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Repro final
| Question | Answer |
|---|---|
| The nurse knows that the placenta…. (SATA) | Promotes both estrogen and progesterone, blood barrier between fetus and mom, metabolic/gas exchange or nutrients |
| The nurse knows that the patient needs more education about fetal development when they state | My baby weighs 6 or 5lbs and is safe to come out (35weeks) |
| The nurse knows that which system is still forming throughout the whole pregnancy or fetal development | Neurological or neurologic |
| A mom and dad are concerned that her baby is going to have cystic fibrosis because they both carry it, what should the nurse educate them by saying | Both parents must be carriers to pass on this abnormal gene |
| A woman who is pregnant 8 weeks and is worried about down syndrome, what is the best answer choice | I can take my baby to get a CVC and it will let me know if they have it |
| A woman is on oral contraceptive, what should she report to the provider | Chest pain |
| The reason for taking folic acid is to prevent | Neural tube defect |
| The nurse should inform the women learning about fetal development that at which week the gestational baby can live outside of the uterus | 22 weeks |
| At what phase is the fetus most susceptible to teratogens | Embryonic phase (3-8 weeks of pregnancy) |
| Primary prevention teaching about alcohol in pregnancy should include | There is no known amount of alcohol that is safe within pregnancy |
| A Hispanic woman with low English proficiency, what should the nurse do | Listen to her while she speaks to see what she understands |
| A woman just had a vaginal birth and wants immediate contraceptive, which one is better | Depo-Provera |
| A patient had sex 36 hours ago and wants emergency contraceptive, what should be informed | Get emergency contraceptive within 72-120 hours |
| A women is going through post menopause and presents with licle blood vaginal discharge or something like that…. Pap smear is normal. What should the nurse do? | Further evaluation of the patient |
| A women is gegng a microscopic test, they are looking at her cervix, pre-cervix or something like that, what is she likely gegng tested for? | Cervical cancer |
| A 55 y/o woman, what screening should be planned | HPV test and pap smear every 5 years |
| A woman reports a breast lump, what should the nurse say | Come in for provider to examine |
| Signs and symptoms of breast cancer (SATA) | Over age of 65, change in breast size, genetics |
| A 23 y/o black woman pregnant, what should the nurse include in care | Assess social determinants and provide resources |
| Primary prevention for unpartnered woman includes | STI education and screenings |
| Male infertility risk factor includes | Agricultural farm exposure |
| The only way to prevent STIs is | Abstinence |
| What should the nurse include for low income community | Transportation and no charge class |
| A religious couple does not believe in contraceptives, what should be taught | Fertility awareness |
| There is only one question that has an answer choice of individual beliefs, what should you do | Select individual beliefs |
| African Americans and Hispanics are at risk for | Maternal complications |
| A patient with sexual dysfunction, what should be assessed | Relationship status |
| A patient newly sexually active, what exam should be done | STI/STD screening |
| Best screening for breast cancer | Mammography |
| A woman with painful intercourse, what exam is suspected | Pelvic exam |
| Male condoms are more effective when combined with | Spermicides |
| A woman age 35 on oral contraceptives, what should the nurse be concerned about | Tobacco use |
| A woman getting an IUD is at risk for | Pelvic inflammatory disease (PID) |
| A woman worried about squeezing baby during yoga, what should nurse say | Wharton’s jelly prevents compression of blood vessels |
| Know what diaphragm is and does | Does not protect against STI, take out 6 hrs after intercourse |
| IVF-ET is defined as | Eggs collected, fertilized in lab, and implanted into uterus |
| Infertility is defined as | Unable to get pregnant after 1 year of unprotected intercourse |
| Which hormone confirms pregnancy | hCG |
| Smoking or cocaine use during pregnancy causes | Intrauterine growth restriction |
| Which fetal finding should be reported | 1 artery and 1 vein |
| Thin clear cervical mucus indicates | Spinnbarkeit |
| Karyotype findings (SATA) | Female, trisomy 21 |
| If both parents carry sickle cell, what is risk | 1 out of 4 |
| A woman over 35 has difficulty getting pregnant due to | Age affecting ovaries |
| HPV prevention includes (SATA) | Limit partners, vaccination, condom use |
| A patient with religious clothing concern, what should nurse do | Ask about undergarments and adapt care |
| Screen all women privately and know signs and symptoms | For IPV |
| Best cancer detection for treatment success | Early detection of small tumors |
| Nexplanon teaching | Come back during menstrual cycle for insertion |
