OB Exam #2 Review Test

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy? use of oral contraceptives for 5 years ovarian cyst 2 years ago recurrent pelvic infections heavy, irregular menses

recurrent pelvic infections

A father of a newborn tells the nurse, "I may not know everything about being a dad, but I'm going to do the best I can for my son." The nurse interprets this as indicating the father is in which stage of adaptation? expectations transition to mastery reality taking-in

transition to mastery

A nurse is making an initial call on a new mother who gave birth to her third baby 5 days ago. The woman says,"I just feel so down this time. Not at all like when I had my other babies. And this one just doesn't sleep. I feel so inadequate." What is the best response to this new mother? "Every baby is different with their own temperament. Maybe this one just isn't ready to sleep when you want him to." "It sounds like you have the 'baby blues.' They are common after having a baby when you are not getting enough sleep, are busy with your other children, and are still a bit uncomfortable from the birth. They will most likely go away in a day or two." "It sounds like you need to make an appointment with a counselor. You may have postpartum depression." "Tell me, are you seeing things that aren't there, or hearing voices?"

"It sounds like you have the 'baby blues.' They are common after having a baby when you are not getting enough sleep, are busy with your other children, and are still a bit uncomfortable from the birth. They will most likely go away in a day or two."

A mother just gave birth 3 hours ago. The nurse enters the room to continue hourly assessments and finds the client on the phone telling the listener about her fear while driving to the hospital and not making it in time. The mother finishes the call, and the nurse begins her assessment with which phrase? "I need to assess your fundus now." "It sounded like you had quite a time getting here. Would you like to continue your story?" "You have a beautiful baby, why worry about that now?" "If you plan to breast-feed, you need to calm down."

"It sounded like you had quite a time getting here. Would you like to continue your story?"

Which statement made by a new nurse indicates additional teaching is needed on the topic of hyperbilirubinemia (physiologic jaundice) in newborns? "Physiologic jaundice usually begins in the first 24 hours of after birth." "Placing the infant in direct sunlight for short periods helps in eliminating the bilirubin." "Breastfed babies need supplements of glucose water to help lower bilirubin levels." "The problem is a result of the shortened lifespan of the newborn's red blood cells (RBCs)."

"Breastfed babies need supplements of glucose water to help lower bilirubin levels."

The nurse is working with several clients who have recently delivered healthy newborns. Which statement by a mother would alert the nurse to further assess the mother for postpartum depression? "The first few days I was home, I was overwhelmed." "I seem to cry more each and every day that goes by." "I am hearing voices and sometimes want to harm myself and my newborn." "Life sure has changed since I had the newborn....I am so tired but it is worth it."

"I seem to cry more each and every day that goes by."

The nurse understands the need to be aware of the potential of bleeding disorders in her pregnant clients. Which disorder should she be aware of that occurs in the second trimester? Hydatidiform mole Spontaneous abortion Ectopic pregnancy Placenta previa Cervical insufficiency

Placenta previa

The infant has Apgar scores of 7 at 1 minute and 9 at 5 minutes. What is the indication of this assessment finding? severe distress and absolute need of resuscitation adjusting to extrauterine life moderate difficulty and may need intervention predicts fair neurologic future outcomes

adjusting to extrauterine life

A nurse suspects that a pregnant client may be experiencing abruptio placentae based on assessment of which finding? Select all that apply. dark red vaginal bleeding insidious onset absence of pain rigid uterus absent fetal heart tones

dark red vaginal bleeding rigid uterus absent fetal heart tones

A pregnant woman is being evaluated for HELLP. The nurse reviews the client's diagnostic test results. Which result would the nurse interpret as helping to confirm this diagnosis? elevated LDH elevated white blood cells elevated hematocrit elevated platelet count

elevated LDH

A nurse is caring for a client in the postpartum period. When observing the client's condition, the nurse notices that the client tends to speak incoherently. The client's thought process is disoriented, and she frequently indulges in obsessive concerns. The nurse notes that the client has difficulty in relaxing and sleeping. The nurse interprets these findings as suggesting which condition? postpartum psychosis postpartum blues postpartum depression postpartum panic disorder

