NURS OB Final Studyguide
A nurse is teaching a course on the anatomy and physiology of reproduction. Identify the area where she should indicate that fertilization occurs.
Fallopian tubes (ampulla)
What prevents nipple trauma when breast feeding?
Have the nipple go all the way back to the babies mouth
Which one indicates the mother may be in labor
I took a shower and I've been feeling more contractions
A nurse is performing a leopard's maneuver and palpates nodules on the left side and continuous curve on the right side. What position is the baby in.
ROA
A client is tested for Group B streptococcus at 36 weeks. The client states, "is this infection a sexually transmitted disease?" How should the nurse respond? A. "No, this infection involves bacteria often found in the intestinal tract. B. "No, this infection involves bacteria normally found in your bladder C. Yes, you will need to use condoms for intercourse D. Yes, you will need to receive an antibiotic three times a day for 7 days
A. "No, this infection involves bacteria often found in the intestinal tract.
One week after her prenatal visit, a primigravid client at 38 weeks' gestation diagnosed with mild preeclampsia calls the clinic nurse complaining of a continuous headache for the past 2 days accompanied by nausea. The client does not want to take aspirin. The nurse should tell the client: A. "Take two acetaminophen tablets. They aren't as likely to upset your stomach" B. "I think the doctor should see you today. Can you come to the clinic this morning?" C. "You need to lie down and rest. Have you tried placing a cool compress over your head?" D. "I'll ask the doctor to call in a prescription for aspirin with codeine. What's your pharmacy's number?"
B. "I think the doctor should see you today. Can you come to the clinic this morning?"
The nurse notes a pattern of late decelerations on the fetal monitor. The most appropriate action is to A. Continue observation of this reassuring pattern B. Give the woman oxygen by face mask C. Notify the physician or nurse midwife D. Place the woman in a trendelenburg position
B. Give the woman oxygen by face mask
A nurse is conducting a prenatal session with a group of expectant parents. The nurse instructs the parents the the primary hormone that stimulate the secretion of milk is A. Testosterone B. Oxytocin C. Prolactin D. Progesterone
C. Prolactin
A primigravida client at 30 weeks' gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50% effaced. Which of the following would be a priority assessment for this client? A. Red blood cell count B. Degree of discomfort C. Urinary output D. Temperature
D. Temperature
Fifteen minutes after a client experiences an eclamptic seizure, the nurse assesses the client for which of the following? A. Polyuria B. Facial Flushing C. Hypotension D. Uterine contractions
D. Uterine contractions
A client just delivered an infant at 30 weeks . The client has 1 child at home who delivered at 38 weeks. She has had 2 abortions, 1 spontaneous at 8 weeks and 1 induced at 9 weeks. Using the GTPAL system, how would she report the client's history? A. 41222 B. 41122 C. 21111 D. 31111
B. 41122
In planning care for a family immediately afterbirth,which procedures would the nurse most likely withhold during the first hour of life to allow time for the family to bond with the newborn? (Select all that apply) A. Drying the newborn B. Administering the vitamin K injection C. Eye prophylaxis medication D. Vital signs E. Bathing the baby
B. Administering the vitamin K injection C. Eye prophylaxis medication E. Bathing the baby
The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice A. Usually results in kernicterus. B. Appears during the first 24 hours of life. C. Results from breakdown of excessive erythrocytes not needed after birth. D. Begins on the head and progresses down the body
B. Appears during the first 24 hours of life.
The client is in the second stage of labor. As the baby begins to crown, the physician administers a pudendal nerve block in preparation for an episiotomy. The nurse should: A. Assess the client's blood pressure and fetal heart rate more frequently B. Continue to assess vital signs and fetal heart rate the same as the nerve block. C. Monitor more closely for fetal heart rate decelerations and less D. Assess the client's pulse and respirations every 2 minutes for
