My marital relationship can have a positive or negative effect on the role transition."
A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents? A. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide." B. "The drug keeps your baby from requiring too much sedation." C. "Surfactant is used to reduce episodes of periodic apnea." D. "Your baby needs this medication to fight a possible respiratory tract infection."
Answer: A. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide."
A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, "What is this black, sticky stuff in her diaper?" The nurse's best response is: A. "That's meconium, which is your baby's first stool. It's normal." B. "That's transitional stool." C. "That means your baby is bleeding internally." D. "Oh, don't worry about that. It's okay."
Answer: A. "That's meconium, which is your baby's first stool. It's normal."
An IV of 50 mg nitroglycerin in 250 mL D5W is infusing at 3 mL/hr. What dose is the client receiving? _______________ a. 10 mcg/min b. 50 mcg/min c. 0.6 mg/min d. 60 mcg/hr
Answer: A. 10 mcg/min
A pregnant woman wants to breastfeed her infant, but her husband is not convinced that there are any scientific reasons to do so. The nurse can give the couple printed information comparing breastfeeding and bottle-feeding. What statement is true? Bottle-feeding using commercially prepared infant formulas: A. Increases the risk that the infant will develop allergies. B. Helps the infant sleep through the night. C. Ensures that the infant is getting iron in a form that is easily absorbed. D. Requires that multivitamin supplements be given to the infant.
Answer: A. Increases the risk that the infant will develop allergies.
A woman being treated for preterm labor is receiving magnesium sulfate for fetal neuroprotection. The nurse is concerned that the patient is experiencing early drug toxicity. What assessment finding by the nurse indicates early magnesium sulfate toxicity? Select one: a. Patellar reflexes are weak or absent. b. Fetal heart rate of 120. c. Respiratory rate of 16. d. Complaints by the pateint of feeling flushed and warm.
Answer: A. Patellar reflexes are weak or absent.
A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. What intervention would be the top priority? a. Placing the woman in the knee-chest position b. Covering the cord in sterile gauze soaked in saline c. Preparing the woman for a cesarean birth d. Starting oxygen by face mask
Answer: A. Placing the woman in the knee-chest position
The nurse assesses the newborn and notes the following behaviors: nasal flaring, expiratory grunting, excessive mucus, and a respiratory rate of 72 breaths per minute. The nurse is most concerned about: Select one: A. Respiratory distress B. Neonatal hyperthermia. C. Neonatal jaundice. D. Polycythemia.
Answer: A. Respiratory distress
What color should the lochia be 1-3 days postpartum? A. Rubra B. Serosa C. Alba D. Leviosa
Answer: A. Rubra
An examiner who discovers unequal movement or uneven gluteal skin folds during the Ortolani maneuver would then: A. Tell the parents that one leg may be longer than the other, but they will equal out by the time the infant is walking. B. Alert the physician that the infant has a dislocated hip. C. Inform the parents and physician that molding has not taken place. D. Suggest that, if the condition does not change, surgery to correct vision problems might be needed.
Answer: A. Tell the parents that one leg may be longer than the other, but they will equal out by the time the infant is walking.
A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A nonstress test (NST) in the obstetrician's office revealed a nonreactive tracing. On artificial rupture of membranes, thick, meconium-stained fluid was noted. The nurse caring for the infant after birth should anticipate: A. Meconium aspiration, hypoglycemia, and dry, cracked skin. B. Excessive vernix caseosa covering the skin, lethargy, and respiratory distress syndrome. C. Golden yellow- to green stained-skin and nails, absence of scalp hair, and an increased amount of subcutaneous fat. D. Hyperglycemia, hyperthermia, and an alert, wide-eyed appearance.
Answer: A. Meconium aspiration, hypoglycemia, and dry, cracked skin.
What type of cultural concern is the most likely deterrent to many women seeking prenatal care? a. Religion b. Modesty c. Ignorance d. Belief that physicians are evil
Answer: B modesty
The nurse observes several interactions between a postpartum woman and her new son. What behavior, if exhibited by this woman, would the nurse identify as a possible maladaptive behavior regarding parent-infant attachment? A. Talks and coos to her son B. Seldom makes eye contact with her son C. Cuddles her son close to her D. Tells visitors how well her son is feeding
Answer: B Seldom makes eye contact with her son
Causes for postpartum hemorrhage includes.... (select all that apply) a. C-section b. Episiotomy c. Uterine Rupture d. vaginal birth e. Coagulation disorders
Answer: B, C, E - Episiotomy - Uterine Rupture - Coagulation disorders
Select all) MAS, or Meconium Aspiration Syndrome, is when meconium enters the amniotic fluid and can be aspirated during the infant's first breaths. This can lead to obstruction of airways, chemical pneumonitis, and inactivation of natural surfactant. Which of the following are expected signs of MAS? A) fast heartbeat B) cyanosis C) low APGAR scores (below 6) D) blue nails E) decreased air movement
Answer: B,C, E - cyanosis - low APGAR score ( below 6) - decreased air movement
A mother is in a office visit what statement indicates that the mother may have postpartum depression? A) "I feel so tires all the time. I cant sleep, I don't feel like eating, and I just feel sad." B) "I feel lost sometimes. I don't know if I am protecting the child and sometimes I feel like I am fine one minute then angry the next." C) "I am confused a lot, I don't know what I am doing. I just feel like something is telling me I cant be a parent." D) "I love my child but I feel like a need a break. I cant sleep and my husband is sleeping in a different bed now. I feel like the baby may be pushing us away."
Answer: B. "I feel lost sometimes. I don't know if I am protecting the child and sometimes I feel like I am fine one minute then angry the next."
Which statement made by a lactating woman would lead the nurse to believe that the woman might have lactose intolerance? a. "I always have heartburn after I drink milk." b. "If I drink more than a cup of milk, I usually have abdominal cramps and bloating." c. "Drinking milk usually makes me break out in hives." d. "Sometimes I notice that I have bad breath after I drink a cup of milk."
Answer: B. "If I drink more than a cup of milk, I usually have abdominal cramps and bloating."
The parents of a newborn ask the nurse how much the newborn can see. The parentsspecifically want to know what type of visual stimuli they should provide for their newborn. The nurse responds to the parents by telling them: a. "Infants can see very little until about 3 months of age." b. "Infants can track their parent's eyes and distinguish patterns; they prefer complex patterns." c. "The infant's eyes must be protected. Infants enjoy looking at brightly colored stripes." d. "It's important to shield the newborn's eyes. Overhead lights help them see better."
Answer: B. "Infants can track their parent's eyes and distinguish patterns; they prefer complexpatterns."
Which of the following would not be a contraindication for a mother to begin breastfeeding?A.) The mother is HIV positive B.) The mother has cold sores around her mouth C.) The mother is on medications not recommended for infant consumption D.) The mother has breast cancer
Answer: B. The mother has cold sores around her mouth
What statement by a newly delivered woman indicates that she knows what to expect about her menstrual activity after childbirth? A. "My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter." B. "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles." C. "I will not have a menstrual cycle for 6 months after childbirth." D. "My first menstrual cycle will be heavier than normal and then will be light for several months after."
Answer: B. "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles."
The perinatal nurse is giving discharge instructions to a woman, status postsuction curettage secondary to a hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12 months. The best response from the nurse would be: A. "If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if you desire a future pregnancy, it would be better for you to use the most reliable method of contraception available." B. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it would make the diagnosis of this cancer more difficult." C. "If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy is rare. Therefore, to improve your chance of a successful pregnancy, it is better not to get pregnant at this time." D. "Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar pregnancy."
Answer: B. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it would make the diagnosis of this cancer more difficult."
The nurse seeing a patient just diagnosed with Chlamydia trachomatisknows that which patient is at greatest risk for the infection? Select one: a. 22-year-old mother of two, developed dyspareunia b. 16-year-old sexually active girl, using no contraceptive c. 35-year-old woman on oral contraceptives d. 48-year-old woman with hot flashes and night sweats
Answer: B. 16-year-old sexually active girl, using no contraceptive
Ampicillin 1 g in 50 mL D5W to infuse over 45 minutes. Drop factor is 20 gtt/mL. _____ a. 11 gtt/min b. 22 gtt/min c. 17 gtt/min d. 50 gtt/min
Answer: B. 22 gtt/min
Sperm can survive in the female reproductive area for how long? a. 1 hour b. 3 days c. 3 hours d. 2 weeks
Answer: B. 3 days
The nurse is caring for a jaundiced infant receiving bank light phototherapy in an isolette. Which finding requires an immediate intervention? Select one: a.Infant removed from the isolette for breastfeeding. b. Axillary temperature 99.7° F. c. Eyes are covered, no clothing on, diaper in place. d. Loose bowel movement.
Answer: B. Axillary temperature 99.7° F.
An important development that concerns maternity nursing is integrative health care, which: a. Seeks to provide the same health care for all racial and ethnic groups. b. Blends complementary and alternative therapies with conventional Western treatment. c. Focuses on the disease or condition rather than the background of the client. d. Has been mandated by Congress.
Answer: B. Blends complementary and alternative therapies with conventional Western treatment.
A woman has been diagnosed with a high risk pregnancy. She and her husband come into the office in a very anxious state. She seems to be coping by withdrawing from the discussion, showing declining interest. The nurse can best help the couple by: A. Telling her that the physician will isolate the problem with more tests. B. Encouraging her and urging her to continue with childbirth classes. C. Becoming assertive and laying out the decisions the couple needs to make. D. Downplaying her risks by citing success rate studies.
Answer: B. Encouraging her and urging her to continue with childbirth classes.
Two hours after a vaginal birth with an epidural anesthesia, the nurse determines that the woman's bladder is full. The most appropriate initial nursing action is to: b. Help her walk to the bathroom if movement and sensation have returned. c. ask her how full her bladder feels before allowing her to walk to the bathroom d. take no action unless the woman says her full bladder makes her uncomfortable e. insert an indwelling catheter until the woman is at least 8 hours post partum
Answer: B. Help her walk to the bathroom if movement and sensation have returned.
The nurse is assisting a multiparous postpartum woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak. Which is the priority nursing action? A)Assist the client to empty her bladder. B)Help the client back to bed to check her fundus. C)Assess her blood pressure and pulse. D)Begin an IV of lactated Ringer infusion.
Answer: B. Help the client back to bed to check her fundus.
Consists of two successive cell divisions resulting in daughter cells that contain only half the DNA of normal somatic cell a. Mitosis b. Meiosis c. Bioiosis
Answer: B. Meiosis
Risk factors tend to be interrelated and cumulative in their effect. While planning the care for a laboring client with diabetes mellitus, the nurse is aware that he or she is at a greater risk for: a. Oligohydramnios. b. Polyhydramnios. c. Postterm pregnancy. d. Chromosomal abnormalities.
Answer: B. Polyhydramnios
The blood patch may be done to relieve: a. Respiratory depression b. Postspinal headache c. Prolonged numbness e. Low blood pressure
Answer: B. Postspinal headache
The modern woman faces increasing levels of stress on a daily basis. As a result she is prone to a variety of increased complaints and illness. The nurse is most likely aware of the psychologic symptoms of stress such as anxiety and depression; however, a number of physiologic symptoms may also occur. To best assist her client in managing these symptoms the nurse is aware that stress may also result in: a. Decreased heart rate and blood pressure. b. Rapid digestion resulting in heartburn. c. Decrease in hormone levels. d. Flare-ups of arthritis and asthma.
Answer: B. Rapid digestion resulting in heartburn.
What could you suggest for a women that is having pain due to breast engorgement? A) Tell her to hold off feeding to reduce the pain. B) Tell her to apply cabbage leaves to her breast. C) Tell her to massage her breast before nursing. D) all of the above
Answer: B. Tell her to apply cabbage leaves to her breast.
In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation, the nurse would include what information? a. "Because this is a repeat procedure, you are at the lowest risk for complications." b. "Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures." c. "Because this is your second cesarean birth, you will recover faster." d. "You will not need preoperative teaching because this is your second cesarean birth."
Answer: B. "Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures."
A first-time mother is concerned about the type of medications she will receive during labor. She is in a fair amount of pain and is nauseous. In addition, she appears to be very anxious. You explain that opioid analgesics often are used with sedatives because: A. "The two together work the best for you and your baby." B. "Sedatives help the opioid work better, and they also will help relax you and relieve your nausea." C. "They work better together so you can sleep until you have the baby." D. "This is what the doctor has ordered for you."
Answer: B. "Sedatives help the opioid work better, and they also will help relax you and relieve your nausea."
At what week does the fetal heart start beating a. 18-20 b. 4-6 c. 12-16 d. 8-10
Answer: B. 4-6 weeks
A postpartum mom who bottle feeding and refuses to breastfeed experiencing breast engorgement. What should the nurse recommend? A.) The patient start breast feeding B.)Apply Ice packs to her breast C.) Remove her bra D.)Apply heat to her breast
Answer: B. Apply ice packs to her breast
Special needs for obese patients includes paying special attention to what? a. BMI b. Asses for airway obstruction c. Diet and Exercise d. Family history
Answer: B. Asses for airway obstruction
A student nurse is caring for a neonate undergoing intensive phototherapy. Which action indicates that the student understands how to provide care for an infant undergoing intensive phototherapy? A. Assesses temperature every 6 hours B. Assesses urine specific gravity with each voiding C. Removes eye coverings to help keep the baby calm D. Removes the infant from the Isolette for diaper changes
Answer: B. Assesses urine specific gravity with each voiding
The nurse providing care for a woman with preterm labor on terbutaline would include which intervention to identify side effects of the drug? a. Assessing deep tendon reflexes (DTRs) b. Assessing for chest discomfort and palpitations c. Assessing for bradycardia d. Assessing for hypoglycemia
Answer: B. Assessing for chest discomfort and palpitations
An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pregestational diabetes. She attends her centering appointment accompanied by one of her girlfriends. This young woman appears more concerned about how her pregnancy will affect her social life rather than her recent diagnosis of diabetes. A number of nursing diagnoses are applicable to assist in planning adequate care. The most appropriate diagnosis at this time is: a. Risk for injury to the fetus related to birth trauma. b. Noncompliance related to lack of understanding of diabetes and pregnancy and requirements of the treatment plan. c. Deficient knowledge related to insulin administration. d. Risk for injury to the mother related to hypoglycemia or hyperglycemia.
Answer: B. Noncompliance related to lack of understanding of diabetes and pregnancy and requirements of the treatment plan.
Which stage of labor begins with complete cervical dilation and ends with birth of the baby? A. First B. Second C. Third D. Fourth
Answer: B. Second
A maternal serum alpha-fetoprotein (AFP) test indicates an elevated level. It is repeated and again is reported as higher than normal. What would be the next step in the assessment sequence to determine the well-being of the fetus? a. Percutaneous umbilical blood sampling (PUBS) b. Ultrasound for fetal anomalies c. Biophysical profile (BPP) for fetal well-being d. Amniocentesis for genetic anomalies
Answer: B. Ultrasound for fetal anomalies
A mother in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems and sensations of bearing down and of something in her vagina. The nurse would realize that the client most likely is suffering from: A. Pelvic relaxation. B. Cystoceles and/or rectoceles. C. Uterine displacement. D. Genital fistulas.
Answer: B. Cystoceles and/or rectoceles
During a follow-up visit, if parents have progressed to the second stage or phase of grieving, the nurse should not expect to see: A. Guilt, particularly in the mother. B. Numbness or lack of response. C. Bitterness or irritability. D. Fear and anxiety, especially about getting pregnant again.
Answer: B. Numbness or lack of response.
Intervention for the sexual abuse survivor often is not attempted by maternity and women's health nurses because of the concern about increasing the woman's distress and the lack of expertise in counseling. What initial intervention is appropriate and most important in facilitating the woman's care? a. Initiating a referral to an expert counselor b. Setting limits on what the client discloses c. Listening and encouraging therapeutic communication skills d. Acknowledging the nurse's discomfort to the client as an expression of empathy
Answer: C Listening and encouraging therapeutic communication skills
The normal term infant has little difficulty clearing its airway after birth. Most secretions are brought up to the oropharynx by the cough reflex. However, if the infant has excess secretions, the mouth and nasal passages can be cleared easily with a bulb syringe. When instructing parents on the correct use of this piece of equipment, it is important that the nurse teach them to: A. Avoid suctioning the nares. B. Insert the compressed bulb into the center of the mouth. C. Suction the mouth first. D. Remove the bulb syringe from the crib when finished.
Answer: C Suction the mouth first
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her: a. "You don't need to modify your exercising any time during your pregnancy." b. "Stop exercising because it will harm the fetus." c. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." d. "Jogging is too hard on your joints; switch to walking now."
Answer: C. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month."
An infant is being discharged from the neonatal intensive care unit after 70 days of hospitalization. The infant was born at 30 weeks of gestation with several conditions associated with prematurity, including respiratory distress syndrome, mild bronchopulmonary dysplasia, and retinopathy of prematurity requiring surgical treatment. During discharge teaching the infant's mother asks the nurse if her baby will meet developmental milestones on time, as did her son who was born at term. The nurse's most appropriate response is: A. "Your baby will develop exactly like your first child did." B. "Your baby does not appear to have any problems at the present time." C. "Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing." D. "Your baby will need to be followed very closely."
Answer: C. "Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing."
A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse? a. Blood pressure (BP) increase to 138/86 mm Hg b. Weight gain of 0.5 kg during the past 2 weeks c. A dipstick value of 3+ for protein in her urine d. Pitting pedal edema at the end of the day
Answer: C. A dipstick value of 3+ for protein in her urine
At a 2-month well-baby examination, it was discovered that a breastfed infant had only gained 10 ounces in the past 4 weeks. The mother and the nurse agree that, to gain weight faster, the infant needs to: A. Begin solid foods. B. Have a bottle of formula after every feeding. C. Add at least one extra breastfeeding session every 24 hours. D. Start iron supplements.
Answer: C. Add at least one extra breastfeeding session every 24 hours.
Absence or cessation of menstrual flow most commonly associated with Pregnancy a. Menorrhigia b. Dysmenorrhea c. Amenorrhea
Answer: C. Amenorrhea
Preeclampsia is a unique disease process related only to human pregnancy. The exact cause of this condition continues to elude researchers. The American College of Obstetricians and Gynecologists has developed a comprehensive list of risk factors associated with the development of preeclampsia. Which client exhibits the greatest number of these risk factors? a. A 30-year-old obese Caucasian with her third pregnancy b. A 41-year-old Caucasian primigravida c. An African-American client who is 19 years old and pregnant with twins d. A 25-year-old Asian-American, whose pregnancy is the result of donor insemination
Answer: C. An African-American client who is 19 years old and pregnant with twins
A woman has prostaglandin vaginal insert placed the day before she is scheduled for induction of labor at 40 weeks. Which is the most appropriate teaching immediately after procedure? a. stay in bed n your left side until oxytocin infusion is started b. We will check the baby's heat rate after you walk for 30 minutes c. Call the nurse if you notice fluid leaking from your vagina e. Expect vigorous and frequent contractions in about 30 minutes
Answer: C. Call the nurse if you notice fluid leaking from your vagina
While assessing the integument of a 24-hour-old newborn, the nurse notes a pink, papular rash with vesicles superimposed on the thorax, back, and abdomen. The nurse should: A. Notify the physician immediately. B. Move the newborn to an isolation nursery. C. Document the finding as erythema toxicum. D. Take the newborn's temperature and obtain a culture of one of the vesicles.
Answer: C. Document the finding as erythema toxicum.
In providing nutritional counseling for the pregnant woman experiencing cholecystitis, the nurse would: a. Assess the woman's dietary history for adequate calories and proteins. b. Instruct the woman that the bulk of calories should come from proteins. c. Instruct the woman to eat a low-fat diet and avoid fried foods. d. Instruct the woman to eat a low-cholesterol, low-salt diet.
Answer: C. Instruct the woman to eat a low-fat diet and avoid fried foods.
To ensure client safety the practicing nurse must have knowledge of the current Joint Commission's "Do Not Use" list of abbreviations. Which abbreviation is acceptable for use? a. q.o.d. or Q.O.D b. MSO4 or MgSO4 c. International Unit d. Lack of a leading zero
Answer: C. International Unit
Providing care for the neonate born to a mother who abuses substances can present achallenge for the health care team. Nursing care for this infant requires a multisystemapproach. The first step in the provision of this care is: a. Pharmacologic treatment. b. Reduction of environmental stimuli. c. Neonatal abstinence syndrome scoring. d. Adequate nutrition and maintenance of fluid and electrolyte balance.
Answer: C. Neonatal abstinence syndrome scoring
The use of genetic information to individualize drug therapy is called a. Pharmacopoeias b. Pharmodynamics c. Pharmacogeonomics d. Genetics
Answer: C. Pharmacogeonomics
In planning for home care of a woman with preterm labor, the nurse needs to address what concern? a. Nursing assessments will be different from those done in the hospital setting. b. Restricted activity and medications will not be necessary to prevent recurrence of preterm labor. c. Prolonged bed rest may cause negative physiologic effects. d. Home health care providers will be necessary for all women that are potential for preterm labor.
Answer: C. Prolonged bed rest may cause negative physiologic effects.
Choose the situation that describes appropriate administration of Rh immune globulin (RhoGAM). a. Rh-negative infant, Rh-positive mother, gien IM to the mother within 72 hours of birth c. Rh-postitive infant, Rh-negative mother, given IM to the mother within 72 hours of birth d. Rh-positive infant, Rh-negative mother, given IV to the mother within 1 week after birth e. Rh negative infant, Rh-negative mother, given IV to the infant within 12 hours after birth
Answer: C. Rh-postitive infant, Rh-negative mother, given IM to the mother within 72 hours of birth
Prepidil (prostaglandin gel) has been ordered for a pregnant woman at 43 weeks of gestation. The nurse recognizes that this medication will be administered to: a. Enhance uteroplacental perfusion in an aging placenta. b. Increase amniotic fluid volume. c. Ripen the cervix in preparation for labor induction. d. Stimulate the amniotic membranes to rupture.
Answer: C. Ripen the cervix in preparation for labor induction.
What position do doctors and nurses put postpartum mothers in to relieve perineal discomfort? A. Supine B. Dorsal recombinant C. Prone D. High folwers
Answer: C. prone
A primigravida has just delivered a healthy infant girl. The nurse is about to administer erythromycin ointment in the infant's eyes when the mother asks, "What is that medicine for?" The nurse responds: A. "It is an eye ointment to help your baby see you better." B. "It is to protect your baby from contracting herpes from your vaginal tract." C. "Erythromycin is given prophylactically to prevent a gonorrheal infection." D. "This medicine will protect your baby's eyes from drying out over the next few days."
Answer: C. "Erythromycin is given prophylactically to prevent a gonorrheal infection."
Clindamycin 900 mg in 75 mL D5W over 30 minutes. Drop factor is 15 gtt/mL. _____ a. 25 gtt/min b. 30 gtt/min c. 38 gtt/min d. 50 gtt/min
Answer: C. 38gtt/min
A patient presents to the emergency room at 28 weeks gestation with a small amount of vaginal bleeding and no uterine contractions. The nurse suspects that patient has A. Abruptio Placentae B. Placenta Previa C. A Urinary Tract Infection D. Lacerations
Answer: C. A Urinary Tract Infection
A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced, and the presenting part was at station 0. Five minutes ago her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this description? a. Prolonged latent phase b. Protracted active phase c. Arrest of active phase d. Protracted descent
Answer: C. Arrest of active phase
A woman arrives for evaluation of her symptoms, which include a missed period, adnexal fullness, tenderness, and dark red vaginal bleeding. On examination the nurse notices an ecchymotic blueness around the woman's umbilicus and recognizes this assessment finding as: a. Normal integumentary changes associated with pregnancy. b. Turner's sign associated with appendicitis. c. Cullen's sign associated with a ruptured ectopic pregnancy. d. Chadwick's sign associated with early pregnancy.
Answer: C. Cullen's sign associated with a ruptured ectopic pregnancy.
The uterine contractions of a woman early in the active phase of labor are assessed by an internal uterine pressure catheter (IUPC). The nurse notes that the intrauterine pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting tone range is 6 to 10 mm Hg. The uterine contractions occur every 3 to 4 minutes and last an average of 55 to 60 seconds. On the basis of this information, the nurse should: a. Notify the woman's primary health care provider immediately. b. Prepare to administer an oxytocic to stimulate uterine activity. c. Document the findings because they reflect the expected contraction pattern for the active phase of labor. d. Prepare the woman for the onset of the second stage of labor.
Answer: C. Document the findings because they reflect the expected contraction pattern for the active phase of labor.
A recommendation to prevent neural tube defects is the supplementation of: A. Vitamin A throughout pregnancy. B. Multivitamin preparations as soon as pregnancy is suspected. C. Folic acid for all women of childbearing age. D. Folic acid during the first and second trimesters of pregnancy.
Answer: C. Folic acid for all women of childbearing age.
Jaundice is the yellowish coloring of the skin and sclerae where deposits of bilirubin is deposited in tissues. What does jaundice NOT depend on what? A) maturity of the liver B) presence of albumin binding sites C) function of the liver D) bilirubin load
Answer: C. Function of the liver
A woman in labor has just received an epidural block. The most important nursing intervention is to: a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia.
Answer: C. Monitor the maternal blood pressure for possible hypotension.
Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team. Nursing care for this infant requires a multisystem approach. The first step in the provision of this care is: A. Pharmacologic treatment. B. Reduction of environmental stimuli. C. Neonatal abstinence syndrome scoring. D. Adequate nutrition and maintenance of fluid and electrolyte balance.
Answer: C. Neonatal abstinence syndrome scoring.
The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to: A. Call the woman's primary health care provider. B. Administer the standing order for an oxytocic. C. Palpate the uterus and massage it if it is boggy. D. Assess maternal blood pressure and pulse for signs of hypovolemic shock.
Answer: C. Palpate the uterus and massage it if it is boggy.
A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to: A. Apply an oil-based lotion to the newborn's skin to prevent dying and cracking. B. Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea. C. Place eye shields over the newborn's closed eyes. D. Change the newborn's position every 4 hours.
