VNSG1330-MATERNAL/NEWBORN NUR-VNSG1330 L91182S-MATERNAL/NEWBORN NURSING Exams

VNSG1330-MATERNAL/NEWBORN NUR-VNSG1330 L91182S-MATERNAL/NEWBORN NURSING Exams 1 out of 1 points A woman reports that her last normal menstrual period began on August 5, 2013. What is this woman’s expected delivery date using Nägele’s rule? Selected Answer: c. May 12, 2014 Question 2 1 out of 1 points What is the nurse primarily concerned about maintaining in the initial care of the newborn? Selected Answer: c. Thermoregulation Question 3 1 out of 1 points A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at risk for what? Selected Answer: c. Brain damage Question 4 1 out of 1 points What organ does the ductus venosus shunt blood away from in fetal circulation? Selected Answer: c. Liver Question 5 1 out of 1 points A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter’s menstrual cycle. What is the nurse’s best response? Selected Answer: d. “Early cycles are often irregular.” Question 6 1 out of 1 points Why should the nurse encourage the mother to void during the fourth stage of labor? Selected Answer: b. A full bladder could predispose the mother to uterine hemorrhage. Question 7 0 out of 1 points A pulsating structure is felt during a vaginal examination of a woman in labor. How would the nurse position the woman to prevent compression of a prolapsed cord? Selected Answer: b. On her right side with knees flexed Question 8 1 out of 1 points A nurse instructs a woman’s labor coach to comfort her by firmly pressing on her lower back. What is this technique? Selected Answer: d. Sacral pressure Question 9 1 out of 1 points A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments? Selected Answer: b. Every 4 weeks until the 7th month, after which appointments will become more frequent Question 10 1 out of 1 points The parents of a newborn girl express concern about the infant’s vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? Selected Answer: b. Cessation of female sex hormones transferred in utero from mother to infant Question 11 1 out of 1 points During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. What is Chadwick’s sign? Selected Answer: c. Bluish or purplish discoloration of the vulva, vagina, and cervix Question 12 1 out of 1 points What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid? Selected Answer: c. Hydrocephalus Question 13 1 out of 1 points A woman’s prepregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy? Selected Answer: c. 25 to 35 pounds Question 14 1 out of 1 points The nurse is caring for a macrosomic newborn whose mother has diabetes. What should the nurse assess for with this neonate? Selected Answer: a. Hypoglycemia Question 15 1 out of 1 points The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus? Selected Answer: d. One umbilical vein Question 16 1 out of 1 points Why is the relaxation phase between contractions important? Selected Answer: b. The contractions can interfere with fetal oxygenation. Question 17 0 out of 1 points The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago. What is the nurse’s initial action? Selected Answer: d. Notify the physician. Question The nurse assesses a positive Homans sign when the patient’s leg is flexed and foot sharply dorsiflexed. Where does the patient report that the pain is felt? Selected Answer: a. Top of the foot Question 19 1 out of 1 points A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman? Selected Answer: b. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced. Question 20 1 out of 1 points A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately? Selected Answer: c. Blurred vision Question 21 1 out of 1 points During an ultrasound, two amnions and two placentas are observed. What will be the most likely result of this pregnancy? Selected Answer: c. Dizygotic twins Question 22 1 out of 1 points The nurse is counseling a lactating mother about diet. What would the nurse include with this information? Selected Answer: d. Consume 500 more calories than her usual prepregnancy diet. Question 23 1 out of 1 points A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Selected Answer: a. “An ovum must be fertilized within 24 hours of ovulation.” Question 24 1 out of 1 points A woman has had persistent lochia rubra for 2 weeks after her delivery and is experiencing pelvic discomfort. What does the nurse explain is the usual treatment for subinvolution? Selected Answer: a. Dilation and curettage Question 25 1 out of 1 points Below what blood glucose level is the newborn considered hypoglycemic? Selected Answer: a. Below 40 mg/dL Question 26 1 out of 1 points A pregnant woman asks the nurse, “Will I be able to have a vaginal delivery?” The nurse knows that which is the most favorable pelvic type for vaginal birth? Selected Answer: c. Gynecoid Question 27 1 out of 1 points Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? Selected Answer: a. Ignaz Semmelweis Question 28 1 out of 1 points An infant is delivered with the use of forceps. What should the nurse assess for in the newborn? Selected Answer: d. Facial asymmetry Question 29 1 out of 1 points What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient? Selected Answer: d. Calcium gluconate Question 30 1 out of 1 points A 48-year-old woman tells the nurse, “I missed my period last month. Am I in menopause?” The nurse knows that at which point is a woman considered to be menopausal? Selected Answer: c. Her periods have stopped for 1 year. Question 31 1 out of 1 points A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. What action by the physician will the nurse anticipate? Selected Answer: d. Perform an amniotomy. Question 32 1 out of 1 points The nurse uses a diagram to demonstrate the fimbriae when teaching nursing students about the female anatomy. What is true about fimbriae? Selected Answer: d. They are fingerlike projections that “capture” the ovum. Question 33 1 out of 1 points The nurse is educating high school students about puberty. What will the nurse indicate regulates the production of sperm and secretion hormones? Selected Answer: a. Testes Question 34 1 out of 1 points What type of lochia will the nurse assess initially after delivery? Selected Answer: d. Rubra Question 35 1 out of 1 points What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman? Selected Answer: a. Blood pressure Question 36 1 out of 1 points What is the function of contractions during the second stage of labor? Selected Answer: c. Push the infant out of the mother’s body Question 37 1 out of 1 points What marks the end of the third stage of labor? Selected Answer: a. Expulsion of the placenta and membranes Question 38 1 out of 1 points A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which as a positive sign of pregnancy? Selected Answer: c. Fetal heartbeat Question 39 1 out of 1 points What term describes the age of a neonate that is based on the actual time in