Maternity Prepu ALT.docx - Question 1 See full question The...

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Unformatted text preview: Question 1 See full question The nurse covers the myelomeningocele of a neonate with a sterile dressing. Which of the following statements directs the nurses action? You Selected: conserving energy. Correct response: preventing infection. Explanation: Remediation: Question 2 See full question After the birth of her first neonate, a mother asks the nurse about the reddened areas at the nape of the neonate's neck. How should the nurse respond? You Selected: "They commonly result from a traumatic delivery." Correct response: "They're normal and will disappear as the baby's skin thickens." Explanation: Remediation: Question 3 See full question While the nurse is caring for a neonate at 32 weeks' gestation in an isolette with continuous oxygen administration, the neonate's mother asks why the neonate's oxygen is humidified. The nurse should tell the mother? You Selected: "The humidity promotes expansion of the neonate's immature lungs." Correct response: "Oxygen is drying to the mucous membranes unless it is humidified." Explanation: Remediation: Question 4 See full question After teaching the multiparous mother about hemolytic disease of the newborn and Rh sensitization, the nurse determines that the client understands why she was not sensitized during her other pregnancy when she makes which statement? You Selected: "Like most women, I have immunity against the Rh factor." Correct response: "Antibodies are not usually formed until after exposure to an antigen." Explanation: Remediation: Question 5 See full question When caring for the neonate weighing 4,564 g (10 lb, 1 oz) born vaginally to a woman with diabetes, the nurse should assess the neonate for fracture of the: You Selected: rib cage. Correct response: clavicle. Explanation: Remediation: Question 1 See full question A client who is 37 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client's preparation for parenting, the nurse might ask which question? You Selected: "Can you tell me about the meals you typically eat each day?" Correct response: "What changes have you made at home to get ready for the baby?" Explanation: Remediation: Question 2 See full question A client has meconium-stained amniotic fluid. Fetal scalp sampling indicates a blood pH of 7.12; fetal bradycardia is present. Based on these findings, the nurse should take which action? You Selected: Reposition the client. Correct response: Prepare for cesarean birth. Explanation: Remediation: Question 3 See full question A client is in the eighth month of pregnancy. To enhance cardiac output and renal function, the nurse should advise her to use which body position? You Selected: Right lateral Correct response: Left lateral Explanation: Remediation: Question 4 See full question A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her psychosocial transition during pregnancy? You Selected: Previous health promotion activities Correct response: Support from her partner Explanation: Remediation: Question 5 See full question During a prenatal visit, a nurse measures a client's fundal height at 19 cm. This measurement indicates that the fetus has reached approximately which gestational age? You Selected: 24 weeks Correct response: 19 weeks Explanation: Remediation: Question 6 See full question A client asks how long she and her husband can safely continue sexual activity during pregnancy. How should the nurse respond? You Selected: "Until the end of the third trimester." Correct response: "As long as you wish, if the pregnancy is normal." Explanation: Remediation: Question 7 See full question During a prenatal visit, a pregnant client with cardiac disease and slight functional limitations reports increased fatigue. To help combat this problem, the nurse should advise her to: You Selected: exercise 1 hour before each meal. Correct response: divide daily food intake into five or six meals. Explanation: Remediation: Question 8 See full question During a nonstress test (NST), a nurse notes three fetal heart rate (FHR) increases of 20 beats/minute, each lasting 20 seconds. These increases occur only with fetal movement. What does this finding suggest? You Selected: The client should undergo an oxytocin challenge test. Correct response: The fetus is not in distress at this time. Explanation: Remediation: Question 9 See full question A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find: You Selected: use of an intrauterine device for 1 year. Correct response: a history of pelvic inflammatory disease. Explanation: Remediation: Question 10 See full question A client, 11 weeks pregnant, is admitted to the facility with hyperemesis gravidarum. She tells the nurse she has never known anyone who had such severe morning