Maternity & Child Exam 8 A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for: A Enlargement of the breasts B Complaints of feeling hot when the room is cool C Any bleeding, such as in the gums, petechiae, and purpura. D Periods of fetal movement followed by quiet periods Severe Preeclampsia can trigger disseminated intravascular co...

Maternity & Child Exam 7 When teaching parents about typical toddler eating patterns, which of the following should be included? A Food "jags" B Increase in appetite C Consistent table manners D Preference to eat alone A mother states that she thinks her 9-month old is 'developing slowly'. When evaluating the infant's development, the nurse would not expect a normal 9-month old to be able to... A Begin to use imitative verbal expressions. B Creep and crawl. C Hold a bottle w...

Maternity & Child Practice Exam 6 Postpartum blues is said to be normal provided that the following characteristics are present. These are Within 3-10 days only; Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor appetite; Maybe more severe symptoms in primpara A 1 and 2 B All of the above C 2 and 3 D 2 only Rationale: All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due t...

Maternity & Child Exam 5 Upon assessment, the nurse got the following findings: 2 perineal pads highly saturated with blood within 2 hours postpartum, PR= 80 bpm, fundus soft and boundaries not well defined. The appropriate nursing diagnosis is: A Inadequate tissue perfusion related to hemorrhage B Normal blood loss C Hemorrhage secondary to uterine atony D Blood volume deficiency Rationale: All the signs in the stem of the question are signs of hemorrhage. If the fundus is soft and ...

Maternal & Child Practice Exam 4 What event occurring in the second trimester helps the expectant mother to accept the pregnancy? A Quickening B Lightening C Pseudocyesis D Ballotment Rationale: Quickening is the first fetal movement felt by the mother makes the woman realize that she is truly pregnant. In early pregnancy, the fetus is moving but too weak to be felt by the mother. In the 18th-20th week of gestation, the fetal movements become stronger thus the mother already feels ...

Maternal and Child Practice Exam 3. When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions? A On the side B Prone C In an infant seat D Supine Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage. If the child is placed in the supine position, he or she may aspirate. Using an infant seat does not facilitate drainage. Side-lying does not facilitate dra...

Maternal & Child Practice Exam 2 The postterm neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following? A Elimination problems B Respiratory problems C Integumentary problems D Gastrointestinal problems Intrauterine anoxia may cause relaxation of the anal sphincter and emptying of meconium into the amniotic fluid. At birth some of the meconium fluid may be aspirated, causing mechanical obstruction or chemical pneumonitis. The infa...

Maternal & Child Practice Exam 1 Which of the following would the nurse assess in a client experiencing abruptio placenta? A) Palpable fetal outline B Concealed or external dark red bleeding C) Bright red, painless vaginal bleeding D) Soft and nontender abdomen A client with abruptio placentae may exhibit concealed or dark red bleeding, possibly reporting sudden intense localized uterine pain. The uterus is typically firm to boardlike, and the fetal presenting part may be engage...