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TEST BANK FOR EVOLVE RESOURCES IN MATERNA1
TEST BANK FOR EVOLVE RESOURCES IN MATERNA1
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TEST BANK FOR EVOLVE RESOURCES INMATERNAL-CHILD NURSING, 6TH EDITION BY
MCKINNEY
A client is admitted with a diagnosis of stage 0 cervical cancer (carcinoma in situ).
What does the nurse emphasize while helping the client understand her diagnosis
and prognosis? - ANSWER Five-year survival rates for this cancer are nearly 100%
with early treatment.
A primigravida in her seventh week of gestation asks the nurse when she can expect
to feel her baby move. The nurse replies that quickening usually occurs in the: -
ANSWER 20th week
A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and
swelling in her right calf. What should the nurse instruct the client to do? - ANSWER
Call an ambulance to go to the emergency department.
Which statements by a client with hyperemesis gravidarum would confirm that the
client needs further teaching? (Select all that apply.) - ANSWER "I'll start limiting my
carbohydrates."
"I'll lie down for at least 2 hours after I eat."
A nurse is planning a childbirth education class about maternal psychological and
physiological changes as pregnancy nears term. Which problems and concerns
should the nurse include in the presentation? (Select all that apply.) - ANSWER
Nesting needs increase.
Anxiety about childbirth increases.
Gastrointestinal motility decreases.
During the postpartum period a client with heart disease and type 2 diabetes asks a
nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near
future?" How should the nurse respond? - ANSWER "You should use foam with a
condom to prevent pregnancy — this is the safest method for women with your
illnesses."
The husband of a woman who had her fourth child 3 weeks ago states she has been
irritable and crying frequently since bringing her newborn home. He asks the nurse
whether this is normal. The nurse tries to help him understand the situation by
stating that: - ANSWER Having four children is tiring and assistance may be needed.
Twenty-four hours after an uncomplicated labor and birth a client's complete blood
count reveals a white blood cell (WBC) count of 17,000/mm3. How should the nurse
interpret this WBC count? - ANSWER An expected response to the process of labor
and birth
, Which factor in a client's history increases the risk for osteoporosis? - ANSWER
Prolonged immobility
A client who is pregnant for the first time and carrying twins is scheduled for a
cesarean birth. What should preoperative teaching include? - ANSWER Frequent
ambulation is begun within 24 hours.
A nurse evaluates that a client who is taking oral contraceptives understands the
related dietary teaching when the client states, "While I'm taking birth control pills I
should increase my intake of foods containing: - ANSWER Folic acid."
After 2 weeks of radiation therapy for cancer of the breast a client experiences some
erythema over the area being radiated. The area is sensitive but not painful. She
states that she has been using tepid water and a soft washcloth when cleansing the
area and applying an ice pack three times a day. What does the nurse conclude from
this information? - ANSWER Further teaching on skin care is necessary.
A nurse is discussing immunizations needed to confer active immunity with a
pregnant client during her first visit to the prenatal clinic. What information should the
nurse consider including that the client will understand with regard to active
immunity? - ANSWER Protein substances are formed by the body to destroy or
neutralize antigens.
The nurse presents a program on breast self-examination. After a return
demonstration the nurse concludes that she needs to review certain aspects of the
teaching program. Which behavior by one of the students supports this conclusion? -
ANSWER Palpating each breast while in the sitting position
As the nurse helps a postpartum client change her perineal pad, the client
comments, "I wish you didn't have to look at the pad it's embarrassing for me." What
is the best nursing response? - ANSWER "This seems to be uncomfortable for you,
but I have to estimate the amount of blood loss to prevent any problems."
During a childbirth class, several participants have questions about the elective
induction of labor. One participant states that it is more convenient for a woman with
a busy schedule. What evidenced-based information should the nurse provide to the
participant? - ANSWER "The widespread use of elective induction increases the risk
of unfavorable outcomes."
What should the nurse teach a client about performing breast self-examination? -
ANSWER Compress the nipples to check for discharge.
A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is
receiving epidural analgesia. What common response to regional anesthesia does
the nurse anticipate? - ANSWER Lightheadedness
A thin older adult client is found to have osteoporosis. What should the nurse include
in the discharge plan for this client? - ANSWER Instructions relative to diet and
exercise
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