OB PrepU Quizzes
A newborn develops physiologic jaundice, and the mother asks the nurse why this happened. Which response by the nurse would be most accurate?
Because his liver is a bit immature, the baby can't break down the bilirubin as fast as needed
The nurse places a newborn with jaundice under the phototherapy lights in the nursery to achieve which goal?
Decrease the serum bilirubin level.
Which instruction would the nurse include in the teaching plan for a postpartum woman with mastitis?
Try applying warm compresses to your breasts to encourage the milk to be released
When assessing a postpartum client who was diagnosed with a cervical laceration that has been repaired, what sign should the nurse report as a possible development of hypovolemic shock?
weak and rapid pulse
A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply.
Provide oxygen supplementation, ensure the newborn's warmth, & observe respiratory status frequently.
The nurse is caring for a pregnant woman determined to be at high risk for gestational diabetes. The nurse prepares to rescreen this client at which time frame?
24 to 28 weeks
A nurse is caring for a newborn with hypoglycemia. For which symptoms of hypoglycemia should the nurse monitor the newborn? Select all that apply.
Lethargy, cyanosis, & jitteriness
Which statement by the pregnant woman shows an understanding that she should avoid teratogens in the first trimester?
"I have to call my doctor to switch me from lithium to another drug for my bipolar disorder."
A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate that the client is at how many weeks' gestation?
28 weeks' gestation
What supplies would the nursery nurse collect in preparation for bathing a newborn infant? Select all that apply.
A washcloth, warm tub of water, & thermometer
A young client with a cardiac problem wants to get pregnant and tells the nurse that she is sad that she will never be able to have a baby. What is the best response by the nurse?
Because of improved management, more women with cardiac problems can complete pregnancies successfully.
A woman in her third trimester is suffering from heartburn. What should the nurse advise her to do?
Eat small meals frequently rather than large meals.
1. The nurse is preparing discharge instructions for a client who has developed endometritis after a cesarean birth. As the client is to be discharged on antibiotic therapy, which instruction should the nurse prioritize?
Handwashing
When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F (35.4° C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority?
Hypothermia
While trying to decide whether to bottle feed or breastfeed her newborn infant, a new mother questions the lactation specialist concerning the greatest benefit of breastfeeding her infant. What would be the best response?
Immunity against many different bacteria
A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due to the labor. The nurse understands that which factors are causing the extreme pain in the client? Select all that apply.
Lower uterine segment distention, stretching and tearing of structures, & dilation (dilatation) of the cervix
The nurse is monitoring a client who has given birth and is now bonding with her infant. Which finding should the nurse prioritize and report immediately for intervention?
Maternal tachycardia and falling blood pressure
During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as:
Mongolian spots
A nursing student observes that the babies in the nursery are wrapped up warmly and are wearing knit caps. Which explanation by the nursery staff would be correct?
Newborns lose body heat easily and need to be kept warm until their body temperature stabilizes
Under which circumstances should gloves be worn in the newborn nursery? Select all that apply.
Providing the first bath, changing a diaper, & performing a heel stick Accucheck
Which neonatal assessment is the highest priority if the mother received meperidine during labor?
Respiratory rate
1. A nurse is conducting a class on the effects of nicotine during pregnancy. Which complications will the nurse include in the teaching? Select all that apply.
Spontaneous abortion (miscarriage), tubal ectopic pregnancy, preterm labor and birth, placenta previa, & spontaneous rupture of membranes
A new mother who is breastfeeding her son asks the nurse, "How do I know if my son is getting enough fluids?" Which response by the nurse would be most appropriate?
The best way is to check the number of diapers he wets. If he wets 6 to 8 times a day, he's getting enough
The nurse is required to assess a client for HELLP syndrome. Which are the signs and symptoms of this condition? Select all that apply.
Upper right quadrant pain, epigastric pain, & hyperbilirubinemia
The above nurse's note was documented in the client's record by the labor room nurse. In which position was the client born?