sickness. The nurse understands that hyperemesis gravidarum results from: You Selected: a neurologic disorder. Correct response: an unknown cause. Explanation: Remediation: Question 11 See full question At 32 weeks' gestation, a client is admitted to the facility with a diagnosis of gestational hypertension. Based on this diagnosis, the nurse expects the assessment to reveal: You Selected: temperature of 101.4° F (38.6° C). Correct response: 3+ edema in the lower extremities. Explanation: Remediation: Question 12 See full question A client is 8 weeks pregnant. Which teaching topic is most appropriate at this time? You Selected: Infant care responsibilities Correct response: Common discomforts of pregnancy Explanation: Remediation: Question 13 See full question A client, 7 months pregnant, is admitted to the unit with abdominal pain and bright red vaginal bleeding. Which action should the nurse take first? You Selected: Massage the client's fundus to help control the hemorrhage. Correct response: Place the client on her left side and start supplemental oxygen, as ordered, to maximize fetal oxygenation. Explanation: Remediation: Question 14 See full question A client undergoes an amniotomy. Shortly afterward, the nurse detects large variable decelerations in the fetal heart rate (FHR) on the external electronic fetal monitor (EFM). These findings signify: You Selected: an infection. Correct response: umbilical cord prolapse. Explanation: Remediation: Question 15 See full question A nurse has a client at 30 weeks' gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when she says that she wants to breast-feed her neonate? You Selected: Discourage breast-feeding because HIV can be transmitted through breast milk. Correct response: Discourage breast-feeding because HIV can be transmitted through breast milk. Explanation: Remediation: Question 16 See full question A client who is 34 weeks pregnant is experiencing bleeding caused by placenta previa. The fetal heart sounds are normal and the client is not in labor. Which nursing intervention should the nurse perform? You Selected: Notify the physician for a fetal heart rate of 130 beats/minute. Correct response: Monitor the amount of vaginal blood loss. Explanation: Remediation: Question 17 See full question A client comes to the office for her first prenatal visit. She reports that January 3 was the first day of her last menstrual period. According to Nägele's rule, what date should the nurse record as the estimated date of delivery (EDD)? You Selected: November 10 Correct response: October 10 Explanation: Remediation: Question 18 See full question A pregnant client complains of nausea every morning and again before meals. As a result of the nausea, she's been unable to eat enough and has lost weight. Which nonpharmacologic intervention should the nurse recommend? You Selected: Eating three large meals per day Correct response: Keeping crackers at the bedside to eat before getting out of bed Explanation: Remediation: Question 19 See full question A client is having a level 2 ultrasound. A nurse knows that physicians order this procedure: You Selected: for diagnostic purposes when fetal development is in question. Correct response: for diagnostic purposes when fetal development is in question. Explanation: Remediation: Question 20 See full question Which outcome would the nurse identify as the priority to achieve when developing the plan of care for a primigravid client at 38 weeks’ gestation who is hospitalized with severe preeclampsia and receiving intravenous magnesium sulfate? You Selected: decreased urinary output during the first 24 hours Correct response: absence of any seizure activity during the first 48 hours Explanation: Remediation: Question 21 See full question When assessing a 34-year-old multigravid client at 34 weeks' gestation experiencing moderate vaginal bleeding, which symptom would most likely alert the nurse that placenta previa is present? You Selected: uterine tetany Correct response: painless vaginal bleeding Explanation: Remediation: Question 22 See full question A 20-year-old primigravid client tells the nurse that her mother had a friend who died from hemorrhage about 10 years ago during a vaginal birth. Which response would be most helpful? You Selected: "Do not concern yourself with things that happened in the past." Correct response: "What is it that concerns you about pregnancy, labor, and childbirth?" Explanation: Remediation: Question 23 See full question After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which hormone is evaluated by this test? You Selected: follicle-stimulating hormone Correct response: human chorionic gonadotropin (hCG) Explanation: Remediation: Question 24 See full question A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which instruction would be most helpful? You