Maternal review
Hypoglycemia in a mature infant is defined as a blood glucose level below which of the following? a) 40 mg/100 mL whole blood b) 30 mg/100 mL whole blood c) 100 mg/100 mL whole blood d) 80 mg/100 mL whole blood
a) 40 mg/100 mL whole blood
A patient with preeclampsia is receiving magnesium sulfate. Which of the following nursing assessments should be ongoing while the medication is being administered? a) Respiratory rate. b) Hemoglobin. c) Ability to sleep. d) Urine protein.
a) Respiratory rate
Body joints become more relaxed with pregnancy because of relaxin, a hormone produce by the placenta. a) True b) False
a) True
The nurse understands that the maternal uterus should be at what location at 20 weeks' gestation? a) Three finger-breadths above the umbilicus b) At the level of the umbilicus c) At the level of the symphysis pubis d) At the level near the bottom of the sternum
b) At the level of the umbilicus
The blood volume in pregnant women increases by what percent? a) 30-40 percent b) 10-20 percent c) 20-30 percent d) 40-50 percent
d) 40-50 percent
Which change in respiratory function during pregnancy is considered normal? a) Increased expiratory volume b) Decreased oxygen consumption c) Decreased inspiratory capacity d) Increased tidal volume
d) Increased tidal volume
Question: A nurse is teaching a group of nursing students about the mechanism of labor when the fetus is in a cephalic presentation. Given below, in random order, are a series of events that take place in a cascade to finally deliver the baby. Arrange the series of events in the most likely sequence they occur. External rotation Internal rotation Restitution Flexion Extension
Flexion Internal rotation Extension Restitution External rotation
Assessment of a pregnant client reveals that she is experiencing Braxton Hicks contractions. Which of the following would the nurse explain as the cause of these contractions? a) Fall in estrogen levels b) Uterine distension c) Catecholamine release d) Prostaglandin release
b) Uterine distension
When an examiner does an initial vaginal examination on a patient in labor, he or she is confirming which of the following? (Select all that apply.) a) sex of fetus b) attitude c) presentation d) position e) fetal station
b) attitude c) presentation d) position e) fetal station
A labor and delivery nurse knows that when assessing a woman's contraction pattern, it is important to include which of the following? (Select all that apply.) a) status of membranes b) duration c) frequency d) activity of fetus e) intensity
b) duration c) frequency e) intensity
A client in the first trimester complains to the nurse of nausea and vomiting, especially in the morning. Which instruction would be most appropriate to help prevent or reduce the client's compliant? a) Drink plenty of fluids at bedtime b) Avoid eating spicy food c) Eat dry crackers or toast before rising d) Avoid foods such as cheese
c) Eat dry crackers or toast before rising
A woman is admitted with a diagnosis of ectopic pregnancy. For which of the following would you anticipate beginning preparation? a) Bed rest for the next 4 weeks. b) Intravenous administration of a tocolytic. c) Immediate surgery. d) Internal uterine monitoring.
c) Immediate surgery.
You place an external fetal monitor on a woman in labor. Which of the following instructions would be best to give her? a) Avoid using her call bell to reduce interference. b) Avoid flexing her knees so her abdomen is not tense. c) Lie on her side so she is comfortable. d) Lie supine so the tracing does not show a shadow.
c) Lie on her side so she is comfortable.
The nurse explains to a pregnant client, who is anemic, that she will need to take vitamins with iron during her pregnancy. What are food would you include on the patient's diet plan? a) Dairy b) Legumes c) Meats d) Grains
c) Meats
A 37-year-old woman in the final weeks of her first pregnancy visits the doctor's office for a scheduled check-up. What might a nurse note as a sign of labor in speaking with the woman prior to the examination? a) Ripening of the cervix b) Dilation c) Nesting d) Effacement
c) Nesting
Before beginning the initial prenatal examination, a nurse should instruct a client to complete what procedure before undressing? a) Go to the lab for initial blood tests b) Measurement of fundal height c) Obtain a clean catch urine d) Ultrasound for fetal measurements
c) Obtain a clean catch urine
Assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that the presenting part is which of the following? a) Shoulders b) Brow c) Occiput d) Buttocks
c) Occiput
At a prenatal appointment, a woman who is 3 months pregnant confides to you that she ingests starch because of a craving she has had since adolescence. She is now 26 years old. What would be your most appropriate response? a) Emphasize the protein, vitamin, and iron needs of pregnancy nutrition. b) Kindly but firmly scold her to discourage the habit. c) Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances. d) Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia.
d) Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia.
A client delivers a newborn baby at term. The nurse records the weight of the baby as 1.2 kg, interpreting this to indicate that the newborn is of: a) Normal birth weight b) Extremely low birth weight c) Low birth weight d) Very low birth weight
d) Very low birth weight
A woman is told she has an anthropoid pelvis. This means her pelvis a) is "male" shaped. b) has weaker bones than normal. c) is ideal for childbearing. d) is narrow transversely.
d) is narrow transversely.
A pregnant woman at her first prenatal visit asks the nurse if it is safe to have sex during her pregnancy. Which of the following patient statements alerts the nurse to the need for further teaching? a) "I should substitute intercourse with nonsexual touch to avoid harming the fetus." b) "I will avoid having intercourse following the rupture of the membranes." c) "I will experience a heightened need for touch throughout my pregnancy." d) "If I experience bleeding, I will abstain from vaginal intercourse."
a) "I should substitute intercourse with nonsexual touch to avoid harming the fetus."
Gynecologic health is an important part of a woman's health history. Which of the following statements best illustrates the way to begin a menstrual history? a) "I'd like to ask you some questions about your menstrual periods." b) "I bet you have pain with menstrual periods." c) "Discussing menstrual periods can be embarrassing. . ." d) "I know you're probably uncomfortable talking about your health. . ."
a) "I'd like to ask you some questions about your menstrual periods."
The nurse caring for a client in preterm labor observes nonreassuring fetal heart rate (FHR) patterns. Which nursing intervention should the nurse perform next? a) Administration of oxygen by mask b) Application of vibroacoustic stimulation c) Tactile stimulation d) Fetal scalp stimulation
a) Administration of oxygen by mask
The nurse should initially implement which intervention when a nulliparous woman telephones the hospital to report that she is in labor. a) Ask the woman to describe why she believes that she is in labor b) Arrange for the woman to come to the hospital for labor evaluation c) Tell the woman to stay home until her membranes rupture d) Emphasize that food and fluid should stop or be light
a) Ask the woman to describe why she believes that she is in labor
Which of the following would alert the nurse that the client is in the transition phase of labor? a) Beginning urge to bear down b) Reduction of rectal pressure c) Enthusiasm in the client d) Decrease in the bloody show
a) Beginning urge to bear down
There are four essential components of labor. The first is the passageway. It is composed of the bony pelvis and soft tissues. What is one component of the passageway? a) Cervix b) Uterus c) False pelvis d) Perineum
a) Cervix
A client in her third trimester of pregnancy arrives at a health care facility with a report of cramping and low back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past few days. Physical examination conducted by the nurse indicates that the client has edema of the lower extremities, along with an increase in vaginal discharge. What should the nurse do next? a) Continue to monitor the client b) Notify the health care provider c) Assess the client's blood pressure d) Prepare the client for delivery
a) Continue to monitor the client
A 39-week-gestation client presents to the labor and delivery unit reporting abdominal pain. What should the nurse do first? a) Assess to see if the client has any drug allergies b) Determine if the client is in true or false labor c) Ask if this is the client's first pregnancy d) Notify the healthcare provider
b) Determine if the client is in true or false labor
A client just delivered a preterm baby in the 30th week of gestation. The nurse knows that which nursing measures will be performed for this infant? Select all that apply. a) Estimate the urinary flow by weighing the diaper. b) Carry and handle the baby frequently. c) Place the baby under isolette care. d) Dress the baby in a stockinette cap. e) Dress the baby to keep the body warm.
a) Estimate the urinary flow by weighing the diaper. c) Place the baby under isolette care. d) Dress the baby in a stockinette cap.