With the occiput facing the right anterior quadrant of the pelvis
If constipation is a problem for a woman during pregnancy, which measure would be best to recommend?
increased fiber intake
The nurse working on a postpartum client must check lochia in terms of amount, color, change with activity and time, and:
odor
1. A nurse has been assigned to the care of a client who has just given birth. How frequently should the nurse perform the assessments during the first hour after birth?
Every 15 minutes
What is the best way for the nurse to assess the newborn's heartbeat?
auscultating the apical pulse for 60 seconds
A nurse is reviewing the medical record of a pregnant woman and notes that she is gravida 2. The nurse interprets this to indicate the number of:
pregnancies.
A nurse knows that a doula can be part of a laboring client's health care team. Which intervention would the nurse explain to the client is part of the doula's responsibility?
providing support and explanations during labor and birth
When giving a postpartum client self-care instructions in preparation for discharge, the nurse instructs her to report heavy or excessive bleeding. How should the nurse describe "heavy bleeding?"
saturating 1 pad in 1 hour
1. The nurse is caring for a pregnant client who is in her 30th week of gestation and has congenital heart disease. Which finding should the nurse recognize as a symptom of cardiac decompensation with this client?
swelling of the face
A client with a molar pregnancy is scheduled for a dilatation and curettage (D&C). The nurse is educating that client about postoperative care. The nurse will instruct the client that she will have the first serum hCG level drawn at how many hours after the D&C?
48 hours
The nurse is caring for an Rh-negative nonimmunized client at 14 weeks' gestation. What information would the nurse provide to the client?
Obtain Rho(D) immune globulin at 28 weeks' gestation.
1. A nurse is conducting a teaching program for pregnant woman who are older than age 35. The nurse explains that although most women in their age group have healthy pregnancies and healthy newborns, they are at increased risk for possible complications. Which complications would the nurse include? Select all that apply.
Preterm labor, preeclampsia, & postpartum hemorrhage
A mother is concerned because her 2-day-old newborn's birth weight was 8 lb (3584 g) and his current weight is 7 lb 8 oz (3360 g). What would be the nurse's response to the mother's concern?
The weight loss is a normal finding, since newborns lose 5% to10% of their birth weight in the first few days after birth
On a routine hematocrit screen during a prenatal visit, the nurse notices that the client is mildly anemic. When discussing this with the couple, the husband hints that she might be eating unusual things. The nurse recognizes the need for the woman to be evaluated for which condition?
pica
The urine of a woman in her second trimester of pregnancy is found to contain glucose. For which condition should she be tested?
gestational diabetes
The nurse is preparing discharge instructions for the parents of a male newborn who is to be circumcised before discharge. Which instruction should the nurse prioritize?
Cover the glans generously with petroleum jelly.
1. The nurse is educating a client with type 1 diabetes about the complications associated with diabetes and pregnancy. Which problems would the nurse include in her teaching? Select all that apply.
Increased risk of spontaneous abortion (miscarriage), polyhydramnios, & hypertension
A client in her first trimester comes to the clinic for an evaluation. Assessment reveals reports of fatigue, anorexia, and frequent upper respiratory infections. The client's skin is pale and the client is slightly tachycardic. The client also reports drinking about 6 cups of coffee on average each day. A diagnosis of iron-deficiency anemia is suspected. The client is scheduled for laboratory testing and the results are as follows: Hemoglobin 11.5 g/dL (115 g/L), hematocrit 35% (0.35), serum iron 32 µg/dL (5.73 µmol/L), & serum ferritin 90 ng/dL (90 µg/L). Which laboratory finding would the nurse correlate with the suspected diagnosis?
Serum ferritin level
Which instruction would the nurse include in the teaching plan for a postpartum client with a history of thromboembolism to reduce the risk of a recurrence?
Wear support hose or antiembolic stockings.
