MATERNAL AND CHILD HEALTH NURSING (100 % graded)
MATERNAL AND CHILD HEALTH NURSING
1.A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert
D. Pelvic thrombophlebitis
2.A client at 36 weeks’ gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instructions?
A. The ultrasound will help to locate the placenta
B. The ultrasound identifies blood flow through the umbilical cord.
C. The test will determine where to insert the needle.
D. The ultrasound locates a pool of amniotic fluid.
3.While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the nurse expect to administer if the client develops complications related to heparin therapy?
A. Calcium gluconate
B. Protamine sulfate
C. Methylergonovine (Methergine).
caring for a 3 –day old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following?
A. Turn the neonate every 6 hours.
B. Encourage the mother to discontinue breast feeding
C. Notify the physician if the skin becomes bronze in color
D. Check the vital signs every 2 to 4 hours.
5.A primigravida in an active labor is about 9 days’ post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identifies by the client as the area of relief would indicate to the nurse that the teaching was effective?
nurse is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care measure for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says:
A.” Nausea and vomiting can be decreased if I eat a few crackers before arising”.
B.” If I start to leak colostrum, I should cleanse my nipples with soap and water”.
C. “If I have vaginal discharge, I should wear nylon underwear”.
D. “Leg cramps can be alleviated if I put an ice pack on the area”.
7.Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the client about infant care. By this time, the nurse expects that the phase of postpartum psychological adaptation that the client would be in would be termed which of the following?
A. Taking in.
B. Letting go.
C. Taking hold
8.Apregnant client is diagnosed with partial placenta Previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta Previa is which of the following?
A. Activity limited to bed rest.
B. Platelet infusion
C. Immediate cesarean delivery.
D. Labor induction with oxytocin.
9.The nurse plans to instruct a postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in teaching plan?
A. Feeding the neonate a maximum of 5 minutes per side on the first day.
B. Wearing a supportive brassiere with nipple shields.
C. Beast-feeding the neonate at frequent intervals.
D. Decreasing fluid intake for the first 24 to 48 hours.
10.When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?
A. Startle reflex
B. Babinski reflex
C. Grasping reflex
D. Tonic neck reflex.
11.A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform:
A. Tailor sitting.
B. leg lifting
C. Shoulder circling
12.Which of the following would the nurse in charge do after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who had just had a circumcision?
A. Notify the neonate’s pediatrician immediately
B. Check the diaper and circumcision again in 30 minutes.
C. Secure the diaper tightly to apply pressure on the site.
D. Apply gentle pressure to the site with a sterile gauze pad.
of the following would the nurse likely expect to find when assessing a pregnant client with abruption placenta?
A. Excessive vaginal bleeding
B. Rigid, board-like abdomen
C. Titanic uterine contractions
D. Premature rupture of membranes
14.While the client is in active labor with twins and the cervix is 5 cm dilates, the nurse observes contraction occurring at a rate of every 7 to 8 minutes in a 30 –minute period. Which of the following would be the nurse’s most appropriate action?
A. Note the fetal rate patterns
B. Notify the physician immediately.
C. Administer oxygen at 6 liters by mask.
D. Have the client pant-blow during the contractions.
15.A client tells the nurse, “I think my baby likes to hear me talk to him”. When discussing neonates and stimulation with sound, which of the following would the nurse includes as a means to elicit the best response?
A. High-pitched speech with tonal variations.
B. Low –pitched speech with a sameness of tone.
C. Cooing sounds rather than words.
D. Repeated stimulations with loud sounds.
16. A 30-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100%), and at 0 station. What phase of labor is she in?
A. Active phase
B. Latent phase
C. Expulsive phase
D. Transitional phase.
17.A pregnant patient asks the nurse if she can take castor oil for her constipation. How would the nurse respond?
A.” YES, it produces no adverse effect
B.”NO, it can promote sodium retention”.
C. NO, it can initiate premature uterine contractions”.
D.”NO, it can lead to increase absorption of fat-soluble vitamins”.
18.A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8hours.She has passed several cloths. What is the primary nursing diagnosis for this patient?
A. Knowledge deficit
B. Fluid volume deficit
C. Anticipatory grieving.
19.Immediately after a delivery, the nurse-midwife assesses the neonate’s head for signs of molding. Which factors determine the type of molding?
A. Fetal body flexion or extension.
B. Maternal age, body frame, and weight.
C. Maternal and paternal ethnic backgrounds.
D. Maternal parity and gravidity.
20.For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring(EFM) device. what must occur before the internal EFM can be applied?
A. The membranes must rupture
B. The fetus must be at 0 station
C. The cervix must be dilated fully
D. The patient must receive anesthesia.
21.A primigravida patient is admitted tom the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense:
A. Around the pelvic girdle.
B. Around the pelvic girdle and in the upper arms.
C. Around the pelvic girdle and at the perineum
D. At the perineum.
22.A female adult patient is taking a progestin- only oral contraceptive, or mini pill. Progestin use may increase the patient’s risk for:
B. Female hypogonadism
C. Premenstrual syndrome.
D. Tubal or ectopic pregnancy
23.Apatient with pregnancy-induced hypertension probably exhibits which of the following symptoms?
A. Proteinuria, headaches, vaginal bleeding.
B. Headaches, double vision, vaginal bleeding.
C. Proteinuria, headaches, double vision
D. Proteinuria, double vision, uterine contractions.
24.Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin(Pitocin). Why must the nurse monitor the patient’s fluid intake and output closely during oxytocin administration?
A. Oxytocin causes water intoxication
B. Oxytocin causes excessive thirst.
C. Oxytocin is toxic the kidneys.
D. Oxytocin has a diuretic effect.
25.Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. what is a common source of radiant heat loss?
A. Low room humidity
B. Cold weight scale
C. Cools incubator walls
D. Cool room temperatureLaatste update van het document: 4 maanden geleden