Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care, Exams of Nursing

Download Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care and more Exams Nursing in PDF only on Docsity! Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. Maternity and Pediatric Nursing - Third Edition 1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive women’s shelters D) Encouraging all women to eat a balanced diet 2. When integrating the principles of family-centered care, the nurse would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions 3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers 4. After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed labor D) Infection 5. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes D) Cancer Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 6. When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A) Language B) Health care workers’ attitudes C) Transportation D) Finances 7. After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A) Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D) Getting verbal consent over the phone for emergency procedures 8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A) Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the child’s aunt or uncle to obtain their consent D) Advocating for termination of parental rights for this situation 9. After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A) “Childbirth affects the entire family, and relationships will change.” B) “Families are not capable of making health care decisions for themselves.” C) “Mothers are the family members affected by childbirth.” D) “Childbirth is a medical procedure.” 10. A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A) Disease prevention B) Health promotion C) Wellness D) Analysis of morbidity and mortality 11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this client’s cultural background, the client most likely views illness as which of the following? A) Caused by supernatural forces. B) A punishment for sins. C) Due to spirits or demons. D) From an imbalance of yin and yang Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. Answer Key 1.B 2.C 3.D 4.B 5.B 6.D 7.A 8A ° > 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. A,B 22. A, B, C, D, E - f o 2 o QF aRFAAPr PASS I hapter 2- Family-Center mmunity-Bas ar Maternity and Pediatric Nursing - Third Edition 1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A) Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D) Showing respect for the family’s beliefs and wishes Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A) Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding parent to give a full course of antibiotics D) Giving a DTaP vaccination at the proper interval 3. A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A) Serves as a communication tool for the interdisciplinary team. B) Demonstrates education the family has received if legal matters arise. C) Permits others access to allow refusal of medical insurance coverage. D) Verifies meeting client education standards set by the Joint Commission. 4. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A) “Tlike having the privacy, but it might be too expensive for me to set up in my home.” B) “I want to have more control, but I am concerned if an emergency would arise.” C) “It is safer because I will have a midwife.” D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.” 5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, “I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby.” Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A) Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D) Acute pain related to incision and cesarean birth 6. When caring for childbearing families from cultures different from one’s own, which of the following must be accomplished first? A) Adapt to the practices of the family’s culture B) Determine similarities between both cultures C) Assess personal feelings about that culture D) Learn as much as possible about that culture 7. After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A) Increase in community settings for care B) Decrease in family poverty level Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) Increase in hospitalization of children D) Decrease in managed care 8. The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A) Calcium B) Folic acid C) Vitamin C D) Iron 9. Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A) Provide treatment for clients who test positive for HIV B) Monitor viral load counts periodically C) Educate clients in how to practice safe sex D) Offer testing for clients who practice unsafe sex 10. When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A) Confer with the client’s mother B) Teach new self-care skills to the client C) Determine if there is a need for back-up power D) Discuss coverage with the insurance company 11. When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure 12. After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care? A) Teaching women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with clients at an HIV clinic to provide nutritional and CAM therapies D) Teaching hypertensive clients to monitor blood pressure 13. A nursing instructor is describing trends in maternal and newborn health care. The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A) 24-48 hours or less Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 24. A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client’s learning? (Select all that apply.) A) Teach “survival skills” first B) Use simple, nonmedical language C) Refrain from using a hands-on approach D) Avoid repeating information E) Use visual materials such as photos and videos 25. A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A) Cultural knowledge B) Cultural skills C) Cultural encounter D) Cultural awareness Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. NYE ER eR eee Pe cow mS RANNAM EWN S* * OP RPP ODP UNARePAAT .D »D,E 22. A, C, D 23 24. A, B, E 25 hapter 3- Anatomy and Physiol f the Repr ti stem Maternity and Pediatric Nursing - Third Edition 1. When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A) Menstrual B) Proliferative C) Secretory D) Ischemic 2. After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman’s first: A) Sexual experience B) Full hormonal cycle C) Menstrual period D) Sign of breast development 3. A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the client’s next menses to begin on: A) May 24 Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. B) May 26 C) May 30 D) June 1 4. Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A) Cervix B) Fallopian tube C) Vagina D) Vulva 5. After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A) Placental estrogen B) Progesterone C) Gonadotropin-releasing hormone D) Prolactin 6. The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A) Evidence of pubic hair B) Development of breast buds. C) Onset of menses D) Growth spurt 7. When describing the ovarian cycle to a group of students, which phase would the instructor include? A) Luteal phase B) Proliferative phase C) Menstrual phase D) Secretory phase 8. The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A) Estrogen B) Progesterone C) Follicle-stimulating hormone D) Luteinizing hormone Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) 8.5 D) 10 21. When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following? A) Semen forced through the urethra to the outside B) Movement of sperm from the testes and fluid into the urethras C) Dilation of the penile arteries with increased blood flow to the tissues. D) Body’s return to the physiologic nonstimulated state 22. A nurse is describing the structure and function of the reproductive system to an adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? A) Mucus-like B) Alkaline C) Acidic D) Semen nswer Key A 1. 2. 3. 4. 5. 6. 7. 8. 9. weoweeroREor or Rohe ¥ v 2 v Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. hapter 4- Common Repr tive Issues Maternity and Pediatric Nursing - Third Edition 1. After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? A) Oral contraceptives B) Tubal ligation C) Condoms D) Intrauterine system 2. When discussing contraceptive options, which method would the nurse recommend as being the most reliable? A) Coitus interruptus B) Lactational amenorrheal method (LAM) C) Natural family planning D) Intrauterine system 3. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which of the following to confirm this suspicion? A) Pelvic examination B) Transvaginal ultrasound C) Laparoscopy D) Hysterosalpingogram 4. A client is to receive an implantable contraceptive. The nurse describes this contraceptive as containing: A) Synthetic progestin B) Combined estrogen and progestin C) Concentrated spermicide D) Concentrated estrogen 5. The nurse discusses various contraceptive methods with a client and her partner. Which method would the nurse explain as being available only with a prescription? A) Condom B) Spermicide C) Diaphragm Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. D) Basal body temperature Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 18. After teaching a group of students about the different methods for contraception, the instructor determines that the teaching was successful when the students identify which of the following as a mechanical barrier method? (Select all that apply.) A) Condom B) Cervical cap C) Cervical sponge D) Diaphragm E) Vaginal ring 19. After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing dysfunctional uterine bleeding. Which statement by the client would support the nurse’s suspicions? A) “I’ve been having bleeding off and on that’s irregular and sometimes heavy.” B) “T get sharp pain in my lower abdomen usually starting soon after my period comes.” C) “I get really irritable and moody about a week before my period.” D) “My periods have been unusually long and heavy lately.” 