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Maternity C questions with answers.
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Maternity C questions with answers.
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Maternity C questions with answers.The nurse teaches a class about gonorrhea. Which client statement indicates the teaching is successful?
A. "I've heard that having gonorrhea can make you unable to have children."
B. "They say this disease can affect your brain and make you go crazy."
C. "I've heard you can't get rid of gonorrhea. You keep getting it over and over again."
D. "My parent said you need to have cesarean deliveries after this infection." ANS - A. "I've heard that
having gonorrhea can make you unable to have children."
Explanation: Gonorrhea causes pelvic inflammatory disease, which is one of the most common causes of
sterility. Gonorrhea is treated with antibiotics.
B. There is central nervous system involvement that occurs with late SYPHILIS, not gonorrhea.
C. The client should avoid sexual activity until infection is cured.
D. Gonorrhea may cause preterm labor, premature rupture of membranes, or postpartum endometritis.
It may also cause sepsis, conjunctivitis, or preterm birth in the infant.
The nurse provides care for a client receiving an oxytocin infusion to induce labor. The nurse stops the
infusion if which occurs?
A. Contractions are at 3 minute intervals and last 55 to 60 seconds.
B. Contractions are at 2 minute intervals and last 90 to 120 seconds.
,C. Contractions are at 3 minute intervals and last for 80 to 90 seconds.
D. Contractions are at 2 minute intervals and last 60 to 90 seconds. ANS - B. Contractions are at 2
minute intervals and last 90 to 120 seconds.
Explanation: An adverse effect of the use of oxytocin to induce labor is uterine hyperstimulation, a
serious complication of labor induction. Hyperstimulation is defined as single contractions lasting longer
than 90 seconds, or five or more contractions in a 10 minute period (less than 2 minutes of rest between
contractions). It can cause impairment to uteroplacental blood flow and result in fetal heart rate
abnormalities, fetal hypoxia, and fetal damage. It is extremely important for the nurse to continually
assess contractions for the client receiving an oxytocin infusion. If the client exhibits uterine
hyperstimulation, the nurse should stop the infusion and notify the health care provider.
A. This is an acceptable rate for contractions during induction with oxytocin. The contractions are at 3
minute intervals lasting 60 seconds. There should be at least 2 minutes of rest between contractions.
C. This is acceptable, but the nurse should monitor carefully. The contractions are lasting 90 seconds and
should not be sustained longer than that.
D. The nurse should stop the infusion if contractions last more than 90 seconds or becomes more
frequent than every 2 minutes.
The nurse counsels clients in the prenatal clinic. The nurse is MOST concerned if a client makes which
statement?
A. "I take my dog for a 30-minute walk every other day."
B. "I plan to take an 8-hour car trip next week."
C. "I drink 3 liters of liquids every day."
D. "I clean the cat's litter box daily." ANS - D. "I clean the cat's litter box daily."
, Explanation: This is concerning as the client could contract toxoplasmosis (protozoan infection).
Toxoplasmosis is caused by eating infected undercooked meat or after handling infected kitty litter.
Infection can cross the placenta and infect the fetus. The pregnant client should not clean the litter box,
but if unavoidable, the client should wear latex gloves and wash hands well afterward.
A. Regular exercise (at least 3 times per week) improves circulation and promotes relaxation and rest.
B. Although there is potential for the client to develop a DVT on a long trip, it is not concerning. The
client should be educated to wear a lab belt with shoulder harness to prevent injury. As well as practice
deep breathing, foot circling, and isometric exercises while sitting in the vehicle.
C. UTIs are common during pregnancy. It is best to encourage 2-3 L of liquid daily to ensure frequent
urination.
The home health care nurse makes a visit to the pregnant client diagnosed with type 1 diabetes mellitus.
The client states, "I have been nauseated for 24 hours." It is MOST important for the nurse to ask which
question?
A. "Have you vomited?"
B. "What was your last blood sugar reading?"
C. "Have you taken your insulin today?"
D. "When did you last eat?" ANS - C. "Have you taken your insulin today?"
Explanation: It is important that the client take prescribed insulin even when not eating regularly
because insulin needs are increased during illness. The nurse should review "sick day rules" with the
client. Even without oral intake, stress hormones can increase blood glucose levels. The client with a
diagnosis of type 1 diabetes may become extremely hyperglycemic without taking adequate insulin.
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