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Focus on Maternity Exam with correct answers.
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Focus on Maternity Exam with correctanswers
A nnhome nncare nnnurse nnis nninstructing nna nnclient nnwith nnhyperemesis nngravidarum nnabout nnmeasures nnto
nnease nnthe nnnausea nnand nnvomiting. nnThe nnnurse nntells nnthe nnclient nnto: nn- nncorrect nnanswer-Eat
nncarbohydrates nnsuch nnas nncereals, nnrice, nnand nnpasta
Low-fat nnfoods nnand nneasily nndigested nncarbohydrates nnsuch nnas nnfruit, nnbreads, nncereals, nnrice, nnand nnpasta
nnprovide nnimportant nnnutrients nnand nnhelp nnprevent nna nnlow nnblood nnglucose nnlevel, nnwhich nncan nncause
nnnausea. nnSoups nnand nnother nnliquids nnshould nnbe nntaken nnbetween nnmeals nnto nnavoid nndistending nnthe
nnstomach nnand nntriggering nnnausea. nnSitting nnupright nnafter nnmeals nnreduces nngastric nnreflux. nnAdditionally,
nnfood nnportions nnshould nnbe nnsmall nnand nnfoods nnwith nnstrong nnodors nnshould nnbe nneliminated nnfrom nnthe
nndiet, nnbecause nnfood nnsmells nnoften nnincite nnnausea.
Test-Taking nnStrategy: nnUse nnthe nnprocess nnof nnelimination nnand nnfocus nnon nnthe nnclient's nndiagnosis nnand
nnthe nnsubject, nnways nnto nnease nnand nnprevent nnnausea nnand nnvomiting. nnKnowing nnthat nnfoods nnhigh nnin nnfat
nnmay nnbe nndifficult nnto nndigest nnwill nnassist nnyou nnin nneliminating nnthis nnoption. nnNext nneliminate nnthe
nnoption nnthat nninvolves nnconsuming nnprimarily nnsoups nnand nnfluids nnat nnmeals, nnrecalling nnthat nnliquids nnwill
nncause nndistention nnof nnthe nnstomach. nnTo nnselect nnfrom nnthe nnremaining nnoptions, nnrecall nnthat nnlying
nndown nnafter nnmeals nncan nncause nngastric nnreflux; nnthis nnwill nndirect nnyou nnto nnthe nncorrect nnoption. nnReview
nnmeasures nnto nnease nnand nnprevent nnnausea nnand nnvomiting nnif nnyou nnhad nndifficulty nnwith nnthis nnquestion.
A nnnurse nnis nncaring nnfor nna nnclient nnwith nnpreeclampsia nnwho nnis nnreceiving nna nnmagnesium nnsulfate
nninfusion nnto nnprevent nneclampsia. nnWhich nnfinding nnindicates nnto nnthe nnnurse nnthat nnthe nnmedication nnis
nneffective? nn- nncorrect nnanswer-The nnclient nnexperiences nndiuresis nnwithin nn24 nnto nn48 nnhours.
Magnesium nnsulfate nnis nneffective nnin nnpreventing nnseizures nn(eclampsia) nnif nndiuresis nnoccurs nnwithin nn24
nnto nn48 nnhours nnof nnthe nnstart nnof nnthe nninfusion. nnAs nnpart nnof nnthe nntherapeutic nnresponse, nnrenal
nnperfusion nnis nnincreased nnand nnthe nnclient nnis nnfree nnof nnvisual nndisturbances, nnheadache, nnepigastric nnpain,
nnclonus nn(the nnrapid nnrhythmic nnjerking nnmotion nnof nnthe nnfoot nnthat nnoccurs nnwhen nnthe nnclient's nnlower
nnleg nnis nnsupported nnand nnthe nnfoot nnis nnsharply nndorsiflexed), nnand nnseizure nnactivity. nnHyperreflexia
nnindicates nncerebral nnirritability. nnClonus nnis nnnormally nnnot nnpresent. nnThe nntherapeutic nnmagnesium nnlevel
nnis nn4 nnto nn8 nnmg/dL nn(1.64 nnto nn3.29 nnmmol/L). nnReflexes nnrange nnfrom nn1+ nnto nn2+ nnbut nnshould nnnot nnbe
nnabsent.