1. The nurse is transcribing messages from the answering service. Which phone message should the nurse return first?
a 35-year-old, 21-week G3P2 client with blood pressure of 160/110 mm Hg, blurred vision, and whose last blood pressure was 143/99 mm Hg and urine dipstick showed a +2 proteinuria
Upon assessing the newborn's respirations, which finding would cause the nurse to notify the primary care provider?
a respiratory rate of 15 breaths per minute with nasal flaring
A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method?
trisomy 21 (Down syndrome)
1. A woman has presented to the emergency department with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured?
referred shoulder pain
A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?
respiratory depression
During the assessment of a laboring client, the nurse learns that the client has cardiovascular disease (CVD). Which assessment would be priority for the newborn?
respiratory function
A nurse is monitoring the fetal heart rate (FHR) of a client in labor using an electronic fetal monitor. The reading shows a late deceleration. Which intervention will the nurse implement?
Change maternal position to side-lying position.
Which technique(s) will the nurse use when administering an intramuscular (IM) injection to a term neonate? Select all that apply.
Stabilizing the needle with the nondominant hand, using a quick darting motion, injecting slowly into the anterolateral thigh
A nurse is meeting with a group of pregnant clients who are in their last trimester to teach them the signs that may indicate they are going into labor. The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply.
Bloody show, backache, & lightening
1. A nurse is conducting a refresher program for a group of nurses working in the newborn nursery. After teaching the group about variations in newborn head size and appearance, the nurse determines that the teaching was successful when the group identifies which variation as normal? Select all that apply.
Cephalohematoma, molding, & caput succedaneum
A nurse is caring for a client in her third stage of labor. The nurse would predict the placenta is separating from the uterus based on which assessment findings? Select all that apply.
Fresh gushing of blood from the vagina, umbilical cord descending lower down, & a globular shaped uterus
Parents are taking home their second child. They also have a 2-year-old at home. The nurse would anticipate which behavior by these parents?
General questions about different aspects of newborn care
A nurse is teaching a woman in her third trimester about Braxton Hicks contractions. When describing these contractions, which information would the nurse likely include? Select all that apply.
They usually feel like a tightening across the top of your uterus, they often spread downward before they go away, & they go away when you walk around or change position
The nurse is assessing a client at 12 weeks' gestation at a routine prenatal visit who reports something doesn't feel right. Which assessment findings should the nurse prioritize?
gestational hypertension, hyperemesis gravidarum, absence of FHR
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
linea nigra
A multigravid client has been in labor for several hours and is becoming anxious and distressed with the intensity of her frequent contractions. The nurse observes moderate bloody show and performs a vaginal examination to assess the progress of labor. The cervix is 9 cm dilated. The nurse knows that the client is in which phase of labor?
transition phase
A nurse is providing care to a newborn in the immediate newborn period. Which nursing intervention is priority?
Administer aquamephyton.
1. A postpartum woman has a history of thrombophlebitis. Which action would help the nurse determine if she is developing this postpartum?
Assess for calf redness and edema
1. After teaching a class of pregnant women on ways to decrease the postpartum complication of thrombotic conditions, the nurse recognizes more teaching is needed when one of the participants states:
At least I don't have to give up smoking for this one
1. A G1 P1001 mother is just home after giving birth to her first child 5 days ago. Her birth was complicated by an emergency cesarean birth resulting from incomplete cervical dilation (dilatation) and hemorrhage. The nurse determines that the mother has not slept longer than 3 hours at one time. The appropriate nursing diagnosis for this client care issue is:
At risk for postpartum depression due to inadequate rest.
After conducting a review class on the labor and birth process for a group of nurses working in the community clinic, the nurse determines that the teaching was successful when the group identifies which factors as affecting the labor process? Select all that apply.
Powers, passenger, & patience
If a client is receiving total parenteral nutrition (TPN) for hyperemesis gravidarum, which bedside lab tests need to be performed daily? Select all that apply.
Urine for ketones & blood glucose testing
A client who is 10 weeks' pregnant reports during a social assessment interview that she has two indoor cats, lives alone, fixes her own meals and enjoys gardening. What precautions would the nurse recommend the woman take to prevent the possibility of contracting toxoplasmosis? Select all that apply.
Use gloves when planting her vegetable garden & make sure meats are cooked to 152ºF (66.7℃); do not eat raw or rare meats.