20. After teaching a group of students about premenstrual syndrome, the instructor determines that additional teaching is needed when the students identify which of the following as a prominent assessment finding? A) Bloating B) Tension C) Dysphoria D) Weight loss 21. A nurse is describing the criteria needed for the diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following would the nurse include as a mandatory requirement for the diagnosis? A) Appetite changes B) Sleep difficulties C) Persistent anger D) Chronic fatigue 22. When reviewing the medical record of a client diagnosed with endometriosis, which of the following would the nurse identify as a risk factor for this woman? A) Low fat in the diet B) Age of 14 years for menarche C) Menstrual cycles of 24 days D) Short menstrual flow 23. A client who has come to the clinic is diagnosed with endometriosis. Which of the following would the nurse expect the physician to prescribe as a first-line treatment? A) Progestins B) Antiestrogens C) Gonadotropin-releasing hormone analogues D) NSAIDs Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 24. A woman comes to the clinic because she has been unable to conceive. When reviewing the woman’s history, which of the following would the nurse least likely identify as a possible risk factor? A) Age of 25 years B) History of smoking C) Diabetes since age 15 years D) Weight below standard for height and age 25. A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis. After teaching the partner about this test, which client statement indicates that the client has understood the instructions? A) “I need to bring the specimen to the lab the day after collecting it.” B) “I will place the specimen in a special plastic bag to transport it.” C) “Ihave to abstain from sexual activity for about 1-2 days before the sample.” D) “I will withdraw before I ejaculate during sex to collect the specimen.” 26. A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). Which of the following would the nurse need to stress to the group. Select all that apply. A) ECs induce an abortion like reaction. B) ECs provide some protection against STIs C) ECs are birth control pills in higher, more frequent doses D) ECs are not to be used in place of regular birth control E) ECs provide little protection for future pregnancies. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 5 BQ wer Key CP RPANAME YN ED ad Oe u DOP TAOSh> pp aber wen” FEFOrAFG yy NNNN RE BE Re RR Re Re Ree : os hapter 5- Sexually Transmitted Infections Maternity and Pediatric Nursing - Third Edition 1. The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. The goal of this therapy is to: Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 8. A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client to avoid which of the following while taking this drug? A) Alcohol B) Nicotine C) Chocolate D) Caffeine 9. A woman gives birth to a healthy newborn. As part of the newborn’s care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? A) Genital herpes B) Hepatitis B C) Syphilis D) Gonorrhea 10. Which findings would the nurse expect to find in a client with bacterial vaginosis? A) Vaginal pH of 3 B) Fish-like odor of discharge C) Yellowish-green discharge D) Cervical bleeding on contact 11. A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: A) Amniotic fluid B) Placenta C) Birth canal D) Breast milk 12. The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for: A) Infertility B) Dyspareunia C) Cervical cancer D) Dysmenorrhea 13. A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client’s medical record, which of the following would the nurse expect to find? (Select all that apply.) A) Oral temperature of 100.4 degrees F B) Dysmenorrhea C) Dysuria D) Lower abdominal tenderness E) Discomfort with cervical motion F) Multiparity Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 14. Which instructions would the nurse include when teaching a woman with pediculosis pubis? A) “Take the antibiotic until you feel better.” B) “Wash your bed linens in bleach and cold water.” C) “Your partner doesn’t need treatment at this time.” D) “Remove the nits with a fine-toothed comb.” 15. A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate? A) “There is a new vaccine available that prevents the infection from returning.” B) “All you need is a dose of penicillin and the infection will be gone.” C) “There is no cure, but drug therapy helps to reduce symptoms and recurrences.” D) “Once you have the infection, you develop an immunity to it.” 16. A nurse is preparing a presentation for a group of women at the clinic who have been diagnosed with genital herpes. Which of the following would the nurse expect to include as a possible precipitating factor for a recurrent outbreak? (Select all that apply.) A) Exposure to ultraviolet light B) Exercise C) Use of corticosteroids D) Emotional stress E) Sexual intercourse. 17. After teaching a class on sexually transmitted infections, the instructor determines that the teaching was successful when the class identifies which statement as true? A) STIs can affect anyone if exposed to the infectious organism. B) STIs have been addressed more on a global scale. C) Clients readily view the diagnosis of STI openly. D) Most individuals with STIs are over the age of 30. 18. A group of students are reviewing information about STIs. The students demonstrate understanding of the information when they identify which of the following as the most common bacterial STI in the United States? A) Gonorrhea B) Chlamydia D) Candidiasis 19. A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of the following would the nurse identify? A) Asian American ethnicity B) Age under 25 years C) Married D) Consistent use of barrier contraception Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 20. A nurse at a local community clinic is developing a program to address STI prevention. Which of the following would the nurse least likely include in the program? A) Outlining safer sexual behavior B) Recommending screening for symptomatic individuals C) Promoting the use of barrier contraceptives D) Offering education about STI transmission 21. After teaching a class on preventing pelvic inflammatory disease, the instructor determines that the teaching was successful when the class identifies which of the following as an effective method? A) Advising sexually active females to use hormonal contraception B) Encouraging vaginal douching on a weekly basis. C) Emphasizing the need for infected sexual partners to receive treatment D) Promoting routine treatment for asymptomatic females as risk 22. A group of nursing students are reviewing information about vaccines used to prevent STIs. The students would expect to find information about which of the following? A) HIV B) HSV C) HPV D) HAV E) HBV 23. A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and the daughter receives her first dose. The nurse schedules the daughter for the next dose, which would be given at which time? A) In 2 month B) In2 months C) In3 months D) In 4 months 24. A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects trichomoniasis based on which of the following? (Select all that apply.) A) Urinary frequency B) Yellow/green discharge C) Joint pain D) Blister-like lesions E) Muscle aches 25. A nurse is teaching a women with genital ulcers how to care for them. Which statement by the client indicates a need for additional teaching? A) “I need to wash my hands after touching any of the ulcers.” B) “T need to abstain from intercourse primarily when the lesions are present.” C) “T should avoid applying ice or heat to my genital area.” Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 3. The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the client reports that she has eliminated what from her diet? A) Caffeine B) Cigarettes C) Dairy products D) Sweets 4. When assessing a client with suspected breast cancer, which of the following would the nurse expect to find? A) Painful lump B) Absence of dimpling C) Regularly shaped mass D) Nipple retraction 5. A woman who has undergone a right modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate at this time? A) Ask the client how she feels about having her breast removed. B) Attach a sign above her bed to have BP, IV lines, and lab work in her right arm. C) Encourage her to turn, cough, and deep breathe at frequent intervals. D) Position her right arm below heart level. 6. A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client’s preoperative plan of care as the priority? A) Risk for deficient fluid volume B) Activity intolerance C) Disturbed body image D) Impaired urinary elimination 7. A 42-year-old woman is scheduled for a mammogram. Which of the following would the nurse include when teaching the woman about the procedure? A) “The room will be darkened throughout the procedure.” B) “Each breast will be firmly compressed between two plates.” C) “Make sure to refrain from eating or drinking after midnight.” D) “A small needle will be inserted to get a sample for evaluation.” 