B. Continue to assess vital signs and fetal heart rate the same as the nerve block.
The Nurse is caring for an infant of a primiparous woman with insulin dependent diabetes. When the mother visits the neonate at 1hr after birth the nurse explains to the mother that the neonate is being monitored closely for which symptoms of hypoglycemia because of which of the following? A. Increased use of glucose stores during difficult labor and birthing process B. Interrupted supply of maternal glucose and continued high neonatal insulin production. C. A normal response that occurs during transition from intrauterine to extrauterine life. D. Increased pancreatic enzyme production caused by decrease glucose stores
B. Interrupted supply of maternal glucose and continued high neonatal insulin production.
The client's membranes spontaneously ruptured with clear fluid 8 hours ago. Her current SVE is 3 cm/50%/0. Based on this information alone you realize she is at increased risk for which of the following? A. Hemorrhage B. Intrauterine infection C. Precipitous labor D. Jaundice
B. Intrauterine infection
A nurse is reviewing a client's maternal prenatal record and notes that the mother used narcotics during her pregnancy. A primary nursing intervention when caring for a drug exposed neonate is to: A. Assess vitals signs B. Minimize environmental stimulation C. Place the infant in a well lighted area for observation D. Provide stimulation to increase adaptation to the environment
B. Minimize environmental stimulation
What data on a client's health history would place her at risk for an ectopic pregnancy? A. Use of oral contraceptives for 5 years B. Recurrent pelvic infections C. Ovarian cyst 2 years ago D. Heavy menstrual flow of 4 days duration
B. Recurrent pelvic infections
In caring for the preterm infant, what complication is thought to be a result of high arterial blood oxygen level? A. Necrotizing enterocolitis (NEC) B. Retinopathy of prematurity (ROP) C. Bronchopulmonary dysplasia (BPD) D. Intraventricular hemorrhage (IVH)
B. Retinopathy of prematurity (ROP)
A multigravid client will be using the medroxyprogesterone acetate (Depo-Provera) as a family planning method. After the nurse instructs the client about this method, which of the following client statements indicates effective teaching? A. "This method of family planning requires monthly injections" B. "I should have my first injection during my menstrual cycle" C. "One possible adverse effect is absence of a menstrual period" D. "This drug will be given by subcutaneous injections"
C. "One possible adverse effect is absence of a menstrual period" Rationale: amenorrhea and irregular menstrual cycles are common adverse effects of medroxyprogesterone
After instructing a multigravid client diagnosed with mild preeclampsia how to keep record of fetal movement patterns at home, the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans? A. 30 min period 3x a day B. 45 min period after lunch each day C. 1 hr period each day D. 12 hr period each week
C. 1 hr period each day
A 29 year old multigravida at 37 weeks gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 3g/h to maintain safety for this client the priority intervention is to: A. Maintain continuous fetal monitoring B. Encourage family members to remain at the bedside C. Assess reflexes, clonus , visual disturbances and headache D. Monitor maternal liver studies every 4 hours
C. Assess reflexes, clonus , visual disturbances and headache
The physician orders intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which of the following medications should the nurse have readily available at the client's bedside? A. Diazepam (Valium). B. Hydralazine (Apresoline) C. Calcium gluconate. D. Phenytoin (Dilantin)
C. Calcium gluconate.
When developing a teaching plan for an 18-year-old client who asks about treatments for sexually transmitted diseases, the nurse should explain that: A. Acyclovir (Zovirax) can be used to cure herpes genitalis B. Clamydia trachomatis infections are usually treated with penicillin C. Ceftriaxone sodium (Rocephin) may be used to treat Neisseria gonorrhoeae infections D. Metronidazole (Flagyl) is used to treat condylonata acuminata
C. Ceftriaxone sodium (Rocephin) may be used to treat Neisseria gonorrhoeae infections Rationale: Ceftriaxone sodium may be used to treat gonorrhoeae infection and it is commonly combined with doxycycline hyclate (Vibramycin).