1. A client who has just given birth to a baby girl demonstrates behavior not indicative of bonding when she performs which action?
talks to company and ignores the baby lying next to her
A nurse is conducting a refresher program for a group of nurses returning to work in the newborn clinic. The nurse is reviewing the protocols for assessing vital signs in healthy newborns and infants. The nurse determines that additional education is needed when the group identifies which parameter as being included in the assessment?
Blood pressure
Prior to infusing medication into an epidural catheter inserted into a laboring mother, which vital sign is a priority?
Blood pressure
The nurse is questioning the effective bonding of a client and her 2-day-old infant after noting signs of impaired bonding and attachment. Which actions does the nurse find concerning?
Calling the baby "it" or "they"
1. A mother is postpartum 2 hours after a cesarean birth with epidural anesthesia. The nurse notes the urine output in the Foley bedside drainage bag is 50 ml. What should the nurse do first?
Check the catheter tubing for kinks or obstruction.
A nurse working in a correctional facility is monitoring a group of pregnant inmates. Which interventions might be necessary to improve the health of these incarcerated pregnant women? Select all that apply.
Coordination of care with off-site providers, provide extra food and exclude unpasteurized items, provide prenatal vitamins, ensure frequent hydration, & recommend activity restrictions
1. A nurse is instructing a client who is breastfeeding for the first time that before her milk comes in she should expect to see colostrum, which is described as which color?
Creamy yellow
Which fetal adaptation is anticipated in a vaginal birth? Select all that apply.
Decreasing pH throughout labor, changing heart rate during contractions, & excretion of respiratory tract mucus
A nurse is assessing a pregnant client with preeclampsia for suspected dependent edema. Which description of dependent edema is most accurate?
Dependent edema may be seen in the sacral area if the client is on bed rest.
A newly pregnant 41-year-old woman is requesting genetic testing of the baby. She is concerned that due to her age the baby has an increased risk for which condition?
Down syndrome
A gravid client is talking with the nurse about the excessive nausea and vomiting she has been experiencing throughout the day. She asks why this is happening to her and what she can do to reduce the nausea. What information should be included in the nurse's response? Select all that apply.
Eating a high carbohydrate snack before getting out of bed may be helpful & ingesting small frequent meals in pregnancy is helpful to manage nausea.
The nursery head nurse is conducting a staff in-service on prevention of hypoglycemia. What information would she share with this group? Select all that apply.
Encourage breastfeeding mothers to nurse immediately after delivery, keep the newborns warm in the nursery and covered with a blanket, initiate early feedings for all bottle-fed newborns.
1. A woman at 37 weeks' gestation presents to the labor and delivery area with symptoms of placental abruption (abruptio placentae). Which action should the nurse prioritize?
Ensure that large-bore IV access is obtained
At 28 weeks' gestation, the client has gained 7.5 lb (3.4 kg) since the last visit. What assessments would the nurse complete next? Select all that apply.
Examine for excessive amniotic fluid, inspect hands for edema, & measure blood glucose level.
A postpartum woman who has experienced diastasis recti asks the nurse about what to expect related to this condition. Which response by the nurse would be most appropriate?
Exercise will help to improve the muscles
A nurse is providing teaching to a new mother about her newborn's nutritional needs. Which suggestions would the nurse include in the teaching? Select all that apply.
Feed the newborn on demand or at least every 2 to 4 hours during the day, burp the newborn frequently throughout each feeding, & use feeding time for promoting closeness.
In which manner is the fetal status best assessed during the active and transition stages of labor?
Fetal heart rate at the peak of a contraction
1. Many women develop iron-deficient anemia during pregnancy. What diagnostic criteria would the nurse monitor for to determine anemia in the pregnant woman?
Hematocrit of 32% or less
After teaching a group of expectant mothers about how to best protect the fetus while in utero, which statement by a mother would best validate understanding of the teaching session?
I will not take any medicines that the doctor has not prescribed without checking first
A pregnant client is admitted to the labor and birth unit in the first stage of labor. A nurse reviews a pregnant client's birth plan. Which response from the client would indicate to the nurse that further teaching is indicated?
