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maternity
| Question | Answer |
|---|---|
| The Crede method prevents newborn eye infection by use of what? | Silver nitrate solution |
| The most important nursing action to prevent infection in any patient is to: | Consistently wash your hands |
| The function of the male's scrotum is to: | Regulate the temperature of the testes |
| What is the most appropriate nursing response to the woman who decides she cannot breastfeed because she has small breasts? | It is the amount of fat in your breasts that determines their size, so your chances of successfully nursing are good. |
| Hereditary or genetic traits are passed from one generation to the next within the: | Chromosomes |
| Which is the outer fetal membrane? | Chorion |
| Most fetal blood bypasses circulation to the lungs by way of the what? | Foramen Ovale |
| The foramen ovale closes permanently about how long after birth? | 3 months |
| A woman is 16 weeks pregnant. During the prenatal visit, she tells the nurse she is worried that her baby might not be normal. How should the nurse interpret this statement? | Concerns about doing "everything right" often become the woman's new standard |
| While lying on the examining table during her prenatal check at 34 weeks, a woman complains of being dizzy and weak. She is pale and her skin is moist. The best nursing intervention to relieve her symptoms is to: | Have her turn to her side |
| A woman who is underweight at the beginning of pregnancy should gain how much weight during pregnancy? | 28-40 pounds |
| A woman who is pregnant with her first baby is called a: | Nullipara |
| During a seizure of eclampsia, the priority nursing action for a pregnant teen is to: | Maintain the physical safety to prevent injury. |
| If a woman has cardiac disease, the main risks to the fetus are related to: | Poor oxygenation |
| Choose the assessment that should be promptly reported to the physician when a woman is being observed in the emergency room for possible ectopic pregnancy: | Fall in urine output to 20 mL/hour |
| A significant difference between the signs of abruptio placentae and those of placenta privia is that abrupto placentae involves: | Pain |
| To improve circulation to the placenta in a pregnant woman who has been in a serious car accident, the nurse should: | Place a small pillow under one hip if she must lie on her back. |
| During labor, a baseline fetal rate of 125 bpm should be interpreted as: | Normal for a term fetus |
| When the fetus is in a cephalic presentation, the amniotic fluid is expected to be: | Clear |
| The labor phase when the woman often feels anxious, restless, and seems to lose control is: | Transition |
| Fetal descent during labor is measured in relation to the mother's: | Ichial Spines |
| A woman's membranes rupture during labor. The nurse notes that the fluid is yellowish and cloudy. The priority nursing response related to this assessment is to: | Assess the woman's temperature and fetal heart rate |
| Which maternal position should be avoided during labor? | Supine |
| Which nursing assessment finding should be promptly reported to the physician or nurse-midwife? | Contraction intervals shorter than 2 minutes |
| The newborn of a woman who receives narcotic analgesics during labor should be observed primarily for: | Slow respirations |
| An advantage of an epidural block is that it: | Reduces pain for both labor and birth |
| The nurse should observe the woman who received epidural opioid narcotics for: | Late respiratory depression |
| Two hours after a vaginal birth with an epidural anesthesia the nurse determines that the woman's bladder is full. The most appropriate initial nursing action is to: | Help her walk to the bathroom if movement and sensation have returned |
| After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for: | Clavicle deformity |
| Which is the most typical labor characteristic when the fetus is in an occiput posterior position? | Persistant back discomfort |
| The first nursing action if a visibly prolapsed umbilical cord occurs is to: | Relieve pressure on the cord |
| The nurse must particularly observe for signs & symptoms of uterine rupture if the laboring woman just admitted at 8cm has: | A prior cesarian birth |
| Choose the situation that describes appropriate administration of RHo (D) immune globulin (RhoGAM): | Rh-positive infant, Rh-negative mother, give IM to the mother within 72 hours of birth |
| When teaching parents about PKU testing, the nurse should teach them that: | Follow-up testing should be done during one of the early clinic visits |
| The best position for the woman who has postpartum endomitritis is: | Semisitting |
| Which nursing assessment suggests infection of an episiotomy? | Redness of the perineum with separation of the suture line |
| A woman has postpartum uterine atony with hemorrhage. After bleeding is controlled, the physician orders an indwelling catheter mainly because it: | Allows better estimation of the woman's blood volume |
| The nurse is teaching a woman, age 25, about BSE. The correct teaching is that BSE: | Helps her learn the normal characteristics of her own breasts. |
| Choose the correct teaching for relief of symptoms associated with premenstrual dysphoric disorder: | Exercise individually or with others several times each week. |
| Appropriate patient teaching following vasectomy is to: | Place an ice pack on the operative area to reduce discomfort |
| Which reflex shows the baby's reaction to sudden movement by drawing up the legs, extending the arms, then folding the arms across the chest with the fingers open? | Moro |
| When teaching a mother how to nurse the baby, how should you explain the baby's rooting reflex? The rooting reflex: | Is the baby's way of seeking her nipple to obtain milk when hungry |
| One hour after a Plastibell circumcision, the nurse notes a small amount of blood oozing from the area. Which is the appropriate initial response to this observation? | Apply pressure with a gauze pad and gloved fingers |
| Which nursing assessment best suggests respiratory distress syndrome? | Grunting, respiratory rate of 65/min, nasal flaring |
| Vital sign changes when an infant has ICP include: | Increased blood pressure, decreased pulse and respirations |
| Which of the following nursing measures is appropriate for a 2-week old infant who has a new cleft lip repair? | Place in a car seat after each feeding |
| When checking range of motion of an infant, what sign suggests developmental hip dysplasia? | Reduced thigh abduction |
| The child with PKU must be on a diet that is: | Low in phenylalanine to limit buildup of the protein. |
| Appropriate nursing care for parents immediately after the birth of a baby who has characteristics typical of Down syndrome should include: | Spending time with them so they can best verbalize their concerns |
| The mother of a 2-week old infant who is going to have a cleft lip reair asks if she will be able to hold her baby after surgery. The nurse should reply: | Holding your baby helps to keep her content |
| The physician wants to do a group B streptococcus culture when a woman has a prenatal visit at 35 weeks gestation. The woman asks the nurse why the physician is just now concerned about this problem. The best explanation by the nurse is that: | The woman can carry the organism without knowing it, possibly causing serious infections to her or the newborn |
| What complication is more likely for an infant of a diabetic mother within the first few hours after birth? | Low blood glucose levels |
Created by:
bsmymicareo