This action might not be possible to undo. Are you sure you want to continue?
MATERNAL CHILD NURSING EMOTIONAL NEEDS RELATED TO CHILDBEARING AND WOMEN’S HEALTH
1. Twenty-four hours after a cesarean delivery a client elects to sign herself and her baby out of the hospital
because of difficulty at home with her 2-year-old son. Staff members have been unable to contact her physician. The client arrives at the nursery dressed and ready to leave and asks that her infant be given to her to dress and take home. Appropriate nursing action would be: Explain to the client that her infant must remain in the hospital until signed out by the physician and that she must leave the baby in the nursery A. Allow the client time with the baby to cuddle him before she leaves, but emphasize that the baby is a minor and legally must remain until orders are received B. Tell the client that under the circumstances hospital policy prevents the staff from releasing the infant into her care, but she will be informed when the infant is discharged C. Give the baby to the client to take home, making sure that she receives information regarding care and feeding of a 2-day-old infant and any potential problems which may develop
2. A newly delivered mother, with three young children at home, comments to the nursery nurse that she cannot
hold the baby for feedings once she gets home. She has just too much to do, and anyhow, it spoils the baby. The best response for the nurse to make is: A. “You seem concerned about time. Let’s talk about it.” B. “That’s entirely up to you; you have to do what works for you.” C. “Holding the baby when feeding is important for development.” D. “It is most unsafe to prop a bottle. The baby could aspirate the fluid.” 3. After a client has a spontaneous abortion, the nurse notes that the involved couple are visibly upset. The husband has tears in his eyes and the wife has her face turned toward the wall and is sobbing quietly. The nurse’s best approach would be to go over to the woman and say: A. “I know that you are upset now, but hopefully you will become pregnant again very soon.” B. “I see that both of you are very upset. I bought you a glass of juice and will be here if you want to talk.” C. “I know how you feel, but you should not be so upset now; it will make it more difficult for you to get well quickly.” D. “I can understand that you are upset but be glad it happened early in your pregnancy and not after you carried the baby for the full time.” 4. A client with preeclampsia with two preschool children is prescribed bed rest at home. To help stimulate compliance, plans for the client’s care should include: A. A suggest to find a housekeeper B. An explanation as to why Bedrest is necessary C. A warning of the risks involved in noncompliance D. A contract that 4 hours of nap time will meet the requirement
5. A client suspects that she is pregnant, but because she is the only wage earned in her family she is
ambivalent about continuing the pregnancy. The nurse recognizes that the client is in crisis and also remembers that pregnancy and birth are called crises because: A. There are mood changes during pregnancy B. They are periods of change and adjustment to change C. There are hormonal and physiologic changes in the mother D. Narcissism in the mother affects the husband-wife relationship 6. A young couple attend the prenatal clinic. The wife is 8 weeks pregnant and asks the clinic nurse for information about an abortion. The nurse expresses the opinion that abortion is immoral and that many women have long-term guilt feelings after an abortion. The couple leave the clinic in a very disturbed state. Legally, the: A. Client had a right to correct, unbiased information B. Nurse’s statements need not be based on scientific knowledge C. Physician should have been called in, since the nurse cannot talk about it D. Nurse had a right to state feelings as long as they were identified as the nurse’s own 7. An amniocentesis done on a client, 16 weeks gestation, reveals a Down Syndrome infant. The client and her husband, RH-incompatible partners, elect to have the pregnancy terminated. The nursing giving care to a client whose pregnancy us surgically terminated should be aware that: A. The risk of postoperative infection is high B. The client is emotionally unstable at this time C. Contraceptive counseling should be deferred to a later time D. The client needs to express her feelings of guilt, anger, and frustration