What term is used to describe the position of the fetal long axis in relation to the long axis of the mother? a) Fetal lie b) Fetal position c) Fetal attitude d) Fetal presentation
a) Fetal lie
A nurse is caring for an infant born with polycythemia. Which intervention is most appropriate when caring for this infant? a) Focus on decreasing blood viscosity by increasing fluid volume b) Focus on monitoring and maintaining blood glucose levels c) Repeat screening every 2 to 3 hours or before feeds d) Check blood glucose within 2 hours of birth by reagent test strip
a) Focus on decreasing blood viscosity by increasing fluid volume
Mrs. Timms is ready to push. You instruct her to push vigorously by taking a deep breath and push hard while counting to 10. You tell her to do three of these maneuvers during the contraction. What would be important to monitor on Mrs. Timms while she is pushing vigorously? a) Heart rate b) Perception of her pain c) Perineum for lacerations d) Oxygenation
a) Heart rate
When caring for a week-old infant with jaundice, the nurse observes the infant's urine to be dark in color. The nurse would also expect to assess which of the following as indicative of significant hyperbilirubinemia? Select all that apply. a) Light, tan colored stool after milk intake b) Jaundice limited to the nose, eyes, and ears c) Poor feeding and lethargy d) Late passage of meconium stool e) Decreased volume of urination
a) Light, tan colored stool after milk intake c) Poor feeding and lethargy d) Late passage of meconium stool
When teaching a group of nursing students about the stages of labor, the nurse explains that softening, thinning, and shortening of the cervical canal occur during the first stage of labor. Which of the following terms is the nurse referring to in the explanation? a) Crowning b) Effacement c) Molding d) Dilatation
b) Effacement
Choice Multiple question - Select all answer choices that apply. A nurse is assigned to educate a pregnant client regarding the changes in the structures of the respiratory system taking place during pregnancy. Which of the following conditions are associated with such changes? Select all that apply. a) Nasal and sinus stuffiness b) Thoracic rather than abdominal breathing c) Nosebleed d) Kussmaul respirations e) Persistent cough
a) Nasal and sinus stuffiness b) Thoracic rather than abdominal breathing c) Nosebleed
a) Offer early feedings b) Stop breastfeeding until jaundice resolves c) Increase the infant's hydration d) Administer vitamin supplements e) Initiate phototherapy
a) Offer early feedings c) Increase the infant's hydration e) Initiate phototherapy
A nurse is caring for an infant born with an elevated bilirubin level. When planning the infant's care, what interventions will assist in reducing the bilirubin level? Select all that apply. a) Offer early feedings b) Administer vitamin supplements c) Initiate phototherapy d) Increase the infant's hydration e) Stop breastfeeding until jaundice resolves
a) Offer early feedings c) Initiate phototherapy d) Increase the infant's hydration
Which of the following would be most effective in reducing pain in the preterm newborn? Select all that apply. a) Offering a pacifier prior to a procedure b) Encouraging kangaroo care during procedures c) Removing tape quickly from the skin d) Increasing the volume on device alarms e) Using cool blankets to soothe the newborn f) Swaddling the newborn closely
a) Offering a pacifier prior to a procedure b) Encouraging kangaroo care during procedures f) Swaddling the newborn closely
A woman you care for has an Rh-negative blood type. Following the birth of her infant, you administer her Rho(D) (D immune globulin). The purpose of this is to a) Prevent maternal D antibody formation. b) Promote maternal D antibody formation. c) Prevent fetal RH blood formation. d) Stimulate maternal D immune antigens.
a) Prevent maternal D antibody formation.
Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid? a) Respiratory rate of 60-70 bpm b) Total bilirubin level of 15 c) Heart rate of 162 bpm d) Hematocrit of 44%
a) Respiratory rate of 60-70 bpm
Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid? a) Respiratory rate of 60-70 bpm b) Total bilirubin level of 15 c) Hematocrit of 44% d) Heart rate of 162 bpm
a) Respiratory rate of 60-70 bpm
When caring for a preterm infant, what intervention will best address the sensorimotor needs of the infant? a) Rocking and massaging b) Using distraction through objects c) Swaddling and positioning d) Using minimal amount of tape
a) Rocking and massaging
The nurse is performing a newborn assessment and the infant's lab work reveals a heelstick Hct of 66. What is the best response to this finding? a) The hematocrit needs to be repeated as a venous stick to see what the central hematocrit level is. b) The infant is suffering from polycythemia and needs a partial exchange transfusion to prevent complications. c) This is a normal lab value and no intervention is needed. d) A capillary hematocrit needs to be rechecked in 8 hours to see if is increases or decreases.
a) The hematocrit needs to be repeated as a venous stick to see what the central hematocrit level is.
A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased lung tension, the a) ductus arteriosus remains open. b) foramen ovale closes prematurely. c) aorta or aortic valve strictures. d) pulmonary artery closes.
a) ductus arteriosus remains open.
Choice Multiple question - Select all answer choices that apply. A nursing student is learning about intermittent fetal heart rate monitoring during labor. The student correctly chooses which of the following as used routinely for this procedure? (Select all that apply.) a) fetal monitor b) Doppler c) intrauterine pressure catheter d) fetoscope
a) fetal monitor b) Doppler d) fetoscope
A woman is documented on the labor and delivery board to be 7cm dilated. Her family wants to know how long she will be in labor. The nurse should provide which information to the family? a) "She is doing well, in the second stage and it could be anytime now." b) "She is in active labor, she is progressing at this point and we will keep you posted." c) "She is in the transition phase of labor and it will be with in 2 to 3 hours, might be sooner." d) "She is still in early latent labor and has much too long to go to tell when she will deliver."
b) "She is in active labor, she is progressing at this point and we will keep you posted."
The nurse is measuring the fundal height of a woman who is at 28 weeks' gestation. Which measurement would the nurse expect? a) 18 cm b) 28 cm c) 12 cm d) 32 cm
b) 28 cm
A nurse is assigned the task of educating a pregnant client about childbirth. Which nursing interventions should the nurse perform as a part of prenatal education for the client to ensure a positive childbirth experience? Select all that apply. a) Instruct the client to spend some time alone each day b) Encourage the client to have a sense of mastery and self-control c) Provide the client clear information on procedures involved d) Encourage the client to have a positive reaction to pregnancy e) Instruct the client to begin changing the home environment
b) Encourage the client to have a sense of mastery and self-control c) Provide the client clear information on procedures involved d) Encourage the client to have a positive reaction to pregnancy
As a woman enters the second stage of labor, which of the following would you expect to assess? a) Expressions of satisfaction with her labor progress b) Feelings of being frightened by the change in contractions c) Complaints of feeling hungry and unsatisfied d) Falling asleep from exhaustion
b) Feelings of being frightened by the change in contractions
The RN in labor and delivery documents the fetus as ROA. To what does this documentation refer for a fetus? a) Fetal station b) Fetal position c) Fetal attitude d) Fetal size
b) Fetal position
The nurse is monitoring a client's uterine contractions. Which factors should the nurse assess to monitor uterine contraction? Select all that apply. a) Change in temperature b) Frequency of contractions c) Change in blood pressure d) Intensity of contractions e) Uterine resting tone
b) Frequency of contractions d) Intensity of contractions e) Uterine resting tone
Choice Multiple question - Select all answer choices that apply. A nurse is caring for a client in her third stage of labor. Which of the following would the nurse assess as indicating placental separation? Select all that apply. a) Falling downward of uterus in the abdomen b) Fresh gushing of blood from the vagina c) Renewed bearing down efforts by client d) Umbilical cord descending lower down e) A relaxed and distended uterus