I will remain in my bed for my labor and birth like last time.
1. After a class for expectant parents on the various forms of birth control after the birth of their infant, the nurse realizes more training is needed when a participant makes which comment?
I'm going to be breastfeeding occasionally, so we won't need to use any other birth control for at least six months
The nurse has provided care to a client throughout labor and delivery and is comparing assessment findings with expected norms. When tracking the client's cardiac assessments, the nurse should predict that cardiac output will likely be the highest at which time?
Immediately after birth
A pregnant woman who had stress incontinence during a previous pregnancy asks the nurse what could be done to manage this in her current pregnancy. What should the nurse recommend to the client?
Kegel exercises
A woman develops gestational diabetes. Which assessment should she make daily?
Measure serum for glucose level by a finger prick.
The nurse is assessing a client for rupture of membranes. Which findings would confirm the presence of ruptured membranes? Select all that apply.
Nitrazine paper turns blue, ferning is present, & a pool of fluid is visible in the vagina.
Which occupation may expose a fetus to environmental hazards? Select all that apply.
Nurse anesthetist working in a busy oral surgeon's office, short-order cook for a busy deli, & nurse working for a pulmonologist who administers inhalation ribavirin routinely to the client population
The LPN has reported that uterine massage is ineffective on a client. The nurse anticipates the health care provider will prescribe which medication to address this issue?
Oxytocin
Disseminated intravascular coagulation is a life-threatening condition that the nurse recognizes can occur as a complication secondary to which primary conditions? Select all that apply.
Placental abruption (abruptio placentae), severe preeclampsia, & septicemia
A pregnant woman in her second trimester comes to the clinic for a follow-up. During the visit, the woman reports discomfort related to hemorrhoids. Which suggestion(s) would be appropriate for the nurse to include when teaching the woman about relief measures. Select all that apply.
Raise your feet on a stool when having a bowel movement, try using some cold compresses on the area, be sure to drink at least 2 liters of fluid each day
1. The nurse is assessing a postpartum client at a 6-week well-care check and notes questionable behavior on assessment. Which behaviors should the nurse prioritize and report to the RN or health care provider?
Restless and agitated, concerned with self and not the infant
The nurse is documenting subjective and objective data changes from a client at 34 weeks' gestation. Which would the nurse report immediately to the health care provider? Select all that apply.
Sharp abdominal pain & scant spotting on underwear
A pregnant client at 33 weeks' gestation is in the office for a routine visit. She lies down on her back and while the nurse is listening for fetal heart tones, the client tells the nurse that she feels lightheaded; her blood pressure is 82/58 mm Hg. What is the most likely explanation for this problem?
She is experiencing supine hypotension syndrome
A new mother is holding her infant after a feeding. Which behavior by the mother would be concerning to the nurse related to malattachment?
She refers to the infant as "it" instead of saying the infant's name.
A primigravida is 1 cm dilated, in early latent labor, and interested in avoiding epidural anesthesia. After asking about which nonpharmacologic options for pain relief she can use at this time, which option(s) should the nurse point out to the client? Select all that apply.
Simple breathing exercises, effleurage, & walking and then using a birthing ball
A 16-year-old client was at 12 weeks' gestation when she gave birth to a fetus last week. The client has come to the office for follow-up and, while waiting in an examination room, notices that on the schedule is written her name and "follow-up of spontaneous abortion." The client is upset about what is written on the schedule. How can the nurse best explain this terminology?
Spontaneous abortion is a more specific term used to describe a spontaneous miscarriage, which is a loss of pregnancy before 20 weeks. This term does not imply that you did anything to affect the pregnancy.
1. Which intervention(s) will the nurse recommend for a breastfeeding mother diagnosed with mastitis? Select all that apply.
Take antibiotics as prescribed, take acetaminophen as needed for pain, rub expressed breast milk on the nipples after each feeding session, & apply warm compresses to the affected breast PRN
1. A mother who is 4 days postpartum and is breastfeeding expresses to the nurse that her breast seems to be tender and engorged. Which suggestions should the nurse give to the mother to relieve breast engorgement? Select all that apply.