Encouraging the mother to decide between breastfeeding and bottlefeeding C. “Do you think is it best for me to leave. Inserting a Foley catheter and administration of a tap water enema 11. shallow. Assess the baby.” 13. of course he is.8. normal delivery. Interrelationship among rest. “Most babies are normal. She expresses fear that her baby may be sick like her neighbor’s baby was and will have to be taken back to the hospital after being home for few days. Touch the baby with her fingertips B. and diet D. During the taking-hold phase. Supportive nursing care in the beginning mother-infant relationship should include: A. Unobtrusive observation of the mother and her infant to pick up a disturbed relationship 15. Talk about the baby C. Requiring the mother to assist with simple aspects of her infant’s care B. Teaching coughing and deep-breathing techniques B. Following delivery. After an 8-hour. and that a baby normally has rapid. “I’ll rub your back. Maternal love is fully developed within the first week after birth D. Causes of spontaneous abortion B. Nursing care should include: A. a primipara calls the nurse and worriedly comments the baby seems to sneeze a lot and breathes very rapidly and irregular.” D. “I’ll leave so you can talk to your husband. Call the baby by name D. An abdominal prep and administration of a Fleet enema C. “This is hard for you. Research concerning the emotional factors of pregnancy indicates: A. Ambivalence and anxiety about mothering are common C. Look the baby over and explain to the mother that sneezing is a normal and helps the baby to get rid of mucus. Why don’t you go have a cup of coffee and relax and come back later if you feel like it?” D. The husband of a client who is in the transitional phase of labor becomes very tense and nervous during this period and asks the nurse. Be passively involved with the baby 17.” D. you’d best go out and sit in the father’s waiting room for a while because you may transmit your anxiety to your wife. Duration and difficulty of labor D. the nurse must be aware that the client us very concerned when her labor deviates from what she sees as the norm. Allowing the mother ample time to undress and to carefully inspect her infant D. Don’t run out on her now. A rejected pregnancy will result un a rejected infant B. Health status during pregnancy . An obstetric client with a history of three spontaneous abortion is now 16 weeks pregnant and attending the high-risk clinic. Anesthesia during labor C. the nurse should b e aware that the most important factor at this time is the: A. tell me if it helps. “Shall we unwrap him so you can look him over for yourself. “Would you like to talk about what’s bothering you?” 12. while considering nursing measures to help parent-child relationships. While holding her baby.” B. “If you feel that way. take the baby to the nursery immediately and return to the mother to tell her that the physician has been called since the baby is obviously in respiratory distress 16. Obtaining an informed consent and assessment for drug allergies D. The nurse should question the client to determine her knowledge of: A. Look the baby over and tell the mother that the baby is fine and nothing is wrong C. “I know this is hard for you.” C.” 14.” C.” B. “He must be all right. eneventful labor a client delivers a baby boy spontaneously under epidural black anesthesia. irregular respirations D. As the nurse places the baby in the mother’s arm immediately following delivery. the nurse would expect the new mother to: A. A good mother experiences neither ambivalence nor anxiety about mothering 9. Let me try to help you coach her during this difficult phase. When caring for a client who is having a prolonged labor. Physical condition of the infant B.” C. “Yes. he has such a good strong cry. The nurse should: A. “is it normal?” The most appropriate response by the nurse would be: A. Signs and symptoms of spontaneous abortion C. Current status of pregnancy and availability of support system 10. The client expresses concerns about remaining at home during her pregnancy. because your pregnanc and labor wer so normal. “All women get weary and frustrated during labor. a response conveying acceptance of the client’s expressions of frustration and hostility would be: A. “This is the time your wife needs you. the mother asks. A client with severe abdominal pain and heavy bleeding is prepared for delivery. since I don’t seem to do my wife much good?” The most appropriate response by the nurse would be: A. Pick up the baby and tell the mother that the nurses will watch the baby closely B.” B.
