Maternal Child Proctored Exam: Questions & Answers: Latest Updated + Score Guide

cordocentesis (Ans- used to identify fetal blood type and RBC when there is a risk of isoimmune hemolytic anemia. amniocentesis (Ans- used to determine lung maturity, detect congenital anomalies, and diagnose fetal hemolytic disease. Kleihauer-Betke Test (Ans- used to determine the amount of fetal blood in the maternal circulation when there is a risk of Rh-isoimmunization. postive contraction stress test needs what? (Ans- A positive contraction stress test indicates that further evaluation of the fetus is necessary. A biophysical profile will provide further evaluation with a real-time ultrasound. Adverse effect of combined oral contraceptives (Ans- common adverse effect of combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness. A nurse is assess newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? (Ans- Facial Palsy A nurse is providing teaching about terbutaline to a client who is experience preterm labor. Which of the following statements by the client indicates an understanding of the teaching? (Ans- The medication could cause me to experience heart palpation. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory test should the nurse expect? (Ans- Urine Ketones A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? (Ans- Applying fundal pressure during contractions A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis Which of the following findings should the nurse expect? (Ans- Malodorous discharge A nurse is caring for a client who is 14 weeks of gestations At which of the following locations should the nurse place the Doppler device when assessing the fetal heart rate? (Ans- Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? (Ans- Platelet count 60.000/mm^3 A nurse is teaching about clomiphene citrate to a client who I s experiencing infertility. Which of the following adverse effects should the nurse include? (Ans- breast tenderness A nurse is assessing a newborn upon admission to the nursey. Which of the following should the nurse expect? (Ans- Chest circumference 2cm (0.8in) smaller than the head circumference A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plane of care? Ans- Swaddle the newborn in a flexed position A nurse is caring for a newborn who is 6hr old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? (Ans- Reassess the blood glucose level prior to the next feeding A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply) (Ans- I should consume three 8-ounce glasses of water after I exercise I will check my heart rate every 15 minutes during exercise sessions. I should rest by lying on my side for 10 minutes following exercise. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? (Ans- Contraction durations of 95 to 100 seconds A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? (Ans- Chlamydia infection A nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct staff members to report to the provider? (Ans- Contraction durations of 95 to 100 seconds A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should s