8. During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman’s left breast. The nurse notifies the physician. Which of the following would the nurse anticipate the physician to order next? A) Mammogram B) Hormone receptor status C) Fine-needle aspiration D) Genetic testing for BRCA Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 9. A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy. Which agent would the nurse expect the client to receive? A) Progestins B) Tamoxifen C) Cortisone D) Estrogen 10. As part of discharge planning, the nurse refers a woman to Reach to Recovery. This group’s primary purpose is to: A) Help support women who have undergone mastectomies B) Raise funds to support early breast cancer detection programs C) Provide all supplies needed after breast surgery for no cost D) Collect statistics for research for the American Cancer Society 11. A woman with breast cancer is undergoing chemotherapy. Which of the following side effects would the nurse interpret as being most serious? A) Vomiting B) Hair loss C) Fatigue D) Myelosuppression 12. A woman comes to the clinic reporting a nipple discharge. On examination, the area below the areola is red and slightly swollen, with tortuous tubular swelling. The nurse interprets these findings as suggestive of which of the following? A) Fibrocystic breast disorder B) Intraductal papilloma C) Duct ectasia D) Fibroadenoma 13. When performing a clinical breast examination, which would the nurse do first? A) Palpate the axillary area. B) Compress the nipple for a discharge. C) Palpate the breasts. D) Inspect the breasts. 14. Evaluation of a woman with breast cancer reveals that her mass is approximately 1.25 inches in diameter. Three adjacent lymph nodes are positive. The nurse interprets this as indicating that the woman has which stage of breast cancer? A)O B)I Cc) Il D) Il Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 15. After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful? A) “I should lie down with my arms at my side when looking at my breasts.” B) “I should use the fingerpads of my three middle fingers to apply pressure to my breast.” C) “I don’t need to check under my arm on that side if my breast feels fine.” D) “I need to work from the center of my breast outward toward my shoulder.” 16. A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. When describing the medications that can be used as treatment, which of the following would the nurse be least likely to include? A) Tamoxifen B) Bromocriptine C) Danazol D) Penicillin 17. A group of students are reviewing information about benign and malignant breast masses. The students demonstrate understanding when they identify which of the following as indicating a benign breast mass. (Select all the apply.) A) Painless B) Unilateral location C) Firm consistency D) Absence of dimpling E) Fixed to chest wall 18. The nurse is developing a plan of care for a woman with breast cancer who is scheduled to undergo breast-conserving surgery. The nurse interprets this as which of the following? A) Removal of nipple and areolar area B) Lump removal followed by radiation C) Entire breast removal without lymph nodes D) Axillary lymph node removal 19. A woman comes to the clinic and asks the nurse about when she should have her first mammogram. Using the recommendations of the American Cancer Society, which would the nurse suggest? A) 30 years B) 35 years C) 40 years D) 45 years 20. After teaching a group of nursing students about the different types of chemotherapeutic agents used to treat breast cancer, the instructor determines that the teaching was successful when the students identify which of the following as an example of a selective estrogen receptor modulator (SERM)? (Select all that apply.) A) Tamoxifen B) Letozole C) Raloxifene Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. RREBRE PRwo> BO So hapter 7- Benign Disorders of the Female Repr: tive Tract Maternity and Pediatric Nursing - Third Edition 1. A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find? A) Sporadic vaginal bleeding accompanied by chronic pelvic pain B) Heavy leukorrhea with vulvar pruritus C) Menstrual irregularities and hirsutism on the chin D) Stress incontinence with feeling of low abdominal pressure 2. To assist the woman in regaining control of the urinary sphincter for urinary incontinence, the nurse should teach the client to do which of the following? A) Perform Kegel exercises daily. B) Void every hour while awake. C) Limit her intake of fluid. D) Take a laxative every night. 3. When developing the plan of care for a woman who has had an abdominal hysterectomy, which of the following would be contraindicated? A) Ambulating the client B) Massaging the client’s legs C) Applying elasticized stockings D) Encouraging range-of-motion exercises 4. Which of the following would the nurse include when teaching women about preventing pelvic support disorders? A) Performing Kegel isometric exercises B) Consuming low-fiber diets C) Using hormone replacement D) Voiding every 2 hours 5. A client is diagnosed with an enterocele. The nurse interprets this condition as: A) Protrusion of the posterior bladder wall downward through the anterior vaginal wall B) Sagging of the rectum with pressure exerted against the posterior vaginal wall C) Bulging of the small intestine through the posterior vaginal wall Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. D) Descent of the uterus through the pelvic floor into the vagina 6. A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include? A) “This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position.” B) “Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder.” C) “This is a series of exercises that you will learn to do so that you can strengthen your bladder muscles.” D) “These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position.” 7. The nurse would be least likely to find which of the following in a client with uterine fibroids? A) Regularly shaped, shrunken uterus B) Acute pelvic pain C) Menorrhagia D) Complaints of bloating 8. A client with polycystic ovarian syndrome (PCOS. is receiving oral contraceptives as part of her treatment plan. The nurse understands that the rationale for this therapy is to: A) Restore menstrual regularity B) Induce ovulation C) Improve insulin uptake D) Alleviate hirsutism 9. When teaching a woman how to perform Kegel exercises, the nurse explains that these exercises are designed to strengthen which muscles? A) Gluteus B) Lower abdominal C) Pelvic floor D) Diaphragmatic 10. A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect? A) Increased vaginal discharge B) Urinary tract infection C) Vaginitis D) Vaginal ulceration 11. When preparing the discharge teaching plan for the woman who had surgery to correct pelvic organ prolapse, which of the following would the nurse include? A) Care of the indwelling catheter at home B) Emphasis on coughing to prevent complications C) Return to usual activity level in a few days Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. D) Daily douching with dilute vinegar solution 12. A woman with polycystic ovary syndrome tells the nurse, “I hate this disease. Just look at me! J have no hair on the front of my head but I’ve got hair on my chin and upper lip. I don’t feel like a woman anymore.” Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A) Situational low self-esteem related to masculinization effects of the disease B) Social isolation related to feelings about appearance C) Risk for suicide related to effects of condition and fluctuating hormone levels D) Ineffective peripheral tissue perfusion related to effects of disease on vasculature 13. After teaching a local woman’s group about incontinence, the nurse determines that the teaching was successful when the group identifies which of the following as characteristic of stress incontinence? A) Feeling a strong need to void B) Passing a large amount of urine C) Most common in women after childbirth D) Sneezing may be an initiating stimulus 14. A woman is being evaluated for pelvic organ prolapse. A postvoid residual urine specimen is obtained via a catheter. Which residual volume finding would lead the nurse to suspect the need for further testing? A) 50 mL B) 75 mL C) 100 mL D) 120 mL 15. After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which of the following statements would indicate the need for additional teaching? A) “If I wear a girdle, it will help support the muscles in the area.” B) “I should take up jogging to make sure I exercise enough.” C) “I will try to drink at least 64 oz of fluid each day.” D) “I need to increase the amount of fiber I eat every day.” 16. After teaching a group of students about genital fistulas, the instructor determines that the teaching was successful when the students identify which of the following as a major cause? A) Radiation therapy B) Congenital anomaly C) Female genital cutting D) Bartholin’s gland abscess Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. nswer Key A 1 2. 3. 4. 5. 6. 7. 8. 9, Qa LA ms CORPSE OOP ROAR O EE OOP EPROP EPS 10. 11 12. 13, 14, 15 16. 17 18. 19. 20. 21 22. 