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Ev.- Maternity and Women's Health Nursing Question Bank, Over 780 Questions and Correct Answers, With Complete Verified Solution Updated Fall 2024/2025. £14.56   Add to cart

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Ev.- Maternity and Women's Health Nursing Question Bank, Over 780 Questions and Correct Answers, With Complete Verified Solution Updated Fall 2024/2025.

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Ev.- Maternity and Women's Health Nursing Question Bank, Over 780 Questions and Correct Answers, With Complete Verified Solution Updated Fall 2024/2025. A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a recent immigrant from Asia, and the nurse explores ...

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  • September 16, 2024
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Ev.- Maternity and Women's Health
Nursing Question Bank, Over 780
Questions and Correct Answers, With
Complete Verified Solution Updated
Fall 2024/2025.
A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a recent
immigrant from Asia, and the nurse explores the foods that the client usually eats. Which foods
should the nurse counsel the client to avoid during pregnancy? (Select all that apply.)

Raw shellfish
Herbal supplements
Soft-scrambled eggs

An expectant couple asks the nurse about the cause of low back pain during labor. The nurse replies
that this pain occurs most often when the fetus is positioned:

Occiput posterior

How does the nurse know that a client at 40 weeks' gestation is experiencing true labor?

Cervical dilation

A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which
adverse reactions to the radiotherapy should the client be monitored? (Select all that apply.)

Hemorrhage
Increased temperature

A client who has breast cancer had postlumpectomy chemotherapy and is now scheduled for
radiation on an outpatient basis. What is an important nursing intervention while the client is
receiving radiation?

Observing the irradiated site daily for redness or irritation

A nurse is counseling a pregnant woman with type 1 diabetes. What is the most important nursing
consideration in the planning of care for this client?

Requirement of intensive prenatal care

A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate begins to
choke on mucus. How should the nurse suction him with a bulb syringe?

By suctioning the mouth before the nostrils

What should the nurse's initial discussion include to best help new parents understand the unique
characteristics of a newborn?

Expected movements and behaviors

,A parent of a preterm infant in the neonatal intensive care unit, asks a nurse why the baby is in a bed
with a radiant warmer. The nurse explains that preterm infants are at increased risk for hypothermia
because they:

Lack the subcutaneous fat that usually provides insulation

On a routine prenatal visit the sign or symptom that a healthy primigravida at 20 weeks' gestation
will most likely report for the first time is:

Quickening

While caring for a client in labor, a nurse notes that during a contraction there is a 15-beat/min
acceleration of the fetal heart rate above the baseline. What is the nurse's next action?

Record the fetal response to contractions and continue to monitor the heart rate

A nurse in the fertility clinic works with couples who have been trying to become pregnant for more
than 1 year. How can the nurse help ease the feeling of isolation that infertile couples often
experience?

Explore ways to promote communication with family and friends

During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal infection because
of the presence of a white curdlike vaginal discharge. What other assessment supports a fungal
vaginal infection?

An itchy perineum

A client states that she wishes to use the calendar method of birth control. The nurse concludes that
the client understands how to calculate the beginning of the fertile period when she states, "I will:

Subtract 18 days from the length of my shortest cycle"

A client who has had a mastectomy asks what the term ERP-positive means. How should the nurse
explain this finding?

The tumor cells generally exhibit a positive response to hormone therapy that reduces estrogen.

A newborn of 30 weeks' gestation has a heart rate of 86 beats/min and slow, irregular respirations.
The infant grimaces in response to suctioning, is cyanotic, and has flaccid muscle tone. What Apgar
score should the nurse assign to this neonate?

3

A nurse in the fertility clinic is instructing a client who will be using progesterone gel vaginally in the
treatment of luteal phase infertility. When discussing the side effects of progesterone, what should
the nurse tell the client to expect?

Enlarged, tender breasts

A health care provider determines that a fetus is in a breech presentation. For which complication
should the nurse monitor the client?

