Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Editi, Exams of Nursing

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Davis Advantage for Maternal-Newborn Nursing

Critical Components of Nursing Care 4th

Edition Connie Durham, Roberta Chapman,

Linda Miller Test Bank Chapter 1-19 Complete

Guide Newest Version 2023

Ductus arteriosus - ANSWER>>The fetal circulatory structure that connects the pulmonary artery with the descending aorta is known as what?

It indicates that there is a 50% reduction in amniotic fluid - ANSWER>>A woman at 40 weeks gestation has a diagnosis of oligohydramnios. What statement related to oligohydramnios is correct.

Phenotype - ANSWER>>The color of a person's hair is an example of which of the following.

Hysterosalpingogram - ANSWER>>A diagnostic test commonly used to assess problems of the fallopian tubes is:

Cat - ANSWER>>The nurse is interviewing a gravid woman during the first prenatal visit. The woman confides to the nurse that she lives with a number of pets. The nurse should advise the woman to be especially careful to refrain from coming in contact with the stool of which of the pets?

Stimulate release of FSH & LH, Clomiphene Citrate will not increase a client's progesterone. Clomiphene Citrate stimulates release of FSH & LH. Clomiphene Citrate will not reduce the acidity of vaginal secretions. - ANSWER>>A client is to take Clomiphene Citrate for infertility. Which of the following is the expected action of this medication?

Sickle cell anemia - ANSWER>>The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is referred to a genetic counselor, due to her previous child having a diagnosis of

Proliferation of the endometrium.The maturation of the graafian follicle occurs during the follicular phase. There is no such thing as the multiplication of the fimbriae. Human chorionic gonadotropin is secreted by the fertilized ovum during the early weeks of a pregnancy. The proliferation of the endometrium occurs during the secretory phase of the menstrual cycle. -

ANSWER>>A nurse is teaching a woman about her menstrual cycle. The nurse states that __________ is the most important change that happens during the secretory phase of the menstrual cycle.

A right to left shunt is seen between the atria. - ANSWER>>An ultrasound of a fetus heart shows that normal fetal circulation is occurring. Which of the following statements is consistent with the finding?

Secretory phase. The menstrual phase is the time of vaginal bleeding, approximately days 1 to 6. The proliferative phase ends the menses through ovulation, approximately days 7 to 14. The secretory phases occurs from the time of ovulation to the period just prior to menses, or approximately days 15 to 26. The ischemic phase occurs from the end of the secretory phase to the onset of menstruation, approximately days 27 to 28. - ANSWER>>The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to just prior to menses is known as the:

800 mL - ANSWER>>A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present at 24 weeks gestation is approximately:

Cushions the fetus from mechanical injury - ANSWER>>Information provided by the nurse that addresses the function of the amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body temperature & also:

2 to 8 weeks - ANSWER>>During preconception counseling, the clinic nurse explains that the time period when the fetus is most vulnerable to the effects of teratogens occurs from:

Teeth begin to form - ANSWER>>A major fetal development characteristic at 16 weeks gestation is:

Toxoplasmosis is a concern during pregnancy, so it is important to have someone else change the cats litter pan & also to avoid consuming uncooked meat. - ANSWER>>Karen, 26, has come for preconception counseling & asks about caring for her cat as she has heard that she should not touch the cat during pregnancy. The clinic nurse's best response is:

The testes are overheated. - ANSWER>>A couple who has sought infertility counseling has been told that the man's sperm count is very low. Spermatogenesis is impaired when which of the following occur?

The couple has established a set schedule for their sexual encounters. - ANSWER>>A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the is the likely reason for this diagnosis?

True - ANSWER>>The perinatal nurse explains to the student nurse that in the fetal circulation, the lowest level of oxygen concentration is found in the umbilical arteries.

Prolactin - ANSWER>>After birth, the perinatal nurse explains to the new mother that __________ is the hormone responsible for stimulating milk production.

Amnion, chorion - ANSWER>>During prenatal class, the childbirth educator describes the two membranes that envelop the fetus. The __________ contains the amniotic fluid, & the __________ is the thick, outer membrane.