postpartum psychosis

The nurse is assessing a client at a postpartum visit. Which hemodynamic change will the nurse expect the client to exhibit? rise in hematocrit transient tachycardia increase in circulatory blood volume increase in cardiac output

rise in hematocrit

Effective nursing management involves many aspects and being aware of subtle changes in the client. Which finding should alert the nurse to a potential infection in the client? temperature of 38° C or higher after the first 24 hours after birth temperature of 37.5° C or higher after the first 12 hours after birth temperature of 39° C or higher after the first 48 hours after birth temperature of 38.5° C or higher after the first 36 hours after birth

temperature of 38° C or higher after the first 24 hours after birth

During the second day postpartum, a nurse notices that a client is initiating breastfeeding with her infant and changing her infant's diapers with some assistance from her partner. Which phase does the nurse recognize that the woman is experiencing? the taking-in phase the taking-hold phase the binding-in phase the letting-go phase

the taking-hold phase

Review of a woman's labor and birth record reveals a laceration that extends through the anal sphincter muscle. The nurse identifies this laceration as which type? first-degree laceration second-degree laceration third-degree laceration fourth-degree laceration

third-degree laceration

A client who gave birth several hours ago is experiencing postpartum hemorrhage. She had a cesarean birth and received deep, general anesthesia. She has a history of postpartum hemorrhage with her previous births. The blood is a dark red. Which cause of the hemorrhage is most likely in this client? uterine atony cervical laceration retained placental fragment disseminated intravascular coagulation

uterine atony

A newborn is 7 minutes old. Her heart rate is 92 bpm, her cry is weak, her muscles are limp and flaccid, she makes a face when she is stimulated, and her body and extremities are pink. What would the nurse assign as her Apgar score? 3 4 5 6

5

During a home visit, the client mentions she is still having significant of joint pain. The nurse explains that the changes that softened the pelvic joints to allow for the birth were due to the hormone relaxin. The nurse informs the client that it takes approximately how long for the joints to return to prepregnancy status? 6 to 8 weeks after pregnancy 4 to 6 weeks after pregnancy 8 to 10 weeks after pregnancy 2 to 4 weeks after pregnancy

6 to 8 weeks after pregnancy

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the woman's serum magnesium levels. Which level would the nurse identify as therapeutic? 3.3 mEq/L 6.1 mEq/L 8.4 mEq/L 10.8 mEq/L

6.1 mEq/L

A client who had a vaginal birth 2 days ago asks the nurse when she will be able to breathe normally again. Which response by the nurse is accurate? "You should notice a change in your respiratory status within the next 24 hours." "Everyone is different, so it is difficult to say when your respirations will be back to normal." "It usually takes about 3 months before all of your abdominal organs return to normal, allowing you to breathe normally." "Within 1 to 3 weeks, your diaphragm should return to normal, and your breathing will feel like it did before your pregnancy."

"Within 1 to 3 weeks, your diaphragm should return to normal, and your breathing will feel like it did before your pregnancy."

The nurse is assessing a 35-year-old woman at 22 weeks' gestation who has had recent laboratory work. The nurse notes fasting blood glucose 146 mg/dL (8.10 mmol/L), hemoglobin 13 g/dL (130 g/L), and hematorcrit 37% (0.37). Based on these results which instruction should the nurse prioritize? Check blood sugar levels daily. The signs and symptoms of urinary tract infection. Include iron-enriched foods in the diet. Take daily iron supplements.

Check blood sugar levels daily.

A client's membranes rupture. The nurse observes the fetal heart rate drop from 156 to 110. The nurse inspects the client's perineum and sees a loop of umbilical cord. What is the nurse's priority concern in this situation? Decreased fetal oxygenation Increased risk for infection Increased risk for placental abruption Decreased strength of uterine contractions

Decreased fetal oxygenation

The nurse is monitoring a woman who is receiving oxytocin IV to assist with uterine irritability. Which action should the nurse prioritize if the woman's contractions are determined to be 80 seconds in length after 1 hour of administration of the oxytocin? Slow the infusion to under 10 gtts per minute. Increase the flow rate of the main line infusion. Discontinue the oxytocin infusion. Continue to monitor contraction duration every 2 hours.