Selected: Take frequent rest periods with the legs elevated above the hips. Correct response: Take frequent rest periods with the legs elevated above the hips. Explanation: Remediation: Question 25 See full question An anxious young adult is brought to the interviewing room of a crisis shelter, sobbing and saying that she thinks she is pregnant but does not know what to do. Which nursing intervention is most appropriate at this time? You Selected: Recommend a pregnancy test after acknowledging the client's distress. Correct response: Recommend a pregnancy test after acknowledging the client's distress. Explanation: Remediation: Question 26 See full question A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, "What does that mean?" The nurse explains that a reactive nonstress test indicates which of the following about the fetus? You Selected: Fetal well-being at this point in the pregnancy. Correct response: Fetal well-being at this point in the pregnancy. Explanation: Remediation: Question 27 See full question The nurse on the antenatal unit is planning care for four clients. The nurse should assess which client first: You Selected: a 29-year-old client carrying twins, being treated for preterm labor at 29 weeks’ gestation and receiving magnesium sulfate at 2 g/h, who has had no contractions for the past 2 hours; both twins appear stable, according to the nurse’s shift report Correct response: a 19-year-old 18 weeks’ intrauterine pregnancy (IUP) who is now 12 hours post motor vehicle accident with bright red vaginal bleeding Explanation: Remediation: Question 28 See full question When explaining the risk for having a child with cystic fibrosis to a husband and wife, the nurse should tell them: You Selected: the gene is carried on the X chromosome and there is little risk. Correct response: the risk is greatest when both clients have the recessive gene. Explanation: Remediation: Question 29 See full question After instructing a pregnant client about third trimester edema, the nurse determines that the client needs further instruction when the client makes which statement? You Selected: “Swelling of my feet and ankles is normal." Correct response: “Swelling in my hands and face is to be expected." Explanation: Remediation: Question 30 See full question When the nurse instructs a pregnant client with a history of varicose veins about strategies to promote comfort, which client statement indicates that the teaching has been successful? You Selected: “Support hose can be put on just before bedtime." Correct response: “Lying down with my feet elevated should help." Explanation: Remediation: Question 31 See full question After teaching a pregnant client about potential complications of amniocentesis that must be reported immediately, the nurse determines that the client understands the instruction when she says that she will report: You Selected: nausea. Correct response: vaginal bleeding. Explanation: Remediation: Question 32 See full question A 24-year-old client admitted to the hospital is suspected of having an ectopic pregnancy. On admission, which factor would be most important to assess? You Selected: type of oral contraceptives Correct response: date of last menstrual period Explanation: Remediation: Question 33 See full question A 32-year-old female client visits the family planning clinic and requests an intrauterine device for contraception. When assessing the client, a history of which problem would be most important to determine? You Selected: thrombophlebitis Correct response: pelvic inflammatory disease Explanation: Remediation: Question 34 See full question A primigravid client visits the clinic at 12 weeks' gestation and tells the nurse that she has a cold and her nose is stuffy. The nurse should instruct the client to treat the nasal stuffiness by using: You Selected: oral antihistamines. Correct response: saline nose drops. Explanation: Remediation: Question 35 See full question A client is seeking infertility treatment after attempting pregnancy for 2 years. Of the following data from the client’s history, which has the greatest impact on infertility? You Selected: The client travels by air frequently. Correct response: The client is a gymnast weighing 105 lbs (47.6 kg). Explanation: Remediation: Question 36 See full question A nurse is caring for a primigravida client. At 20 weeks of gestation, identify the location where the nurse anticipates the uterine fundus. You Selected: Your selection and the correct area, market by the green box. Explanation: Remediation: Question 37 See full question A 29-year-old multigravida at 37 weeks' gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 3 g/h. To maintain safety for this client, the priority intervention is to: You Selected: assess reflexes, clonus, visual disturbances, and headache. Correct response: assess