b) Fresh gushing of blood from the vagina c) Renewed bearing down efforts by client d) Umbilical cord descending lower down
Which of the following is a consequence of hypothermia in a newborn? a) Respirations of 46 b) Holds breath 25 seconds c) Skin pink and warm d) Heart rate of 126
b) Holds breath 25 seconds
The nurse is caring for a client in the early stages of labor. What maternal history factors will alert the nurse to plan for the possibility of a small-for-gestational-age (SGA) newborn? Select all that apply. a) Pregnancy weight gain of 25 lb b) Maternal Smoking during pregnancy c) Drug abuse d) Hypotension upon admission e) Asthma exacerbations during pregnancy
b) Maternal Smoking during pregnancy c) Drug abuse e) Asthma exacerbations during pregnancy
The skull is the most important factor in relation to the labor and birth process. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible? a) Caput succedaneum b) Molding c) Cephalohematoma d) Vertex presentation
b) Molding
Which of the following data is indicative of hypothermia of the preterm infant? a) Pink skin b) Nasal flaring c) Oxygen saturation of 95% d) Regular respirations
b) Nasal flaring
A 29-week-gestation client is admitted with moderate vaginal discharge. The nurse performs a nitrazine test to determine if the membranes have ruptured. The nitrazine tape remains yellow to olive green, with pH between 5 and 6. What should the nurse do next? a) Assess the client's cervical status b) Notify the healthcare provider c) Perform Leopold's maneuver d) Prepare the client for delivery
b) Notify the healthcare provider
Which intervention should a nurse implement to promote thermal regulation in a preterm newborn? a) Check the blood pressure of the infant every 2 hours b) Observe for clinical signs of cold stress such as weak cry c) Assess the newborn's temperature every 8 hours until stable d) Set the temperature of the radiant warmer at a fixed level
b) Observe for clinical signs of cold stress such as weak cry
When educating a group of nursing students about the different types of pelvis, the nurse describes one type as being flat, having a wider transverse diameter than anterior-posterior diameter, with ischial spines that are wide apart, and a short sacrum. The students are correct when they identify which of the following? a) Anthropoid b) Platypelloid c) Gynecoid d) Android
b) Platypelloid
A client comes to the emergency department reporting strong contractions that have lasted for the past 2 hours. Which assessment will indicate to the nurse that the client is in true labor? a) Pink show b) Progressive cervical dilatation and effacement c) 1:5 uterine contractions d) Increased fetal activity
b) Progressive cervical dilatation and effacement
The nurse enters the room and notices that the infant is in the crib against the window. What type of heat loss may this infant suffer? a) Conduction b) Radiation c) Convection d) Evaporation
b) Radiation
When assessing a pregnant woman with vaginal bleeding, which finding would lead the nurse to suspect a threatened abortion? a) Passage of fetal tissue b) Slight vaginal bleeding c) Strong abdominal cramping d) Cervical dilation
b) Slight vaginal bleeding
A non-stress test is performed on a pregnant woman. The nurse informs the client the test was reactive. Which of the following statements by the patient indicates understanding of the test results? a) There is no evidence of congenital anomalies or deformities b) The fetal heart rate increases with activity and indicates fetal well-being c) The results indicate a contraction stress test is needed for evaluation d) The test is non-reactive, which is reassuring
b) The fetal heart rate increases with activity and indicates fetal well-being
What is the most important thing that you can do during labor and delivery to prevent maternal and fetal infection? a) Strictly follow universal precautions b) Thoroughly wash your hands before and after patient contact c) Remove soiled drapes and linen; place an absorbent pad under the buttocks and two sterile perineal pads against the perineum d) Clean the woman's perineum with a Betadine scrub
b) Thoroughly wash your hands before and after patient contact
A woman of 16 weeks' gestation telephones you because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which of the following would you instruct the woman to do? a) "Maintain bed rest and count the number of perineal pads used." b) "Come to the health care facility if uterine contractions begin." c) "Come to the health facility with any vaginal material passed." d) "Continue normal activity, but take your pulse every hour."
c) "Come to the health facility with any vaginal material passed."
