Exam (elaborations) NUR 1600 Reproduction (NUR 1600 Reproduction?)

NUR 1600 Reproduction Question 1 See full question A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this client, the nurse's highest priority is to evaluate: You Selected:  maternal vital signs and fetal heart rate (FHR). Correct response:  maternal vital signs and fetal heart rate (FHR). Explanation: Remediation: Question 2 See full question A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for: You Selected:  hypotension. Correct response:  hypotension. Explanation: Remediation: Question 3 See full question A 23-year-old client diagnosed with schizophrenia cheerfully announces, "My mom and I are so excited that I am pregnant. She is willing to help us take care of the baby too." Which reason should cause the nurse to be concerned about this situation? You Selected:  Symptom management will be difficult in early pregnancy without medications. Correct response:  Symptom management will be difficult in early pregnancy without medications. Explanation: Remediation: Question 4 See full question Which of the following is a priority nursing diagnosis for the client presenting with pelvic inflammatory disease? You Selected:  Acute pain. Correct response:  Acute pain. Explanation: Remediation: Question 5 See full question A couple has completed testing and is a candidate for in vitro fertilization. The nurse is reviewing the procedure with them and realizes that further instruction is needed when the woman states: You Selected:  "The fertilization procedure can be done anytime during my cycle." Correct response:  "The fertilization procedure can be done anytime during my cycle." Explanation: Remediation: Question 6 See full question The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her disease when she tells the nurse: You Selected:  "I could have trouble getting pregnant." Correct response:  "I could have trouble getting pregnant." Explanation: Remediation: Question 7 See full question After the nurse instructs a client who is scheduled for in vitro fertilization (IVF) about the procedure, which statement by the client indicates to the nurse that the instructions have been successful? You Selected:  "After fertilization, three or four embryos will be transferred through the cervix." Correct response:  "After fertilization, three or four embryos will be transferred through the cervix." Explanation: Remediation: Question 8 See full question A multigravid client at 34 weeks’ gestation who is leaking amniotic fluid has just been hospitalized with a diagnosis of preterm premature rupture of membranes and preterm labor. The client’s contractions are 20 minutes apart, lasting 20 to 30 seconds. Her cervix is dilated to 2 cm. The nurse reviews prescriptions (see chart). Which prescription should the nurse initiate first? You Selected:  Initiate fetal and contraction monitoring. Correct response:  Initiate fetal and contraction monitoring. Explanation: Remediation: Question 9 See full question The nurse is assessing a client who is 4 hours postpartum. Based on the findings documented by the nurse, which action is most appropriate at this time? You Selected:  Notify the charge nurse of the assessment findings. Correct response:  Ask the client to empty her bladder. Explanation: Remediation: Question 10 See full question Which client would benefit most from information explaining the importance of receiving an annual Papanicolaou (PAP) test? You Selected:  A client infected with the human papillomavirus (HPV) Correct response:  A client infected with the human papillomavirus (HPV) .........Continued......