Discontinue the oxytocin infusion.

A client is exhibiting signs of engorgement, but her milk is still flowing easily. Which suggestion should the nurse prioritize? Restrict fluid intake to 2 L each day. Ensure the baby empties the breasts at each feeding Apply ice packs before a feeding. Wear a tight fitting bra at all times.

Ensure the baby empties the breasts at each feeding

The nurse is admitting a newly delivered mother to her floor. What medical and pregnancy history would the labor and delivery nurse include in the report? Length of labor Maternal blood type The newborn's weight Apgar scores

Maternal blood type

The nurse orienting a student to the nursery determines that teaching has been effective when the student states that the signs of neonate respiratory distress include which findings? Select all that apply. Nasal flaring Respiratory rate of 64 breaths per minute Bluish coloration of hands and feet Chest retractions Heart rate of 120 beats per minute

Nasal flaring Respiratory rate of 64 breaths per minute Chest retractions

The nurse wants to maintain a neutral thermal environment for her assigned neonatal clients. Which intervention would best ensure that this goal is met? Promote early breastfeeding for the infants. Avoid skin-to-skin contact with the mother until the infants are 8 hours old. Keep the infant transporter temperature between 80 and 85 degrees F (27 and 29 degrees C). Avoid bathing the newborn until they are 24 hours old.

Promote early breastfeeding for the infants.

A nurse is assessing a postpartal woman. Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartal period? She sits and rocks her infant for long intervals. She is eager to talk about her birth experience. She has not asked for anything for pain all day. She did her perineal care independently.

She did her perineal care independently.

A woman receiving an oxytocin infusion for labor induction develops contractions that occur every minute and last 75 seconds. Uterine resting tone remains at 20 mm Hg. Which action would be most appropriate? Slow the oxytocin infusion to the initial rate. Continue to monitor contractions and fetal heart rate. Stop the infusion immediately. Notify the birth attendant.

Stop the infusion immediately.

The nurse is looking at the latest lab work for her postpartum client. The clent's pre-delivery hemoglobin and hematocrit (H & H) was 12.8 and 39. This morning, the client's values are 8.9 and 30. How would the nurse interpret these lab values? The client will need a transfusion, so the RN needs to be notified. The client will be tired, so encourage the her to sleep whenever the baby sleeps. The doctor needs to be notified of the latest lab values. These values are expected for a one-day postpartum mother.

The doctor needs to be notified of the latest lab values.

A nurse is transporting a neonate from the nursery to the mother's room. The nurse ensures that the neonate is moved in a warmed isolette to prevent heat loss by which mechanism? conduction convection radiation evaporation

convection

A nurse is conducting an refresher program for a group of nurses returning to work in the newborn clinic. The nurse nurse is reviewing the protocols for assessing vital signs in healthy newborns and infants. The nurse determines that additional teaching is needed when the group identifies which parameter as being included in the assessment? blood pressure pulse temperature respirations pain

blood pressure

A client is experiencing shoulder dystocia during birth. The nurse would place priority on performing which assessment postbirth? extensive lacerations monitor for a cardiac anomaly assess for cleft palate brachial plexus assessment

brachial plexus assessment

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately? respiratory rate of 16 breaths per minute diminished deep tendon reflexes urine output of 45 mL/hour alert level of consciousness

diminished deep tendon reflexes

The nurse is assisting a primary care provider to attempt to manipulate the position of the fetus in utero from a breech to cephalic position. What does the nurse inform the client the procedure is called? internal rotation external rotation vaginal manipulation external version

external version

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority? hemorrhage jaundice edema infection

hemorrhage

A primigravida at 28 weeks' gestation comes to the clinic for a check-up. She tells the nurse that her mother gave birth to both of her children prematurely, and she is afraid that the same will happen to her. Which risk factors associated with preterm birth would the nurse discuss with the client? Select all that apply. history of previous preterm birth current multiple gestation pregnancy large-for-gestational age fetus uterine or cervical abnormalities previous cesarean birth

history of previous preterm birth uterine or cervical abnormalities current multiple gestation pregnancy