,A nnclient nnwith nnpreeclampsia nnwho nnis nnreceiving nnmagnesium nnsulfate nnin nnan nnintravenous nninfusion
nnexhibits nnsigns nnof nnmagnesium nntoxicity. nnThe nnnurse nnimmediately nnprepares nnfor nnthe nnadministration
nnof: nn- nncorrect nnanswer-Calcium nngluconate
Calcium nngluconate nnis nnthe nnantidote nnto nnmagnesium nnsulfate nnbecause nnit nnantagonizes nnthe nneffects nnof
nnmagnesium nnat nnthe nnneuromuscular nnjunction. nnIt nnshould nnbe nnreadily nnavailable nnwhenever
nnmagnesium nnis nnadministered. nnVitamin nnK nnis nnthe nnantidote nnin nncases nnof nnhemorrhage nninduced nnby
nnthe nnadministration nnof nnoral nnanticoagulants nnsuch nnas nnwarfarin nnsodium nn(Coumadin). nnProtamine
nnsulfate nnis nnthe nnantidote nnin nncases nnof nnhemorrhage nninduced nnby nnthe nnadministration nnof nnheparin.
nnNaloxone nnhydrochloride nnis nnadministered nnto nntreat nnopioid-induced nnrespiratory nndepression.
A nnnurse nninstructs nna nnpregnant nnclient nnabout nnfoods nnthat nnare nnhigh nnin nnfolic nnacid. nnWhich nnitem nndoes
nnthe nnnurse nntell nnthe nnclient nnis nnthe nnbest nnsource nnof nnfolic nnacid? nn- nncorrect nnanswer-Lima nnbeans
The nnbest nnsources nnof nnfolic nnacid nnare nnliver; nnkidney, nnpinto, nnlima, nnand nnblack nnbeans; nnand nnfresh nndark-
green nnleafy nnvegetables. nnOther nngood nnsources nnof nnfolic nnacid nnare nnorange nnjuice, nnpeanuts, nnrefried
nnbeans, nnand nnpeas. nnMilk nnis nnhigh nnin nncalcium. nnChicken nnand nnsteak nnare nnhigh nnin nnprotein.
A nnnurse nnis nnproviding nninstructions nnto nna nnmother nnof nnan nninfant nnwith nnseborrheic nndermatitis nn(cradle
nncap) nnabout nntreatment nnof nnthe nncondition. nnThe nnnurse nntells nnthe nnmother nnto: nn- nncorrect nnanswer-
Apply nnoil nnto nnthe nnaffected nnarea nnon nnthe nninfant's nnscalp
Seborrheic nndermatitis, nna nnchronic nninflammation nnof nnthe nnscalp nnor nnother nnareas nnof nnthe nnskin, nnis
nncharacterized nnby nnyellow, nnscaly, nnoily nnlesions. nnIt nnsometimes nnresults nnwhen nnparents nndo nnnot nnwash
nnover nnthe nnanterior nnfontanel nncarefully nnfor nnfear nnthat nnthey nnwill nnhurt nnthe nninfant. nnTreatment
nnincludes nnthe nnapplication nnof nnoil nn(e.g., nnmineral nnoil) nnto nnthe nnarea nnto nnhelp nnsoften nnthe nnlesions
nnfollowed nnby nngentle nnremoval nnof nnthe nnscaly nnlesions nnwith nna nncomb nnbefore nnthe nnhead nnis
nnshampooed. nnThe nnnurse nnshould nnteach nnthe nnmother nnhow nnto nnshampoo nnthe nnscalp nnand nnexplain
nnthat nnshe nnwill nnnot nndamage nnthe nnfontanel nnwith nnnormal nngentle nnshampooing. nnThe nnscalp nnshould nnbe
nnrinsed nnwell nnto nnremove nnall nnsoap, nnwhich nncould nncause nnirritation.
A nnnurse nnis nnmonitoring nna nnclient nnwho nnwas nngiven nnan nnepidural nnopioid nnfor nna nncesarean nnbirth. nnThe
nnnurse nnnotes nnthat nnthe nnclient's nnoxygen nnsaturation nnon nnpulse nnoximetry nnis nn92%. nnThe nnnurse nnfirst: nn-
nncorrect nnanswer-Instructs nnthe nnclient nnto nntake nnseveral nndeep nnbreaths
If nnthe nnclient nnhas nnbeen nngiven nnan nnepidural nnopioid, nnthe nnnurse nnshould nnmonitor nnthe nnclient's
nnrespiratory nnstatus nnclosely. nnIf nnthe nnoxygen nnsaturation nnfalls nnbelow nn95%, nnthe nnnurse nninstructs nnthe
,nnclient nnto nntake nnseveral nndeep nnbreaths nnto nnincrease nnthe nnlevel. nnAlthough nnthe nnfinding nnwould nnbe
nndocumented, nnaction nnis nnrequired nnto nnincrease nnthe nnoxygen nnsaturation nnlevel. nnIt nnis nnnot nnnecessary
nnto nncontact nnthe nnhealth nncare nnprovider. nnIf nnthe nndeep nnbreaths nnfail nnto nnincrease nnthe nnoxygen
nnsaturation nnlevel, nnthe nnhealth nncare nnprovider nnis nnnotified nnand nnmay nnprescribe nnoxygen.