Take warm-to-hot showers to encourage milk release, express some milk manually before breastfeeding, apply warm compresses to the breasts prior to nursing.
A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs as needing to be reported? Select all that apply.
Temperature of 38.3° C (101° F) or higher, refuse feeding, & abdominal distention
A nurse is assessing a female client in the labor admission unit. The client has been having contractions every 5 minutes for the past 6 hours. Which finding would the nurse use to determine if the client is experiencing true labor?
The client's cervix has changes of effacement and dilation (dilatation).
A new mother is changing the diaper of her 12-hour-old newborn and asks why the stool is black and sticky. Which response by the nurse would be most appropriate?
This is meconium stool and is normal for a newborn
A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?
Try elevating your legs when you sit
A pregnant woman is scheduled for chorionic villus sampling. The nurse is describing the procedure and the potential for complications. When providing care to the client after the testing, the nurse would be alert for which complication as the most common? Select all that apply.
Vaginal bleeding & cramping
When caring for a client with postpartum blues, which intervention would be most appropriate?
Validate the client's emotions, allowing her to express them freely
The nurse has been monitoring the progression of labor for a primipara. At which time is the nurse most correct to prepare for delivery?
When the fetus is crowning
A newborn has a 5-minute Apgar score of 9. What intervention should the nurse take for this client?
Wrap the infant in a blanket and hand to the mother for bonding.
Which postpartum client will the nurse assess first?
a 35-year-old who had estimated blood loss of 700 ml and has a supine BP of 130/80 mm Hg and BP of 100/65 mm Hg when head of the bed is elevated
A nurse is caring for a client who just experienced a spontaneous abortion (miscarriage) in her first trimester. When asked by the client why this happened, which is the best response from the nurse?
abnormal fetal development
A nurse who has worked in a nursery for 15 years informs the nursing student that feeding an infant early has advantages. The nurse describes which biggest advantage?
allows the baby to pass stools, which helps to reduce bilirubin
1. A woman is being admitted to the obstetric unit for severe preeclampsia. When assigning room placement, which area would be most appropriate?
at the end of the hallway
A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client?
baked turkey, brown rice, and strawberries
The nurse determines that the fetal heart rate averages approximately 140 beats per minute over a 10-minute period. The nurse identifies this as:
baseline FHR
1. A woman with cardiac disease has come to the office for prenatal counseling. Assessment supports the decision to caution the woman against pregnancy. The woman most likely fits the criteria for which functional risk classification?
class IV
A nurse is caring for woman in labor. The woman's membranes just ruptured. The nurse assesses the characteristics of the fluid. Which finding would the nurse identify as normal?
clear
A nurse is preparing a couple and their newborn for discharge. Which instructions would be most appropriate for the nurse to include in discharge teaching?
demonstrating comfort measures to quiet a crying infant
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a "clunk" when the Ortolani maneuver is performed. What would the nurse suspect?
developmental dysplasia of the hip (DDH)
The maternal serum alpha fetoprotein blood test is performed on pregnant women to screen for which condition?
fetal neural tube defects
1. The LVN/LPN will be assessing a postpartum client for danger signs of infection after a vaginal birth. What assessment finding would the nurse assess as a possible sign of infection for this client?
fever more than 100.4° F (38° C)
One vitamin has been identified as helping to prevent neural tube defects when consumed in adequate amounts before conception through the early weeks of pregnancy. Which vitamin is it?
folic acid
A young mother is at the office for her 6-week visit. She is still experiencing mild lochia alba and is concerned that she has an infection. Which finding would the nurse interpret as supporting this suspicion?