A client in the triage area who is at 19 weeks gestation states that she has not felt her baby move in the past week and no fetal heart tones are found. While evaluating this client the nurse identifies her as being at the highest risk for developing which problem? A. Abruptio placentae B. Placenta Previa C. Disseminated intravascular coagulation (DIC) D. Threatened abortion
C. Disseminated intravascular coagulation (DIC)
A preterm infant is on a respirator with intravenous lines and much equipment around her when her parents come to visit for the first time. What action by the nurse is most important? A. Suggest that the parents visit for only a short time to reduce their anxieties. B. Reassure the parents that the baby is progressing well. C. Encourage the parents to touch her. D. Discuss the care they will give her when she goes home.
C. Encourage the parents to touch her.
After instruction of a primigravida client of 8 weeks' gestation measures to overcome early morning nausea and vomiting, which of the following client statements indicates the need for additional teaching? A. I'll eat dry crackers or toast before B. I'll drink adequate liquids separately C. I'll eat two large meals daily D. I'll snack on a small amount
C. I'll eat two large meals daily
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min. Which of the following actions should the nurse take first? A. Assess client's blood pressure B. Assess the bladder for distention C. Massage the client's fundus D. Prepare to administer a prescribed oxytocin preparation
C. Massage the client's fundus
A multiparous client at 24 hours postpartum is found to have swelling and pain in her right leg. She demonstrates a positive Homan's sign with discomfort. The nurse should: A. Place a cold pack on the client's perineal area B. Place the client in semi-Fowler's position C. Notify the client's healthcare provider immediately D. Ask the client to ambulate around the room
C. Notify the client's healthcare provider immediately
A woman who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify all of the following except A. Chromosomal defects B. Neural tube defects C. Polyhydramnios D. Sex of the fetus
C. Polyhydramnios
When teaching a multigravid client diagnosed with mild preeclampsia about nutritional needs, which of the following types of diet should the nurse discuss? A. High-residue diet B. Low-sodium diet C. Regular diet D. High-protein diet
C. Regular diet
Two hours ago a neonate at 38 weeks gestation and weighing 3,175g (7 lb) was born to a primiparous client who tested positive for beta hemolytic streptococcus. Which of the following would alert the nurse to notify the primary health care provider. A. Alkalosis B. Increased muscle tone C. Temperature instability D. Positive babinski reflex
C. Temperature instability
A woman in labor at 34 weeks is hospitalized and treated with IV magnesium sulfate for 20 hours. Contractions have stopped. When the magnesium sulfate is discontinued, which oral drug will most likely be prescribed for at-home continuation of the tocolytic effect? A. Buccal pitocin B. Calcium gluconate C. Terbutaline D. Magnesium sulfate
C. Terbutaline
The nurse has received a report about a woman in labor. The woman's last vaginal exam was recorded as 7/75%/+1 assessment? A. The cervix is effaced 7 cm, dilated 75%, and the presenting part is 1 cm below the ischial spines B. The cervix is effaced 7 cm, dilated 75%, and the presenting part is 1 cm above the ischial spines C. The cervix is dilated 7 cm, effaced 75%, and the presenting part is 1 cm below the ischial spines D. The cervix is dilated 7 cm, effaced 75% and the presenting part is 1 cm above the ischial spines
C. The cervix is dilated 7 cm, effaced 75%, and the presenting part is 1 cm below the ischial spines
The health care provider has determined that a preterm labor client at 34 weeks' gestation has no fetal fibronectin present. The nurse should expect which of the following outcomes in the next week? A. The client will develop preeclampsia B. The fetus will develop mature lungs C. The client will not likely develop preterm labor D. The fetus will not develop gestational diabetes
C. The client will not likely develop preterm labor
For a multigravida client at 39 weeks' gestation with suspected HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome, the nurse would immediately notify the physician for which of the following laboratory test results? A. Hyperfibrinogenemia B. Decreased liver enzymes C. Thrombocytopenia D. Hypernatremia
C. Thrombocytopenia
A multiparous client who has a neonate diagnosed with hemolytic disease asks the nurse why the neonate has developed this problem. Which of the following responses by the nurse would be most appropriate. A. You are Rh positive and the baby is Rh negative B. You and the baby are both Rh negative C. You are Rh negative and the baby is Rh positive D. The baby and you are both Rh positive
