OB Maternal Practice question
a client is in active labor with external monitoring in use. the nurse notes abrupt and rapid
fluctuations in the FHR from baseline to 90bpm and back to baseline on the monitoring device. the
fluctuations in FHR occur with no relationship to the contraction pattern. the client watches the
monitor and asks "is there something wrong with my baby?" which response by the nurse is best? -
verified answer this is a potential problem that requires a position change
the client arrives in the hospital in active labor. the client asks the nurse what is the purpose of the
fetal monitor. which response by the nurse is the best? - verified answer the purpose of the fetal
monitor is to determine if the fetus is receiving adequate amounts of O2
a client who is multipara is diagnosed with premature labor requiring bedrest in the healthcare
facility for an extended amount of time. Which interventions does the nurse include in the clients
care plan? (select all that apply) - verified answer the client needs to be positioned on the left side
and drink fluids
the client needs to eat highly nutritious meals
the nurse observes the staff member palpate a clients uterine contractions. the nurse determines
the staff member is using the correct technique if which observation is made? - verified answer
places one hand on the abdomen over the fundus and presses gently with the fingertips
a client calls the clinic and reports a fever, fatigue and has a hard reddened area in 1 breast. the
client is breastfeeding. which condition does the nurse understand that this client is most likely
experiencing? - verified answer mastitis
the nurse palpates the fundus of a client after the 3rd stage of labor. the nurse expects the fundus to
have which characteristics? - verified answer firm and globular
the nurse provides care for a client diagnosed with cervical cancer. the nurse notes the client
appears to have a poor appetite. which intervention by the nurse is best? - verified answer provide
small, frequent feedings
the home care nurse visits an adolescent client who delivered a full-term infant 2 weeks ago.
although the client appears mature, the nurse knows the clients age may interfere with positive
,mothering because of which factor? - verified answer the client is still experiencing the dependency
of childhood
the nurse instructs a group of expectant parents about the advantages of breastfeeding. the nurse
intervenes if an expectant parent makes which statement? - verified answer my baby will grow
faster and sleep more with breastmilk
which action should the nurse take immediately after the newborn is circumcised? - verified
answer applies petroleum gauze and observes carefully for bleeding.
a multipara client in the 7th month of pregnancy reports to the nurse that the breasts are sensitive
and sore. the nurse makes which suggestions? - verified answer apply cold compresses and wear a
well-fitting, supportive bra
he nurse instructs a pregnant client diagnosed with gestational diabetes about the appropriate diet.
the nurse determines the teaching is effective if the client selects which dessert? - verified answer
fresh fruit
the school nurse attends a soccer game at the local high school. the nurse sees a pregnant woman
grab her throat, indicating she is choking, and is unable to speak. which action is best for the nurse
to take? - verified answer the nurse stands behind the woman and performs chest thrusts
the nurse provides care for a client receiving mag sulfate IV and assesses that the clients deep
tendon reflexes are decreased. which action does the nurse take first? - verified answer
discontinues the IV infusion
a client delivers a baby. In order to monitor for maternal complications, the nurse is most alert for
which finding? - verified answer changes in blood pressure and pulse
the nurse knows a preterm infant is at greatest risk for developing which disorder? - verified
answer respiratory distress syndrome
the nurse provides care for a client 24hr after delivery, and the client states "I have been urinating so
much" which response by the nurse is best? - verified answer your body is getting rid of the
increased fluid
,the nurse prepares a client for an emergency c-section delivery. the client asks how the anesthesia is
going to affect the baby. which answer by the nurse is best? - verified answer the anesthesia is not
administered until immediately prior to the cesarean incision.
the nurse makes a home care visit to a client who delivered an 8lb 5oz (3770.5g) baby 3 days ago.
the client expresses alarm when hearing the baby has lost 8 oz (226.8g). which response by the
nurse is most appropriate? - verified answer this is a normal weight loss. sometimes babies lose as
much as 10% of their birth weight
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem? - verified
answer fetal distress and perinatal asphyxia
a nurse teaches the client about birth control methods. how long does the nurse advise the client to
leave a diaphragm in place after intercourse? - verified answer 6 hours
The parents of a preterm infant visit the infant in the newborn nursery. when they see the infant
resting comfortably in the isolette and express concern about disturbing the baby to hold it. Which
response by the nurse is BEST? - verified answer preterm infants need to develop a sense of trust
and security and holding the infant promotes this
the nurse counsels a couple in their early 30's who have has difficulty conceiving a child. the couple
states that they are worried they are infertile. the nurse teaches the couple that infertility testing is
usually done when? - verified answer after 1 year of unprotected intercourse and the inability to
conceive
A client visiting a community clinic describes some soft and moveable masses in the breast that
become enlarged during menstruation. The nurse is aware that the client is most likely describing
which condition? - verified answer fibrocystic breast diseas
the nurse instructs a prenatal client about the warning signs of complications during pregnancy. the
nurse determines teaching is successful if the client makes which statement? - verified answer I
should contact the HCP if I notice swelling in my face and fingers
the nurse provides care for a neonate born 2 hours ago. which occurrence initiates the changes that
take place in the neonates circulatory system after birth? - verified answer the newborn begins
pulmonary ventilation
, the nurse teaches prenatal classes in the antepartum clinic. which client statement indicates further
teaching is necessary? - verified answer I may feel hot flashes and chills
on the evening before a modified radical mastectomy, a 29 YO client states " I am afraid my spouse
will not find me sexually attractive after my breast is removed". which response by the nurse is best?
