Unit 5 - Maternity PreU from Ricci: Essentials of Maternity, Newborn, and Women's Health Nursing, Fifth Edition with questions and verified answers

Unit 5 - Maternity PreU from Ricci: Essentials of Maternity, Newborn, and Women's Health Nursing, Fifth Edition with questions and verified answers The nurse is reinforcing health care provider education on the technique for an amniocentesis. Which piece of equipment will the nurse have ready? ultrasound equipment sterile field with scalpel Foley catheter sterile urine cup - ANSWER ultrasound equipment chapter 12 p 383 A fertilized ovum is known as which structure? foetus zygote embryo chorion - ANSWER zygote chapter 10 pg 302 A multigravida client is concerned that she may deliver early. When asking the nurse what is the earliest her baby can be delivered and survive, which time frame would the nurse point out? The end of the second trimester The end of the first trimester The end of the third trimester The end of the fourth trimester - ANSWER the end of the second trimester chapter 10 pg 307 The nurse cares for multiple clients planning to have children. Which client will the nurse identify as priority for needing a referral for prenatal genetic testing? A female client who is 38 years of age A male client who is 45 years of age A female client diagnosed with diabetes mellitus A male client with family history of sickle cell disease - ANSWER a male client with family history of sickle cell disease chapter 10 pg 323 During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding? bruising linea nigra striae darkening of the umbilicus - ANSWER bruising chapter 11 pg 341 At the first prenatal visit, the reports her last menstrual period (LMP) was November 16. The nurse determines the estimated due date to be: August 23 August 13 August 3 September 1 - ANSWER August 23 chapter 12 pg 372 The nurse is assessing a primigravida woman at a routine prenatal visit. Which assessment finding is reinforcing to the client that she is definitely pregnant? continued amenorrhea positive hCG blood result uterine growth ultrasound picture of her fetus - ANSWER ultrasound picture of her fetus chapter 11 pg 335 In preparing for a prenatal class to discuss the hormonal changes during pregnancy, which information would that nurse most likely include? Over-the-counter antacids can be used to treat acid reflux with the health care provider's knowledge. Most of the hormonal changes are permanent after the pregnancy is completed. Taking hormonal replacement therapy can improve the discomfort of the changes. Using herbs will help ease the discomfort. - ANSWER OTC antacids can be used to treat acid reflux with the health care provider's knowledge. chapter 11 pg 338 A pregnant client has been diagnosed with hydramnios and has been referred for further testing. To obtain family history information needed for the testing, which questions(s) should the nurse ask the client? Select all the apply. "Has anyone in your family been born with a problem with the intestines?" "Do you have a family history of children with heart defects?" "Do you have anyone in the family who has been born with a spine problem?" "Do you have anyone in the family born with Down syndrome?" "Has anyone in the family been born with kidney problems?" - ANSWER "Has anyone in your family been born with the intestine?" "Do you have anyone in the family who has been born with a spine problem?" "Do you have anyone in the family born with Down Syndrome" chapter pg 307 The nurse is teaching a prenatal class about preparing for their expanding families. What is helpful advice from the nurse? "Expect your other children to react positively to their new brother/sister." "Your old coping methods will adequately get you through this period of adjustment." "The hormones of pregnancy may cause anxiety or depression postpartum." "Caring for your new infant is instinctual and will come naturally to you." - ANSWER "The hormone of pregnancy may cause anxiety or depression postpartum" chapter 11 pg 355 A client in her third month of pregnancy arrives at the health care facility for a regular follow-up visit. The client reports discomfort due to increased urinary frequency. Which instruction should the nurse offer the client to reduce the client's discomfort? Avoid consumption of caffeinated drinks. Drink fluids with meals rather than between meals. Avoid an empty stomach at all times. Munch on dry crackers and toast in the early morning. - ANSWER Avoid consumption of caffeinated drinks chapter 12 pg 394 Nurses are expected to know how to use the first genetic test. What is it? the developmental assessment the family history the physical assessment the psychosocial assessment - ANSWER the family history chapter 10 pg 325 A pregnant client at 24 weeks' gestation calls the clinic crying after a prenatal visit, where she had pelvic exam. She states that she noticed blood on the tissue when she wiped after voiding. What initial statement by the nurse would explain this finding? The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. She may have a bleeding disorder so she needs to come back to the clinic for blood work. It is possible she is losing her mucus plug, which can cause bloody show.