C. You are Rh negative and the baby is Rh positive
A client has obtained Plan B (levonorgestrel 0.75mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which of the following responses? A. "I can wait 3-4 days after intercourse to start taking these to prevent pregnancy." B. "My boyfriend can buy Plan B from the pharmacy if he is over 18 years old." C. "Birth control works by preventing ovulation or fertilization of the egg." D. "I may feel nauseated and have breast tenderness or a headache after using the contraceptive"
A. "I can wait 3-4 days after intercourse to start taking these to prevent pregnancy." Rationale: pill is more effective if used immediately after unprotected intercourse
A client has just had a C/S for a prolapsed cord. In reviewing the client's history, which of the following factors places a client at risk for cord prolapse? Select all that apply. A. -2 station at time of rupture B. Low birth weight infant C. Assisted Rupture of membranes (AROM) D. Breech presentation E. Prior abortion F. Low lying placenta
A. -2 station at time of rupture B. Low birth weight infant C. Assisted Rupture of membranes (AROM) D. Breech presentation
Which of the following pregnant clients is most at high risk for premature rupture of membrane (PROM)? A. 32 week with urinary tract infection UTI B. 30 week with prolapsed mitral valve PMV C. 34 week with gestational diabetes GDM D. 36 week with deep vein thrombosis DVT
A. 32 week with urinary tract infection UTI
You are a charge nurse in the labor and delivery unit. Which action by a newly graduated RN during a delivery complicated by shoulder dystocia would require your immediate intervention? A. Applying fundal pressure B. Requiring immediate presence of the neonatologist C. Applying suprapubic pressure D. Flexing the maternal legs back and the the side of the abdomen
A. Applying fundal pressure
When developing the initial plan of care for a neonate who was born at 41 weeks gestation with MAS requiring mechanical ventilation, which of the following should the nurse include? A. Care of an umbilical arterial line B. Frequent scans C. Orogastric feedings ASAP D. Assessment for symptoms of hyperglycemia
A. Care of an umbilical arterial line
A pregnant woman with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data during labor indicate a potential infection? (select all) A. Cloudy amniotic fluid with a strong odor B. Fetal heart rate 178 beats/min C. Uterine tenderness D. Maternal temperature 100.2 F
A. Cloudy amniotic fluid with a strong odor B. Fetal heart rate 178 beats/min C. Uterine tenderness
A 24 y/o G1P0, receives oxytocin (pitocin), is in labor at 41 weeks. What are appropriate nursing actions in the presence of late fetal heart rate deceleration? Select all A. Discontinue the oxytocin B. Increase the maintenance intravenous fluid rate C. Place the women in high fowler's position D. Administer oxygen to the mother by face mask E. Notify the provider
A. Discontinue the oxytocin B. Increase the maintenance intravenous fluid rate D. Administer oxygen to the mother by face mask E. Notify the provider
The nurse is discussing kangaroo care with the parents of a premature neonate. The nurse should tell the parents that the advantages of kangaroo care include which of the following (select all that apply.) A. Enhance bonding. B. Increased IQ C. Improved physiologic stability. D. Decreased length of stay in the NICU E. Improved breastfeeding
A. Enhance bonding. C. Improved physiologic stability. D. Decreased length of stay in the NICU E. Improved breastfeeding
An infant with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which treatment may be necessary for this infant? A. Extracorporeal membrane oxygenation B. Respiratory support with ventilator C. Insertion of laryngoscope and suctioning of the trachea D. Insertion of an endotracheal tube
A. Extracorporeal membrane oxygenation
After instructing a primigravida client at 38 weeks gestation about how preeclampsia can affect the client and the growing fetus, the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following? A. Hydrocephalic infant B. Abruptio placentae C. Intrauterine growth retardation D. Poor placental perfusion
A. Hydrocephalic infant
The nurse is teaching the parents of a newborn who is going to receive phototherapy. What other measure does the nurse teach to help reduce the bilirubin? A. Increase the frequency of feedings. B. Increase oral intake of water between feedings. C. How to prepare the newborn for an exchange transfusion D. Wrap the infant in triple blankets to prevent cold stress during phototherapy.