23 24, 25 Chapter 8- Cancers of the Female Reproductive Tract Maternity and Pediatric Nursing - Third Edition 1. The nurse would refer a client, age 54, for follow-up for suspected endometrial carcinoma if she reports which of the following? A) Use of oral contraceptives between ages 18 and 25 B) Onset of painless, red postmenopausal bleeding Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) Menopause occurring at age 46 D) Use of intrauterine device for 3 years 2. Which of the following instructions would the nurse include when preparing a woman for a Pap smear? A) “Refrain from sexual intercourse for 1 week before the test.” B) “Wear cotton panties on the day of the test.” C) “Avoid taking any medications for 24 hours.” D) “Do not douche for 48 hours before the test.” 3. A woman comes to the clinic for a routine checkup. A history of exposure to which of the following would alert the nurse that she is at increased risk for cervical cancer? A) Hepatitis B) Human papillomavirus C) Cytomegalovirus D) Epstein-Barr virus 4. A client is scheduled to have a Pap smear. After the nurse teaches the client about the Pap smear, which of the following client statements indicates successful teaching? A) “I need to douche the night before with a mild vinegar solution.” B) “I will take a bath first thing that morning to make sure I’m clean.” C) “T will not engage in sexual intercourse for 48 hours before the test.” D) “I will get a clean urine specimen when I first wake up the morning of the test.” 5. Which finding obtained during a client history would the nurse identify as increasing a client’s risk for ovarian cancer? A) Multiple sexual partners B) Consumption of a high-fat diet C) Underweight D) Grand multiparity (more than five children) 6. A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method? A) Freezing B) Cutting C) Burning D) Irradiating 7. Which of the following statements best indicates that a client has taken self-care measures to reduce her risk for cervical cancer? A) “I’ve really cut down on the amount of caffeine I drink every day.” B) “T’ve thrown out all my bubble baths and just use soap and water now.” C) “Every time I have sexual intercourse, I douche.” D) “My partner always uses a condom when we have sexual intercourse.” Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 8. A client is suspected of having endometrial cancer. The nurse would most likely prepare the client for which procedure to confirm the diagnosis? A) Transvaginal ultrasound B) Colposcopy C) Pap smear D) Endometrial biopsy 9. Which of the following descriptions would the nurse include when teaching a client about her scheduled colposcopy? A) “A gel will be applied to your abdomen and a microphone-like device will be moved over the area to identify problem areas.” B) “A solution will be wiped on your cervix to identify any abnormal cells, which will be visualized with a magnifying instrument.” C) “Scrapings of tissue will be obtained and placed on slides to be examined under the microscope.” D) “After you receive anesthesia, a small device will be inserted into your abdomen near your belly button to obtain tissue samples.” 10. The nurse is preparing a presentation for a local women’s group about ways to reduce the risk of reproductive tract cancers. Which of the following would the nurse include? A) Blood pressure evaluation every 6 months B) Yearly Pap smears starting at age 40 C) Yearly cholesterol screening starting at age 45 D) Consumption of two to three glasses of red wine per day 11. The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. Which response by the nurse would be most appropriate? A) “Currently there is no reliable screening test for ovarian cancer.” B) “A Pap smear is almost always helpful in identifying this type of cancer.” C) “There’s a blood test for a marker, CA-125, that if elevated indicates cancer.” D) “A genetic test for two genes, if positive, will identify the ovarian cancer.” 12. Which of the following would the nurse be least likely to suggest when teaching a group of young women how to reduce their risk for ovarian cancer? A) Pregnancy B) Oral contraceptives C) Feminine hygiene sprays D) Breast-feeding 13. A woman is diagnosed with adenocarcinoma of the endometrium in situ. The nurse interprets this as indicating which of the following about the cancer? Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 25. A client has an abnormal Pap smear that is classified as ASC-US. Based on the nurse’s understanding of this classification, the nurse would expect which of the following? A) Immediate colposcopy B) Testing for HPV C) Repeat Pap smear in 4 to 6 months D) Cone biopsy Answer Key PARAM YN SOUrRrares Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 9. B 10. C 11.A 12.C 13.B cA ts 2 v ae WNRESSCRNAMNS PRPRBBRBSERAR QOD OR SORE aD hapter 9- Violence and Abus Maternity and Pediatric Nursing - Third Edition 1. The nurse is presenting a class at a local community health center on violence during pregnancy. Which of the following would the nurse include as a possible complication? A) Hypertension of pregnancy B) Chorioamnionitis C) Placenta previa D) Postterm labor 2. Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? A) Offer her a pamphlet about the local battered women’s shelter. B) Call her at home to ask her some questions about her marriage. C) Wait until she comes in a few more times to make a better assessment. D) Ask, “Have you ever been physically hurt by your partner?” 3. When describing an episode, the victim reports that she attempted to calm her partner down to keep things from escalating. This behavior reflects which phase of the cycle of violence? A) Battering B) Honeymoon C) Tension-building D) Reconciliation Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 4. A battered pregnant woman reports to the nurse that her husband has stopped hitting her and promises never to hurt her again. Which of the following is an appropriate response? A) “That’s great. I wish you both the best.” B) “The cycle of violence often repeats itself.” C) “He probably didn’t mean to hurt you.” D) “You need to consider leaving him.” 5. Which of the following nursing actions would be least helpful for a client who is a victim of violence? A) Assist the client to project her anger. B) Provide information about a safe home and crisis line. C) Teach her about the cycle of violence. D) Discuss her legal and personal rights. 6. When describing the cycle of violence to a community group, the nurse explains that the first phase usually is: A) Somehow triggered by the victim’s behavior B) Characterized by tension-building and minor battery C) Associated with loss of physical and emotional control D) Like a honeymoon that lulls the victim 7. Which of the following statements would be most appropriate to empower victims of violence to take action? A) “Give your partner more time to come around.” B) “Remember—children do best in two-parent families.” C) “Change your behavior so as not to trigger the violence.” D) “You are a good person and you deserve better than this.” 8. When a nurse suspects that a client may have been abused, the first action should be to: A) Ask the client about the injuries and if they are related to abuse. B) Encourage the client to leave the batterer immediately. C) Set up an appointment with a domestic violence counselor. D) Ask the suspected abuser about the victim’s injuries. 9. Which of the following would the nurse describe as a characteristic of the second phase of the cycle of violence? A) The batterer is contrite and attempts to apologize for the behavior. B) The physical battery is abrupt and unpredictable. C) Verbal assaults begin to escalate toward the victim. D) The victim accepts the anger as legitimately directed at her. 10. In addition to providing privacy, which of the following would be most appropriate initially in situations involving suspected abuse? A) Allow the client to have a good cry over the situation. B) Tell the client, “Injuries like these don’t usually happen by accident.” C) Call the police immediately so they can question the victim. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 23. After teaching a class on sexual violence, the instructor determines that the teaching was successful when the class identifies which of the following as a type of sexual violence. (Select all that apply.) A) Female genital cutting B) Bondage C) Infanticide D) Human trafficking E) Rape 24. A nurse is reading a journal article about sexual abuse. Which age range would the nurse expect to find as the peak age for such abuse? A) 7-10 years B) 8-12 years C) 14-18 years D) 18-22 years 25. After teaching a group of students about sexual abuse and violence, the instructor determines that the teaching was successful when the students describe incest as involving which of the following? A) Sexual exploitation by blood or surrogate relatives B) Sexual abuse of individuals over age 18 C) Violent aggressive assault on a person D) Consent between perpetrator and victim. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 5 swer Key : os FO av & nN Bee wOm BAA OE Sew TP ORR ease Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 23. A, B, C, D, E 24. B 25. A hapter 10- Fetal Development an netics Maternity and Pediatric Nursing - Third Edition 1. While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of: A) Multifactorial inheritance B) X-linked recessive inheritance C) Trisomy numeric abnormality D) Chromosomal deletion 2. A nurse is describing advances in genetics to a group of students. Which of the following would the nurse least likely include? A) Genetic diagnosis is now available as early as the second trimester. B) Genetic testing can identify presymptomatic conditions in children. C) Gene therapy can be used to repair missing genes with normal ones. D) Genetic agents may be used in the future to replace drugs. 3. After teaching a group of students about fetal development, the instructor determines that the teaching was successful when the students identify which of the following as providing the barrier to other sperm after fertilization? A) Zona pellucida B) Zygote C) Cleavage D) Morula 4. A nurse is teaching a class on X-linked recessive disorders. Which of the following statements would the nurse most likely include? A) Males are typically carriers of the disorders. B) No male-to-male transmission occurs. C) Daughters are more commonly affected with the disorder. D) Both sons and daughters have a 50% risk of the disorder. 