- Study guides, Class notes & Summaries

1. A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this? a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). c. This weight gain cannot be evaluated until the woman has been observed for ...

1. A woman presents to your clinic with a positive HCG test. You know that which type of hepatitis is included in all prenatal screening labs? a. HAV, HEV b. HBV c. HCV d. All of the above are included in prenatal screening labwork correct answer HBV 3) The couple above is now pregnant and would like to know what option is the best for delivery? a) The largest risk of HIV transmission to the baby occurs during weeks 3 to 8 gestation so you can have a normal vaginal delivery without i...

A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication? correct answer decreased blood glucose - Betamethasone causes hyperglycemia in the client, which predisposes the newborn to hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood glucose level within the first...

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given: correct answer ANS: C Commercial iron-fortified formula. A. Cow's milk should not be used in children younger than 12 months. B. Cow's milk should not be used in children younger than 12 months. C. For children younger than 1 year, the American Academy of Pediatrics recommends the use of breast milk. If breastfeeding has been discontinued, th...

A 14 year old girl is seeking obstetric care. Which of the following vital signs must be monitored very carefully during this pregnancy? a. heart rate b. respiratory rate c. blood pressure d. temperature correct answer C. very young and older women are at a higher risk for preeclampsia A client who is pregnant for the first time calls the clinic to say she is bleeding. The most important thing to ask her is a. "when did you last feel the baby move?" b. "how long have you been ...

A client has not received any meds during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as: a. latent phase of first stage of labor b. active phase of first stage of labor c. transition phase of the first stage of labor d. pelvic phase of the second stage of labor correct an...

A 6 week gestation client asks the nurse what foods she should eat to help prevent neural tube disorders in her growing baby. The nurse would recommend which foods? correct answer Spinach, oranges, and beans A baby with developmental dysphasia of the hip is placed in a Pavlik harness. The harness positions the hip in which position? correct answer A flexed, abducted position to press the femur head against the acetabulum A community health nurse is teaching a group of clients about the zik...

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that: a. Bed rest and analgesics are the recommended treatment. b. She will be unable to conceive in the future. c. A D&C will be performed to remove the products of conception. d. Hemorrhage is the major concern. correct answer D. Hemorrhage is the major conern A 4-year-old girl presents with recurrent urinary tract infection. A prior workup did not reveal any urinary trac...

A 13-year-old girl asks the nurse how much taller she will become. She has been growing about 2 inches per year but grew 4 inches this past year. Menarche recently occurred. The nurse should base her response on knowing that: Approximately 95% of mature height is achieved when menarche occurs. The pubertal growth spurt lasts about 1 year Growth cannot be predicted. Mature height is achieved when menarche occurs. correct answer Approximately 95% of mature height is achieved whe...

5 P's affecting labor correct answer Passenger, Passageway, Powers, Position of mother, Psychological response active phase of labor correct answer 4 to 7 cm of dilation amniotomy correct answer artificial rupture of membranes antenatal glucocorticoids correct answer medications given to pregnant women expecting preterm delivery; promote fetal lung maturity; administered between 24-34 weeks; ex) betamethasone 12 mg IM x2 (24hrs apart) & dexamethasone 6 mg IM x4 (12hrs apart) augme...