A. Increase the frequency of feedings.
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? (Using Naegele's Rule) A. January 8 B. January 15 C. February 8 D. February 15
A. January 8
When assessing cultural influences on a pregnant woman's diet, which actions by the nurse are best? Select all that apply: A. Learn about traditional foods in that culture B. Ask the woman how she prepares food C. Determine if there are specific "pregnancy" foods D. Assess how traditional the woman is E. Find out what support she has locally
A. Learn about traditional foods in that culture B. Ask the woman how she prepares food C. Determine if there are specific "pregnancy" foods
Nursing care of the infant with neonatal abstinence syndrome should include A. Positioning the infant's crib in a quiet corner of the nursery B. Feeding the infant on a 2-hour schedulec. C. Placing stuffed animals and mobiles in the crib to provide visual stimulation D. Spending extra time holding and rocking the infant
A. Positioning the infant's crib in a quiet corner of the nursery
A 3 day old breastfed infant is brought to the clinic by his parents for routine assessment following NSVD at full term without complications. Which statement by the parents suggests an abnormal finding on a newborn of this age? A. "The baby urinated only 3 times yesterday." B. "The bowel movement of the baby was dark at first, but yesterday was greenish yellow." C. "The baby cried for 2 hours last night." D. "The baby ate four times in the past 24 hours."
D. "The baby ate four times in the past 24 hours."
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action? A. Monitor vaginal bleeding B. Administer glucocorticoids C. Insert an IV catheter D. Apply an external fetal monitor
D. Apply an external fetal monitor
The infant of a mother with diabetes is hypoglycemic. What type of feeding should be instituted first? A. Glucose water in a bottle B. D5W intravenously C. Formula via nasogastric tube D. Breast milk
D. Breast milk
The nurse practicing in a labor setting knows that the woman ____ is most at risk? A. G5 who has had two vaginal births and two cesarean births B. G3 who has had two-low segment transverse cesarean births C. G2 who has had a low-segment vertical incision for delivery of a 10 lb infant D. G4 who has had four cesarean births
D. G4 who has had four cesarean births
The nurse is instructing a preeclamptic client about monitoring the movements of her fetus to determine fetal well being. Which statement by the client indicates that she needs further instruction about when to call the health care provider concerning fetal well being? A. If the fetus is becoming less active than before B. If it takes longer each day for the fetus to move 10x C. If the fetus stops moving for more than 12hrs D. If the fetus moves more than 3x per hour
D. If the fetus moves more than 3x per hour
A nurse in the labor room is performing an initial assessment on a newborn infant. On assessment of the infant's head, the nurse notes that the ears are low set. Which of the following nursing actions would be most appropriate? A. Cover the ears with gauze pods B. Document the findings C. Arrange for hearing testing D. Notify the physician
D. Notify the physician
A nurse is participating in a neonatal resuscitation. What action by the nurse takes priority? A. Suction the mouth and nose. B. Stimulate the infant by rubbing the back. C. Perform the Apgar test. D. Place the infant in a preheated warmer.