Ergonovine (Ergotrate) B. Oxytocin D. A client who was admitted in active labor has only progressed from 2 cm to 3 cm in 8 hours. Estrerified estrogen (Climestrone) 25. Right after delivery while the mother is still in the delivery room D. Make certain she receives RhoGAM on her first clinic visit C. A marriage with flexible roles B. is diagnosed as having endometrosis. and attitudes that make up child care can be called parenting and that either parent can exhibit these qualities. is admitted for indection of labor. When bringing the baby to the mother for the first time B. Timing and recording length of contractions D. since the gestation was only 12 weeks 23. Ergonovine maleate . It is important for the nurse to support the parents’ decision to abort a fetus with a birth defect because: A. A decision to let the newborn due B. During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea and her skin becomes pale and clammy. Supporting them will estimate feelings of guilt B. Tetracycline B. A decision to withhold “extraordinary care” for a newborn with severe abnormalities is actually: A. since it is not used with the birth of a stillborn D. Heparin C. When the parents ask if something is wrong with their baby C. Relaxin (Releasin) C. She is diagnosed as having hypotonic dystocia and is given oxytocin (Pitocin) to augment her contractions. Positive childhood roles and concepts D. Not give RhoGAM. Monitor the FHR every 3 minutes 26. undergoing treatment for infertility. Checking perinuim for bulging C. the nurse must: A. The anticoagulant the nurse should expect to administer is: A. Progesterone C. the nurse must be aware that all the tasks. The nurse’s immediate reaction is to: A. In the 12th week of gestation a client completely expels the products of conception. the nurse should be aware that the parents are better able to cope with this problem I informed: A. The parents are legally responsible for the decision D. responsibilities.18. Check for vaginal bleeding B. Unethical and illegal nursing practice medical and 21. Dicumarol D. When planning care for the parents of a newborn with abnormalities. The nurse is aware that if the proper conditions exist the physician will prescribe: A. Monitoring the FHR B. Gantrisin C. It is essential for maintenance of family equilibrium C. Nitrofurantoin 27. The most important aspect of nursing at this time is: A. Elevate the client’s legs D. Diphenadione B. Luturin (Letrexin) B. She has no other symptoms of labor. The nurse is aware that one of the drugs that may be used to treat this condition is: A. Make certain the client does not receive RhoGAM. A good education in growth and development 19. Notify the physician C. Ampicillin D. Because the client is Rh negative. The nurse’s support will relive the pressure associated with decision making DRUG-RELATED RESPONSES 22. A client at 6 weeks gestation is receiving antibiotic therapy for pyeloephritis. An inborn ability based on instinct C. Administer RhoGAM within 72 hours B. A pregnant client develops thrombophlebitis of the left leg and admitted to the hospital for Bedrest and anticoagulant therapy. Leuprolide (Lupron) D. The nurse is aware that the safest antibiotic for administration during pregnancy is: A. She has a history of ruptured membranes for the past 12 hours. when the mother’s strength has returned 20. A client. A person is able to perform parenting because if: A. Presuming that the D. A client 38 weeks gestation. Warfarin (Coumadin sodium) 24. After the first 24 hours. When caring for a family on a postpartum unit. The same as pediatric euthanasia C. Preparing for an emergency cesarean delivery 28.
A client is on magnesium sulfate therapy for severe preeclampsia. Increasing the mobility of the uterus C. Promazine (Sparine) D. the nurse assesses the client for the therapeutic effect of: A. Ovarian Cysts D. They are almost 100% effective in preventing a pregnancy B. At about 5 cm. 48 to 72 hours 39. Drops markedly C. Clients with cardiac conditions usually become infertile 34. Setting up a nonspecific inflammatory cell reaction in the endometruim 37. The nurse should explain that a common problem that has been associated with IUDs when they are used is: A. Promethazine (Phenergen) 30. “The intrauterine device is best for you because it does not allow a fertilized ovum to become implanted into the uterine lining” D. “You may use oral contraceptives. The nurse must be alert for the first sign of an excessive boold magnesium level. Increase the client’s pain threshold. Spontaneous expulsion of the device 36. Development of cardiac dysrhythmi B. The nurse teaches that the most frequent side effect associated with the use of IUDs is: A. Meperidine (Demerol) 50 mg and Phenergan 50 mg are ordered. Blood level of LH is high D. 24 to 36 hours B. After its administration. Disturbance in sensoruim C. Dilation of the cervix from 1 to 1. Excessive menstrual flow 35. Blocking the cervical os B. resulting in relaxation 31. Rupture of the uterus B. A client seeking advice about contraception asks the nurse about an IUD. Cervisitis C. Disappearance of the nee-jerk reflex REPRODUCTIVE CHOICES 33. Act as preliminary anesthesia C. Drops slightly and then rises D. “Which prevent pregnancy in the near future?” The nurse’s best response would be: A. 1 to 6 hours C. Rises markedly and remains high 40. Development of vaginal infections B. Acts to produce amnesia B. Reduction of pain in the perineal area B. The nurse explains that the IUD provides contraception by: A. Breakthrough bleeding . Endometrial wall is sloughed off 38. which is: A. After ovulation has occurred.29. When oral contraceptives are prescribed for a client the nurse should teach the client about the potential of developing: A. the ovum is believed to remain viable for: A. “You do not need to worry about becoming pregnant in the near future. Discomfort associated with coitus D. Fibrocystic disease B. Decrease in blood pressure from 120/80 to 90/60 C. The nurse us aware that one of the medications given to woman in labor that should cause respiratory depression of the newborn is: A. The time of ovulation can be determined by taking the basal temperature: A. Preventing the sperm from reaching the fallopian tube D. These medications: A. Decrease in frequency and duration con contractions D. Rises suddenly and then falls B. A client in the midphase of labor becomes very uncomfortable and asks for medication. “You may want to use a foam and a condom to prevent pregnancy until you consult with your doctor at your postpartum visit” C. Ectopic pregnancy C. Progesterone level is high B. Meperidine (Demerol) B. Increase in respiratory rate D. 12 to 16 hours D. Following delivery a cardiac client with type 2 diabetes ask the nurse. Perforation of the uterus C. Oxytocin level is high C. Scopolamine C.5 cm for every hour of labor 32. a laboring client receives medication for pain. A client beings preterm labor and the physician orders terbutaline sulfate (Brethine). Expulsion of the IUD D. In a lecture on sexual functioning the nurse plans to include the fact that ovulation occurs when the: A. Induce sleep until the time of delivery D.
