Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated, Exams of Nursing

Download Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated and more Exams Nursing in PDF only on Docsity! Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate? A: have the patient stand up and retake her blood pressure B: have the patient sit down and hold her arm in a dependent position C: have the patient turn to her left side and recheck her blood pressure in 5 minutes D: have the patient lie supine for 5 minutes and recheck her blood pressure on both arms - Correct Answer C: have the patient turn to her left side and recheck her blood pressure in 5 minutes Blood pressure is affected by positioning during pregnancy. The supine position may cause occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels and quickly corrects supine hypotension. Pressures are significantly higher when the patient is standing. This would cause an increase in systolic and diastolic pressures. The arm should be supported at the same level of the heart. The Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 supine position may cause occlusion of the vena cava and descending aorta, creating hypotension. While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions? A: these contractions may indicate preterm labor B: these are contractions that never cause any discomfort C: Braxton hicks contractions only start during the third trimester D: these occur throughout pregnancy, but you may not feel them until the 3rd trimester - Correct Answer D: these occur throughout pregnancy, but you may not feel them until the 3rd trimester Throughout pregnancy, the uterus undergoes irregular contractions called Braxton Hicks contractions. During the first two trimesters, the contractions are infrequent and usually not felt by the woman until the third trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks contractions can cause Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 B: "That sign means the cervix has softened as the result of tissue changes that naturally occur with pregnancy." C: "This means that a mucus plug has formed in the cervical canal to help protect you from uterine infection." D: "This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix." - Correct Answer D: "This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix." Increasing levels of estrogen cause hyperemia (congestion with blood) of the cervix, resulting in the characteristic bluish purple color that extends to include the vagina and labia. This discoloration, referred to as Chadwick's sign, is one of the earliest signs of pregnancy. Although Chadwick's sign occurs with hyperemia (congestion with blood), the sign does notsignify an increased risk of blood clots. The softening of the cervix is called Goodell's sign, not Chadwick's sign. Although the formation of a mucus plug protects from infection, it is not called Chadwick's sign. An expected change during pregnancy is a darkly pigmented vertical mid abdominal line. The nurse recognizes this alterations as: Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 A: epulis B: linea nigra C: melasma D: striae gravidarum - Correct Answer B: linea nigra The linea nigra is a dark pigmented line from the fundus to the symphysis pubis. Epulis refers to gingival hypertrophy. Melasma is a different kind of dark pigmentation that occurs on the face. Striae gravidarum (stretch marks) are lines caused by lineal tears that occur in connective tissue during periods of rapid growth. Which physiologic finding is consistent with normal pregnancy? A: systemic vascular resistance increases as blood pressure decreases B: cardiac output increases during pregnancy C: blood pressure remains consistent independent of position changes D: maternal vasoconstriction occurs in response to increased metabolism - Correct Answer B: cardiac output increases during pregnancy Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 Cardiac output increases during pregnancy as a result of increased stroke volume and heart rate. Systemic vascular resistance decreases while blood pressure remains the same. Maternal blood pressure changes in response to patient positioning. In response to increased metabolism, maternal vasodilation is seen during pregnancy. A pregnant woman complains of frequent heartburn. The patient states that she has never had these symptoms before and wonders why this is happening now. The most appropriate response by the nurse is to: A: examine her dietary intake pattern and tell her to avoid certain foods B: tell her that this is a normal finding during early pregnancy and will resolve as she gets closer to term C: explain to the patient that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms D: refer her to her health care provider for additional testing because this is an abnormal finding - Correct Answer C: explain to the patient that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 This condition is known as chloasma or melasma (mask of pregnancy) and is a result of pigmentation changes relative to hormones. It can be exacerbated by exposure to the sun. There is no need to refer to a dermatologist. Intake of foods is not associated with exacerbation of this process. There is no need for a C&S to be taken. The patient should be assured that this is a normal finding of pregnancy. A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is tired, and her breasts are sore all of the time. The patient's urine test is positive for hCG. What is the correct nursing action related to this information? A: ask the patient if she has had any nausea or vomiting in the morning B: schedule the patient to be seen by a health care provider within the next 4 weeks C: Send the patient to the maternity screening area of the clinic for a routine ultrasound D: determine if there are any factors that might prohibit her from seeking medical care - Correct Answer D: determine if there are any factors that might prohibit her from seeking medical care Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 The patient has presumptive and probable indications of pregnancy. However, she has not sought out health care until late in the first or early in the second trimester. The nurse must assess for barriers to seeking health care, physical or emotional, because regular prenatal care is key to a positive pregnancy outcome. Asking if the patient has nausea or vomiting will only add to the list of presumptive signs of pregnancy, and this information will not add to the assessment data to determine whether the patient is pregnant. The patient needs to see a health care provider before the next 4 weeks because she is late in seeking early prenatal care. Ultrasound testing must be prescribed by a health care provider. A patient who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response? A: "Your baby is doing fine." B: "Tell me about your concerns." C: "There is nothing to worry about." Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 D: "The doctor is taking good care of you and your baby." - Correct Answer B: "Tell me about your concerns." Encouraging the patient to discuss her feelings is the best approach. The nurse should not disregard or belittle the patient's feelings. Responding that your baby is doing fine disregards the patient's feelings and treats them as unimportant. Responding that there is nothing to worry about does not Correct Answer the patient's concerns. Saying that the doctor is taking good care of you and your baby is belittling the patient's concerns. A 36-year-old divorcee with a successful modeling career finds out that her 18- year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother? A: her age B: her career C: being divorced D: age of the daughter - Correct Answer A: her age Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 Quickening, amenorrhea, and Chadwick's sign are presumptive signs of pregnancy. Ballottement and Goodell's sign are probable signs of pregnancy. A client who is at 8 weeks of gestation tells the nurse "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? A: "I will inform the provider that you are having these feelings" B: "It is normal to have these feelings during the first few months of pregnancy" C: "You should be happy that you are going to bring new life into the world" D: "I am going to make an appointment with the counselor for you to discuss these thoughts" - Correct Answer B: "It is normal to have these feelings during the first few months of pregnancy" Feelings of ambivalence about pregnancy are normal during the first trimester. A nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include? Maternal-Newborn chapter 6 test bank chapter well reviewed with certified solutions rated a+ 2023\2024 A: vaginal bleeding B: swelling of the ankles C: heartburn after eating D: lightheadedness when lying on back - Correct Answer A: vaginal bleeding Vaginal bleeding indicates a potential complication of the placenta such as placenta prevue. Instruct the client to notify the provider immediately.