5. A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks’ gestation. Which of the following would the nurse suspect if the woman’s level is decreased? A) Down syndrome B) Sickle-cell anemia Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 11. After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? A) Human placental lactogen (hPL) B) Estrogen (estriol) C) Progesterone (progestin) D) Human chorionic gonadotropin (hCG) 12. After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. In planning a response, the nurse integrates understanding of which of the following? A) Fetal blood is thicker than that of adults and needs different pathways. B) Fetal circulation carries highly oxygenated blood to vital areas first. C) Fetal blood has a higher oxygen saturation and circulates more slowly. D) Fetal heart rates are rapid and circulation time is double that of adults. 13. When describing genetic disorders to a group of childbearing couples, the nurse would identify which as an example of an autosomal dominant inheritance disorder? A) Huntington’s disease B) Sickle cell disease C) Phenylketonuria D) Cystic fibrosis 14. Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for: A) Special care needed for a Down syndrome infant B) A more specific determination of the acid—base status C) Further, more definitive evaluations to conclude anything D) Immediate termination of the pregnancy based on results 15. A nursing instructor is preparing a teaching plan for a group of nursing students about the potential for misuse of genetic discoveries and advances. Which the following would the instructor most likely include? A) Gene replacement therapy for defective genes B) Individual risk profiling and confidentiality C) Greater emphasis on the causes of diseases D) Slower diagnosis of specific diseases 16. After teaching a class on the stages of fetal development, the instructor determines that the teaching was successful when the students identify which of the following as a stage? (Select all that apply.) A) Placental B) Preembryonic C) Umbilical D) Embryonic E) Fetal Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 17. A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks pregnant and asks, “What’s happening with my baby?” Which of the following would the nurse integrate into the response? (Select all that apply.) A) Continued sexual differentiation B) Eyebrows forming C) Startle reflex present D) Digestive system becoming active E) Lanugo present on the head 18. After teaching a group of students about fetal development, the instructor determines that the teaching was successful when the students identify which of the following as essential for fetal lung development? A) Umbilical cord B) Amniotic fluid C) Placenta D) Trophoblasts 19. During a prenatal class for a group of new mothers, the nurse is describing the hormones produced by the placenta. Which of the following would the nurse include? (Select all that apply.) A) Prolactin B) Estriol C) Relaxin D) Progestin E) Human chorionic somatomammotropin 20. When describing the structures involved in fetal circulation, the nursing instructor describes which structure as the opening between the right and left atrium? A) Ductus venosus B) Foramen ovale C) Ductus arteriosus D) Umbilical artery 21. A group of students are reviewing information about genetic inheritance. The students demonstrate understanding of the information when they identify which of the following as an example of an autosomal recessive disorder? (Select all that apply.) A) Cystic fibrosis B) Phenylketonuria C) Tay-Sachs disease D) Polycystic kidney disease E) Achondroplasia 22. A nurse is assessing a child with Klinefelter’s syndrome. Which of the following would the nurse expect to assess? (Select all that apply.) A) Gross mental retardation Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. B) Long arms C) Profuse body hair D) Gynecomastiz E) Enlarged testicles 23. A woman is scheduled to undergo fetal nuchal translucency testing. Which of the following would the nurse include when describing this test? A) “A needle will be inserted directly into the fetus’s umbilical vessel.” B) “You'll have an intravaginal ultrasound to measure fluid in the fetus.” C) “The doctor will take a sample of fluid from your bag of waters.” D) “A small piece of tissue from the fetal part of the placenta is taken.” Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 7. The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse’s understanding that the placenta produces: A) hCG, which increases maternal glucose levels B) hPL, which deceases the effectiveness of insulin C) Estriol, which interferes with insulin crossing the placenta D) Relaxin, which decreases the amount of insulin produced 8. When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect? A) Pancreatic function is affected by pregnancy. B) Glucose is utilized more rapidly during a pregnancy. C) The pregnant woman increases her dietary intake. D) Glucose moves through the placenta to assist the fetus. 9. When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find? A) Ambivalence B) Introversion C) Acceptance D) Emotional lability 10. The nurse is assessing a pregnant woman in the second trimester. Which of the following tasks would indicate to the nurse that the client is incorporating the maternal role into her personality? A) The woman demonstrates concern for herself and her fetus as a unit. B) The client identifies what she must give up to assume her new role. C) The woman acknowledges the fetus as a separate entity within her. D) The client demonstrates unconditional acceptance without rejection. 11. A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which of the following would be included as part of this assessment? (Select all that apply.) A) Positive pregnancy test B) Ultrasound visualization of the fetus C) Auscultation of a fetal heart beat D) Ballottement E) Absence of menstruation F) Softening of the cervix 12. The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index of 26. The nurse determines that the teaching was successful when the woman states that she should gain no more than which amount during pregnancy? A) 35 to 40 pounds B) 25 to 35 pounds Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) 28 to 40 pounds D) 15 to 25 pounds 13. A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which of the following? A) Excess folic acid, which could increase the risk for neural tube defects B) Mercury, which could harm the developing fetus if eaten in large amounts C) Lactose, which leads to abdominal discomfort, gas, and diarrhea D) Low-quality protein that does not meet the woman’s requirements 14. Which of the following changes in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy? A) Ligament tightening B) Decreased swayback C) Increased lordosis D) Joint contraction 15. Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which of the following? A) Linea nigra B) Striae gravidarum C) Melasma D) Vascular spiders 16. A nurse is assessing a pregnant woman ona routine checkup. When assessing the woman’s gastrointestinal tract, which of the following would the nurse expect to find? (Select all that apply.) A) Hyperemic gums B) Increased peristalsis C) Complaints of bloating D) Heartburn E) Nausea 17. A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which of the following would confirm the pregnancy? A) Absence of menstrual period B) Abdominal enlargement C) Palpable fetal movement D) Morning sickness 18. A nurse is developing a teaching plan about nutrition for a group of pregnant women. Which of the following would the nurse include in the discussion? (Select all that apply.) Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. A) Keep weight gain to 15 lb B) Eat three meals with snacking C) Limit the use of salt in cooking D) Avoid using diuretics E) Participate in physical activity 19. Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as which of the following? A) Quickening B) Pica C) Ballottement D) Linea nigra 20. A woman in her second trimester comes for a follow-up visit and says to the nurse, “I feel like I’m on an emotional rollercoaster.” Which response by the nurse would be most appropriate? A) “How often has this been happening to you?” B) “Maybe you need some medication to level things out.” C) “Mood swings are completely normal during pregnancy.” D) “Have you been experiencing any thoughts of harming yourself?” 21. While talking with a woman in her third trimester, which behavior indicates to the nurse that the woman is learning to give of oneself? A) Showing concern for self and fetus as a unit B) Unconditionally accepting the pregnancy without rejection C) Longing to hold infant D) Questioning ability to become a good mother 22. A group of students are reviewing the signs of pregnancy. The students demonstrate understanding of the information when they identify which as presumptive signs? (Select all that apply.) A) Amenorrhea B) Nausea C) Abdominal enlargement D) Braxton-Hicks contractions E) Fetal heart sounds 23. A nursing instructor is teaching a class to a group of students about pregnancy, insulin, and glucose. Which of the following would the instructor least likely include as opposing insulin? A) Prolactin B) Estrogen C) Progesterone D) Cortisol 24. A woman is at 20 weeks’ gestation. The nurse would expect to find the fundus at which of the following? Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 9A 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 5 es] S os zo a BPASPUARPREANPPARSEPA ow hapter 12- Nursing Management During Pregnan Maternity and Pediatric Nursing - Third Edition 1. A woman in the 34th week of pregnancy says to the nurse, “I still feel like having intercourse with my husband.” The woman’s pregnancy has been uneventful. The nurse responds based on the understanding that: A) It is safe to have intercourse at this time. B) Intercourse at this time is likely to cause rupture of membranes. C) There are other ways that the couple can satisfy their needs. D) Intercourse at this time is likely to result in premature labor. 2. On the first prenatal visit, examination of the woman’s internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse records this finding as: A) Hegar’s sign B) Goodell’s sign C) Chadwick’s sign D) Homans’ sign 3. When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes that the primary goal of these classes is to: A) Equip a couple with the knowledge to experience a pain-free childbirth B) Provide knowledge and skills to actively participate in birth and parenting Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) Eliminate anxiety so that they can have an uncomplicated birth D) Empower the couple to totally control the birth process 4. When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed? A) Hemoglobin and hematocrit B) Urine for culture C) Fetal ultrasound D) Fundal height measurement 5. During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client? A) Ineffective tissue perfusion related to supine hypotensive syndrome B) Impaired gas exchange related to pulmonary congestion C) Activity intolerance related to increased metabolic requirements D) Anxiety related to fear of pregnancy outcome 6. When preparing a woman for an amniocentesis, the nurse would instruct her to do which of the following? A) Shower with an antiseptic scrub. B) Swallow the preprocedure sedative. C) Empty her bladder. D) Lie on her left side. 7. A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion | year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as: A)32103 B)31223 C)41113 D)42131 8. A client’s last menstrual period was April 11. Using Nagele’s rule, her expected date of birth (EDB. would be: A) January 4 B) January 18 C) January 25 D) February 24 9. During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. The nurse interprets this as: Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. A) Variable decelerations B) Fetal tachycardia C) A nonreactive pattern D) Reactive pattern 10. A client’s maternal serum alpha-fetoprotein (MSAFP. level was unusually elevated at 17 weeks. The nurse suspects which of the following? A) Fetal hypoxia B) Open spinal defects C) Down syndrome D) Maternal hypertension 11. When assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention? A) “What’s your usual dietary intake for a typical day?” B) “What size maternity clothes are you wearing now?” C) “How puffy does your face look by the end of a day?” D) “How swollen do your ankles appear before you go to bed? 12. A pregnant woman in the 36th week of gestation complains that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention would be most appropriate for the nurse to suggest? A) “Limit your intake of fluids.” B) “Eliminate salt from your diet.” C) “Try elevating your legs when you sit.” D) “Wear Spandex-type full-length pants.” 13. A pregnant woman needs an update in her immunizations. Which of the following vaccinations would the nurse ensure that the woman receives? A) Measles B) Mumps C) Rubella D) Hepatitis B 14. A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful? A) “T’ll sit in a window seat so I can focus on the sky to help relax me.” B) “I won’t drink too much fluid so I don’t have to urinate so often.” C) “T’ll get up and walk around the airplane about every 2 hours.” D) “I'll do some upper arm stretches while sitting in my seat.” 15. Which of the following would the nurse include when teaching a pregnant woman about chorionic villus sampling? A) “The results should be available in about a week.” Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. » I DANAE PRAVASCS - a oS Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 24. B 25. A, C, D hapter 13- Labor and Birth Pr Maternity and Pediatric Nursing - Third Edition 1. A woman in her 40th week of pregnancy calls the nurse at the clinic and says she’s not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor? A) “I’m feeling contractions mostly in my back.” B) “My contractions are about 6 minutes apart and regular.” C) “The contractions slow down when I walk around.” D) “If 1 try to talk to my partner during a contraction, I can’t.” 2. Which of the following would indicate to the nurse that the placenta is separating? A) Uterus becomes globular B) Fetal head is at vaginal opening C) Umbilical cord shortens D) Mucous plug is expelled 3. When assessing cervical effacement of a client in labor, the nurse assesses which of the following characteristics? A) Extent of opening to its widest diameter B) Degree of thinning C) Passage of the mucous plug D) Fetal presenting part 4. A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which of the following? A) Increased energy level with alternating strong and weak contractions B) Moderately strong contractions every 4 minutes, lasting about 1 minute C) Contractions noted in the front of abdomen that stop when she walks D) Pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds 5. A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor? A) Supine B) Lithotomy C) Upright D) Knee-chest 6. A client has not received any medication during her labor. She is having frequent contractions every | to 2 minutes and has become irritable with her coach and no longer will allow the nurse Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating: A) Latent phase of the first stage of labor B) Active phase of the first stage of labor C) Transition phase of the first stage of labor D) Pelvic phase of the second stage of labor 7. The fetus of a nulliparous woman is in a shoulder presentation. The nurse would most likely prepare the client for which type of birth? A) Cesarean B) Vaginal C) Forceps-assisted D) Vacuum extraction 8. Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in: A) Latent phase of the first stage B) Active phase of the first stage C) Transition phase of the first stage D) Perineal phase of the second stage 9. A client is admitted to the labor and birthing suite in early labor. On review of her medical record, the nurse determines that the client’s pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal delivery. Which pelvic shape would the nurse have noted? A) Platypelloid B) Gynecoid C) Android D) Anthropoid 10. A woman telephones her health care provider and reports that her “water just broke.” Which suggestion by the nurse would be most appropriate? A) “Call us back when you start having contractions.” B) “Come to the clinic or emergency department for an evaluation.” C) “Drink 3 to 4 glasses of water and lie down.” D) “Come in as soon as you feel the urge to push.” 11. After teaching a group of students about the maternal bony pelvis, which statement by the group indicates that the teaching was successful? A) The bony pelvis plays a lesser role during labor than soft tissue. B) The pelvic outlet sociated with the true pelvis. C) The false pelvis lies below the imaginary linea terminalis. D) The false pelvis is the passageway through which the fetus travels. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 23. A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which of the following would the nurse most likely include when discussing measures to promote coping for a positive labor experience? (Select all that apply.) A) Presence of a support partner B) View of birth as a stressor C) Low anxiety level D) Fear of loss of control E) Participation in a pregnancy exercise program 24. During a follow-up prenatal visit, a pregnant woman asks the nurse, “How long do you think I will be in labor?” Which response by the nurse would be most appropriate? A) “It’s difficult to predict how your labor will progress, but well be there for you the entire time.” B) “Since this is your first pregnancy, you can estimate it will be about 10 hours.” C) “It will depend on how big the baby is when you go into labor.” D) “Time isn’t important; your health and the baby’s health are key.” 25. A nurse is describing how the fetus moves through the birth canal. Which of the following would the nurse identify as being most important in allowing the fetal head to move through the pelvis? A) Sutures B) Fontanelles C) Frontal bones D) Biparietal diameter 26. Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which station? A)-2 B)-1 co D)+1 Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. ni BQ wer Key 2 v H I ue PROBUS SOOS aro REAP OOFRFO f os hapter 14- Nursing Management During Labor and Birth Maternity and Pediatric Nursing - Third Edition 1. A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered? Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. A) Butorphanol Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 14. When planning the care of a woman in the active phase of labor, the nurse would anticipate assessing the fetal heart rate at which interval? A) Every 2 to 4 hours B) Every 45 to 60 minutes C) Every 15 to 30 minutes D) Every 10 to 15 minutes 15. Which of the following is a priority when caring for a woman during the fourth stage of labor? A) Assessing the uterine fundus B) Offering fluids as indicated C) Encouraging the woman to void D) Assisting with perineal care 16. When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction? A) Intense B) Strong C) Moderate D) Mild 17. A nurse palpates a woman’s fundus to determine contraction intensity. Which of the following would be most appropriate for the nurse to use for palpation? A) Finger pads B) Palm of the hand C) Finger tips D) Back of the hand 18. A woman’s amniotic fluid is noted to be cloudy. The nurse interprets this finding as which of the following? A) Normal B) Possible infection C) Meconium passage D) Transient fetal hypoxia 19. After teaching a group of students about fetal heart rate patterns, the instructor determines the need for additional teaching when the students identify which of the following as indicating normal fetal acid-base status? (Select all that apply.) A) Sinusoidal pattern B) Recurrent variable decelerations C) Fetal bradycardia D) Absence of late decelerations Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. E) Moderate baseline variability 20. A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U-shape. The nurse interprets these changes as reflecting which of the following? A) Early decelerations B) Variable decelerations C) Prolonged decelerations D) Late decelerations 21. A nurse is explaining the use of therapeutic touch as a pain relief measure during labor. Which of the following would the nurse include in the explanation? A) “This technique focuses on manipulating body tissues.” B) “The technique requires focusing on a specific stimulus.” C) “This technique redirects energy fields that lead to pain.” D) “The technique involves light stroking of the abdomen with breathing.” 22. A group of nursing students are reviewing the various medications used for pain relief during labor. The students demonstrate understanding of the information when they identify which agent as the most commonly used opioid? A) Butorphanol B) Nalbuphine C) Fentanyl D) Meperidine 23. A nurse is describing the different types of regional analgesia and anesthesia for labor to a group of pregnant women. Which statement by the group indicates that the teaching was successful? A) “We can get up and walk around after receiving combined spinal—epidural analgesia.” B) “Higher anesthetic doses are needed for patient-controlled epidural analgesia.” C) “A pudendal nerve block is highly effective for pain relief in the first stage of labor.” D) “Local infiltration using lidocaine is an appropriate method for controlling contraction pain.” 24. A nurse is completing the assessment of a woman admitted to the labor and birth suite. Which of the following would the nurse expect to include as part of the physical assessment? (Select all that apply.) A) Current pregnancy history B) Fundal height measurement C) Support system D) Estimated date of birth E) Membrane status F) Contraction pattern 25. A pregnant woman admitted to the labor and birth suite undergoes rapid HIV testing and is found to be HIV-positive. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. Which of the following would the nurse expect to include when developing a plan of care for this women? (Select all that apply.) A) Administration of penicillin G at the onset of labor B) Avoidance of scalp electrodes for fetal monitoring C) Refraining from obtaining fetal scalp blood for pH testing D) Adminstering zidovudine at the onset of labor. E) Electing for the use of forceps-assisted delivery 26. Which position would be most appropriate for the nurse to suggest as a comfort measure to a woman who is in the first stage of labor? (Select all that apply.) A) Walking with partner support B) Straddling with forward leaning over a chair C) Closed knee—chest position D) Rocking back and forth with foot on chair E) Supine with legs raised at a 90-degree angle 27. Which of the following would be most appropriate for the nurse to suggest about pushing to a woman in the second stage of labor? A) “Lying flat with your head elevated on two pillows makes pushing easier.” B) “Choose whatever method you feel most comfortable with for pushing.” C) “Let me help you decide when it is time to start pushing.” D) “Bear down like you’re having a bowel movement with every contraction.” 28. A nurse interprets this A) Skin B) Muscles of perineal body C) Anal sphincter D) Anterior rectal wall sing a woman after birth and notes a second-degree laceration. The nurse indicating that the tear extends through which of the following? 29. A nurse is assisting with the delivery of a newborn. The fetal head has just emerged. Which of the following would be done next? A) Suctioning of the mouth and nose B) Clamping of the umbilical cord C) Checking for the cord around the neck D) Drying of the newborn 30. A nurse is providing care toa woman during the third stage of labor. Which of the following would alert the nurse that the placenta is separating? (Select all that apply.) A) Boggy, soft uterus B) Uterus becoming discoid shaped C) Sudden gush of dark blood from the vagina D) Shortening of the umbilical cord Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. D) Saturated with clots and mucus 3. The nurse is developing a teaching plan for a client who has decided to bottle feed her newborn. Which of the following would the nurse include in the teaching plan to facilitate suppression of lactation? A) Encouraging the woman to manually express milk B) Suggesting that she take frequent warm showers to soothe her breasts C) Telling her to limit the amount of fluids that she drinks D) Instructing her to apply ice packs to both breasts every other hour 4. The nurse is making a follow-up home visit to a woman who is 12 days postpartum. Which of the following would the nurse expect to find when assessing the client’s fundus? A) Cannot be palpated B) 2 cm below the umbilicus C) 6 cm below the umbilicus D) 10 cm below the umbilicus 5. A client who is breast-feeding her newborn tells the nurse, “I notice that when I feed him, I feel fairly strong contractionlike pain. Labor is over. Why am I having contractions now?” Which response by the nurse would be most appropriate? A) “Your uterus is still shrinking in size; that’s why you’re feeling this pain.” B) “Let me check your vaginal discharge just to make sure everything is fine.” C) “Your body is responding to the events of labor, just like after a tough workout.” D) “The baby’s sucking releases a hormone that causes the uterus to contract.” 6. When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation? A) Deep red, fleshy-smelling lochia B) Voiding of 350 cc C) Heart rate of 120 beats/minute D) Profuse sweating 7. A postpartum client who is bottle feeding her newborn asks, “When should my period return?” Which response by the nurse would be most appropriate? A) “It’s difficult to say, but it will probably return in about 2 to 3 weeks.” B) “It varies, but you can estimate it returning in about 7 to 9 weeks.” C) “You won’t have to worry about it returning for at least 3 months.” D) “You don’t have to worry about that now. It'll be quite a while.” 8. The nurse interprets which of the following as evidence that a client is in the taking-in phase? A) Client states, “He has my eyes and nose.” B) Client shows interest in caring for the newborn. Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) Client performs self-care independently. D) Client confidently cares for the newborn. 9. Which of the following would the nurse interpret as being least indicative of paternal engrossment? A) Demonstrating pleasure when touching or holding the newborn B) Identifying imperfections in the newborn’s appearance C) Being able to distinguish his newborn from others in the nursery D) Showing feelings of pride with the birth of the newborn 10. A postpartum client comes to the clinic for her 6-week postpartum checkup. When assessing the client’s cervix, the nurse would expect the external cervical os to appear: A) Shapeless B) Circular C) Triangular D) Slit-like 11. The nurse develops a teaching plan for a postpartum client and includes teaching about how to perform Kegel exercises. The nurse includes this information for which reason? A) Reduce lochia B) Promote uterine involution C) Improve pelvic floor tone D) Alleviate perineal pain 12. A father of a newborn tells the nurse, “I may not know everything about being a dad, but I’m going to do the best I can for my son.” The nurse interprets this as indicating the father is in which stage of adaptation? A) Expectations B) Transition to mastery C) Reality D) Taking-in 13. A postpartum client is experiencing subinvolution. When reviewing the woman’s labor and birth history, which of the following would the nurse identify as being least significant to this condition? A) Early ambulation B) Prolonged labor C) Large fetus D) Use of anesthetics 14. Which of the following would lead the nurse to suspect that a postpartum woman is experiencing a problem? A) Elevated white blood cell count Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. B) Acute decrease in hematocrit C) Increased levels of clotting factors D) Pulse rate of 60 beats/minute 15. A woman who gave birth 24 hours ago tells the nurse, “I’ve been urinating so much over the past several hours.” Which response by the nurse would be most appropriate? A) “You must have an infection, so let me get a urine specimen.” B) “Your body is undergoing many changes that cause your bladder to fill quickly.” C) “Your uterus is not contracting as quickly as it should.” D) “The anesthesia that you received is wearing off and your bladder is working again.” 