Atrium, foramen ovale - ANSWER>>The perinatal nurse is teaching nursing students about fetal circulation & explains that fetal blood flows through the superior vena cava into the right __________ via the __________. Atrium, foramen ovale

Fetus - ANSWER>>The perinatal nurse explains to the student nurse that the growing embryo is called a __________ beginning at 8 weeks of gestational age.

Teratogen - ANSWER>>The perinatal nurse defines a __________ as any substance that adversely affects the growth & development of the embryo/fetus.

Gamete intrafallopian transfer (GIFT) - ANSWER>>__________ __________ __________ is when sperm & oocytes are mixed outside the womans body & then placed into the fallopian tube via laparoscopy.

Sudden infant death - ANSWER>>Since 1995 there has been a significant decrease in the rate of infant death related to which of the following:

American Indian & Alaskan Natives - ANSWER>>Tobacco use during pregnancy is associated with adverse effects on the unborn infant such as intrauterine growth restriction, preterm births, & respiratory problems. By race, which has the highest percentages of smokers?

An Asian, low-income, 30-year-old woman - ANSWER>>Which of the following women is at the highest risk for health disparity?

Moderately premature - ANSWER>>A neonate born at 36 weeks gestation is classified as which of the following?

Increase proportion of infants who are breastfed to 83.9%. - ANSWER>>The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020 report is to:

Congenital malformations & chromosomal abnormalities - ANSWER>>The perinatal nurse explains to the student nurse that __________ is the leading cause of infant death in the United States.

a. Teen mothers are at higher risk for HIV. b. Teen mothers are at higher risk for hypertensive problems. d. Infants born to teen mothers are at higher risk for health problems. - ANSWER>>Which of the following statements are true related to teen pregnancies?

Innate conflict between maternal & fetal rights - ANSWER>>An ethical dilemma unique to perinatal nursing is the:

Respectful - ANSWER>>The ANA Code of Ethics for Nurses directs nurses to provide patient care that is:

Research evidence, clinical expertise, & patients' values - ANSWER>>Evidence-based practice is the integration of the best:

a. Childhood diabetes b. Heart defects c. Hypospadias - ANSWER>>Infants whose mothers were obese during pregnancy are at higher risk for which of the following? (Select all that apply.)

Endometrial biopsy. Endometrial biopsy is scheduled after ovulation, during the luteal phase of the menstrual cycle. A hysterosalpingogram is scheduled 2 to 5 days after menstruation to avoid flushing potentially fertilized ovum out through a uterine tube into the peritoneal cavity. Laparoscopy usually is scheduled early in the menstrual cycle. Hormone analysis is performed to assess endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are absent or irregular. - ANSWER>>Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle?

Smoking can reduce the quality of your sperm - ANSWER>>A man smokes 2 packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he & his wife are having getting pregnant. The nurses most appropriate response is

Follicle-stimulating hormone (FSH) level - ANSWER>>A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered 2 children from a previous marriage & had a vasectomy reversal 2 years ago. He has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?

You should avoid licorice root, lavender, fennel, sage, & thyme while you are trying to conceive. Herbs that a woman should avoid while trying to conceive include licorice root, yarrow, wormwood, ephedra, fennel, golden seal, lavender, juniper, flaxseed, pennyroyal, passionflower, wild cherry, cascara, sage, thyme, & periwinkle. Nettle leaf, dong quai, & vitamin E all promote fertility. Vitamin E, calcium, & magnesium may promote fertility & conception. All supplements & herbs should be purchased from trusted sources - ANSWER>>A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the client in which herbal preparations to avoid while trying to conceive?

Is perceived differently by women & men - ANSWER>>Nurses should be aware that infertility

The investigation takes 3 to 4 months & a significant financial investment - ANSWER>>Regarding the assessment of female, male, & couple infertility, nurses should be aware that:

Do all of the above plus be knowledgeable about potential drug & surgical remedies. - ANSWER>>In their role of implementing a plan of care for infertile couples, nurses should:

Financial ability to cover the cost of treatment - ANSWER>>Although remarkable developments have occurred in reproductive medicine, assisted reproductive therapies are associated with numerous legal & ethical issues. Nurses can provide accurate information about the risks & benefits of treatment alternatives so couples can make informed decisions about their choice of treatment. Which issue would not need to be addressed by an infertile couple before treatment?

