Maternity Questions

A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 1. The woman should not become pregnant for at least 4 weeks. 2. The woman should pump and dump her breast milk for 1 week. 3. The mother must wear a surgical mask when she cares for the baby. 4. Passive antibodies transported across the placenta will protect the baby.

1

Which of the following is the priority nursing action during the immediate postpartum period? 1. Palpate fundus. 2. Check pain level. 3. Perform pericare. 4. Assess breasts.

1

The nurse is caring for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. Which of the following interventions should the nurse perform at this time? 1. Apply an ice pack to the perineum. 2. Advise the woman to use a sitz bath after every voiding. 3. Advise the woman to sit on a pillow. 4. Teach the woman to insert nothing into her rectum.

1.

Ms. M. has had 3 pregnancies and is pregnant again. (At home, she has full-term twins and a child born at 36 weeks.) She also has had a fetus that spontaneously aborted at 10 weeks.

Ms. M G4T2P1A1L3 36 weeks is preterm! After 36 weeks it term

A client is 40 minutes postpartum from a forceps delivery of a 4500 gram neonate over a right mediolateral episiotomy. The client is at risk for each of the follow nursing diagnoses. Which of the diagnoses is highest priority at this time? Ineffective breast feeding Fluid Volume Deficit Infection Pain

Fluid volume deficit

A breast feeding client, G10P6408, delivered 10 minutes ago. Which of the following assessments is most important for the nurse to perform. Pulse Fundus Bladder breast

Fundus

What does the hormone hPL do?

Glucose resistance

What is the hormone responsible for ovulation?

LH

What organs does the placenta replace?

Lungs, kidneys, liver, GI tract replaced by placenta

Ms. Z. has a 5-year old child who was full-term at birth. Since that time she has had an infant who was stillborn at 38 weeks and a spontaneous abortion that occurred at 13 weeks. She is currently 7 months pregnant.

Ms. Z G4T2P0A1L1 Child term at birth goes to G, T, L Stillborn at 38 weeks goes 1 to G, 1 to T and 1 to A Abortion BEFORE age of viability (20-36), 1 to G, 1 to A

The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm fundus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate? Massage the fundus Notify the obstetrician Administer oxytocin Assist the client to the bathroom

Notify Obstetrician

A nurse who is called to a client's room notes that the client's cesarean incision has separated. Which of the following actions is the highest priority for the nurse to perform? Cover the wound with sterile wet dressing Notify the surgeon Elevate the head of the bed Flex the client's knees

Notify the surgeon

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma? 1. Pain 2. Bleeding 3. Warmth 4. Redness

Pain

A woman's temperature has just risen 0.4 degrees F and will remain elevated for the remainder of her cycle. What hormone is responsible for the temperature elevation? Estrogen Progesterone LH FSH

Progesterone

A women who is A- delivers a baby who is AB-. Will she receive a Rhogam shot after delivery? Why?

Shes does not need it because

The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal? 1. Fundus 1 cm above the umbilicus, lochia rosa. 2. Fundus 2 cm above the umbilicus, lochia alba. 3. Fundus 2 cm below the umbilicus, lochia rubra. 4. Fundus 3 cm below the umbilicus, lochia serosa.

The fundus 3cm below the umbilicus, lochia serosa

4 ts with PPH

Tone Tissue Trauma Thrombin

The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a boggy fundus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate? Massage the fundus Notify the obstetrician Administer oxytocin Assist the client to the bathroom

Massage the fundus

A women has a family history of Tay-sachs and wants to know if her baby could be born with the disease. What is the earliest test that could be done to determine this? CVS Amniocentesis MSAFP Ultrasound

CVS

During a home visit, the nurse assesses a client 2 weeks after delivery. Which of the following signs/symptoms should the nurse expect to see? Diaphoresis Lochia alba Cracked nipples Hypertension

Lochia alba

A women comes into the OB/GYN office you are working at as a nurse. She is visibly pregnant and this is her first appointment. What are ways you could use to determine her due date?

McDonanlds

A nurse is assessing the fundus of a client during the immediate postpartum period. Which of the following actions indicates that the nurse is performing the skill correctly? 1. The nurse measures the fundal height using a paper centimeter tape. 2. The nurse stabilizes the base of the uterus with his or her dependent hand. 3. The nurse palpates the fundus with the tips of his or her fingers. 4. The nurse precedes the assessment with a sterile vaginal exam.

2

The day after delivery a woman, whose fundus is firm at 1 cm below the umbilicus and who has moderate lochia, tells the nurse that something must be wrong, "All I do is go to the bathroom." Which of the following is an appropriate nursing response? 1. Catheterize the client per doctor's orders. 2. Measure the client's next voiding. 3. Inform the client that polyuria is normal. 4. Check the specific gravity of the next voiding.

3.

A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see? Both estrogen and progesterone high Estrogen is high and progesterone is low Estrogen is low and progesterone is high Both estrogen and progesterone are low

Both estrogen and progesterone are low

Which of the following findings would the nurse determine are presumptive signs of pregnancy? Amenorrhea Breast tenderness Quickening Frequent urination Uterine growth

Amenorrhea, Breast tenderness, quickening, frequent urination

A woman comes into the office and states that her LMP was August 3rd. When would you tell her she might be due.

August 3rd -3 months + 7 days, would be May 10th estimated due date

To prevent infection, the nurse teaches the postpartum client to perform which of the following tasks? Apply antibiotic ointment to the perineum daily Change the peripad at each voiding Void at least every 2 hours Spray the perineum with a providone-iodine solution after toileting

Change the peripad

Until the placenta is mature enough to take over the production of estrogen and progesterone, what part of the body continues to produce them when pregnant?

Corpus luteum