NURSING N271

1) The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? A) Shortens newborn length of stay B) Decreases use of home health agencies C) Decreases healthcare costs D) Decreases the number of emergency department visits Answer: C Explanation: A) Length of stay is often determined by third-party payer (insuranc...

1) How would the nurse best analyze the results from a client's sonogram that shows the fetal shoulder as the presenting part? A) Breech, transverse B) Breech, longitudinal C) Breech, frank D) Vertex, transverse Explanation: A) A shoulder presentation is one type of breech presentation, and is also called a transverse lie. 2) A clinic nurse is preparing diagrams of pelvic shapes. Which pelvic shapes are considered least adequate for vaginal childbirth? Select all that apply. A) Androi...

1) A standard ultrasound examination is performed during the second or third trimester and includes an evaluation of which of the following? Select all that apply. A) Confirm fetal heart activity. B) Evaluate the cervix. C) Determine fetal presentation. D) Assess amniotic fluid volume. E) Determine fetal number. Answer: C, D, E Explanation: A) A limited ultrasound may be used to address a specific question or determine specific information including confirming fetal heart activity. B)...

1. A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what to expect because the baby is postmature. Which of the following statements should the nurse make? A. “Your baby will have excess body fat.” B. “Your baby will have flat areola without breast buds.” C. “Your baby’s heels will easily move to his ears.” D. “Your baby’s skin will have a leathery appearance.” Rationale: A. Excess body fat is seen in a newborn who is...

1) A nursing instructor is demonstrating an assessment on a newborn using the Ballard gestational assessment tool. The nurse explains that which of the following tests should be performed after the first hour of birth, when the newborn has had time to recover from the stress of birth? A) Arm recoil B) Square window sign C) Scarf sign D) Popliteal angle Answer: A Explanation: A) Arm recoil is slower in healthy but fatigued newborns after birth; therefore, arm recoil is best elicited after th...