In dealing with a couple who have been identified as having an infertility problem. Immediately after menses end C. The nurse. Congenital anomaly B. Have bimonthly Pap smears C. A medication that is ordered to alter the vaginal pH is: A. Edema C. Increase her intake of calcium D. Fourteen days before the next period is expected D. Age of those involved B. A factor that will alter its effectiveness is: A. Fibriod tumor D. “You may well be correct one of the reasons for prescribing an exact schedule is that the effect of contraceptive drugs depends on the regularity with which they are taken” D. the client is told that labor will probably begin within: A. 1 week after ovulation B. Oliguria D. A diagnosis test used to evaluate fertility is the postcoital test. One of the responsibilities of a nurse is a fertility specialist’s office is to provide health teaching to the client in relation to timing of intercourse. When the wife misses her regular menstrual period. The nurse’s best response would be: A. Frequency of intercourse 43. Report any irregular vaginal bleeding 44. Two hours after the procedure C. In the dilation and suction evacuation method of elective abortion. A biphasic antivulatory medication of combined progestin and estrogen is prescribed for a female client. They are hygroscopic and expand C. During the salinization method of elective abortion. It is best timed: A. “Contraceptive pills are very unpredictable anyhow. should include the need to: A. Infertility is usually psychologic in origin B. Several minutes following the procedure 46. Just before the next menstrual period D. Four hours following the procedure D. If you are. “That’s the trouble with using contraceptive pills. Midway between periods B. Within 1 to 2 days of presumed ovulation 50. Instructions to the client would include the information that the best time to achieve a pregnancy would be: A. One partner has a problem that makes that person unable to have children . The nurse explains that the efficiency of the basal body temperature (BBT) method of contraception depends on fluctuation of the basal body temperature. The couple has been unable to have a child after trying for a year D.41. First find out whether you really are pregnant. Estrogen therapy C. Temporarily restrict sexual activity B. Presence of stress C. instructing the client about the medication. It’s too late to worry anyhow. Less anesthesia is necessary with this method REPRODUCTIVE PROBLES 47. You probably would have become pregnant even if you had taken them regularly as prescribed” B. Lactic acid douches B. Past infection C. Infertility caused by a defect in the tube is most often related to a: A. Infertility and sterility are essentially same problem C. Headache B. Bradycardia 45. “Don’t think about that now. the nurse should be alert for side effects of hypernatremia such as: A. Length of abstinence D. Following a salinization procedure for an elective abortion of a 20-week pregnancy. she decides to find out if she is pregnant. Fourteen days after the beginning the last period 48. Sodium bicarbonate douches 49. Laminaria is used in the dilation stage of the procedure because: A. Immediately after menses C. a tubal insufflation test is done to determine whether there is a tuba obstruction. People become too careless and don’t use proper restraint. this probably would not have happened” 42. Sulfur insufflations D. A factor in infertility may be related to the pH of the vaginal canal. Previous injury to a tube 51. Eight to 24 hours after the procedure B. If you had used the rhythm method. you may want to consider having an abortion” C. A young couple have been using oral contraceptives to delay pregnancy. They are stronger in action than instruments D. Dilation occurs within 2 hours B. the nurse should know that: A. She tells the nurse that pregnancy may have occurred because she missed taking her contraceptive pills for 1 week because of the flu.