After teaching the pregnant woman about ways to minimize flatulence and bloating during pregnancy, which statement indicates the need for additional teaching? a) "I'll stay away from foods like cabbage and brussels sprouts." b) "I'll increase my time spent on walking each day." c) "I'll switch to chewing gum instead of using mints." d) "I'll try to drink more fluids to help move things along."
c) "I'll switch to chewing gum instead of using mints."
A nurse is caring for a preterm newborn who has developed rapid, irregular respirations with periods of apnea. Which of the following additional signs should the nurse consider as indications of respiratory distress syndrome (RDS) in the newborn? a) Inspiratory grunt b) Deep inspiration c) Sternal retraction d) Expiratory lag
c) Sternal retraction
A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as: a) +4 b) 0 c) -2 d) +2
c) -2
A woman in her first trimester of pregnancy is concerned about the effect that pregnancy will have on her appearance. She is fit but underweight, and she plans to restrict her weight gain as much as possible during pregnancy. How much weight do you advise her to gain? a) 25 to 30 pounds b) 15 to 25 pounds c) 28 to 40 pounds d) 16 to 30 pounds
c) 28 to 40 pounds
The nurse caring for a client in preterm labor observes nonreassuring fetal heart rate (FHR) patterns. Which nursing intervention should the nurse perform next? a) Application of vibroacoustic stimulation b) Fetal scalp stimulation c) Administration of oxygen by mask d) Tactile stimulation
c) Administration of oxygen by mask
Which of the following would be least effective in promoting a positive birth outcome for a woman in labor? a) Encouraging the woman to use relaxation techniques b) Promoting the woman's feelings of control c) Allowing the woman time to be alone d) Providing clear information about procedures
c) Allowing the woman time to be alone
A newborn with high serum bilirubin is receiving phototherapy. Which of the following is the most appropriate nursing intervention for this client? a) Delay of feeding until bilirubin levels are normal b) Gentle shaking of the baby c) Application of eye dressings to the infant d) Placing light 6 inches above the newborn's bassinet
c) Application of eye dressings to the infant
A nurse is caring for a client in labor who is delivering. For which fetal response should the nurse monitor? a) Increase in fetal oxygen pressure b) Increase in fetal breathing movements c) Decrease in circulation and perfusion to the fetus d) Decrease in arterial carbon dioxide pressure
c) Decrease in circulation and perfusion to the fetus
A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client? a) Start of regular contractions b) Diffuse abdominal cramping c) Dilation of cervix diameter to 10 cm d) Rupturing of fetal membranes
c) Dilation of cervix diameter to 10 cm
Choice Multiple question - Select all answer choices that apply. The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has increased prostaglandin levels. Fore which factors should the nurse assess the client? Select all that apply. a) Boggy appearance of the uterus b) Hypotonic character of the bladder c) Reduction in cervical resistance d) Myometrial contractions e) Softening and thinning of the cervix
c) Reduction in cervical resistance d) Myometrial contractions e) Softening and thinning of the cervix
A client in her third trimester of pregnancy wishes to use the method of feeding formula to her baby? a) Mix one scoop of powder with an ounce of water. b) Feed the infant every 8 hours. c) Serve the formula at room temperature. d) Refrigerate any leftover formula.
c) Serve the formula at room temperature.
A newborn does not breathe spontaneously at birth. You administer oxygen by bag and mask. If oxygen is entering the lungs, you should notice that the a) infant's pupils dilate after 3 minutes. b) infant's neck veins become prominent and palpable. c) chest rises with each bag compression. d) abdomen rises while the chest falls with bag compressions.
c) chest rises with each bag compression.
