QUESTION AND ANSWERS FOR MATERNAL CHILD NURSING EXAM 1

QUESTION AND ANSWERS FOR MATERNAL CHILD NURSING EXAM 1 48 - CORRECT ANSWER-All health plans under the Newborn and Mother's Health Act can stay in the hospital _____ hours after an uncomplicated vaginal birth. Congenital and Chromosomal Abnormalities - CORRECT ANSWER-The number one cause of infant mortality is Traffic Accidents - CORRECT ANSWER-______________are the leading cause of death in adolescence. Family Centered Care - CORRECT ANSWER-This recognizes the family as the one constant in the child's life. They provide support, respect, encouragement, strength and competency. Needs of the family must be addressed. Nuclear Family - CORRECT ANSWER-Mother father and children living as a unit is called a ________. Cross Generational Families - CORRECT ANSWER-A family that lives with their grandparents or a relative that is 65 or over are _______________. Blended Families - CORRECT ANSWER-______________consist of the parents and all children from their current relationship as well as children from prior relationships. Lymph Nodes - CORRECT ANSWER-The cervical, axilla, and the inguinal areas are the places to palpate on the Newborn to assess the _____________. caput succedaneum - CORRECT ANSWER-___________ is the diffuse edema of the fetal scalp that crosses the suture lines. reabsorbs within 1 to 3 days cephalhematoma - CORRECT ANSWER-The collection of blood beneath the periosteum due to birth trauma, it usually reabsorbs within the first few weeks of life is called ____________. 4 - CORRECT ANSWER-By ____ months of age, an infant should be able to hold the head erect and midline in a sitting up position. Rinne - CORRECT ANSWER-The stem of a vibrating tuning fork is held against the mastoid bone until the child indicates that she can no longer hear the sound. Then the tuning fork is moved in front of the auditory canal is called the __________ test. Weber test - CORRECT ANSWER-Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard. and measures for sensorineural hearing loss is called the ____________ test. notify the physcian - CORRECT ANSWER-While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should: Vastus lateralis - CORRECT ANSWER-The best area for a pediatric client to receive an IM injection is the ______________. posterior fontanel - CORRECT ANSWER-The space between parietal bones and occipital bone closes between 2 and 3 months of age is the ______________. anterior fontanel - CORRECT ANSWER-the diamond-shaped fontanel that closes between 9 months and 2 years is the ___________. pediatric hypothyroidism - CORRECT ANSWER-Mental retardation, abnormal bone growth and shortness of stature are signs of _______. microcephaly - CORRECT ANSWER-_________ is a condition in which the head is unusually small as a result of defective brain development and premature ossification of the skull hydrocephalus - CORRECT ANSWER-________________ is the abnormal accumulation of cerebrospinal fluid in the ventricles of the brain as a result of developmental anomalies, infection, injury, or tumor, the head is abnormally enlarged with bulging fonantels. down syndrome - CORRECT ANSWER-A condition of retardation and associated physical disorders caused by an extra chromosome in one's genetic makeup. A single palmar crease (simian crease) is a hallmark sign. Turner syndrome - CORRECT ANSWER-Short stature, infertility, coarctation of aorta. A chromosomal disorder in females torticollis - CORRECT ANSWER-The contraction or shortening of the neck muscles, persistent tilting of the head to one side that may be the result of injury to the sternocleidomastoid muscle during birth is called ___________. Calendar method - CORRECT ANSWER-The _________ is a way of determining a woman's fertility (safe days) by subtracting 18 days from the shortest cycle and 11 days from the longest cycle. Basal Body Temperature - CORRECT ANSWER-The __________can be used as a fertility awareness method. Temperature is taken with a special thermometer. The woman would take her temperature each morning at the same time BEFORE arising from bed. Temperature will dip 0.4 degrees F and spike 0.5 to 1.0F until menses. A dip in temperature signifies ovulation (LH surge) will occur within the next 24 hours. Condoms - CORRECT ANSWER-____________ are the only form of contraceptive that offers protection from STDs. Depo Provera - CORRECT ANSWER-The _____________ shot is the hormonal method of birth control, lasts for 3 months, it is contraindicated in women who have a family history of osteoporosis. IUD - CORRECT ANSWER-The __________ is a device, often T-shaped, that is implanted in the uterus to prevent pregnancy. This method has a high incidence of ectopic pregnancy. tubal ligation - CORRECT ANSWER-_____________a surgical sterilization procedure in which the fallopian tubes are sealed or cut to prevent sperm from reaching a mature ovum. Coitus interruptus - CORRECT ANSWER-________________is the withdrawal of the penis prior to ejaculation, preventing entry of sperm into the female reproductive tract. postpartum fundus - CORRECT ANSWER-The __________________immediately after delivery, the fundus should be firm, midline and at the umbilicus. At 12 hrs PP, the fundus may be palpated 1 cm above the umbilicus. Every 24 hrs the fundus should descend appx 1-2 cm lochia - CORRECT ANSWER-Vaginal discharge during the puerperium consisting of endometrial tissue, blood, and lymph is called __________ 6 - CORRECT ANSWER-By day _____ the postpartum fundus is located 1/2 way between the umbilicus and the symphysis pubis. nutrition - CORRECT ANSWER-Pregnant adolescents will require more support and teaching especially since they are the population most vulverable to have inadequate _______ during pregnancy. Counterpressure - CORRECT ANSWER-________________ is a measure that is applied to the lower back with a fisted hand or a tennis ball helps the woman cope with the "back labor" that is characteristic of occiput posterior positioning Effleurage - CORRECT ANSWER-The laboring woman may rub her abdomen during a contraction to counteract discomfort. This is called ______________________.