The nurse would suspect an Ectopic pregnancy if the client complained of: A. Unusual uterine enlargement B. Lower abdominal cramping for a long period of time C. Giver her the sedation ordered C. upper-quadrant abdominal pain D. A few hours after being admitted with a diagnosis of inevitable abortion. Hemorrhage and infection B. the nurse should first: A. after a spontaneous abortion the nurse should observe the client for: A. Germ plasm defects 63. About the sixth week of pregnancy B. Continuous dull. Signs of pregnancy-induced hypertension 62. Later the nurse reads the chart. Huhner test D. The client’s history reveals amenorrhea for the last 2 months and pregnancy confirmation by her physician after her first missed period. Hypotension C. Subinvolution and dehydration D. A test commonly used to determine the number. Painless vaginal bleeding B. Friedman test B. Weighed over 600 g D. Rubin test C. Decreased FHR D. A client who has missed two menstrual periods comes to the prenatal clinic complaining of vaginal bleeding and one-sided lower-quadrant pain. The nurse suspects that this client has: A. Check the fundus for firmness B. An adherent painful ovarian mass B. causing: A. Sudden knifelike. A high concentration of estrogen in the blood: A. Abruptio placentae C. To give safe nursing care. and activity of sperm is the: A. Cystoscopy D. Biopsy C. Inhibits secretion of FSH D. which states “stillborn delivered at 8 pm. Immediately notify the physician . is admitted to the hospital with vaginal staining but not pain. the nurse should be alert for: A. She is admitted for observation with a possible diagnosis of: A. Within a few weeks after conception the tube may rupture suddenly.” The nurse understands this to mean that the fetus and other products of conception: A. A rupture of a graafian follicle 60. Causes ovulation B. whose husband is overseas in the military. Intermittent abdominal contractions C. a client beings to experience bearingdown sensations and suddenly expels the products of conception in bed. A client is admitted to the emergency department with vaginal bleeding. lower-quadrant abdominal pain 59. Is one cause of osteoporosis 53. The most common type of Ectopic pregnancy is tubal. Midway through the second trimester D. evaluation of the pelvic organs iof reproduction is accomplished by: A. When taking a history.4 cm in length 61. the nurse should expect the client to indicate that her symptoms of pain in the lower abdomen and vaginal bleeding started: A. Most spontaneous abortions are caused by: A. motility. An Ectopic pregnancy D. At the beginning of the last trimester C. Leukorrhea and dysuria a few days after the first missed period D. When obtaining the nursing history from a client with a diagnosis of a ruptured tubal pregnancy. the nurse learns that the client has had five missed periods. In the female. Inevitable abortion D. Painless. Stimulates lactation C. Ectopic pregnancy B. Were completely expelled B. Measured 13. Culdoscopy B. Dehydration and hemorrhage C. Unresolved stress C. Threatened abortion 64. Hysterosalpinogogram 55. An incompatible abortion B. Physical trauma B. Sharp lower right or left abdominal pain radiating to the shoulder 58. A client. When assessing a client with a tentative diagnosis of hydatidiform mole. Immediately after implantation occurred 57. Congenital defects D. Missed abortion C. heavy vaginal bleeding 56. Were previable C.52. Papanicolaou test 54.