- verified answer you're worried about how your spouse will react to the change in your body
a new parent asks the nurse if it is safe to drink wine while breastfeeding. which is the best response
by the nurse? - verified answer alcohol has a depressant effect on the baby
a fetal heart rate (FHR) tracing shows an early deceleration pattern. the nurse is aware that this
indicates which interpretation? - verified answer the FHR slows early in the contraction, which is a
normal finding.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities
into the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes? -
verified answer Moro
The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST important for the
nurse to take which of the following actions? - verified answer observe for bleeding
A primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with the nurse. The
nurse reinforces the importance of regular prenatal care and explains changes in insulin
requirements will include which of the following? - verified answer insulin requirements will
increase during pregnancy and decrease after delivery
The health care provider orders a colposcopy for the client. The nurse explains to the client that
which is the purpose of this procedure? - verified answer Magnifies the tissue for examination
The nurse cares for clients in the prenatal clinic. The nurse identifies which of the following pregnant
woman is MOST likely to have a problem with Rh incompatibility with her fetus? - verified answer
An Rh-negative client who conceived with a Rh-positive partner and gave birth 3 years ago to a rH
positive infant
The nurse instructs a client who recently had a modified radical mastectomy. Which statement by
the nurse is the most important reason for the client to exercise her arm? - verified answer
Prevents lymphedema
a client is in active labor with external monitoring in use. the nurse notes abrupt and rapid
fluctuations in the FHR from baseline to 90bpm and back to baseline on the monitoring device. the
fluctuations in FHR occur with no relationship to the contraction pattern. the client watches the
monitor and asks "is there something wrong with my baby?" which response by the nurse is best? -
verified answer this is a potential problem that requires a position change
the client arrives in the hospital in active labor. the client asks the nurse what is the purpose of the
fetal monitor. which response by the nurse is the best? - verified answer the purpose of the fetal
monitor is to determine if the fetus is receiving adequate amounts of O2
a client who is multipara is diagnosed with premature labor requiring bedrest in the healthcare
facility for an extended amount of time. Which interventions does the nurse include in the clients
care plan? (select all that apply) - verified answer the client needs to be positioned on the left side
and drink fluids
the client needs to eat highly nutritious meals
the nurse observes the staff member palpate a clients uterine contractions. the nurse determines
the staff member is using the correct technique if which observation is made? - verified answer
places one hand on the abdomen over the fundus and presses gently with the fingertips
a client calls the clinic and reports a fever, fatigue and has a hard reddened area in 1 breast. the
client is breastfeeding. which condition does the nurse understand that this client is most likely
experiencing? - verified answer mastitis
the nurse palpates the fundus of a client after the 3rd stage of labor. the nurse expects the fundus to
have which characteristics? - verified answer firm and globular
the nurse provides care for a client diagnosed with cervical cancer. the nurse notes the client
appears to have a poor appetite. which intervention by the nurse is best? - verified answer provide
small, frequent feedings
the home care nurse visits an adolescent client who delivered a full-term infant 2 weeks ago.
although the client appears mature, the nurse knows the clients age may interfere with positive
,mothering because of which factor? - verified answer the client is still experiencing the dependency
of childhood
the nurse instructs a group of expectant parents about the advantages of breastfeeding. the nurse
intervenes if an expectant parent makes which statement? - verified answer my baby will grow
faster and sleep more with breastmilk
which action should the nurse take immediately after the newborn is circumcised? - verified
answer applies petroleum gauze and observes carefully for bleeding.
a multipara client in the 7th month of pregnancy reports to the nurse that the breasts are sensitive
and sore. the nurse makes which suggestions? - verified answer apply cold compresses and wear a
well-fitting, supportive bra
he nurse instructs a pregnant client diagnosed with gestational diabetes about the appropriate diet.