A nnclient nnwho nndelivered nna nnhealthy nnnewborn nn11 nndays nnago nncalls nnthe nnclinic nnand nntells nnthe nnnurse
nnthat nnshe nnis nnexperiencing nna nnwhite nnvaginal nndischarge. nnThe nnnurse nntells nnthe nnclient: nn- nncorrect
nnanswer-That nnthis nnis nna nnnormal nnpostpartum nnoccurrence
For nnthe nnfirst nn3 nndays nnfollowing nnchildbirth, nnlochia nnconsists nnalmost nnentirely nnof nnblood, nnwith nnsmall
nnparticles nnof nndecidua nnand nnmucus, nnand nnis nncalled nnlochia nnrubra nnbecause nnof nnits nnred nncolor. nnThe
nnamount nnof nnblood nndecreases nnby nnabout nnthe nnfourth nnday, nnand nnwhich nntime nnthe nnlochia nnchanges
nnfrom nnred nnto nnpink nnor nnbrown-tinged; nnthis nnstage nnis nncalled nnlochia nnserosa. nnBy nnabout nnthe nn11th nnday,
nnthe nnerythrocyte nncomponent nnof nnlochia nnhas nndecreased nnand nnthe nndischarge nnbecomes nnwhite nnor
nncream-colored. nnThis nnfinal nnstage nnis nnknown nnas nnlochia nnalba. nnLochia nnalba nncontains nnleukocytes,
nndecidual nncells, nnepithelial nncells, nnfat, nncervical nnmucus, nnand nnbacteria. nnIt nnis nnpresent nnin nnmost nnwomen
nnuntil nnthe nnthird nnweek nnafter nnchildbirth nnbut nnmay nnpersist nnfor nnas nnlong nnas nn6 nnweeks. nnLochia nnalba nnis
nna nnnormal nnfinding nnduring nnthe nnpostpartum nncourse, nnand nnno nnintervention nnis nnrequired, nnso nnthe
nnother nnoptions nnare nnincorrect.
A nnrubella nnantibody nnscreen nnis nnperformed nnin nna nnpregnant nnclient, nnand nnthe nnresults nnindicate nnthat
nnthe nnclient nnis nnnot nnimmune nnto nnrubella. nnThe nnnurse nntells nnthe nnclient nnthat: nn- nncorrect nnanswer-A
nnrubella nnvaccine nnmust nnbe nnadministered nnafter nnchildbirth nn
A nnprenatal nnrubella nnantibody nnscreen nnis nnperformed nnin nnevery nnpregnant nnwoman nnto nndetermine
nnwhether nnshe nnis nnimmune nnto nnrubella, nnwhich nncan nncause nnserious nnfetal nnanomalies. nnIf nnshe nnis nnnot
nnimmune, nnrubella nnvaccine nnis nnoffered nnafter nnchildbirth nnto nnkeep nnher nnfrom nncontracting nnrubella
nnduring nnsubsequent nnpregnancies. nnThe nnvaccine nnis nna nnlive nnvirus, nnand nndefects nnmight nnoccur nnin nnthe
nnfetus nnif nnthe nnvaccine nnwere nnadministered nnduring nnpregnancy nnor nnif nnthe nnmother nnwere nnto nnbecome
nnpregnant nnsoon nnafter nnit nnwas nnadministered. nnAdministering nna nnrubella nnvaccine nnimmediately nnplaces
nnthe nnfetus nnat nnrisk. nnTelling nnthe nnclient nnthat nnshe nndoes nnnot nnneed nnto nnbe nnconcerned nnabout nnbeing
nnexposed nnto nnrubella nnis nnincorrect, nnbecause nnthe nnpossibility nnof nnexposure, nnwhich nncould nnbe nnharmful
nnto nnthe nnfetus, nndoes nnexist.
