MATERNITY AND WOMEN'S HEALTH NURSING LOWDERMILK MATERNITY EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK

MATERNITY AND WOMEN'S HEALTH NURSING LOWDERMILK MATERNITY
EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK




MATERNITY AND WOMEN'S HEALTH NURSING
LOWDERMILK MATERNITY EXAMINATION
AND HISTORY TAKING 13TH EDITION BICKLEY
TEST BANK

, MATERNITY AND WOMEN'S HEALTH NURSING LOWDERMILK MATERNITY
EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK

Question 1

Which of the following signs is the best indicator of true labor? A. Increased fetal movement
B. Progressive cervical dilation
C. Loss of mucus plug
D. Braxton Hicks contractions

Answer: B. Progressive cervical dilation
Rationale: Progressive cervical dilation is the best indicator of true labor because it shows that
the cervix is responding to uterine contractions by opening, allowing the baby to move down the
birth canal.

Question 2

A nurse is caring for a client in labor who is receiving oxytocin. Which of the following
actions should the nurse take? A. Increase the infusion rate every 10 minutes
B. Monitor fetal heart rate every 15 minutes
C. Administer oxygen via nasal cannula
D. Place the client in a supine position

Answer: B. Monitor fetal heart rate every 15 minutes
Rationale: Monitoring the fetal heart rate every 15 minutes ensures early detection of fetal
distress, which can be a side effect of oxytocin administration.

Question 3

A client at 28 weeks of gestation is admitted with a diagnosis of placenta previa. Which of
the following is the most appropriate nursing action? A. Perform a vaginal exam
B. Prepare for an emergency cesarean section
C. Monitor maternal vital signs every 4 hours
D. Place the client on bed rest

Answer: D. Place the client on bed rest
Rationale: Bed rest is important to prevent bleeding in a client with placenta previa. Vaginal
exams are contraindicated because they can precipitate bleeding.

Question 4

A nurse is teaching a client who is breastfeeding about dietary practices. Which of the
following nutrients is most important to increase during lactation? A. Vitamin D
B. Iron
C. Calcium
D. Protein

, MATERNITY AND WOMEN'S HEALTH NURSING LOWDERMILK MATERNITY
EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK

Answer: D. Protein
Rationale: Protein is essential for milk production and to support the increased metabolic
demands of lactation.

Question 5

Which of the following interventions should the nurse implement for a client who is
experiencing postpartum hemorrhage? A. Apply an ice pack to the perineum
B. Administer oxytocin as prescribed
C. Encourage the client to void every 4 hours
D. Massage the fundus every 30 minutes

Answer: B. Administer oxytocin as prescribed
Rationale: Oxytocin promotes uterine contractions, which helps to control bleeding by
compressing the blood vessels in the uterus.

Question 6

A nurse is assessing a newborn who was born at 42 weeks of gestation. Which of the
following findings is expected? A. Abundant lanugo
B. Smooth, soft skin
C. Vernix caseosa covering the body
D. Dry, cracked skin

Answer: D. Dry, cracked skin
Rationale: Post-term infants often have dry, cracked skin due to decreased vernix caseosa.

Question 7

A client is in the second stage of labor. Which of the following indicates that the placenta
has separated from the uterine wall? A. Lengthening of the umbilical cord
B. Decrease in fundal height
C. Change in the shape of the uterus
D. Sudden gush of blood

Answer: A. Lengthening of the umbilical cord
Rationale: Lengthening of the umbilical cord is one of the classic signs of placental separation,
indicating that the placenta is ready to be delivered.

Question 8

A nurse is caring for a client who is receiving magnesium sulfate for severe preeclampsia.
Which of the following findings indicates magnesium toxicity? A. Hyperreflexia
B. Decreased urine output

, MATERNITY AND WOMEN'S HEALTH NURSING LOWDERMILK MATERNITY
EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK

C. Tachypnea
D. Pruritus

Answer: B. Decreased urine output
Rationale: Decreased urine output can lead to magnesium accumulation and toxicity. Other
signs include loss of deep tendon reflexes and respiratory depression.

Question 9

A nurse is preparing to administer erythromycin ointment to a newborn. Which of the
following statements by the mother indicates understanding of the procedure? A. "This
ointment will prevent eye infections from gonorrhea."
B. "This ointment will keep my baby's eyes moist."
C. "This ointment will prevent my baby from becoming jaundiced."
D. "This ointment will help my baby to see better."

Answer: A. "This ointment will prevent eye infections from gonorrhea."
Rationale: Erythromycin ointment is used prophylactically to prevent neonatal conjunctivitis
caused by Neisseria gonorrhoeae.

Question 10

A nurse is caring for a newborn who has a cephalohematoma. Which of the following
complications is the infant at risk for? A. Hyperglycemia
B. Hypercalcemia
C. Hyperbilirubinemia
D. Hyperthermia

Answer: C. Hyperbilirubinemia
Rationale: Cephalohematoma is a collection of blood between the skull bone and periosteum,
which can lead to increased breakdown of red blood cells and consequently, hyperbilirubinemia.

Question 11

A nurse is caring for a client in labor who is HIV positive. Which of the following actions
should the nurse take to decrease the risk of transmission to the newborn? A. Avoid using
fetal scalp electrodes
B. Perform an episiotomy
C. Encourage breastfeeding immediately after birth
D. Administer antibiotics to the newborn

Answer: A. Avoid using fetal scalp electrodes
Rationale: Using fetal scalp electrodes can increase the risk of HIV transmission due to potential
microtransfusions. Therefore, it should be avoided.