Follicle-stimulating hormone D. Increased expansion of the lower ribs C. Engagement C. The placenta does not produce: A. The developing cells are called a fetus from the: A. Twelfth week of pregnancy B. a client tells the nurse that although her doctor explained what an incomplete abortion was. Ballottement D. Anticipatory guidance during the first trimester of pregnancy is primarily directed toward increasing the pregnancy woman’s knowledge of: A. Chorion B. Eighteenth week of pregnancy C. the estimated date of birth would be: A. Lightening B. Adrenal cortex D. “I really don’t think you should focus on what happened right now. Take her immediately to the delivery room 65. Labor and delivery . Implantation of the fertilized ovum D. During pregnancy the volume of tidal air increases because there is: A. The chief function of progesterone is the: A. Umbilical artery B. During the process of gametogensis. Amnion D. Anterior hypophysis 76. In fetal blood vessels the oxygen content is highest in the: A. End of the second week to the onset of labor 71. Eight week to the time of birth C. Implantation trimester 75. Second trimester D. After the first 3 months of pregnancy the chief source of estrogen and progesterone is the: A. Somatotropin B. Forty-six pairs of chromosomes in their nuclei C. Pulmonary artery D. Funis C. Twenty-two pairs of autosomes in their nuclei B. Placenta C. Third trimester C. Time the fetal is heard B. Corpus luteum B. Establishment of the secondary male sex characteristics 68. First fetal movement felt by the mother are known as: A.” B. A haploid number of chromosomes in their nuclei 69. Quickening 74. April 15 B. A client relates that the first day of her last menstrual period was July 22. “I think it would be best if you asked your doctor for the answer to that question.’ HEALTHY CHILDBREAING 66.D. A diploid number of chromosomes in their nuclei D. Chorionic gonadotropin 70. she did not understand. A relative increase in the height of the rib cage 72. Tenth week of pregnancy C. and each mature sex cell contains: A. Ductus Arteriosus 77. After an incomplete abortion. Development of female reproductive organs C. Stimulation of follicles for ovulation to occur B. “An incomplete abortion is when the fetus is expelled but part of the placenta and membranes are not. Progesterone precursor substances 73. Preparation of the uterus to receive a fertilized ovum D. First trimester B. Upward displacement of the diaphragm D. In prenatal development. “This is when the fetus dies but is retained in the uterus for 8 weeks or more. April 29 78. An increase in total blood volume B. The inner membranes that encloses the fluid medium for the embryo is the: A.” D. May 14 D. The uterus rises out of the pelvis and becomes an abdominal organ at about the: A. Ductus venosus C. The nurse could best respond: A.’ C. May 5 C. the male and female sex cells divide. Eight week of pregnancy D. fetal weight gain is greatest in the: A. Yolk sac 67.
” D. The nurse should recommend that the client: A. This would necessarily have implications for her plan of care during pregnancy. Transverse diameter B. Transverse conjugate 80. Ask for time in the morning and afternoon to elevate her legs C. “Yes. “Secretion of luteinizing hormone produced by the pituitary.B. Decreased dietary intake of iron B. Have you ever had an internal examination done before?” D. Would ordinarily stimulate uterine contraction but is prevented by high levels of progesterone during pregnancy 81. The nurse should: . an internal is done on all mothers. A decrease in sedimentation rate 82. Ladin’s sign C. Role transition into parenthood D.” B. “Reduction in the secretion of hormones by the ovaries. Ask for time in the morning and afternoon to obtain nourishment 89. an internal is done on all mothers on the first visit. Most weight gain during pregnancy is fluid retention B. The anterior/posterior diameter of the pelvic inlet is an important measurement of the pelvic and is known as the: A. A normal cardiopulmonary symptom experienced by most pregnant women is: A. Decreased erythropoiesis after the first trimester D. Hegar’s sign D. Chadwick’s sign 83. Chorionic gonadotropin 88. Dietary allowances should not increase during pregnancy C. Diagonal conjugate D. The nurse is aware that a normal adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal musoca. greatly stretched as the fetus grows. Increased plasma volume of the mother C. Progesterone D. Inhibits uterine contraction along with the combined inhibitory effects of estrogen and progesterone D. Increased detoxification demands on the mother’s liver 84. Physiologic anemia during pregnancy is a result of: A. She wants to know something about the foods she should eat. Physical changes resulting from pregnancy 79. a client asks the nurse. “Yes. Shortness of breath on exertion 86. Tell her employer she cannot work beyond the second trimester D. “Is it true the doctor will do an internal examination today?” The nurse should respond: A. expected change in the hematologic system that occurs during the second trimester of pregnancy is: A. Conjugate vera C. An increase in hematocrit D.” C. Is prevented from stimulating uterine contraction by high levels of estrogen during late pregnancy C. The nurse is aware that the nausea and vomiting commonly experienced by many women during the first trimester of pregnancy is an adaptation to the increase level of: A. Signs of complications C. A pregnant client works as a keypunch operator. Estrogen C.” 87. A client asks the nurse why menstruation ceases once pregnancy occurs. Dyspnea at rest D. Try to talk about every few hours during the workday B. “Secretion of follicle-stimulating hormone produced by the pituitary. but it is only slightly uncomfortable. the uterine musculature hypertrophies and is. Tachycardia C. “Are you fearful of having on internal examination done?” C. This stretching: A.” B. A decrease in WBCs C. On a first prenatal visit. A primigravida in her tenth week of gestation is concerned because she has read that nutrition during pregnancy is important for proper growth and development of the baby. The nurse’s best response would be that this occurs because of the: A. “Yes. Pregnant women must adhere to a specific pregnancy diet D.” 85. During pregnancy. “Production of estrogen and progesterone by the ovaries. Progressive dependent edema B. An increase in blood volume B. Luteinizing hormone B. By itself inhibits uterine contraction until oxytocin stimulates the birth process B. The nurse in the prenatal clinic should provide nutritional counseling to all newly pregnant women because: A. which is known as: A. Different sources of essential nutrients are favored by different cultural groups 90. The nurse recognizes that a normal. Goodell’s sign B.