The Ballard scoring system evaluates newborns on which two factors? physical maturity and neuromuscular maturity skin maturity and reflex maturity tone maturity and extremities maturity body maturity and cranial nerve maturity

physical maturity and neuromuscular maturity

A woman who gave birth to a healthy baby 5 days ago is experiencing fatigue and weepiness, lasting for short periods each day. Which condition does the nurse believe is causing this experience? postpartum baby blues postpartum anxiety postpartum reaction postpartum depression

postpartum baby blues

A nurse is providing care to a postpartum woman during the immediate postpartum period. The nurse recognizes that the mother will need assistance with meeting her basic needs based on the understanding that the mother is most likely in which phase? taking-in phase taking-hold phase letting-go phase attachment phase

taking-in phase

When assessing the postpartum woman, the nurse uses indicators other than pulse rate and blood pressure for postpartum hemorrhage because: these measurements may not change until after the blood loss is large. the body's compensatory mechanisms activate and prevent any changes. they relate more to change in condition than to the amount of blood lost. maternal anxiety adversely affects these vital signs.

these measurements may not change until after the blood loss is large.

A woman in active labor has just had her membranes ruptured to speed up labor. The nurse is concerned the woman is experiencing a prolapse of the umbilical cord when the nurse notices which pattern on the fetal heart monitor? variable deceleration pattern fetal heart rate (FHR) increase to 200 beats/min early deceleration with each contraction late deceleration with late recovery following contraction

variable deceleration pattern

The nurse is teaching a prenatal class on potential problems during pregnancy to a group of expectant parents. The risk factors for placental abruption are discussed. What comment validates accurate learning by the parents? "I need a cesarean section if I develop this problem." "If I develop this complication, I will have bright red vaginal bleeding," "Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain." "Since I am over 30, I run a much higher risk of developing this problem."

"Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain."

The nurse is monitoring the woman who is 1 hour postpartum and notes on assessment the uterine fundus is boggy, to the right, and approximately 2 cm above the umbilicus. The nurse would conclude this is most likely related to which potential complication? Urinary infection Excessive bleeding A ruptured bladder Bladder distention

Bladder distention

A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client? Administer total parenteral nutrition. Administer an antiemetic. Set up for a percutaneous endoscopic gastrostomy. Administer IV NS with vitamins and electrolytes.

Administer IV NS with vitamins and electrolytes.

The nurse discharging a newly delivered mother and her newborn infant needs to assess the mother's knowledge about how to take care of herself and her baby. This is her second child. Which approach would be best to verify the client's understanding of these topics? Have her fill out a questionnaire on the subject. Ask her questions and observe her caring for the baby. Since she has had a previous child, she should already know how to do most everything. Have her demonstrate how to do all the baby care tasks as well as her self-care tasks.

Ask her questions and observe her caring for the baby.

A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy? Assess deep tendon reflexes. Monitor intake and output. Assess the client's mucous membrane. Assess the client's skin turgor.

Assess deep tendon reflexes.

The nurse notes that a client's uterus, which was firm after the fundal massage, has become boggy again. Which intervention would the nurse do next? Perform vigorous fundal massage for the client. Check for bladder distention, while encouraging the client to void. Use semi-Fowler's position to encourage uterine drainage. Offer analgesics prescribed by health care provider.

Check for bladder distention, while encouraging the client to void.

A client has been admitted to the hospital with a diagnosis of severe preeclampsia. Which nursing intervention is the priority? Confine the client to bed rest in a darkened room. Administer oxygen by face mask. Keep the client on her side so that secretions can drain from her mouth. Check for vaginal bleeding every 15 minutes.

Confine the client to bed rest in a darkened room.