Obtain a history of menstrual cycle lengths for the past 6 to 12 months - ANSWER>>A woman has chosen the calendar method of conception control. During the assessment process, it is most important that the nurse:

You probably didn't ovulate during this cycle. - ANSWER>>A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic & tells the nurse, "My period is due in a few days, & my temperature has not gone up." The nurses most appropriate response is:

They can be effective for many couples, but they require motivation FAMs are effective with proper vigilance about ovulatory changes in the body & adherence to coitus intervals. They are effective if used correctly by a woman with a regular menstrual cycle. The typical failure rate for all FAMs is 25% during the first year of use. FAMs have no associated health risks. The use of birth control has associated health risks. In addition, taking a pill daily requires compliance on the client's part. - ANSWER>>A married couple is discussing alternatives for pregnancy prevention & has asked about fertility awareness methods (FAMs). The most appropriate reply is:

Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; it has also been linked to an increase in the transmission of human immunodeficiency virus & can cause genital lesions. - ANSWER>>A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). The nurses most appropriate response is:

Your current medications will reduce the effectiveness of the pill. Because the liver metabolizes oral contraceptives, their effectiveness is reduced when they are taken simultaneously with anticonvulsants. The statement Your current medications will reduce the effectiveness of the pill is true, but it is not the most appropriate response. The anticonvulsant will reduce the effectiveness of the pill, not the other way around. The statement This is a good choice for a woman of your age & personal history does not teach the client that the effectiveness of the pill may be reduced because of her anticonvulsant therapy - ANSWER>>A woman who has a seizure disorder & takes barbiturates & phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. RN's most appropriate response would be:

Have difficulty remembering to take oral contraceptives daily - ANSWER>>Injectable progestins (DMPA, Depo-Provera) are a good choice for women who:

The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later. - ANSWER>>A woman currently uses a diaphragm & spermicide for contraception. She asks the nurse the major differences are bt the cervical cap & diaphragm. RN's most appropriate response is:

Cervical Cap Women with a history of TSS shouldn't use a cervical cap. Condoms, vaginal films, & vaginal sheaths are not contraindicated for a woman w/a history of TSS. - ANSWER>>A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally & uses over-the-counter protection. On the basis of her history, what contraceptive method should she & her partner avoid?

The risk of pelvic inflammatory disease (PID) will be higher for you - ANSWER>>An unmarried young woman describes her sex life as active & involving many partners. She wants a contraceptive method that is reliable & does not interfere with sex. She requests an intrauterine device (IUD). The nurses most appropriate response is:

Dilation & evacuation (D&E). - ANSWER>>A woman is 16 weeks pregnant & has elected to terminate her pregnancy. The nurse knows that the most common technique used for medical termination of a pregnancy in the 2nd trimester is:

Taking one pill at the same time every day. - ANSWER>>A woman will be taking oral contraceptives using a 28-day pack. The nurse should advise this woman to protect against pregnancy by:

An OTC antiemetic can be taken 1 hour before each contraceptive dose to prevent N/V - ANSWER>>A woman had unprotected intercourse 36 hours ago & is concerned that she may become pregnant because it is her fertile time. She asks the nurse about emergency contraception. The nurse tells her that:

It varies from couple to couple, depending on the method & the users. - ANSWER>>Which statement is true about the term contraceptive failure rate?

Is the only contraceptive practice acceptable to the Roman Catholic church - ANSWER>>While instructing a couple regarding birth control, the nurse should be aware that the method called natural family planning:

Standard days. The standard days variation on the calendar method has a failure rate of 12%. The periodic abstinence method has a failure rate of 25% or greater. The postovulation method

has a failure rate of 25% or greater. The coitus interruptus method has a failure rate of 27% or greater. - ANSWER>>Which contraceptive method has a failure rate of less than 25%?

Barrier methods - ANSWER>>Which contraceptive method best protects against sexually transmitted infections (STIs) & human immunodeficiency virus (HIV)?