| Which statement requires further teaching about pregnancy about alcohol? | I can have alcohol after first or second trimester |
| A patient is worried she is pregnant, how would you know she is showing “probable signs” of pregnancy (SATA) | Positive pregnancy test (hCG), ballottement |
| Know how to determine Naegele’s Rule to estimate DOB | 1st day of last menstrual cycle minus 3 months plus 7 days and 1 year |
| Know how to determine GTPAL | Gravida, Term, Preterm, Abortions, Living |
| An 8 week PP female presents to the ER with signs of a seizure, what should the nurse plan for this patient | Eclampsia (seizure precautions) |
| A mother is giving birth to a baby weighing 8lbs 6oz, what are the complications of this pregnancy (SATA) | Neonatal hypoglycemia, caesarean delivery (c-section), shoulder dystocia |
| 2 hours have passed since the patient received her epidural, what is the priority nurse action | Assess bladder distention |
| There is a picture of a FHR strip that is showing decelerations, what event is causing this | Uteroplacental insufficiency |
| An 18-week pregnant female was involved in a MVA with Rh negative antibodies, what should the nurse do | Re-screen and administer Rhogam |
| A pregnant female presents with 7cm dilation, 50% effacement, mild contractions every 5 mins, and -1 station, what stage of labor is this mom in | 1st stage of labor, active |
| A 13-week PP female presents with BP 142/92, what is suspected | Chronic hypertension |
| A woman with high BP and high glucose during 3-hour glucola test, what is the priority action | Dietary modifications |
| What should be expected weight gain for a pregnant mom | 25–30 ½ |
| What objective sign showcases adequate primary and secondary powers of labor | Fetal descent |
| A pregnant mom at 20 weeks, what is expected fundal height | 20 cm (at the umbilicus) |
| A mother having mixed feelings in 1st trimester, what should the nurse know | Having mixed feelings is expected |
| A pregnant mom eating weird things (PICA), what should the nurse suspect | Physiologic anemia |
| A mom eating cornstarch, dirt, sand, what should the nurse be worried about | Malnutrition |
| A pregnant woman with N/V and no weight change, what is the concern | Weight loss |
| A pregnant woman with headaches, spots in vision, elevated BP, what should be suspected | Preeclampsia with severe features |
| What is inevitable miscarriage | Cervix is open with moderate bleeding |
| What is incomplete miscarriage | Fetus has passed but placenta remains |
| A mother with ruptured membranes for 12 hrs and FHR 180, what should the nurse assess | Temperature |
| FHR strip with mild/moderate variability indicates | Nuchal cord (cord compression), turn mom to side |
| A woman in active phase of first stage with rupture of membranes, what is the priority intervention | Assess FHR every 30 mins |
| What is the true indicator of labor | Progression of cervix dilation |
| A pregnant woman with increasing BP, what should be assessed next | Protein in urine |
| What is the most concerning finding | Maternal temperature of 100.5 after 3 days |
| A mom with low back ache, pelvic pressure, inability to sleep, what is the concern | Preterm labor |
| A woman with placenta previa, what are the risk factors | Future c-sections and vaginal bleeding/hemorrhaging |
| A woman just had c-section, what should the nurse do to assess for PPH | Assess/massage fundus every 15 mins |
| A woman in labor with green-yellow vaginal discharge, what fetal complication is expected | Respiratory distress |
| A mom with shoulder dystocia delivery, what is she at risk for | Hemorrhage (postpartum hemorrhage) |
| A fetus with shoulder dystocia, what is the first intervention | McRoberts maneuver |
| A woman with episiotomy and firm fundus but continuous bleeding, what is the cause | Unrepaired laceration |
| What should the nurse educate about tocolytics maintenance | This doesn’t help to prevent preterm birth or neonatal outcomes |
| A mom lost 800 mL after C-section, what should the nurse do | Document as expected |
| A nurse administering magnesium sulfate, what medication should be on standby | Calcium gluconate |
| DIC is associated with what condition | Preeclampsia |
| How does the nurse know oxytocin is effective | Contractions lasting 60–90 seconds |
| Which patient should the nurse see first | 39 y/o with hypertension |
| When should artificial rupture of membrane be selected | When it is an answer option |
| A mother preparing to give birth, how do you assess | Fergusons reflex |
| A mom with preterm birth, what should she be taught | Increased risk for future preterm birth |
| Which statement requires further teaching | “I can finally drink after my 2nd trimester” |
| In planning for the care of a 30-yr old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the | Degree of glycemic control |
| Complications of cesarean birth (SATA) | Wound dehiscence, hemorrhage, urinary tract infections, fetal injuries |
| A pregnant mom on Meperidine, what effect does it have on the baby | Respiratory depression |