the nurse determines the teaching is effective if the client selects which dessert? - verified answer
fresh fruit
the school nurse attends a soccer game at the local high school. the nurse sees a pregnant woman
grab her throat, indicating she is choking, and is unable to speak. which action is best for the nurse
to take? - verified answer the nurse stands behind the woman and performs chest thrusts
the nurse provides care for a client receiving mag sulfate IV and assesses that the clients deep
tendon reflexes are decreased. which action does the nurse take first? - verified answer
discontinues the IV infusion
a client delivers a baby. In order to monitor for maternal complications, the nurse is most alert for
which finding? - verified answer changes in blood pressure and pulse
the nurse knows a preterm infant is at greatest risk for developing which disorder? - verified
answer respiratory distress syndrome
the nurse provides care for a client 24hr after delivery, and the client states "I have been urinating so
much" which response by the nurse is best? - verified answer your body is getting rid of the
increased fluid
,the nurse prepares a client for an emergency c-section delivery. the client asks how the anesthesia is
going to affect the baby. which answer by the nurse is best? - verified answer the anesthesia is not
administered until immediately prior to the cesarean incision.
the nurse makes a home care visit to a client who delivered an 8lb 5oz (3770.5g) baby 3 days ago.
the client expresses alarm when hearing the baby has lost 8 oz (226.8g). which response by the
nurse is most appropriate? - verified answer this is a normal weight loss. sometimes babies lose as
much as 10% of their birth weight
meconium-stained amniotic fluid alerts the nurse to the possibility of which problem? - verified
answer fetal distress and perinatal asphyxia
a nurse teaches the client about birth control methods. how long does the nurse advise the client to
leave a diaphragm in place after intercourse? - verified answer 6 hours
The parents of a preterm infant visit the infant in the newborn nursery. when they see the infant
resting comfortably in the isolette and express concern about disturbing the baby to hold it. Which
response by the nurse is BEST? - verified answer preterm infants need to develop a sense of trust
and security and holding the infant promotes this
the nurse counsels a couple in their early 30's who have has difficulty conceiving a child. the couple
states that they are worried they are infertile. the nurse teaches the couple that infertility testing is
usually done when? - verified answer after 1 year of unprotected intercourse and the inability to
conceive
A client visiting a community clinic describes some soft and moveable masses in the breast that
become enlarged during menstruation. The nurse is aware that the client is most likely describing
which condition? - verified answer fibrocystic breast diseas
the nurse instructs a prenatal client about the warning signs of complications during pregnancy. the
nurse determines teaching is successful if the client makes which statement? - verified answer I
should contact the HCP if I notice swelling in my face and fingers
the nurse provides care for a neonate born 2 hours ago. which occurrence initiates the changes that
take place in the neonates circulatory system after birth? - verified answer the newborn begins
pulmonary ventilation
, the nurse teaches prenatal classes in the antepartum clinic. which client statement indicates further
teaching is necessary? - verified answer I may feel hot flashes and chills
on the evening before a modified radical mastectomy, a 29 YO client states " I am afraid my spouse
will not find me sexually attractive after my breast is removed". which response by the nurse is best?
- verified answer you're worried about how your spouse will react to the change in your body
a new parent asks the nurse if it is safe to drink wine while breastfeeding. which is the best response
by the nurse? - verified answer alcohol has a depressant effect on the baby
a fetal heart rate (FHR) tracing shows an early deceleration pattern. the nurse is aware that this
indicates which interpretation? - verified answer the FHR slows early in the contraction, which is a
normal finding.
A nurse accidentally bumps into a newborn's bassinet. The newborn jumps and pulls the extremities
into the trunk. The nurse identifies the newborn is demonstrating which of the following reflexes? -
verified answer Moro
The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST important for the
nurse to take which of the following actions? - verified answer observe for bleeding
A primigravida diagnosed with type 1 diabetes mellitus reviews insulin regimen with the nurse. The
nurse reinforces the importance of regular prenatal care and explains changes in insulin
requirements will include which of the following? - verified answer insulin requirements will
increase during pregnancy and decrease after delivery
The health care provider orders a colposcopy for the client. The nurse explains to the client that
which is the purpose of this procedure? - verified answer Magnifies the tissue for examination
The nurse cares for clients in the prenatal clinic. The nurse identifies which of the following pregnant
woman is MOST likely to have a problem with Rh incompatibility with her fetus? - verified answer
An Rh-negative client who conceived with a Rh-positive partner and gave birth 3 years ago to a rH
positive infant
The nurse instructs a client who recently had a modified radical mastectomy. Which statement by
the nurse is the most important reason for the client to exercise her arm? - verified answer
Prevents lymphedema