Answer: C. Place eye shields over the newborn's closed eyes.
Which component is NOT a part of the APGAR score? A. Appearance B. Pulse C. Relaxation D. Activity
Answer: C. Relaxation
The nurse gives a postpartum woman a rubella immunization. Which is the most important patient teaching related to this immunization? a. Increased urination is a common side effect of the immunization b. Neomycin can be used for rash or elevated temperature c. Use a reliable birth control method for 3 months d. Immunization now gives the baby immunization through breast milk
Answer: C. Use a reliable birth control method for 3 months
A preterm infant is born at 27 weeks gestation. Identify all of the statements that are true regarding preterm infants born at this gestational age. Select all that apply. Credit will be given if all correct and no incorrect choices are selected. Select one or more: a. The preterm infant has a lower risk for sepsis due to maternal immunity protection from the first 5 months of pregnancy. b. The central nervous system is fully developed by the end of the second trimester, allowing the preterm infant to maintain organized sleep-wake cycles. c. The preterm infant may exhibit an alteration in thermoregulation due to minimal brown fat stores. d. Jaundice may occur after birth due to the impaired conjugation of bilirubin by the liver.
Answer: C. & D. The preterm infant may exhibit an alteration in thermoregulation due to minimal brown fat stores. And Jaundice may occur after birth due to the impaired conjugation of bilirubin by the liver.
Near the end of the first week of life an infant who has not been treated for any infection develops a copper-colored, maculopapular rash on the palms and around the mouth and anus. The newborn is showing signs of: A. Gonorrhea. B. Herpes simplex virus infection. C. Congenital syphilis. D. Human immunodeficiency virus
Answer: C. Congenital syphilis
As a result of large body surface in relation to weight, the preterm infant is at high risk for heat loss and cold stress. By understanding the four mechanisms of heat transfer (convection, conduction, radiation, and evaporation), the nurse can create an environment for the infant that prevents temperature instability. While evaluating the plan that has been implemented, the nurse knows that the infant is experiencing cold stress when he or she exhibits: A. Decreased respiratory rate. B. Bradycardia followed by an increased heart rate. C. Mottled skin with acrocyanosis. D. Increased physical activity.
Answer: C. Mottled skin with acrocyanosis.
A woman who has recently given birth complains of pain and tenderness in her leg. On physical examination the nurse notices warmth and redness over an enlarged, hardened area. The nurse should suspect __________ and should confirm the diagnosis by ___________. A. Disseminated intravascular coagulation; asking for laboratory tests B. von Willebrand disease; noting whether bleeding times have been extended C. Thrombophlebitis; using real-time and color Doppler ultrasound D. Coagulopathies; drawing blood for laboratory analysis
Answer: C. Thrombophlebitis; using real-time and color Doppler ultrasound
Which observations of the 1 day postpartum mother would be cause for concern? A.) Hematoma around the perineum B.) Lochia rubra soaking a pad every 3 hours C.) Cramping during breastfeeding D.) A fundus that is soft and 2cm above the umbilicus
Answer: D A fundus that is soft and 2cm above the umbilicus
During a home care visit, the new breastfeeding mother reports breast engorgement. Which statement by the home care nurse is most appropriate based on this information? A) Apply an ice compress to your breast before nursing. B) Encourage your baby to suckle for an average of 5 minutes per feeding. C) Apply warm compresses to your breast after you finish feeding your baby. D) When you are not nursing, wear a well-fitted nursing bra at all times, even when you sleep.
Answer: D When you are not nursing, wear a well-fitted nursing bra at all times, even when you sleep.
Nutrition is one of the most significant factors in influencing the outcome of a pregnancy. It is an alterable and important preventive measure for a variety of potential problems such as low birth weight and prematurity. While completing the physical assessment of the pregnant client, the nurse can evaluate the client's nutritional status by observing a number of physical signs. Which sign would indicate that the client has unmet nutritional needs? a. Normal heart rate, rhythm, and blood pressure b. Bright, clear, shiny eyes c. Alert, responsive, and good endurance d. Edema, tender calves, and tingling
Answer: D Edema, tender calves and tingling
A woman is 3 months pregnant. At her prenatal visit she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate? a. "Don't worry about it; you'll feel better in a month or so." b. "Have you talked to your husband about how you feel?" c. "Perhaps you really don't want to be pregnant." d. "Hormonal changes during pregnancy commonly result in mood swings."
Answer: D. "Hormonal changes during pregnancy commonly result in mood swings."
What represents a typical progression through the phases of a woman's establishing a relationship with the fetus? a. Accepts the fetus as distinct from herself—accepts the biologic fact of pregnancy—has a feeling of caring and responsibility b. Fantasizes about the child's gender and personality—views the child as part of herself—becomes introspective c. Views the child as part of herself—has feelings of well-being—accepts the biologic fact of pregnancy d. "I am pregnant."— "I am going to have a baby."—"I am going to be a mother."
Answer: D. "I am pregnant."— "I am going to have a baby."—"I am going to be a mother."
The most appropriate statement that the nurse can make to bereaved parents is: A. "You have an angel in heaven." B. "I understand how you must feel." C. "You're young and can have other children." D. "I'm sorry."
Answer: D. "I'm sorry."