| Before epidural, what should the nurse do (SATA) | IV fluids, oxygen, FHR monitoring, check labs |
| Late decelerations with oxytocin, what are nursing actions (SATA) | Discontinue oxytocin, administer oxygen, notify provider, reposition mom |
| A chart question with labs and vitals, what is the answer | 3-hour glucola test |
| A baby is at risk for ineffective thermoregulation by conduction, what is the best way for the nurse to treat this | Warm the stethoscope and warm hands before touching the baby |
| What is a statement made by a patient feeding her infant child that would require further teaching by the nurse about nutrition | My mom is going to give her juice while I’m at work |
| A 16-hour postpartum patient is having 100.8 f, vital signs of 88 beats per minute, moderate lochia rubra, fundus is firm and tender, she recently started having chills, what is she probably experiencing | Endometritis |
| A woman postpartum from a cesarean delivery is switched from the operating bed to a recovery bed and starts to have steady vaginal bleeding, what should the nurse do | Massage the fundus |
| Who out of all this nurse’s patients is most at risk for postpartum hemorrhage | A G2P2 patient on Magnesium Sulfate for the last 12 hours |
| A 16 hour old newborn presents with nasal flaring, mottled skin, and acrocyanosis, what should the nurse assess first | Temperature |
| What should the nurse teach the patient receiving maintenance tocolytics | This doesn’t help to prevent preterm birth or resolve neonatal outcomes |
| A 16 hour postpartum woman experiences a saturated pad after 45 minutes, what should the nurse do | Massage fundus |
| A postpartum bottle-feeding woman is presenting with swollen and tender breasts, what should the nurse encourage to help | Apply cold ice packs |
| To prevent the newborn from dealing with thermoregulation issues, what should the nurse do (SATA) | Apply plastic or saran wrap to cover the baby, prewarm the bed and put the baby on it undressed |
| A postpartum woman with disseminated intravascular coagulation disorder is in the hospital, what sign/symptom should let the nurse know she has DIC | Red tinged blood at the IV site |
| A nurse is assessing a breastfeeding woman to help assist with better infant latching, what should she educate on | Make sure the body and head are in alignment |
| What assessment questions should the nurse ask to treat possible engorgement in a mom (SATA) | Are you switching sides for breastfeeding, are you drinking enough water, are you supplementing formula between breastfeeding, when was the last time your baby ate |
| What is a woman who had a cesarean delivery most at risk for | Postpartum hemorrhage |
| A 17yrs old woman that is postdelivery asks the nurse “when will my stomach be flat again”, what is the nurse’s response | Your stomach should return after 8 weeks |
| Which client is at higher risk for postpartum infection | Woman who does not wash her hands after perineum care before breastfeeding |
| A postpartum woman of 12 days is coming in for a follow up, what should the nurse expect about her lochia | Alba lochia |
| A woman received the rubella vaccination, what statement indicates further teaching is needed | I will pump and dump my breastmilk for 24 hrs after the vaccination |
| A postpartum woman has a boggy uterus that after fundal assessment does maintain firmness with no bladder distention, what should the nurse do | Continue oxytocin |
| What hormone suppresses ovulation in postpartum women | Prolactin |
| Breastfeeding increases caloric intake for mom how much | 500–1000 kcals |
| What discharge teaching should the nurse educate a postpartum woman about resuming sexual activity | Resume after perineum heals and lochia has stopped |
| The nurse is attempting to give newborn teaching to a woman who delivered 2 hours ago but she only wants to talk about the delivery, what is this | Expected finding |
| The best time to teach a postpartum woman is during what phase | Taking hold phase |
| A postpartum woman of 3 weeks calls in and complains of being disinterested in the infant, what is the diagnosis | Postpartum depression |
| What are the risk factors for postpartum depression (SATA) | Unintended pregnancy, pre-pregnancy depression, lack of support |
| If a woman isn’t breastfeeding, what should be avoided | Breast stimulation |
| What areas should a nurse focus on when talking about social determinants of health when planning a discharge class | Access to transportation, support health literacy, WIC/community resources |
| A discharge class is made up of 75% African American, 15% Hispanic, and 10% Caucasian, what topic should the nurse focus more on | Postpartum complications |
| A postpartum woman complains of pain in one breast, redness, and pain when feeding, what should the nurse assume | Mastitis |
| Most common postpartum infection is | Endometritis |
| The neonate presents nasal flaring, increased movement, tachypnea, acrocyanosis, what should the nurse assess | Temperature |
| What statement indicates further teaching about newborn stool | Meconium stools should last 7–10 days |