A client arrives in the emergency department accompanied by her husband and new 10-week-old infant, crying, confused, and with possible hallucinations. The nurse recognizes this could possibly be postpartum psychosis as it can appear approximately when? within 3 months of giving birth within 4 months of giving birth within 2 months of giving birth within 5 months of giving birth

within 3 months of giving birth

While visiting a client at home on the 10th day postpartum, the nurse assesses the client's lochia. Which color would the nurse expect the lochia to be? red pink yellowish white yellowish pink

yellowish white

The nurse is preparing a woman for discharge after a birth and notes the mother's record indicates Rh negative and rubella titer is positive. Which nursing intervention will the nurse prioritize? Administer Rho(D) immunoglobulin to the mother. Administer rubella vaccine to the mother before discharge. Assess the mother for isoimmunization. Assess the Rh of the baby.

Assess the Rh of the baby.

A nursing instructor is teaching about changes the newborn must make to survive outside of the uterus. The instructor realizes that further teaching is needed when a student makes which statement? "The baby takes the first breath when ready to leave the uterus." "The baby takes the first breath wen the umbilical cord is clamped." "The baby's lungs begin to function when the umbilical cord is clamped." "The baby takes the first breath when stimulated by a slight slap."

"The baby takes the first breath when ready to leave the uterus."

A nurse is examining a client who underwent a vaginal birth 24 hours ago. The client asks the nurse why her discharge is such a deep red color. What explanation is most accurate for the nurse to give to the client? "The discharge consists of mucus, tissue debris, and blood; this gives it the deep red color." "It is normal for the discharge to be deep red since it consists of leukocytes, decidual tissue, RBCs, and serous fluid." "The discharge at this point in the postpartum period consists of RBCs and leukocytes." "This discharge is called lochia, and it consists of leukocytes and decidual tissue."

"The discharge consists of mucus, tissue debris, and blood; this gives it the deep red color."

A client is admitted to the unit in preterm labor. In preparing the client for this therapy, the nurse anticipates that the client's pregnancy may be prolonged for how long when this therapy is used? 2 to 7 days 1 to 5 days 6 to 10 days 4 to 8 days

2 to 7 days

A nurse is providing care to a postpartum woman. Documentation of a previous assessment of a woman's lochia indicates that the amount was moderate. The nurse interprets this as reflecting approximately how much? Under 10 mL 10 to 25 mL 25 to 50 mL Over 50 mL

25 to 50 mL

A nurse is providing care to several pregnant women at different weeks of gestation. The nurse would expect to screen for group B streptococcus infection in the client who is at: 16 weeks' gestation. 28 weeks' gestation. 32 weeks' gestation. 36 weeks' gestation.

36 weeks' gestation.

A laboring woman is receiving oxytocin IV to augment her labor and 2 hours later begins having contractions every 2 minutes lasting 60 to 90 seconds each with little, if any, rest time in between the contractions. At this time, which interventions would be the priority for the nurse caring for this client? Select all that apply. Administer betamethasone to mature the fetal lungs. Ask the woman to drink 32 ounces (1 L) of water. Discontinue the oxytocin infusion. Administer an IV bolus of fluids. Apply oxygen to the woman via mask at 8 to 10 L/min.

Apply oxygen to the woman via mask at 8 to 10 L/min. Administer an IV bolus of fluids. Discontinue the oxytocin infusion.

The nurse is assessing a newborn's vital signs and notes the following: HR 138, RR 42, temperature 97.7oF (36.5oC), and blood pressure 78/40 mm Hg. Which action should the nurse prioritize? Report tachypnea. Recheck blood pressure in 15 minutes. Put warming blanket over infant. Document normal findings.

Document normal findings.

A nurse is providing care to a postpartum woman. The nurse determines that the client is in the taking-in phase based on which finding? The client states, "He has my eyes and nose." The client shows interest in caring for the newborn. The client performs self-care independently. The client confidently cares for the newborn.

The client states, "He has my eyes and nose."

