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Maternal Newborn Comprehensive Quiz A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make? a."This is a presumptive sign of pregnancy." b."This is a probable sign of pregnancy." c."This is a possible sign of pregnancy." d."This is a positive sign of pregnancy. - ANSWERS -a A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make? a. "It's a minor inconvenience, which you should ignore." b. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." c. "There is no way to predict how long it will last in each individual client."
d. "It occurs during the first trimester and near the end of the pregnancy." - ANSWERS -d A nurse is taking a woman's obstetric history. The patient indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. How would the nurse document this using the GTPAL system? a. 3-1-1-1- b. 4-1-2-0- c. 3-0-3-0- d. 4-2-1-0-3 - ANSWERS -b What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? a. The blood pressure (BP) cuff should not be applied to the affected arm.
a. Take a firm approach that encourages the client to facilitate the examination by following the physician's instructions exactly. b. Explain the procedure as it unfolds and continue to question the client to get information in a timely manner. c. Take the opportunity to explain that vulvar self- examination is only for women at risk for cancer. d. Help the woman relax through proper placement of her hands and proper breathing during the examination. - ANSWERS -d Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: a. Acetaminophen. b. Oral contraceptives (OCPs). c. Nonsteroidal antiinflammatory drugs (NSAIDs).
d. Aspirin. - ANSWERS -c A patient pregnant with monochorionic/diamniotic twins has been given instruction regarding risks to the fetuses. Which of these statements, if made by the patient, would indicate that the patient has the correct understanding of the instruction? a. My twins might get tangled in each other's umbilical cords. b. My twins each have their own amniotic sac; there is no risk of complications. c. My twins will be born conjoined and therefore will not live more than one year. d. My twins may have a fused placenta and be at risk for twin to twin transfusion. - ANSWERS -d A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
b. Increased abdominal muscle tone c. Center of gravity shifts backwards d. Decreased mobility of pelvic joints - ANSWERS - a Which statement would indicate that the client requires additional instruction about breast self- examination? a. "Yellow discharge from my nipple is normal if I'm having my period." b. "I should check my breasts at the same time each month, like after my period." c. "I should also feel in my armpit area while performing my breast examination." d. "I should check each breast in a set way, such as in a circular motion." - ANSWERS -a A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
a. Leukorrhea b. Urinary frequency c. Nausea and vomiting d. Vaginal bleeding - ANSWERS -d A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make? a. "What part of the exam makes you most nervous?" b. "Don't worry, I will be with you during the exam." c. "All you need to do is relax." d. "A pelvic exam is required if you want birth control pills." - ANSWERS -a A woman asks the nurse, "What protects my baby's umbilical cord from being squashed while the baby's inside of me?" The nurse's best response is:
a. "Please reschedule your appointment when you are more prepared." b. "It is okay; the provider will not do a breast examination." c. "I will explain normal growth and breast development to you." d. "That is unfortunate; this must be very stressful for you." - ANSWERS -c A nurse is caring for a patient with a multifetal gestation. Which of the following complications should the nurse assess for? Select all that apply. a. Low HCG levels b. Decreased blood volume c. Twin to twin transfusion d. Preterm labor e. Increased pressure on abdominal organs - ANSWERS -a, c, d, e During a health history interview, a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. The correct response would be to:
a. Reassure the woman that the examination will not reveal any problems. b. Explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination. c. Reassure the woman that "bumps" can be treated. d. Reassure her that most women have "bumps" on their labia. - ANSWERS -b When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended? a. Increasing the intake of red meat and simple carbohydrates b. Reducing the intake of diuretic foods such as peaches and asparagus
b. "I will tell my doctor before using home remedies for nausea." c. "I will monitor my weight gain during the remaining months." d. "I will use only nonprescription medications while pregnant." - ANSWERS -d The nurse caring for a pregnant client knows that her health teaching regarding fetal circulation has been effective when the client reports that she has been sleeping: a. In a side-lying position. b. On her back with a pillow under her knees. c. With the head of the bed elevated. d. On her abdomen. - ANSWERS -a A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC? a. Antihypertensives
b. Anticonvulsants c. Antioxidants d. Antiemetics - ANSWERS -b The nurse in the prenatal clinic is monitoring a patient who is pregnant with twins. The nurse monitors the patient closely for which priority complication that is associated with a twin pregnancy? a. Hemorrhoids b. Postterm labor c. Maternal anemia d. Costovertebral angle tenderness - ANSWERS -c A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following? a. Ballottement b. Lightening
c. Slightly below the umbilicus d. 6 cm below the umbilicus - ANSWERS -b A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate? a. "Exercising during pregnancy is not recommended." b. "Daily walking or jogging for up to 30 minutes is fine throughout the pregnancy." c. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester." d. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week. - ANSWERS -b A 20-year-old patient calls the clinic to report that she has found a lump in her breast. The nurse's best response is:
a. "Don't worry about it. I'm sure it's nothing." b. "Wear a tight bra, and it should shrink." c. "Many women have benign lumps and bumps in their breasts. However, to make sure that it's benign, you should come in for an examination by your physician." d. "Check it again in 1 month and call me back if it's still there." - ANSWERS -c While measuring fundal height at a routine prenatal check up, the pregnant patient reports feeling dizzy and that her heart is racing. The nurse notes that the patient is pale and skin is clammy. What intervention should the nurse take first? a. Call the physician b. Administer and IV fluid bolus c. Instruct the patient to take deep breaths d. Assist the patient to a side-lying position - ANSWERS -d
A pregnant patient reports that her last menstrual period was February 9, 2021. Using Naegele's rule, what will the nurse determine as the estimated date of birth? a. October 7, 2021 b. October 16, 2021 c. November 7, 2021 d. November 16, 2021 - ANSWERS -d A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable? a. A male condom b. An intrauterine device (IUD) c. An oral contraceptive d. A diaphragm with spermicide - ANSWERS -b Sally comes in for her first prenatal examination. This is her first child. She asks you (the nurse),
"How does my baby get air inside my uterus?" The correct response is: a. "The baby's lungs work in utero to exchange oxygen and carbon dioxide." b. "The baby absorbs oxygen from your blood system." c. "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream." d. "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen." - ANSWERS -c A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make? a. "You are so young. Are you ready for the responsibilities of a sexual relationship?" b. "Because of your age, I think that a barrier method would be the best choice."