A woman is experiencing preterm labor at 28 weeks gestation. The patient asks why she is receiving betamethasone (Celestone). The best response by the nurse would be: "This medication... Select one: a. "is an antibiotic that will treat your urinary tract infection, which caused your preterm labor." b. "will halt the labor process until the baby is more mature." c. "will relax the smooth muscles in the infant's lungs so the baby can breathe" d. "is effective in stimulating lung development and surfactant production in the preterm infant."
Answer: D. "is effective in stimulating lung development and surfactant production in the preterm infant."
A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days. Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)? a. 75 mg/dl before lunch; this is low, better eat now b. 115 mg/dl 1 hour after lunch; this is a little high, maybe eat a little less next time c. 115 mg/dl 2 hours after lunch; this is too high, time for insulin d. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack before going to sleep
Answer: D. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack before going to sleep
How long can breast milk be stored? A. 24 hours B. 3 days C. 18 hours D. 8 days
Answer: D. 8 days
Which collection of risk factors most likely would result in damaging lacerations (including episiotomies)? A. A dark-skinned woman who has had more than one pregnancy, who is going through prolonged second-stage labor, and who is attended by a midwife B. A reddish-haired mother of two who is going through a breech birth C. A dark-skinned, first-time mother who is going through a long labor D. A first-time mother with reddish hair whose rapid labor was overseen by an obstetrician
Answer: D. A first-time mother with reddish hair whose rapid labor was overseen by an obstetrician
Nursing activities that promote parent-infant attachment are many and varied. One activity that should not be overlooked is the management of the environment. While providing routine mother baby care, the nurse should ensure that: A. The baby is able to return to the nursery at night so that the new mother can sleep. B. Routine times for care are established to reassure the parents. C. The father should be encouraged to go home at night to prepare for mother-babydischarge. D. An environment that fosters as much privacy as possible should be created.
Answer: D. An environment that fosters as much privacy as possible should be created.
At birth, a newborn has a heart rate of 100, and the infant is not breathing, and is limp and bluish in color. What would be your best action as a nurse? A. Assess blood pressure. B. Deep suction the airways. C. Begin chest compressions. D. Begin bag-and-mask ventilation.
Answer: D. Begin bag-and-mask ventilation.
Despite popular belief, there is a rare type of hemophilia that affects women of childbearing age. von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike. It results from a factor VIII deficiency and platelet dysfunction. Although factor VIII levels increase naturally during pregnancy, there is an increased risk for postpartum hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf) and factor VIII decrease. The treatment that should be considered first for the client with von Willebrand disease who experiences a postpartum hemorrhage is: a. Cryoprecipitate. b. Factor VIII and vWf. c. Desmopressin. d. Hemabate.
Answer: D. Hemabate
When attempting to communicate with a client who speaks a different language, the nurse should: a. Respond promptly and positively to project authority. b. Never use a family member as an interpreter. c. Talk to the interpreter to avoid confusing the client. d. Provide as much privacy as possible.
Answer: D. Provide as much privacy as possible.
An advantage of an epidural block is that it: a. Supports normal blood pressure b. Enhances the women's urge to push c. Has no fetal or maternal risks d. Reduces pain for both labor and birth
Answer: D. Reduces pain for both labor and birth
Which lochia characteristic should the nurse teach the woman to report? b. Cessation of flow by 4 weeks c. Presence of menstrual-like odor d. Return of red flow at 12 days postpartum e. Change from red to pink-brown to white
Answer: D. Return of red flow at 12 days postpartum
The nurse is assessing a drug-dependent newborn. Which symptom would require further assessment by the nurse? Select one: a. Spitting up after feeding. b. Occassional watery stools. c. Positive Babinski's relex. d. Unrelieved irritability.
Answer: D. Unrelieved irritability.
what is NOT a way that we as nurses promote maternal comfort and well being?: A) give medications B) treat anemia C) allow for sleep and rest D) apply pressure to uterus
Answer: D. apply pressure to uterus
Vaginal infection formerly call nonspecific vaginitis characterized by a profuse, thin, and white, gray, or milky discharge that has a "fishy" odor is a. Trichomoniasis b. Candidiasis c. Chlamydia d. Bacterial vaginosis
Answer: D. bacterial vaginosis
The genetic makeup of an individual; an individual's entire genetic makeup or all the genes that the person can pass on to future generations is called a. Sexotype b. karyotype c. Phenotype d. genotype
Answer: D. genotype
As a perinatal nurse you realize that a fetal heart rate that is tachycardic, is bradycardic, or has late decelerations or loss of variability is nonreassuring and is associated with: a. Hypotension. b. Cord compression. c. Maternal drug use. d. Hypoxemia.
Answer: D. hypoxemia
The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. Considering cultural differences, the best explanation for this is that the parent: a. Feels responsible for her child's illness. b. Feels inferior to nurse. c. Is embarrassed to seek health care. d. Is showing respect for nurse.
Answer: D. is showing respect for the nurse
Which fetal heart rate (FHR) finding would concern the nurse during labor? a. Accelerations with fetal movement b. Early decelerations c. An average FHR of 126 beats/min d. Late decelerations
Answer: D. late declarations
A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today her husband brings a large container of brown seaweed soup to the hospital. When the nurse enters the room, the husband asks for help with warming the soup so that his wife can eat it. The nurse's mostappropriate response is to ask the woman: A. "Didn't you like your lunch?" B. "Does your doctor know that you are planning to eat that?" C. "What is that anyway?" D. "I'll warm the soup in the microwave for you."