Increasing her fat intake before bedtime C.” B. Increased blood volume 97. An increase in caloric intake to 2800 calories per day 96. especially in the morning. “If you gain over 15 pounds. The nurse assures her that this is not punishment but a common occurrence in early pregnancy and will probably disappear by the end of the: A. When attending the prenatal clinic. The nurse explains that the largest part of weight gain during pregnancy is because of: A. Adrenal gland B. Fluid retention D. Atony of the detrusor muscle B. 7 weeks pregnant. “Perhaps you might ask the nurse midwife about it. Eating dry crackers before arising B. in her eight week of pregnancy. Give her a list of foods so she can better plan her meals D. weight gain causes compilations during pregnancy. “A 25-pound weight gain is recommended. Eat protein before sleep B. confides to the nurse in the prenatal clinic that she is very sick every morning with nausea and vomiting and is sure that she is being punished for having initially thought of aborting pregnancy. The nurse explains to the client that urinary frequency often occurs because the capacity of the bladder during pregnancy is diminished by: A. A client. There is no need to worry. the nurse should suggest: A. Take an antacid before bedtime C. Emphasize the importance of limiting salt and highly seasoned food 91. A client who is 10 weeks pregnant calls the clinic and complaints of morning sickness. The fetus C. expresses concern about her “dark nipples” and a “dark line” from her navel to the pubis. 2nd month 99. “I’m worried about gaining too much weight because I have heard that it is bad for me. 4th month C. 5th month B. A decrease to 1000 calories per day B. Ovaries C. Compromise of the automatic reflexes D. you’ll have to follow a low-calorie diet. The nurse explains that these adaptations are due to hyperactivity of the: A. During a prenatal examination the nurse draws blood from a young client and explains that the determination of Rh is routinely performed on expectant mothers to predict whether the fetus is at risk for developing: A.” D. “We are more concerned if you don’t gain enough weight to ensure proper growth of your baby. Metabolic alterations B. “This is common. To promote relief. A client is concerned about gaining weight during pregnancy. Nutritional planning for a newly pregnant woman of average height weighing 130 pounds should include: A. Respiratory distress syndrome .” D.” C. having her first child. complains of having to go to the bathroom often to urinate. a newly pregnant client. Drinking more high-carbohydrates 93. A client who is pregnant for the first time attends the prenatal clinic. Acute hemolytic anemia C. The nurse can try to help a pregnant client overcome first-trimester morning sickness by suggesting that the client: A.” 100. the pattern of your weight gain will be of more importance that the total amount. A client. She tells the nurse. An increase to 1800 to 2000 calories per day D. The best response for the nurse to make is: A. Instruct her to continue eating a normal diet B. Assess what she eats by taking a diet history C. Eat nothing until the nausea subsides D. The client complains of feeling very tired and sick to her stomach. Thyroid gland D.” 98.” The nurse’s best response would be: A. Pituitary gland 94. “Let’s discuss some ways to deal with these common problems.A. Compressionjby the enlarging uterus C. A client who is pregnant is being prepared for a pelvic examination. A decrease in fat and protein consumption C. Physiologic hyperbilirubinemia B. “Yes. Protein metabolism deficiency D. Having two small meals daily and a snack at noon D. Request her care provider to prescribe an antiemetic 95. “Can you tell me how you feel in the morning?” C.” B. Constriction of the ureteral entrance at the trigone 92. however. 3rd month D.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue reading from where you left off, or restart the preview.