The effectiveness of COCs can be altered by some OTC medications & herbal supplements. - ANSWER>>With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs), nurses should be aware that:

IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. The woman has up to 8 days to insert the IUD after unprotected sex. Return to fertility is immediate after removal of the IUD. IUDs offer no protection for STIs. A consent form is required for insertion, as is a negative pregnancy test. - ANSWER>>With regard to the use of IUDs, nurses should be aware that:

They can be either elective or therapeutic Medical abortions are performed using medications (rather than surgical procedures). They are mostly done in the 1st trimester, & they can be either elective or therapeutic. They can be either elective or therapeutic Medical abortions are performed using medications (rather than surgical procedures). They are mostly done in the 1st trimester, & they can be either elective or therapeutic. - ANSWER>>They can be either elective or therapeutic Medical abortions are performed using medications (rather than surgical procedures). They are mostly done in the 1st trimester, & they can be either elective or therapeutic.

Determine the woman's level of knowledge about contraception & commitment to any particular method. - ANSWER>>Nurses, certified nurse-midwives, & other advanced practice nurses have the knowledge & expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, & interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception?

Requires that the 1st dose be taken within 72 hours of unprotected intercourse. Emergency contraception is most effective when used within 72 hours of intercourse; however, it may be used with lessened effectiveness 120 hours later. Insertion of the copper IUD within 5 days of intercourse may also be used & is up to 99% effective. The most common side effect of contraception is nausea. - ANSWER>>Postcoital contraception with Ovral:

Have potentially dangerous side effects. To make an informed decision about the use of contraceptives, it is important for couples to be aware of potential side effects. The only contraceptive method that is a surgical procedure & requires hospitalization is sterilization. Some methods have greater efficacy than others, & this should be included in the teaching. - ANSWER>>Informed consent concerning contraceptive use is important because some of the methods:

You are both carriers, so each baby has a 25% chance of being affected. - ANSWER>>A father & mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU. The couple tells the nurse that they are planning to have a 2nd baby. Because their daughter has PKU, they are sure that their next baby won't be affected. What response is most accurate?

Discuss options, including amniocentesis to determine whether the fetus is affected. - ANSWER>>The nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18. The nurse should:

Recurrence risk - ANSWER>>A man's wife is pregnant for the third time. One child was born with cystic fibrosis, & the other child is healthy. The man wonders what the chance is that this child will have cystic fibrosis. This type of testing is known as:

Both genes of a pair must be abnormal for the disorder to be expressed - ANSWER>>The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:

Denial of insurance benefits - ANSWER>>In presenting to obstetric nurses interested in genetics, the genetic nurse identifies the primary risk(s) associated with genetic testing as:

Approximately 20,000 genes make up the genome. Approximately 20,500 genes make up the human genome; this is only twice as many as make up the genomes of roundworms & flies. Human beings are 99.9% identical at the DNA level. Most human genes produce at least three proteins. Single gene testing (e.g., alpha-fetoprotein) is already standardized for prenatal care. - ANSWER>>A key finding from the Human Genome Project is:

Interrupted family processes This mother likely will experience a disruption in the family process related to the birth of a baby with an inherited disorder. Women commonly experience body image disturbances in the

postpartum period; however, this is unrelated to giving birth to a child with Down syndrome. The mother likely will have a mix of emotions that may include anxiety, guilt, & denial, but this is not the most essential nursing Dx. Risk for injury is not an applicable nursing Dx. - ANSWER>>You are a maternal-newborn nurse caring for a mother who just delivered a baby with Down syndrome. What nursing Dx would be the most essential in caring for the mother of this infant?

Maternal serum screening can determine whether a pregnant woman is at risk of carrying a fetus with Down syndrome. - ANSWER>>With regard to prenatal genetic testing, nurses should be aware that:

The risk factor remains the same no matter how many affected children are in the family. - ANSWER>>With regard to the estimation & interpretation of the recurrence of risks for genetic disorders, nurses should be aware that:

Genotype. - ANSWER>>RN must be cognizant that an individual's genetic makeup is known as his or her: