LPN 120 Chapters 5, 6, 8, 9 Worksheet
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
"The primary consideration is what type of incision you had."
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse make?
"You must be feeling scared."
Choose the situation that describes appropriate administration of Rh0 (D) immune globulin
Rh-positive newborn, Rh-negative mother, given IM to the mother within 72 hours of birth
A nurse reinforcing teaching about vitamin K with a client who is postpartum. Which of the following statements should the nurse include?
Vitamin K decreases the newborn's risk of hemorrhagic disorders
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
a large amount of bright red vaginal bleeding without pain
Nursing the newborn promotes uterine involution by:
causing the pituitary to secrete oxytocin to contract the uterus
A woman who has gestational trophoblastic disease (hydatidiform mole) should continue to receive follow-up medical care after initial treatment because:
choriocarcinoma sometimes occurs after initial treatment
A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse perform first?
clear the respiratory tract
The purpose of the biophysical profile BPP is to:
determine if the placenta is functioning well enough to support fetal life
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
dry, cracked skin
Diuresis in the early postpartum period indicates:
excretion of excess fluid
A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
facial edema
Which assessments are expected 24 hours after birth?
fundus firm and in the midline of the abdomen bradycardia
Two hours after a woman's uncomplicated vaginal birth requiring no anesthesia, the nurse notes that her uterus is firm, two finger widths above her umbilicus, and deviated slightly to her right side. The most appropriate nursing action at this time is to:
help her walk to the bathroom to urinate
A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
hypoglycemia
During a prenatal clinic visit, your intervention with an abused woman is successful if you have assessed the status of the woman and:
informed her of her safety options
A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
low birth weight
At her 2-week postpartum checkup, the woman't uterus should be:
no longer palpable through the abdomen
The primary means of identifying hemorrhage after vaginal birth is to:
observe the uterine fundus and lochia
Parents should be taught that the safest position for their term newborn in the crib is:
on the back
Which is the best nursing measure to increase the woman's perineal comfort during their first hour after vaginal birth with a midline episiotomy?
place an ice pack on the area
A pregnant woman with type 1 diabetes mellitus asks the nurse why she has needed several increases in her insulin dose during pregnancy. The best answer is that the:
placenta secretes substances that reduce the effectiveness of insulin
Select the primary difference between the symptoms of placenta previa and abruptio placentae
presence of pain
The term infant may be placed in skin-to-skin contact with the mother immediately after birth primarily for the purpose of:
regulating the infant's temperature
The first nursing action if a visibly prolapsed umbilical cord occurs is to:
relieve pressure on the cord
Which lochia characteristic should the nurse teach the woman to report?
return of red flow at 12 days postpartum
A woman who is hospitalized with severe preeclampsia should be closely observed for the onset of:
seizures
Which fetal or neonatal problem should the nurse anticipate if a woman has persistent hyperemesis gravidarum?
smaller than expected birth weight
Eight hours postpartum the woman states she prefers the nurse to take care of the newborn. The woman talks in detail about her birthing experience on the phone and to anyone who enters the room. She complains of being hungry, thirsty, and sleepy and is unable to focus on the newborn care teaching offered to her. The nurse would interpret this behavior as:
the normal taking-in phase of the puerperium
A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum. Which of the following instructions should the nurse include?
the stump should fall off in 10 to 14 days
Choose the maternal sign or symptom that is most characteristic of hypovolemic shock associated with blood loss in a pregnant woman.
weak pulse that increases in rate
A woman has an incomplete abortion following by vacuum aspiration. She is now in the recovery room with her husband and is crying softly. Select the most appropriate nursing action.
Express your regret at their loss and remain nearby if they want to talk about it