Nonreassuring fetal signs, indicating prolapse of the cord

Women who become pregnant for the first time at a later reproductive age (35 years or older) are at
risk for what complications? (Select all that apply.)

,Preterm labor
Multiple gestation
Chromosomal anomalies
Bleeding in the first trimester

A client at term is admitted in active labor. She has tested positive for HIV. Which intervention in the
standard orders should the nurse question as a risk to the fetus?

Internal fetal scalp electrode

A client who had a cesarean birth is unable to void 3 hours after the removal of an indwelling
catheter. How can the nurse evaluate whether the client's bladder is distended?

By palpating the client's suprapubic area gently

What instruction should a nurse include when teaching about the correct use of a female condom?

"Remove the condom before standing up."

A nurse expects signs of respiratory distress syndrome (RDS) in a neonate whose mother:

Has type 1 diabetes

A preterm infant with respiratory distress syndrome (RDS) has blood drawn for an arterial blood gas
analysis. What test result should the nurse anticipate for this infant?

Decreased blood pH

After a spontaneous vaginal delivery the client expresses concern because the newborn has a red
rash with small papules on the face, chest, and back. What condition does the nurse recognize?

Erythema toxicum

The nurse concludes that a couple with a newborn with Erb's palsy has an accurate understanding of
the infant's prognosis. Which statement confirms this conclusion?

"Recovery usually occurs in about 3 months."

A new mother's laboratory results indicate the presence of cocaine and alcohol. Which craniofacial
characteristic indicates to the nurse that the newborn has fetal alcohol syndrome (FAS)? (Select all
that apply.)

Thin upper lip
Small upturned nose
Smooth vertical ridge in the upper lip

Which statement is true regarding caput succedaneum in newborns?

It is swelling consisting of serum, blood, or both.

The nurse explains to a pregnant client undergoing a nonstress test that the test is a way of
evaluating the condition of the fetus by comparing the fetal heart rate with:

Fetal movement

, A client in the 38th week of gestation exhibits a slight increase in blood pressure. The health care
provider advises her to remain in bed at home in a side-lying position. The client asks why this is
important. What is the nurse's response regarding the advantage of this position?

It increases blood flow to the fetus.

When reviewing the history of a client admitted in preterm labor during her 30th week of gestation,
the nurse suspects a risk factor associated with this client's preterm labor. What is this risk factor?

Multiple urinary tract infections

During a client's labor the fetal monitor reveals a fetal heart pattern that signifies uteroplacental
insufficiency. What is the nurse's first intervention?

Helping the client turn to the side-lying position

A client with mild preeclampsia is being treated on an outpatient basis. Three days of bedrest is
prescribed. What position should the nurse encourage the client to maintain while in bed?

Side-lying

A client at 35 weeks' gestation who has had no prenatal care arrives in labor and delivery and is
found to be 20 percent effaced and 2 cm dilated, with her membranes intact and contractions 3
minutes apart. The nurse notices some ruptured blisterlike vesicles in the genital area. What should
the nurse's next action be?

Contacting the health care provider about the need for a cesarean birth

A client is admitted to the high-risk prenatal unit with the diagnosis of placenta previa. What should
the nurse instruct the client to do?

Lie on her side to avoid putting pressure on the vena cava

A woman is being seen in the prenatal clinic at 36 weeks' gestation. The nurse is reviewing signs and
symptoms that should be reported to health care provider with the mother. Which signs and
symptoms require further evaluation by the health care provider? (Select all that apply.)

Decreased urine output
Contractions that are regular and 5 minutes apart

During labor a client who has been receiving epidural anesthesia has a sudden episode of severe
nausea, and her skin becomes pale and clammy. What is the nurse's immediate reaction?

Turning the client on her side

What actions are part of nursing care during the fourth stage of labor for the client with a fourth-
degree laceration? (Select all that apply.)

Pain management with oral analgesics
Assessment of the site every 15 minutes
Application of an ice pack for 20-minute intervals

What findings occur with supine hypotensive syndrome? (Select all that apply.)

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