The nurse is caring for a client who has been diagnosed with a deep vein thrombosis. Which assessment finding should the nurse prioritize and report immediately? Calf pain Pyrexia Edema Dyspnea

Dyspnea

A 24-year-old woman presents with vague abdominal pains, nausea, and vomiting. An urine hCG is positive after the client mentioned that her last menstrual period was 2 months ago. The nurse should prepare the client for which intervention if the transvaginal ultrasound indicates a gestation sac is found in the right lower quadrant? Bed rest for the next 4 weeks Intravenous administration of a tocolytic Immediate surgery Internal uterine monitoring

Immediate surgery

The nurse is assessing a newborn, 4 hours old, weighing 9 lbs, 2 oz (4088 g). While doing the initial assessment the RN mentioned that the mother's history showed her to be morbidly obese. Which assessment findings should the nurse prioritize as the newborn is continued to be monitored? Low temperature and hypertonia Jitteriness and irritability Hypotonia and fever Frequent activity and jitteriness

Jitteriness and irritability

A woman who is 10 weeks' pregnant calls the physician's office reporting "morning sickness" but, when asked about it, tells the nurse that she is nauseated and vomiting all the time and has lost 5 pounds. What interventions would the nurse anticipate for this client? Lab work will be drawn to rule out acid-base imbalances. An ultrasound will be done to reassess the correctness of gestational dates. Since morning sickness is a common problem for pregnant women, the nurse will suggest the woman drink more fluids and eat crackers. The nurse will encourage the woman to lie down and rest whenever she feels ill.

Lab work will be drawn to rule out acid-base imbalances.

The nurse assesses the client who is 1 hour postpartum and discovers a heavy, steady gush of bright red blood from the vagina in the presence of a firm fundus. Which potential cause should the nurse question and report to the RN or primary care provider? Uterine atony Laceration Perineal hematoma Infection of the uterus

Laceration

Shoulder dystocia is a true medical emergency that can cause fetal demise because the baby cannot be born. Stuck in the birth canal, the infant cannot take its first breath. Which maneuver is first attempted to deliver an infant with shoulder dystocia? McDonald maneuver McGeorge maneuver McRoberts maneuver McRonald maneuver

McRoberts maneuver

The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client? Monitor the client's beta-hCG level. Monitor the mass with transvaginal ultrasound. Monitor the client's vital signs and bleeding. Monitor the fetal heart rate (FHR).

Monitor the client's vital signs and bleeding.

A nurse is providing discharge instructions to a postpartum client. Which symptom is a possible complication that the nurse should educate the client about? Notify the health care provider of increased lochia and bright red bleeding. Notify the health care provider of passing clots the size of golf balls. Notify the health care provider of a decrease in the amount of brown-red lochia. Palpate your fundus to make sure it is soft.

Notify the health care provider of increased lochia and bright red bleeding.

The nurse is assessing a client who is 14 hours postpartum and notes very heavy lochia flow with large clots. Which action should the nurse prioritize? Assess her blood pressure. Palpate her fundus. Have her turn to her left side. Assess her perineum.

Palpate her fundus.

A nurse is assessing a newborn's vital signs 2 hours after delivery. The newborn had a low Apgar scores at birth. Which finding would lead the nurse to notify the health care provider? Temperature 99°F (37.2°C) Pulse rate 100 bpm Respirations 40 breaths/min Blood pressure 60/40 mm Hg

Pulse rate 100 bpm

A nurse is preparing to administer erythromycin ointment to a 30-minute-old newborn. What will the nurse do first? Administer the medication in each eye. Review the health care provider's order. Apply gloves and obtain the medication. Explain the procedure to the caregivers.

Review the health care provider's order.

The nurse is appraising the medical record of a pregnant client who is resting in a darkened room and receiving betamethasone and magnesium sulfate. The nurse will continue to monitor this client for which condition? Gestational hypertension Eclampsia Severe preeclampsia Mild preeclampsia

Severe preeclampsia

A nurse is providing education to a woman at 28 weeks' gestation who has tested positive for gestational diabetes mellitus (GDM). What would be important for the nurse to include in the client teaching? She is at increased risk for type 2 diabetes mellitus after her baby is born. Her baby is at increased risk for neonatal diabetes mellitus. Her baby is at increased risk for type 1 diabetes mellitus. She is at increased risk for type 1 diabetes mellitus after her baby is born.

She is at increased risk for type 2 diabetes mellitus after her baby is born.

