Final Exam Semester 2 Maternal/Newborn Questions And Answers

Final Exam Semester 2
Maternal/Newborn Questions And
Answers
Acclientcarrivescatcthechospitalcincthecsecondcstagecofclabor.cThecfetus'cheadcisccrowning,cth
ecclientciscbearingcdown,candcthecbirthcappearscimminent.cThecnursecshould:

AcTransferchercimmediatelycbycstretcherctocthecbirthingcunit
BcTellcherctocbreathecthroughchercmouthcandcnotctocbearcdown
CcInstructcthecclientctocpantcduringccontractionscandctocbreathecthroughchercmouth
DcSupportcthecperineumcwithcthechandctocpreventctearingcandctellcthecclientctocpantc-
cCORRECTccANSWER-D




Gentlecpressureciscappliedctocthecbaby'scheadcascitcemergescsocitciscnotcbornctoocrapidly.cTh
echeadciscnevercheldcback,candcitcshouldcbecsupportedcascitcemergescsoctherecwillcbecnocvag
inalclacerations.cItciscimpossiblectocpushcandcpantcatcthecsamectime.

Acclientchascbeencplacedconcenzymecreplacementcforctreatmentcofcchroniccpancreatitis.cInct
eachingcthecclientcaboutcthisctherapy,cthecnursecadvisescthecclientcnotctocmixcenzymecprepa
rationscwithcfoodsccontainingcwhichcelement?

Carbohydrates
Highcfat
Highcfiber
Proteinc-cCORRECTccANSWER-Protein

Thecnursectellscthecclientcnotctocmixcenzymecpreparationscwithcfoodsccontainingcproteincbec
ausecthecenzymescwillcdissolvecthecfoodcintocacwaterycsubstance.cPancreatic-
enzymecreplacementctherapyc(PERT)ciscthecstandardcofccarectocpreventcmalnutrition,cmala
bsorption,candcexcessivecweightclossc(Chartc59-
3).cPancrelipaseciscusuallycprescribedcinccapsulecorctabletcformcandccontainscvaryingcamou
ntscofcamylase,clipase,candcprotease.Nocevidencecsuggestscthatcenzymecpreparationscsho
uldcnotcbecmixedcwithccarbohydrates,cfoodcwithchighcfatccontent,candcfoodcwithchighcfibercco
ntent.

Acclientcinclaborcisctransportedctocthecdeliverycroomcandciscpreparedcforcaccesareancdelivery
.cThecclientcisctransferredctocthecdeliverycroomctable,candcthecnursecplacescthecclientcincthe:

, AcTrendelenburg'scpositioncwithctheclegscincstirrups
BcSemi-Fowlercpositioncwithcacpillowcundercthecknees
CcPronecpositioncwithctheclegscseparatedcandcelevated
DcSupinecpositioncwithcacwedgecundercthecrightchipc-cCORRECTccANSWER-D

Venaccavacandcdescendingcaortaccompressioncbycthecpregnantcuteruscimpedescbloodcretu
rncfromctheclowerctrunkcandcextremities.cThiscleadsctocdecreasingccardiaccreturn,ccardiacco
utput,candcbloodcflowctocthecuteruscandcthecfetus.cThecbestcpositionctocpreventcthiscwouldcbe
cside-

lyingcwithcthecuteruscdisplacedcoffcofcabdominalcvessels.cPositioningcforcabdominalcsurgery
cnecessitatescacsupinecposition;chowever,cacwedgecplacedcundercthecrightchipcprovidescdis

placementcofcthecuterus.

Acclientcwhociscgravidac1,cparac0ciscadmittedcinclabor.cHerccervixcisc100%ceffaced,candcsheci
scdilatedctoc3ccm.cHercfetusciscatc+1cstation.cThecnurseciscawarecthatcthecfetus'cheadcis:

AcNotcyetcengaged
BcEnteringcthecpelviccinlet
CcBelowcthecischialcspines
DcVisiblecatcthecvaginalcopeningc-cCORRECTccANSWER-C

Acstationcofc+1cindicatescthatcthecfetalcheadcisc1ccmcbelowcthecischialcspines.

Aclaboringcclientciscincthecfirstcstagecofclaborcandchascprogressedcfromc4ctoc7ccmcinccervicalc
dilation.cIncwhichcofcthecfollowingcphasescofcthecfirstcstagecdoesccervicalcdilationcoccurcmost
crapidly?




AcPreparatorycphase
BcLatentcphase
CcActivecphase
DcTransitioncphasec-cCORRECTccANSWER-C

Cervicalcdilationcoccurscmorecrapidlycduringcthecactivecphasecthancanycofcthecpreviouscpha
ses.cThecactivecphasecisccharacterizedcbyccervicalcdilationcthatcprogressescfromc4ctoc7ccm.c
Thecpreparatory,corclatent,cphasecbeginscwithctheconsetcofcregularcuterineccontractionscandc
endscwhencrapidccervicalcdilationcbegins.cTransitionciscdefinedcasccervicalcdilationcbeginnin
gcatc8ccmcandclastingcuntilc10ccmcorccompletecdilation.

Aclaboringcclientcisctochavecacpudendalcblock.cThecnursecplansctoctellcthecclientcthatconcecthe
cblockciscworkingcshe:




AcWillcnotcfeelcthecepisiotomy
BcMayclosecbladdercsensation
CcMayclosecthecabilityctocpush
DcWillcnoclongercfeelccontractionsc-cCORRECTccANSWER-A