Answer: D. " I'll warm the soup in the microwave for you."
Childbirth may result in injuries to the vagina and uterus. Pelvic floor exercises also known as Kegel exercises will help to strengthen the perineal muscles and encourage healing. The nurse knows that the client understands the correct process for completing these conditioning exercises when she reports: a. "I contract my thighs, buttocks, and abdomen." b. "I do 10 of these exercises every day." c. "I stand while practicing this new exercise routine." d. "I pretend that I am trying to stop the flow of urine midstream.
Answer: D. "I pretend that I am trying to stop the flow of urine midstream.
When a nulliparous woman telephones the hospital to report that she is in labor, the nurse initially should: a. Tell the woman to stay home until her membranes rupture. b. Emphasize that food and fluid intake should stop. c. Arrange for the woman to come to the hospital for labor evaluation d. Ask the woman to describe why she believes she is in labor.
Answer: D. Ask the woman to describe why she believes she is in labor.
A laboring mother has an emergency c-section for a suspected uterine rupture. At delivery, the infant has a heart rate of 100, is not breathing, and is limp and bluish in color. What nursing action is best? Select one: a.Obtain a blood pressure reading. b.Evaluate the 1 minute Apgar score to determine resuscitation steps. c.Begin chest compressions. d. Begin bag-and-mask ventilation.
Answer: D. Begin bag-and-mask ventilation.
While evaluating an external monitor tracing of a woman in active labor whose labor is being induced, the nurse notes that the fetal heart rate (FHR) begins to decelerate at the onset of several contractions and returns to baseline before each contraction ends. The nurse should: A. Change the woman's position. B. Discontinue the oxytocin infusion. C. Insert an internal monitor. D. Document the finding in the client's record.
Answer: D. Document the finding in the client's record.
While evaluating an external monitor tracing of a woman in active labor whose labor is being induced, the nurse notes that the fetal heart rate (FHR) begins to decelerate at the onset of several contractions and returns to baseline before each contraction ends. The nurse should: a. Change the woman's position. b. Discontinue the oxytocin infusion. c. Insert an internal monitor. d. Document the finding in the client's record.
Answer: D. Document the finding in the client's record.
A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should: a. Notify the woman's physician. b. Tell the woman to slow the pace of her breathing. c. Administer oxygen via a mask or nasal cannula. d. Help her breathe into a paper bag
Answer: D. Help her breathe into a paper bag
While working in the prenatal clinic, you care for a very diverse group of clients. Whenplanning interventions for these families, you realize that acceptance of the interventions will be most influenced by: A. Educational achievement. B. Income level. C. Subcultural group. D. Individual beliefs
Answer: D. Individuals beliefs
4. A primipara mother is experiencing afterpains 24 hours following birth. Which intervention will the nurse perform first? A. Place an Ice pack on the perineal area B. Administer ordered NSAID pain reliever C. Assist the patient with ambulation D. Place the patient in a prone position with a pillow beneath the abdomen
Answer: D. Place the patient in a prone position with a pillow beneath the abdomen
What assessment is least likely to be associated with a breech presentation? a. Meconium-stained amniotic fluid b. Fetal heart tones heard at or above the maternal umbilicus c. Preterm labor and birth d. Postterm gestation
Answer: D. Postterm gestation
When attempting to communicate with a client who speaks a different language, the nurse should: A. Respond promptly and positively to project authority. B. Never use a family member as an interpreter. C. Talk to the interpreter to avoid confusing the client. D. Provide as much privacy as possible.
Answer: D. Provide as much privacy as possible.
After giving birth to a healthy infant boy, a primiparous woman, 16, is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is risk for impaired parenting related to deficient knowledge of newborn care. In planning for the woman's discharge, what should the nurse be certain to include in the plan of care? A. Tell the woman how to feed and bathe her infant. B. Give the woman written information on bathing her infant. C. Advise the woman that all mothers instinctively know how to care for their infants. D. Provide time for the woman to bathe her infant after she views an infant bath demonstration.
Answer: D. Provide time for the woman to bathe her infant after she views an infant bath demonstration.
A woman at 26 weeks of gestation is being assessed to determine whether she is experiencing preterm labor. What finding indicates that preterm labor is occurring? a. Estriol is not found in maternal saliva. **Estriol is found in maternal saliva b. Irregular, mild uterine contractions are occurring every 12 to 15 minutes. c. Fetal fibronectin is present in vaginal secretions. d. The cervix is effacing and dilated to 2 cm.
Answer: D. The cervix is effacing and dilated to 2 cm.
One reason the brain is vulnerable to nutritional deficiencies and trauma in early infancy is the: A. Incompletely developed neuromuscular system. B. Primitive reflex system. C. Presence of various sleep-wake states. D. Cerebellum growth spurt.
Answer: D. Cerebellum growth spurt.
What is one way to help with treatment of a PE?
Answer: Place in Semi-Fowlers position
Oliquria is a telltale sign of a urinary tract infection.
Answer: false
When breastfeeding, it is important for the mother to make sure the infant is attaching their lips to the nipple. TRUE OR FALSE?
Answer: false
True or False: The fundus will be at the level of the umbilicus 6-12 hours postpartum and 1 cm below the umbilicus on the first postpartum day.
Answer: true