| What should the nurse say about meconium | Meconium is expected at birth |
| Formula can be stored for how long after making it | 24–48 hours |
| Mom complains of sore nipples, what is the cause | Incorrect latch |
| How to promote thermoregulation on a baby | Prewarm the bed and put the baby on it undressed |
| When should a breastfeeding mother expect her period back | 3–6 months |
| There is a picture of an oversaturated bloody pad within 1 hour, what should the nurse do | Fundal massage |
| What vaccines should be given to a newborn | Vitamin K, erythromycin |
| Woman has not had menstrual flow for 12 months, what is this | Menopause |
| At 2 days postpartum, where should the uterus be | 2 cm below umbilicus |
| The nurse is most concerned about which PT. DUE TO ATONY??? | Uterus to the left or right |
| A patient passes out and becomes pale going to the bathroom, what is this | Expected due to fluid shift |
| Which postpartum patient is most concerning | Day 3 postpartum mom with oral temp 100.5 |
| A postpartum mom talking about life changes and relationship changes is in what phase | Letting-go phase |
| A postpartum mom crying within 2 weeks is experiencing | Postpartum blues |
| Green/yellow amniotic fluid indicates risk for | Respiratory distress |
| A diabetic mom worried about lethargic baby, what should the nurse expect | Hypoglycemia |
| Woman hasn’t had a period for 12 months, what should the nurse suspect | Menopause |
| Genitourinary manifestation of menopause due to decreased estrogen | Vaginal atrophy |
| A patient with -2.5 score and drinks wine, what should the nurse do | Follow up with provider for osteoporosis |
| A 51 y/o patient with elevated LDL, what should the nurse teach | Lifestyle changes |
| A 51 y/o woman with uterus intact receiving MHT, what will she receive | Estrogen and progesterone |
| A menopause patient with hot flashes and night sweats, what should the nurse do next | Take menstrual history |
| A woman in transitional phase of menopause is in what stage | Perimenopause |
| Which indicates newborn adaptation to extrauterine life | RR 48 with apnea less than 15 seconds |
| Mom is Rh negative with labs, what should the nurse administer | Rhogam |
| A patient with recurrent UTIs, what is the priority intervention | Estrogen vaginal cream |
| A newborn not feeding well is at risk for | Physiologic jaundice |
| A 3-week postpartum patient says she feels like a failure and wants to disappear, what is the priority | Notify the provider |
| Which mom needs further teaching about formula | I will use unfinished formula |
| A mom says she didn’t have contractions with first pregnancy, what should the nurse say | Contractions are normal |
| A college student wants to take a contraceptive that stops ovulation. What should she take? | Combined oral contraceptives (COC) |
| A pregnant woman at 35 weeks states that “my last child was 6 pounds and this baby should come out at any time now.” What should the nurse educate on? | The lungs and brain are still developing |
| Assisted reproductive therapies.. | Might go against some religious practices |
| What test would a provider use to look at the uterus? | Hysterosalpingogram |
| A 55 year old woman hasn’t seen her period in over a year. She is experiencing hot flashes, vaginal dryness, etc. What is she most likely going through? | Biological menopause |
| A woman on Hormonal Replacement Therapy (HRT) is experiencing menopausal symptoms. What should the nurse assess? | Breast cancer |
| Following the 3rd stage of labor, what is the nurse’s priority action? | Administer Oxytocin via the IV infusion bag |
| At a clinical visit, a woman states she would like to get pregnant soon and asks what her folic acid intake should be and when she should start taking it? | Take 400 mcg and start it now |
| A nurse is about to look at a FHR strip. What is the order of importance to look for? | Obtain FHR baseline, determine variability, assess accelerations, assess decelerations, determine uterine contractions Memory 👉 “Be Very Aware During Contractions” |
| A nurse is about to give oxytocin. What should she assess first before giving it? | Resting tone |
| How should a nurse treat a mother’s hypotension? Select all that applies. | Turn her on left side, give oxygen, give fluids |
| An 18 week pregnant female was just involved in a motor vehicle accident. She has RH negative antibodies with a Coomb’s test. Not immune to Rubella. Etc. What should the nurse put an order in for? | Re screen and administer Rhogam |
| A woman with a long history of opioid abuse is about to be given a drug for pain. What would raise alarm bells to the nurse? | Butorphanol |
| A 14 week pregnant woman with minor spotting says she has not had a period. She also took a positive pregnancy test. What should the nurse’s priority action be? | Do an ultrasound to determine gestation |
| A woman tells a nurse on the phone that her period has been missed by a week. What should the nurse ask to assess psychosocial adaptation? | Have you taken a pregnancy test? |
Created by:
fsanoe