D. Place the infant in a preheated warmer.
A multigravida client diagnosed with a probable rupture ________ is scheduled for emergency surgery. In addition to monitoring the client's blood pressure before surgery, which of the following would also be monitored? A. Uterine cramping B. Abdominal distention C. Hemoglobin and hematocrit D. Pulse rate
D. Pulse rate
Which of the following instructions should the nurse include in the teaching plan for a 30-year-old multiparous client who will be using an intrauterine device (IUD) for family planning? A. Amenorrhea is a common adverse effect of IUDs B. The client needs to use additional protection for contraception C. IUDs are more costly than other forms of contraception D. Severe cramping may occur when the IUD is inserted
D. Severe cramping may occur when the IUD is inserted Rationale: severe cramping and pain may occur as the device is being passed through the internal cervical os
At 38 weeks' gestation, a primigravid client with poorly controlled diabetes and severe preeclampsia is admitted for a cesarean birth. The nurse explains to the client that childbirth helps to prevent which complication? A. Neonatal hyperbilirubinemia B. Congenital anomalies C. Perinatal asphyxia D. Stillbirth
D. Stillbirth
Hydralazine administration considerations
- Assess the client for tachycardia
When is it indicated for the mother to be on hands and knees position
- Back labor (Fetus is coming out Occiput Posterior) - Prolapsed cord
Preeclamptic client begins to have a seizure. What should the nurse do next?
- Priority: call for assistance - Turn to the left side - Note when seizure starts and ends - Airway way may be placed if indicated
With plans to breastfeed her neonate, a pregnant client with dependent diabetes asks the nurse about insulin needs during the postpartum period. Which of the following statements should the nurse include as requirements for breastfeeding mothers would the nurse include in her explanation? A. They fall significantly in the immediate postpartum period B. They remain the same as during the labor process C. They usually increase in the immediate postpartum period D. They need constant adjustment during the first 24 hours
A. They fall significantly in the immediate postpartum period
A nurse is evaluating the effectiveness of bed rest for a client with mild preeclampsia. Which of the following changes should the nurse determine is a positive (as in the bedrest is helping) finding? A. Weight loss B. 2+ proteinuria C. Decrease in plasma protein D. 3+ patellar reflexes
A. Weight loss
A neonate has white patches in her mouth that bled when the mother tried wiping them away. What action by the nurse is best? A. Tell the mother to leave the patches alone. B. Assess the mother for a perineal rash. C. Give the infant medicated pacifiers. D. Test the infant for toxoplasmosis.
B. Assess the mother for a perineal rash.
A client presents at her physician's office 10 weeks pregnant, and ... the client's first pregnancy. Which of the following is a presumptive sign of pregnancy that the client might be expected to have? A. Chadwick's sign B. Breast changes C. Pigmentation changes of the face D. A bluish discoloration of the vagina and cervix.
B. Breast changes
A primigravid client in early labor tells the nurse that she was exposed to rubella at about 14 weeks' gestation. After birth, the nurse should assess the neonate for which of the following A. Hydrocephaly B. Cardiac disorders C. Renal disorders D. Bulging fontanel
B. Cardiac disorders
A 24-year-old client, G3, P1, at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's history, which of the following factors might lead the nurse to suspect abruptio placentae? A. Several hypotensive episodes B. Previous low transverse cesarean delivery C. One induced abortion D. History of cocaine use
D. History of cocaine use
A neonate born by c-section at 42 weeks gestation weighing 4.1kg (9 lbs, 1oz) with apgar scores of 8 at 1 min and 9 at 5 min after birth, develops an increased respiratory rate and tremors of the hands and feet 2 hours postpartum. Which of the following is the priority problem? A. Ineffective airway clearance B. Hyperthermia C. Decreased CO D. Hypoglycemia
D. Hypoglycemia
Which analysis of maternal serum may predict chromosomal abnormalities in the __? A. Lecithin/sphingomyelin (L/S) ratio B. Biophysical profile C. Type and crossmatch of maternal and fetal serum D. Multiple-marker screening or Quad Screening test
D. Multiple-marker screening or Quad Screening test
A client is tested for Group B Streptococcus at 36 weeks. The client states, "Is this infection a sexually transmitted disease?" How should the nurse respond? a. "No, this infection involves bacteria often found in the intestinal tract." b. "No, this infection involves bacteria normally found in your bladder." c. "Yes, you will need to use condoms for intercouse." d. "Yes, you will need to receive an antibiotic 3 times a day for 7 days."
a. "No, this infection involves bacteria often found in the intestinal tract."