The nurse is examining a newborn and notes that there is swelling on the newborn's head, limited to the right side of the head. How should the nurse interpret this finding? This is concerning since the swelling does not cross the suture lines. This is a cephalohematoma and will spontaneously resolve without interventions. This newborn is at higher risk of polycythemia due to the collected blood under the scalp. The newborn has a caput succedaneum that will go away within the first week of life.

This is a cephalohematoma and will spontaneously resolve without interventions.

The nurse suspects that a mother who delivered her infant 2 weeks ago is experiencing postpartum depression. What is the first line of treatment for this client? scheduling electroconvulsive therapy administrating a selective serotonin reuptake inhibitor talking to the client and reassuring her that she will feel better soon telling the client that she has no need to be depressed

administrating a selective serotonin reuptake inhibitor

A nurse is preparing a class for a group of new parents on the psychological adaptations that occur after the birth. The nurse should include which signs and symptoms that might suggest postpartum depression? Select all that apply. restlessness feelings of worthlessness feeling overwhelmed sleeping well hunger

feelings of worthlessness restlessness feeling overwhelmed

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? firm, rigid uterus on palpation bright red vaginal bleeding fetal heart rate within normal range absence of pain

firm, rigid uterus on palpation

The nurse is assessing a 37-year-old woman who has presented in active labor and notes the client has an increased risk for abruptio placentae. Which assessment finding should the nurse prioritize? Sharp fundal pain and discomfort between contractions Painless vaginal bleeding and a fall in blood pressure Pain in a lower quadrant and increased pulse rate An increased blood pressure and oliguria

harp fundal pain and discomfort between contractions

A new mother asks the nurse, "Why has my baby lost weight since he was born?" The nurse integrates knowledge of which cause when responding to the new mother? insufficient calorie intake shift of water from extracellular space to intracellular space increase in stool passage overproduction of bilirubin

insufficient calorie intake

Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with PPROM has completed how many weeks of gestation? less than 37 weeks less than 36 weeks less than 38 weeks less than 35 weeks

less than 37 weeks

The nurse is assessing a postpartum client's lochia and finds that there is about a 4-inch stain on the perineal pad. The nurse documents this finding as which description? scant light moderate large

light

A nurse is reviewing the medical record of a pregnant client diagnosed with placenta previa. The physical exam reveals that the placenta is implanted near the internal os but does not reach it. The nurse interprets this as which type of placenta previa? total partial marginal low-lying

low-lying

When monitoring a postpartum client 2 hours after birth, the nurse notices heavy bleeding with large clots. Which response is most appropriate initially? massaging the fundus firmly performing bimanual compressions administering ergonovine notifying the primary care provider

massaging the fundus firmly

A nurse is assessing a client's lochia every 15 minutes for the first hour during the fourth stage of labor. Which finding would the nurse expect to assess? moderate lochia rubra with a fleshy odor lochia alba saturating at least 3 pads lochia rubra with large clots lochia rubra saturating two pads

moderate lochia rubra with a fleshy odor

A woman is experiencing a postpartum hemorrhage due to uterine atony. Which risk factor would the nurse recognize as contributory to this specific problem? fetal demise placenta accreta preeclampsia multiparity

multiparity

A pregnant client with severe preeclampsia has developed HELLP syndrome. In addition to the observations necessary for preeclampsia, what other nursing intervention is critical for this client? observation for bleeding maintaining a patent airway administration of a tocolytic, if prescribed monitoring for infection

observation for bleeding

A nurse is preparing an inservice education program for a group of nurses about dystocia involving problems with the passenger. Which problem would the nurse most likely include as the mostcommon? macrosomia breech presentation persistent occiput posterior position multifetal pregnancy

persistent occiput posterior position

When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which trait? trust autonomy self-identity dependence

self-identity

A nurse is caring for a pregnant client admitted with mild preeclampsia. Which assessment finding should the nurse prioritize? urine output of less than 15 mL/hr 1+ ankle edema mild hand edema proteinuria of 200 mg/24 hours

urine output of less than 15 mL/hr