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A patient at 38 weeks calls to the OB Triage area and states her
baby is not moving. What should the instructions be to the
patient? - ANSWER-Come in for an evaluation ASAP
Upon examination, the nurse feels the patient may have a
breech presentation.
What is the most appropriate next nursing intervention? -
ANSWER-Consult
provider or charge nurse for further
assessment
Centering of care in pregnant women is a way to provide
_______ care to women should have similar needs, diagnosis
or plans of care. – ANSWER-Prenatal
What occurs when the breast are overly full of milk and are
often firm and
swollen? - ANSWER-Breast
engorgement
,T of F: it is important to teach patients who chose oral
contraceptives as a form
of birth control that they may need an additional form of birth
control for the first
month. - ANSWER-
True
T of F: in teaching breastfeeding mothers about drinking
alcohol, it is important to emphasize if infant nurse after a
mother has a drink they actually take in less breast milk. -
ANSWER-True. Breast feeding moms should not drink alcohol.
IUD's should be placed how many weeks after giving birth?
- ANSWER-4-6
weeks
ideally
What should you tell a woman who is Hep C carrier about her
interest to breastfeed? - ANSWER-They can breastfeed, unless
they also have HIV, then breastfeeding is contraindicated.
Should women who are coming the first prenatal visit be
given information
about smoking cessation? -
ANSWER-Yes
What lab work should the nurse anticipate for the patient
who desires an
,epidural? - ANSWER-CBC with
platelet count
Interpret the following information about your next patient:
G3P4 - ANSWER-
Pregnant 3 times, 4 living children; one must have been
a set of twins
Family members should be included in care and teaching. What
vaccine is most important for family members to have up to
date when considering care for the newborn and a recent rise in
this neonatal infectious disease? – ANSWER-Tdap-Pertussis is
on the rise and all adults need a booster that will be around the
newborn
Routine use of _______ is no longer considered beneficial in
the breastfeeding
infant. - ANSWER-
Pacifiers
T or F: abnormal quad screening results can sometimes
indicate placental
abnormalities? -
ANSWER-True
(Quad screening = a blood test that screens for the risk of
certain birth defects
in a developing
fetus)
, T of F: Patients who test positive for Group B Strep need to
receive information
on what to do when they go into labor or their water breaks. -
ANSWER-True
In considering Pre-Eclampsia, it is important to remember
these patients are
often considered to be _________ or in a sense dehydrated.
- ANSWER-
Vasoconstricted
Pregnant women have increased ________ volume which
allows for increased
uterine blood flow and placental perfusion. -
ANSWER-Stroke
Maternal ______ has now been shown to be considered a major
risk factor for
women of child bearing age. -
ANSWER-Obesity
Most research shows that women at risk can be given low
dose ______ to
decrease their risk for developing pre-eclampsia. -
ANSWER-Aspirin
It is imperative to treat women who are HIV positive with _____
prior to delivery to decrease the risk of transmission to their
infants. - ANSWER-AZT (zidovudine or azidothymidine)