Maternity and Pediatrics Quiz 2

A woman presents to the prenatal clinic for her 28-week prenatal visit. She has GDM. Which type of diabetes does GDM most closely resemble?

Type 2

In planning care for an infant who had a spica cast applied to treat developmental dysplasia of the hip, which nursing intervention would be included in the infant's plan of care?

inspect skin for redness and irritation.

Which instruction is appropriate to give to a woman with hyperemesis gravidarum?

limit fluids with meals to increase retention of food.

The nurse is caring for a preterm newborn. When creating a plan of care for the preterm newborn, what nursing intervention would be the most important to include?

monitoring body temperature.

In caring for a newborn who has had a cleft lip/cleft palate repair, which nursing action is the highest priority?

observe the incision for redness or drainage.

A newborn is considered large for gestational age (LGA) when the newborn is larger than the average baby is. What most likely would be a contributing factor in a newborn that is LGA?

the mother of the newborn has a diagnosis of diabetes.

The nurse is caring for the newborn of a mother who abused cocaine during her pregnancy. What characteristic would the nurse most likely see in this newborn?

the newborn cries when touched.

The preterm newborn has specific characteristics that differ from those of the term newborn. Which of the following are preterm characteristics? Select all that apply.

-extremities are thin, with little muscle or subcutaneous fat. -head and abdomen are disproportionately large. -veins of the abdomen and scalp are visible. -ears have soft, minimal cartilage and are pliable.

A 32 year old gravida 1, para 0 at 36 weeks gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm Hg, her pulse is 100 beats per minute, and her respirations are 24 breaths per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What should the nurse's next intervention be?

palpate the fundus and check FHR.

A woman with Class III heart disease is in for a prenatal visit. If she is in early heart failure, which sign is the nurse most likely to discover during physical assessment?

persistent rales in the bases of the lungs

A 35-year-old gravida 1 devliverd after 24 hours of labor. Her membranes ruptured 4 hours after she started labor. Two hours before she delivered, she spiked a temperature of 101 F (38.3 C). For which of the following complications is her newborn most at risk for?

pneumonia.

A 31 year old gravida 3 para 1 calls the clinic. She is at 29 weeks gestation. She says that she has been having uterine contractions every ten minutes for the past two hours. She also feels heaviness in her vaginal area. Her first baby was born prematurely at 28 weeks gestation. What advice by the nurse is best for this woman?

"Come into the hospital immediately. These signs strongly indicate that you may be in premature labor."

The LPN/LVN is assisting with the admission of a 28-year-old G1P1 at 37 weeks' gestation to the labor and delivery unit. Which of the following statements made by the woman should be reported to the RN? (select all that apply)

"I was treated for a yeast infection last week." "I checked my blood sugar this morning and it was about 250." "the baby has been very sleepy today."

Which of the following findings from your data collection should be reported to the RN? (select all that apply).

-The woman states that se feels like something is falling out of her vagina. -The woman suddenly complains of sharp abdominal pain and her abdomen is rigid. -The woman's respirations become labored and tachypnic

The nurse reviews the medical record of a postpartum woman. Which Of the following information would put the woman at risk for postpartum hemorrhage? (select all that apply).

G5P4 received oxytocin infant weighs 4200 grams (LGA) delivery was assisted by vacuum extraction

The nurse is assisting in a delivery that is complicated by shoulder dystocia. Which nursing action is indicated?

assist the RN to flex the woman's thighs.

A 30 year old gravida 1 has sickle cell anemia. She is not currently in crisis. Providing education on which topic is the highest nursing priority?

avoidance of infection

The nurse is assisting in a newborn assessment of gestational age using the Ballard scoring system. What physical characteristics are associated with a newborn with the oldest gestational age?

bald areas, plantar creases over 2/3 of sole area, and 3 to 4 mm breast bud.

When caring for a postpartum woman who exhibits a large amount of bleeding which areas would the nurse need to assess before the woman ambulates?

blood pressure, pulse, complaints of dizziness.

Which data collection finding best correlates with a diagnosis of hydatidiform mole?

dark red, "clumpy" vaginal discharge.

A woman is in for her postpartum checkup. she has a fever of 101 F and reports abdominal pain and a bad smell to her lochia. The nurse recognizes that these symptoms are associated with which condition?

endometritis.

The nurse is caring for a newborn who has myelomeningocele has not yet had surgery to repair the defect. Which of the following measures will be used to prevent the site from becoming infected? Select all that apply.

give antibiotics as a prophylactic measure. cover the sac with a saline soaked sterile dressing. place a plastic protective covering over the dressing.

The nurse is collecting data on a newborn with a diagnosis of hydrocephalus. If the following data were collected, which might indicate a common symptom of this diagnosis?

head circumference of 18 inches.

A 25 year old woman is in for her first prenatal visist at 28 weeks gestation. Which assessment finding would cause the nurse to further investigate the possibility of intimate partner violence?

multiple bruises in varying stages of healing

A 26 year old primigravida is attempting natural childbirth. Her doula has been supporting her through the past 16 hours of labor. The laboring woman is now 6cm dilated. She continues to report severe pain in her back with each contraction. She finds it comforting when her doula uses the ball of her hand to put counterpressure on her lower back. What is the likely cause of the woman's back pain?

occiput posterior position.

The nurse enters the room of a woman who delivered 12 hours ago. The woman is leaning forward in bed and is obviously having difficulty breathing. the area around her mouth is blue. what should the nurse do first?

raise the head of the bed

When collecting data during an admission interview and examination on a newborn, the nurse finds the newborn has cyanosis, dyspnea, tachycardia, and feeling difficulty. These symptoms might indicate the newborn has which condition?

tetralogy of fallot.

The nurse is preforming data collection on a woman at the pregnancy clinic. Which of the following should be reported to RN? (Select all that apply)

the pregnant woman states that her mother had preeclampsia during her first pregnancy. the pregnant woman states her previous health care provider prescribed antihypertensives for her to take.

A woman delivered a healthy baby girl two days ago. Which observation by the nurse indicates the need for additional assessment and follow up?

the woman tells a friend about her baby stating, "it just cries all the time."

A 28-year-old gravida 4, para 0 is at the prenatal clinic for complaints of lower abdominal cramping and spotting at 12 weeks' gestation. The nurse-midwife performs a pelvic examination and finds that the cervix is closed. What does the nurse suspect is the cause of the cramps and spotting?

threatened abortion.