foul odor
The nurse is determining how often contractions occur measuring from the beginning of the one contraction to the beginning of the next contraction. The nurse documents this finding as:
frequency
1. A woman at 10 weeks' gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize?
fundal height measurement of 18 cm
After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
human chorionic gonadotropin (hCG)
A client comes to the emergency department with moderate vaginal bleeding. She says, "I have had to change my pad about every 2 hours and it looks like I may have passed some tissue and clots." The woman reports that she is 9 weeks' pregnant. Further assessment reveals the following: Cervical dilation, strong abdominal cramping, low human chorionic gonadotropin (hCG) levels, & ultrasound positive for products of conception. The nurse suspects that the woman is experiencing which type of spontaneous abortion?
inevitable
A client is seeking advice for his pregnant wife who is experiencing mild elevations in blood pressure. In which position should a nurse recommend the pregnant client rest?
lateral recumbent position
A client has asked that an opioid be kept on standby in case she needs it for pain control. As a precaution, the nurse will also have which of medication readily available to reverse the effects of that opioid?
naloxone
A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which sign would confirm the pregnancy?
palpable fetal movement
The injection of a local anesthetic to block specific nerve pathways is referred to as:
pudendal block
A nurse is auscultating the lungs of a postpartum client and notices crackles and some dyspnea. The client's respiratory rate is 12 breaths/minute; she appears in some distress. What complication should the nurse suspect based on these data?
pulmonary edema
A woman who had a cesarean birth of twins 6 hours ago reports shortness of breath and pain in her right calf. What complication should the nurse expect?
pulmonary emboli
A pregnant client is excited that she is beginning to feel her baby move within her. The nurse explains that these first fetal movements are known as:
quickening
A nursing student correctly identifies which action to be the best way to prevent complications of pregnancy?
receiving prenatal care
Circumcision is a very personal decision for parents, and the nurse's major responsibility is to inform the parents of the risks and benefits of the procedure. The nurse needs to recognize that this is mainly which type of decision?
social decision
The nurse is reviewing all of the documentation on determining estimated date of delivery. Which objective data is included? Select all that apply.
sonogram, fundal height, & calculating Naegele rule
What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension?
stressing the positive benefits of a healthy lifestyle
The mother has given birth to a premature infant at 30 weeks. To ensure the alveoli can function properly, the infant needs to be evaluated for:
surfactant.
While waiting for the placenta to deliver during the third stage of labor the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?
tachycardia and a falling blood pressure
A nurse urges a pregnant client at the first prenatal office visit to begin taking iron supplements immediately. What is the rationale for this intervention?
to avoid anemia
A woman is in the second stage of labor and is crowning. Which diameter of the fetal skull that is smallest should align with the anteroposterior diameter of the mother's pelvis, which is the narrowest diameter at the pelvic inlet?
transverse (biparietal)
1. 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
A nurse is reviewing a journal article on the causes of postpartum hemorrhage. Which condition would the nurse most likely find as the most common cause?
uterine atony
A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. The nurse interprets these changes as reflecting which type of deceleration?
variable decelerations
A nurse is assigned to care for a newborn with an elevated bilirubin level. Which symptom would the nurse expect to find during the infant's physical assessment?
yellow sclera
Fetal heart rate monitoring reveals baseline tachycardia in the fetus. Which rate would be most likely?
164 beats per minute
1. Which neonate is at highest risk for developing neonatal herpes following birth?
A newborn who was a vaginal delivery to a mother who had her initial outbreak during the third trimester of pregnancy and has active lesions
The nurse is preparing discharge instructions for a postpartum woman who has developed DVT after a long and difficult birthing process. The nurse will include instruction on which medication for this client?
Anticoagulants
A nurse is providing care to a postpartum woman who gave birth vaginally 6 hours ago. The client is reporting perineal pain secondary to an episiotomy. Which intervention would be most appropriate for the nurse to implement at this time?
Apply an ice pack to the perineal area.
A client who had an emergency cesarean birth for fetal distress 3 days ago is preparing for discharge. When reviewing the home care instructions with the nurse, the client reveals she is saddened about her cesarean and feels let down that she was not able to have a vaginal birth. When questioned further, the client states she feels "weepy about everything" and cannot stop crying. What nursing action is indicated first?
Ask the client to elaborate on her feelings.
While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?
Aspirate the oral and nasal pharynx with a bulb syringe.