A nnnurse nnis nnmonitoring nna nnclient nnwho nndelivered nna nnhealthy nnnewborn nn12 nnhours nnago. nnThe nnnurse
nntakes nnthe nnclient's nntemperature nnand nnnotes nnthat nnit nnis nn38° nnC nn(100.4° nnF). nnThe nnmost nnappropriate
nnnursing nnaction nnwould nnbe nnto: nn- nncorrect nnanswer-Encourage nnthe nnintake nnof nnoral nnfluids
, A nntemperature nnof nn38° nnC nn(100.4° nnF) nnis nncommon nnduring nnthe nn24 nnhours nnafter nnchildbirth. nnIt nnmay
nnbe nnthe nnresult nnof nndehydration nnor nnnormal nnpostpartum nnleukocytosis. nnIf nnthe nnincreased
nntemperature nnpersists nnfor nnlonger nnthan nn24 nnhours nnor nnexceeds nn38° nnC, nninfection nnis nna nnpossibility,
nnand nnthe nnfever nnis nnreported nnto nnthe nnhealth nncare nnprovider nnor nnnurse nnmidwife. nnBecause nnthe nnclient
nndelivered nnher nnbaby nnjust nn12 nnhours nnago, nnthe nnmost nnappropriate nnnursing nnaction nnis nnto nnencourage
nnthe nnintake nnof nnoral nnfluids.
A nnnurse nnis nnassessing nnthe nnuterine nnfundus nnof nna nnclient nnwho nnhas nnjust nndelivered nna nnbaby nnand nnnotes
nnthat nnthe nnfundus nnis nnboggy. nnThe nnnurse nnmassages nnthe nnfundus, nnand nnthen nnpresses nnto nnexpel nnclots
nnfrom nnthe nnuterus. nnTo nnprevent nnuterine nninversion nnduring nnthis nnprocedure, nnthe nnnurse: nn- nncorrect
nnanswer-Simultaneously nnprovides nnpressure nnover nnthe nnlower nnuterine nnsegment
After nnmassaging nna nnboggy nnfundus nnuntil nnit nnis nnfirm, nnthe nnnurse nnpresses nnthe nnfundus nnto nnexpel nnclots
nnfrom nnthe nnuterus. nnThe nnnurse nnmust nnalso nnkeep nnone nnhand nnpressed nnfirmly nnjust nnabove nnthe
nnsymphysis nn(over nnthe nnlower nnuterine nnsegment) nnthe nnentire nntime. nnRemoving nnthe nnclots nnallows nnthe
nnuterus nnto nncontract nnproperly. nnProviding nnpressure nnover nnthe nnlower nnuterine nnsegment nnprevents
nnuterine nninversion. nnHaving nnthe nnclient nnvoid nnbefore nnuterine nnassessment nnwill nnnot nnprevent nnuterine
nninversion. nnTelling nnthe nnwoman nnto nnbear nndown nnwhile nnthe nnnurse nnperforms nnfundal nnmessage nnand
nnasking nnthe nnclient nnto nntake nnslow, nndeep nnbreaths nnduring nnfundal nnassessment nnalso nnwill nnnot nnprevent
nnuterine nninversion.
A nnnonstress nntest nnis nnperformed, nnand nnthe nnhealth nncare nnprovider nndocuments nn"accelerations nnlasting
nnless nnthan nn15 nnseconds nnthroughout nnfetal nnmovement." nnThe nnnurse nninterprets nnthese nnfindings nnas: nn-
nncorrect nnanswer-Nonreactive
A nnreactive nnnonstress nntest nnis nna nnnormal, nnor nnnegative, nnresult nnand nnindicates nna nnhealthy nnfetus. nnThe
nnresult nnrequires nntwo nnor nnmore nnfetal nnheart nnrate nnaccelerations nnof nnat nnleast nn15 nnbeats/min nnlasting
nnat nnleast nn15 nnseconds nnfrom nnthe nnbeginning nnof nnthe nnacceleration nnto nnthe nnend, nnin nnassociation nnwith
nnfetal nnmovement, nnduring nna nn20-minute nnperiod. nnA nnnonreactive nntest nnis nnan nnabnormal nntest, nnshowing
nnno nnaccelerations nnor nnaccelerations nnof nnless nnthan nn15 nnbeats/min nnor nnlasting nnless nnthan nn15 nnseconds
nnduring nna nn40-minute nnobservation. nnAn nninconclusive nnresult nnis nnone nnthat nncannot nnbe nninterpreted
nnbecause nnof nnthe nnpoor nnquality nnof nnthe nnfetal nnheart nnrate nnrecording.
A nnstillborn nninfant nnwas nndelivered nna nnfew nnhours nnago. nnAfter nnthe nnbirth, nnthe nnfamily nnremains
nntogether, nnholding nnand nntouching nnthe nnbaby. nnWhich nnstatement nnby nnthe nnnurse nnis nnappropriate? nn-
nncorrect nnanswer-"This nnmust nnbe nnhard nnfor nnyou." nn
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