A client experiences a threatened abortion. She is concerned about losing the pregnancy and asks what activity level she should maintain. What is the most appropriate response from the nurse? a) "Strict bedrest is necessary so as not to jeopardize this pregnancy." b) "There is no research evidence that I can recommend to you." c) "Carry on with the activity you engaged in before this happened." d) "Restrict your physical activity to moderate bedrest."
d) "Restrict your physical activity to moderate bedrest."
The patient is having a routine prenatal visit and asks the nurse what the childbirth education teacher meant when she used the term zero station. What is the best response by the nurse? a) "This is just a way of determining your progress in labor." b) This indicates that you start labor within the next 24 hours." c) "This means +1 and the baby is entering the true pelvis." d) "The presenting part is at the true pelvis and is engaged."
d) "The presenting part is at the true pelvis and is engaged."
A baby who is declared AGA (appropriate for gestational age) falls in what weight percentile? a) 95 b) 5 c) 9 d) 20
d) 20
During a routine antepartal visit, a pregnant woman reports a white thick vaginal discharge. Which of the following would the nurse do next? a) Tell the woman that this is entirely normal. b) Advise the woman about the need to culture the discharge. c) Check the discharge for evidence of ruptured membranes. d) Ask the woman if she is having any itching or irritation.
d) Ask the woman if she is having any itching or irritation.
A woman in her third trimester complains to the nurse of significant back pain. The nurse questions the client carefully and records a detailed account of her back symptoms. What is the best rationale for the nurse evaluating the client's back symptoms with such care? a) Back pain could be a sign of degenerated discs b) Back pain could be a result of improper lifting c) Back pain could be a result of a soft mattress d) Back pain could be a sign of bladder or kidney infection
d) Back pain could be a sign of bladder or kidney infection
A preterm infant has an umbilical vessel catheter inserted so that blood can be drawn readily. Which of the following would be most important to implement during this procedure? a) Assess her cranial vascular tension b) Evaluate her urinary output c) Prevent her from crying d) Ensure that she is kept warm
d) Ensure that she is kept warm
A 39-year-old woman is pregnant with her first child and appears to be thrilled about it. Now in her second trimester, she talks enthusiastically with the nurse about the latest maternity clothes she has bought and models them for the nurse. She also discusses the latest trends in health foods, which she has adopted since learning of her pregnancy. The nurse recognizes which primary emotional response to pregnancy in this patient? a) Introversion b) Emotional lability c) Stress d) Narcissism
d) Narcissism
Mrs. Timms is a G1 P0. She is in active labor. One of your nursing diagnoses is "Risk for trauma to the woman or fetus related to intrapartum complications or a full bladder." What would be an appropriate nursing action in achieving the goal of "no complications due to a full bladder"? a) Do a sterile "in and out" catheterization every two hours b) Place a Foley catheter into the bladder c) Get the woman up to void every two hours d) Palpate the area above the symphysis pubis every two hours
d) Palpate the area above the symphysis pubis every two hours
A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. Which of the following would be the most likely cause of these symptoms? a) Preterm labor that was undiagnosed. b) Possible fetal death or injury. c) Placenta previa obstructing the cervix. d) Premature separation of the placenta.
d) Premature separation of the placenta.
A pregnant client is admitted to a maternity clinic after experiencing contractions. The assigned nurse observes that the client experiences pauses between contractions. The nurse knows that which event marks the importance of the pauses between contractions during labor? a) Effacement and dilation of the cervix b) Reduction in length of the cervical canal c) Shortening of the upper uterine segment d) Restoration of blood flow to uterus and placenta
d) Restoration of blood flow to uterus and placenta
One of the theories about the onset of labor is the prostaglandin theory. While not being conclusively proven that the action of prostaglandins initiate labor, it is known that prostaglandins do play a role in labor. What is an action of prostaglandins? a) Initiates cervical dilation b) Initiates relaxation of perineum c) Stimulates uterine muscle to relax d) Softens cervix
d) Softens cervix