16. A group of students are reviewing the process of breast milk production. The students demonstrate understanding when they identify which hormone as responsible for milk let-down? A) Prolactin B) Estrogen C) Progesterone D) Oxytocin 17. A nurse is making a home visit to a postpartum woman who delivered a healthy newborn 4 days ago. The woman’s breasts are swollen, hard, and tender to the touch. The nurse documents this finding as which of the following? A) Involution B) Engorgement C) Mastitis D) Engrossment 18. A nurse is assessing a postpartum woman’s adjustment to her maternal role. Which of the following would the nurse expect to occur first? A) Reestablishing relationships with others B) Demonstrating increasing confidence in care of the newborn C) Assuming a passive role in meeting her own needs D) Becoming preoccupied with the present 19. The partner of a woman who has given birth to a healthy newborn says to the nurse, “I want to be involved, but I’m not sure that I’m able to care for such a little baby.” The nurse interprets this as indicating which of the following stages? A) Expectations B) Reality C) Transition to mastery D) Taking-hold 20. A group of nursing students are reviewing information about maternal and paternal adaptations to the birth of a newborn. The nurse observes the parents interacting with their newborn physically and emotionally. The nurse documents this as which of the following? Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 16.D 17.B 18. C 19.B 20. C 21.D 22.B 23.D 24. B,C, D 25.B 26.B 27.A hapter 16- ing Management During the Postpartum Peri Maternity and Pediatric Nursing - Third Edition 1. A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take? A) Document the finding, as it is a normal finding at this time. B) Contact the physician, as it indicates early DIC. C) Contact the physician, as it is a first sign of postpartum eclampsia. D) Obtain an order for a CBC, as it suggests postpartum anemia. 2. To decrease the pain associated with an episiotomy immediately after birth, which action by the nurse would be most appropriate? A) Offer warm blankets. B) Encourage the woman to void. C) Apply an ice pack to the site. D) Offer a warm sitz bath. 3. A postpartum client has a fourth-degree perineal laceration. The nurse would expect which of the following medications to be ordered? A) Ferrous sulfate (Feosol) B) Methylergonovine (Methergine) C) Docusate (Colace) D) Bromocriptine (Parlodel) 4. Which statement would alert the nurse to the potential for impaired bonding between mother and newborn? A) “You have your daddy’s eyes.” B) “He looks like a frog to me.” Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. C) “Where did you get all that hair?” D) “He seems to sleep a lot.” 5. After a normal labor and birth, a client is discharged from the hospital 12 hours later. When the community health nurse makes a home visit 2 days later, which finding would alert the nurse to the need for further intervention? A) Presence of lochia serosa B) Frequent scant voidings C) Fundus firm, below umbilicus D) Milk filling in both breasts 6. A primipara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction would be most appropriate to aid in relieving her discomfort? A) “Express some milk from your breasts every so often to relieve the distention.” B) “Remove your bra to relieve the pressure on your sensitive nipples and breasts.” C) “Apply ice packs to your breasts to reduce the amount of milk being produced.” D) “Take several warm showers daily to stimulate the milk let-down reflex.” 7. The nurse administers RhoGAM to an Rh-negative client after delivery of an Rh-positive newborn based on the understanding that this drug will prevent her from: A) Becoming Rh positive B) Developing Rh sensitivity C) Developing AB antigens in her blood D) Becoming pregnant with an Rh-positive fetus 8. Which of the following factors in a client’s history would alert the nurse to an increased risk for postpartum hemorrhage? A) Multiparity, age of mother, operative delivery B) Size of placenta, small baby, operative delivery C) Uterine atony, placenta previa, operative procedures D) Prematurity, infection, length of labor 9. After teaching parents about their newborn, the nurse determines that the teaching was successful when they identify the development of a close emotional attraction to a newborn by parents during the first 30 to 60 minutes after birth as which of the following? A) Reciprocity B) Engrossment C) Bonding D) Attachment Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 10. A nurse is working as part of a committee to establish policies to promote bonding and attachment. Which practice would be least effective in achieving this goal? A) Allowing unlimited visiting hours on maternity units B) Offering round-the-clock nursery care for all infants C) Promoting rooming-in D) Encouraging infant contact immediately after birth 11. When developing the plan of care for the parents of a newborn, the nurse identifies interventions to promote bonding and attachment based on the rationale that bonding and attachment are most supported by which measure? A) Early parent—infant contact following birth B) Expert medical care for the labor and birth C) Good nutrition and prenatal care during pregnancy D) Grandparent involvement in infant care after birth 12. A postpartum woman is having difficulty voiding for the first time after giving birth. Which of the following would be least effective in helping to stimulate voiding? A) Pouring warm water over her perineal area B) Having her hear the sound of water running nearby C) Placing her hand in a basin of cool water D) Standing her in the shower with the warm water on 13. The nurse is assisting a postpartum woman out of bed to the bathroom for a sitz bath. Which of the following would be a priority? A) Placing the call light within her reach B) Teaching her how the sitz bath works C) Telling her to use the sitz bath for 30 minutes D) Cleaning the perineum with the peri-bottle 14. A nurse is reviewing the medical record of a postpartum client. The nurse identifies that the woman is at risk for a postpartum infection based on which of the following? (Select all that apply.) A) History of diabetes B) Labor of 12 hours C) Rupture of membranes for 16 hours D) Hemoglobin level 10 mg/dL E) Placenta requiring manual extraction 15. A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem? A) Lochia rubra with a fleshy odor B) Respiratory rate of 16 breaths per minute C) Temperature of 101° F D) Pain rating of 2 on a scale from 0 to 10 Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. : os OF os e a DWP RRS RBHORNSEAPEE S Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. hapter 17- Newborn Transitionin: Maternity and Pediatric Nursing - Third Edition 1. When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes? A) Gastrointestinal and hepatic B) Urinary and hematologic C) Respiratory and cardiovascular D) Neurological and integumentary 2. A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds integrating understanding that this most likely is due to which of the following? A) Placing the newborn prone after feeding B) Limited ability of digestive enzymes C) Underdeveloped pyloric sphincter D) Relaxed cardiac sphincter 3. After teaching a class about hepatic system adaptations after birth, the instructor determines that the teaching was successful when the class identifies which of the following as the process of changing bilirubin from a fat-soluble product to a water-soluble product? A) Hemolysis B) Conjugation C) Jaundice D) Hyperbilirubinemia 4. Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as indicating which of the following? A) A good time to initiate breast-feeding B) The period of decreased responsiveness preceding sleep C) The need to be alert for gagging and vomiting D) Evidence that the newborn is becoming chilled 5. The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they: A) Have a smaller body surface compared to body mass B) Lose more body heat when they sweat than adults C) Have an abundant amount of subcutaneous fat all over D) Are unable to shiver effectively to increase heat production Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care MULTIPLE QUESTIONS WITH ANSWERS. 6. A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate? A) “You probably took iron during your pregnancy.” B) “This is meconium stool, normal for a newborn.” C) “T’ll take a sample and check it for possible bleeding.” D) “This is unusual and I need to report this.” 7. A client expresses concern that her 2-hour-old newborn is sleepy and difficult to awaken. The nurse explains that this behavior indicates which of the following? A) Normal progression of behavior B) Probable hypoglycemia C) Physiological abnormality D) Inadequate oxygenation 8. After the birth of a newborn, which of the following would the nurse do first to assist in thermoregulation? A) Dry the newborn thoroughly. B) Put a hat on the newborn’s head. C) Check the newborn’s temperature. D) Wrap the newborn in a blanket. : sment of a newborn reveals rhythmic spontaneous movements. The nurse interprets this as indicating: A) Habituatiot B) Motor maturity C) Orientation D) Social behaviors 10. After teaching new parents about the sensory capabilities of their newborn, the nurse determines that the teaching was successful when they identify which sense as being the least mature? A) Hearing B) Touch C) Taste D) Vision 11. The nurse places a warmed blanket on the scale when weighing a newborn. The nurse does so to minimize heat loss via which mechanism? A) Evaporation B) Conduction C) Convection D) Radiation