Exam (elaborations)
1538 TEST PREP QUESTIONS WITH COMPLETE SOLUTIONS
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1538 TEST PREP QUESTIONS WITH COMPLETE SOLUTIONS
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1538 TEST PREP QUESTIONS WITHCOMPLETE SOLUTIONS
A small piece of tissue from the fetal placenta will be removed and analyzed - answer-a
woman is to undergo chorionic villus sampling as part of a risk assessment for genetic
disorders. What statement would the nurse include when describing this test to the
woman?
Amniocentesis - answer-a sonogram on a woman in the first trimester of her pregnancy
shows abnormal fetal findings. The nurse prepares to provide the woman with
information concerning which diagnostic procedure?
November 8, 2017 - answer-a woman reports that her last menstrual period (lmp)
occurred February 1, 2017. Using the naegele rule, what would be her estimated date of
delivery (edd)?
Fetal tachycardia - answer-during a follow-up visit to the prenatal clinic, a pregnant
client asks the nurse about using a hot tub to help with her backache. The nurse
recommends against the use based on the understanding that what can occur?
Bladder or kidney infection - answer-which possible complication associated with back
pain can lead to premature contractions?
The client reduces her smoking by 50 percent by the next clinic visit. - answer-during
the initial assessment of a 22-year-old pregnant client, the nurse learns that the client
usually smokes 2 packs of cigarettes per day. The nurse is planning an education
session about lifestyle changes during pregnancy. Which goal would be the most
realistic and individualized for this client during this initial clinic visit?
Social support - answer-the community nurse is preparing a presentation for a health
fair illustrating successful pregnancies. Which component should the nurse prioritize as
the most critical to ensure a positive psychological experience with the pregnancy by
the mother?
On her side with the weight of the uterus on the bed - answer-a pregnant client reports
difficulty sleeping well. Which suggestion for sleeping should the nurse prioritize to
assist this client?
Doppler study - answer-the health care provider is concerned about a client's fetus
having appropriate blood flow through the fetal vessels. Which diagnostic test does the
nurse anticipate to confirm a diagnosis?
Establish a baseline of present health.
Determine the gestational age of the fetus.
,Monitor for fetal development and maternal well-being.
Identify women at risk for complications. - answer-a nurse is conducting a program
about the importance of prenatal care for a group of women in a community health
clinic. Which information would the nurse include when describing the purpose of
prenatal care? Select all that apply.
Poorly ossified bones of the cranial vault - answer-a nurse is educating a group of
nursing students about the molding of the fetal skull during the birth process. What
would the nurse include as the usual cause of molding?
Endorphins - answer-a client in the first stage of labor is admitted to a health care
center. The nurse caring for the client instructs her to rock on a birth ball. The nurse
informs her that this causes the release of certain natural substances, which reduces
the pain. To which substance is the nurse referring?
Assist the client to semi-fowler position, assess the fetal heart rate, start an iv bolus of
500 ml, and administer oxygen via face mask. - answer-a client has just had an epidural
placed. Before the procedure, her vital signs were as follows: bp 120/70, p90 bmp, r18
per min, and o2 sat 98%. Now, 3 minutes after the procedure, the client says she feels
lightheaded and nauseous. Her vital signs are bp 80/40, p100 bmp, r20 per min, and o2
sat 96%. Which interventions should the nurse perform?
Diabetes - answer-a client is giving birth when shoulder dystocia occurs in the fetus.
The nurse recognizes that which condition in the client is likely to increase the risk for
shoulder dystocia?
Clear liquids but no solid food - answer-the 29-year-old client presents at 5:30 a.m. With
labor pains. Her history reveals g4, three previous vaginal births, and gynecoid pelvis.
At 9 a.m. Her assessment reveals 80% effaced and dilated at 3 cm. What nourishment
can the nurse provide if the client mentions she hasn't eaten since 5 p.m. Yesterday and
is hungry?
Descent - answer-which cardinal movement of delivery is the nurse correct to document
by station?
Complete cervical dilation (dilatation) and time of fetal birth - answer-the nurse is
documenting the length of time in the second stage of labor. Which data will the nurse
use to complete the documentation?
Progesterone
Oxytocin
Prostaglandins - answer-the nurse is instructing on maternal hormones which may
impact the onset of labor. Which hormones are included in the discussion? Select all
that apply.
, "tell me how you handled labor pain in your past deliveries." - answer-when collecting
data to devise a labor plan for a multiparous woman, which question best allows the
nurse to develop individualized strategies?
Maternal hypotension and fetal bradycardia - answer-a client in labor has administered
an epidural anesthesia. Which assessment findings should the nurse prioritize?
Mother states she wanted a boy this time, not another girl. - answer-healthy bonding
behaviors are important to note when the nurse is assessing the new family. What
statement or action would the nurse consider a warning sign that the mother and infant
were not attaching as they should?
Endometritis - answer-a woman is 2 weeks postpartum when she calls the clinic and
tells the nurse that she has a fever of 101°f (38.3°c). She reports abdominal pain and a
"bad smell" to her lochia. The nurse recognizes that these symptoms are associated
with which condition?
Prolonged labor
Hydramnios
Uterine infection - answer-a postpartum woman is experiencing subinvolution. When
reviewing the client's history for factors that might contribute to this condition, which
factors would the nurse identify? Select all that apply.
Staphylococcus aureus - answer-the nurse is teaching a client with newly diagnosed
mastitis about her condition. The nurse would inform the client that she most likely
contracted the disorder from which organism?
Uterine subinvolution - answer-which complication is most likely responsible for a late
postpartum hemorrhage?
Uterine atony - answer-which factor puts a multiparous client on her first postpartum day
at risk for developing hemorrhage?
"be sure to change your pajamas to prevent you from chilling." - answer-a client who
gave birth 5 days ago reports profuse sweating during the night. What should the nurse
recommend to the client in this regard?
"within 1 to 3 weeks, your diaphragm should return to normal, and your breathing will
feel like it did before your pregnancy." - answer-a client who had a vaginal birth 2 days
ago asks the nurse when she will be able to breathe normally again. Which response by
the nurse is accurate?
Risk for injury: postpartum hemorrhage related to uterine atony - answer-the nurse is
preparing a nursing care plan for an immediate postpartum client. Which nursing
diagnosis should the nurse prioritize?
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