reflexes, clonus, visual disturbances, and headache. Explanation: Remediation: Question 38 See full question A 16-year-old unmarried primigravid client at 37 weeks' gestation with severe preeclampsia is in early active labor. The client's blood pressure is 164/110 mm Hg. Which finding would alert the nurse that the client may be about to experience a seizure? You Selected: hyporeflexia Correct response: epigastric pain Explanation: Remediation: Question 39 See full question While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the nurse would instruct the client to contact her primary health care provider (HCP) immediately if the client experiences which symptom? You Selected: weight gain of 1 lb (0.45 kg) in 1 week Correct response: dyspnea at rest Explanation: Remediation: Question 40 See full question The health care provider prescribes clomiphene citrate for a woman who has been having difficulty getting pregnant. When teaching the client about this drug, the nurse should discuss what potential adverse effects? You Selected: chance of multiple gestation. Correct response: chance of multiple gestation. Explanation: Remediation: Question 41 See full question A 16-year-old unmarried client visiting the prenatal clinic at 32 weeks’ gestation and currently weighing 140 lb (63.5 kg) is being closely monitored for early signs of preeclampsia. The client is 5 feet, 2 inch (158 cm) tall and weighed 120 lb (54.4 kg) before the pregnancy. Which factor would be most important to assess? You Selected: small-for-gestational-age fetus Correct response: proteinuria Explanation: Remediation: Question 42 See full question A 34-year-old multigravida at 36 weeks’ gestation is diagnosed with preterm labor. The client has experienced one infant death due to preterm birth at 28 weeks’ gestation. On admission to the antenatal unit, the nurse determines that the fetal heart rate is 140 bpm. What should the nurse do next? You Selected: Recheck the fetal heart rate again in 5 minutes. Correct response: Continue monitoring the client and fetus. Explanation: Remediation: Question 43 See full question After teaching a primigravid client at 24 weeks’ gestation, who has received permission from the primary care provider to make a 6-hour automobile trip to visit her parents, about precautions to take during the trip, which client statement indicates the need for further teaching? You Selected: “I will be sure to wear the car seat belt while traveling.” Correct response: “I will sleep for 1 hour at the halfway point of the trip.” Explanation: Remediation: Question 44 See full question A 22-year-old client tells the nurse that she and her husband are trying to conceive a baby. When teaching the client about reducing the incidence of neural tube defects, the nurse would emphasize the need for increasing the intake of which foods? Select all that apply. You Selected: leafy green vegetables beans strawberries Correct response: leafy green vegetables strawberries beans sunflower seeds lentils Explanation: Remediation: Question 45 See full question A pregnant client at 36 weeks gestation tells the nurse she has been to see her physician, but doesn’t feel that the physician is taking her symptoms of lower extremity edema seriously. Which of the following is the most appropriate response from the nurse? You Selected: “Have you thought of switching physicians?" Correct response: “Tell me more about your experience with your physician.” Explanation: Remediation: Question 46 See full question A client is a gravida 2 para 1 and is currently 12 weeks gestation. She states that she drank beer throughout her last pregnancy. The client asks the nurse if it is okay to have a few drinks during this current pregnancy. Which of the following responses by the nurse would be most appropriate? You Selected: “It is not safe to consume alcohol during pregnancy.” Correct response: “It is not safe to consume alcohol during pregnancy.” Explanation: Remediation: Question 47 See full question A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying directly on her back. Which of the following is the nurse’s best response? You Selected: “This is most likely due to low hemoglobin.” Correct response: “This may be due to the uterus putting pressure on a blood vessel.” Explanation: Remediation: Question 48 See full question The nurse is administering magnesium sulfate by intravenous (IV) drip for a client with eclampsia at 32 weeks gestation. Which finding indicates the medication is having a therapeutic effect? Select all that apply. You Selected: Blood pressure 120/60 mm Hg Correct response: Magnesium level of 2.4 mEq/L Blood pressure 120/60 mm Hg Absence...
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  • Fall '17
  • Obstetrics, Correct Response, hyperemesis gravidarum

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