A preterm infant is on a respirator with intravenous lines and much equipment around her when her parents come to visit for the first time. What action by the nurse is most important? a. Suggest that the parents visit for only a short time to reduce their anxieties. b. Reassure the parents that the baby is progressing well. c. Encourage the parents to touch her. d. Discuss the care they will give her when she goes home.
c. Encourage the parents to touch her.
Transient tachypnea of the newborn (TTN) is thought to occur as a result of a. a lack of surfactant. b. hypoinflation of the lungs. c. delayed absorption of fetal lung fluid. d. a slow vaginal delivery associated with meconium-stained fluid.
c. delayed absorption of fetal lung fluid.
A mother is 12 hrs postpartum. Which of the following would need assessment?
fundus 2 fingerbreadths above umbilicus
Pt had SROM 10 hrs ago and is -2/50/0. What is your concern?
intrauterine infection
Which mother do you see first?
mother who complains she has the urge to poop or use the bathroom
Which mother should you tell to go to the hospital first?
mother with previous labor that lasted 4 hrs
What to do if monitor shows late decels, nursing interventions?
notify physician, stop pitocin, administer o2
What does amniocentesis NOT test for?
polyhydramnios
Pregnant mother complains she's peeing all the time. What do you teach her?
polyuria is normal
Which one should the nurse visit first
woman in third trimester and has vaginal bleeding
Which would help with dilation
-strong uterine contraction - Presenting part of the head pressing on cervix
A home care lactation nurse has asked a client to keep a record of her intake, including calories, and output for 1 day. After reviewing the flow sheet that the client used to document the results , the nurse should make which of the following assessments?
The client consumed an inadequate amount of fluids and calories for breastfeeding.
Which mother would you want to see first?
The mother with contractions every 3 minutes
Acceleration
Transient increase in FHR →Fetal movement
placenta previa s/s placental abrution s/s
previa - there is no pain, but there is bleeding abruption - there is pain, but no bleeding (board like abd)
Apnea & cardiac monitoring, alarm keeps going off due to periods of apnea, in what order should the nurse intervene? What is the correct order of interventions? 1. Turn alarm off/Silence 2. Document findings 3. Perform a focus assessment 4. Count RR for a full minute
1. Perform a focus assessment 2. Count RR for a full minute 3. Turn alarm off/Silence 4. Document findings
A woman is 12 hours post birth, what finding needs further assessment
2 fingerbreadths above the umbilicus
The physician has ordered oxytocin (pitocin) for induction for 4 pregnant women. In which of the following situations should the nurse refuse to comply with the order? A. Primigravida with a transverse lie B. Multigravida with cerebral palsy C. Primigravida who is 14 years old D. Multigravida who has type 1 diabetes
A. Primigravida with a transverse lie
A multigravida client at 34 weeks' gestation is being treated with indomethacin (Indocin) to halt preterm labor. If the client should deliver a preterm infant, the nurse would notify the nursery personnel about this therapy because of the possibility for which of the following? A. Pulmonary hypertension B. Respiratory distress syndrome C. Hyperbilirubinemia D. Cardiomyopathy
A. Pulmonary hypertension
The nurse is caring for a client who is in labor. The client is nauseous with emesis. The client becomes irritable and states that she feels the need to have a bowel movement. The nurse understands that the client is in which phase of labor? A. Second B. Fourth C. Latent D. Transition
A. Second
A multigravida client who is in active labor at 39 weeks has a history of smoking one to two packs of cigs daily. For which of the following should the nurse be alert when assessing the client's neonate? A. Hyperirritability B. Hyperbilirubinemia C. Low birth weight D. Hypocalcemia
C. Low birth weight