utero? Selected Answer: b. Gestational age Question 40 1 out of 1 points The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record? Selected Answer: d. High-pitched cry Question 41 1 out of 1 points What nursing action is appropriate to prevent possible retinopathy in a preterm infant requiring oxygen therapy? Selected Answer: d. Monitor arterial oxygen levels with a pulse oximeter. Question 42 1 out of 1 points What nursing care should be provided to a woman with a third-degree laceration immediately after delivery? Selected Answer: c. Cold pack to the perineum Question 43 0 out of 1 points At what point in prenatal development do the lungs begin to produce surfactant? Selected Answer:b. 20 weeks Question 44 1 out of 1 points A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse’s initial action? Selected Answer: a. Stop the oxytocin infusion. Question 45 1 out of 1 points What nursing assessment should be reported immediately after an amniotomy? Selected Answer: b. Amniotic fluid is watery and pale green. Question What symptom presented by a pregnant women is indicative of abruptio placentae? Selected Answer: c. Premature rupture of membranes Question 47 1 out of 1 points Although the nurse has massaged the uterus every 15 minutes, it remains flaccid, and the patient continues to pass large clots. What does the nurse recognize these signs indicate? Selected Answer: c. Uterine atony Question 48 1 out of 1 points After several hours of labor, a nursing assessment reveals that a woman’s cervix is 5 cm dilated but contractions are becoming shorter and less frequent. What is this labor pattern considered? Selected Answer: c. Hypotonic Question 49 1 out of 1 points The young prenatal patient with gestational diabetes mellitus (GDM) says, “I am frightened that I will have to deal with insulin injections for the rest of my life.” What is the best response by the nurse? Selected Answer: b. “It will most likely resolve 6 weeks or so after the baby is born.” Question 50 1 out of 1 points What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions? Selected Answer: b. Encourage the patient to pant. Question 51 1 out of 1 points The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal lung maturity? Selected Answer: a. Corticosteroids Question 52 1 out of 1 points What was recommended by Karl Credé in 1884? Selected Answer: c. Silver nitrate should be placed in the eyes of newborns. Question 53 1 out of 1 points The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the most appropriate nursing intervention? Selected Answer: c. Count respirations and report a rate of less than 12 breaths/min. Question 54 1 out of 1 points Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner? Selected Answer: d. Infant’s diaper is not wet after 8 hours Question 55 1 out of 1 points The mother of a postterm infant asks the nurse why the infant is being watched so closely. What is the nurse’s most appropriate response? Selected Answer: d. “The placenta does not function adequately as it ages.” Question 56 1 out of 1 points A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse knows that what is the usual treatment for an infant with this diagnosis? Selected Answer: b. A Pavlik harness Question 57 1 out of 1 points At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse knows that what indicates the beginning of true labor? Selected Answer: a. Regular contractions becoming more frequent and intense Question 58 1 out of 1 points What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery? Selected Answer: c. Well-contracted with its upper border at or just below the umbilicus Question 59 1 out of 1 points What does the nurse note when measuring the frequency of a laboring woman’s contractions? Selected Answer: d. The time between the beginning of one contraction and the beginning of the next Question 60 1 out of 1 points What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision? Selected Answer: c. Clinical pathways Question 61 1 out of 1 points A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? Selected Answer: c. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. Question 62 1 out of 1 points At 1 and 5 minutes of life, a newborn’s Apgar score is 9. What does the nurse understand that a score of 9 indicates? Selected Answer: c. The newborn is in stable condition. Question 63 0 out of 1 points A postpartum woman is not immune to rubella. What will the nurse expect? Selected Answer:d. No intervention is indicated at this time because the woman is not at risk for rubella. Question 64 1 out of 1 points The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions. What is the appropriate term for this type of control? Selected Answer: c. Empowerment Question 65 1 out of 1 points Where are the secretions responsible for nourishing sperm excreted from? Selected Answer: b. Cowper’s gland Question 66 1 out of 1 points A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. What side effect should the nurse inform the patient that she might experience? Selected Answer: b. Warm flush Question 67 1 out of 1 points Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy? Selected Answer: d. Insulin does not cross the placental barrier to the fetus. Question 68 0 out of 1 points One hour postdelivery the nurse notes the new mother has saturated three perineal pads. What is the most appropriate nursing action? Selected Answer: a. Report to the doctor immediately. Question 69 1 out of 1 points When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. What is a contraindication to an epidural block? Selected Answer: d. Abnormal clotting Question 70 1 out of 1 points Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify? Selected Answer: a. Hyperventilation Question 71 1 out of 1 points What is the focus of current maternity practice? Selected Answer: b. A quality family experience for each patient Question 72 0 out of 1 points During a strenuous labor, the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes. What is the best nursing action? Selected Answer:c. Suggest that the coach give her a back rub. Question 73 1 out of 1 points During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. How early might fetal heart tones be detected with an electronic Doppler device? Selected Answer: c. 10 weeks Question 74 1 out of 1 points What is the most common site for fertilization? Selected Answer: b. Outer third of the fallopian tube near the ovary Question 75 1 out of 1 points The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information? Selected Answer: a. “My breathing will get deeper and a little faster.” Question 76 0 out of 1 points The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination? Selected Answer: d. During her menstrual period Question 77 1 out of 1 points The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect? Selected Answer: b. Maternal tachycardia Question 78 1 out of 1 points The nurse assesses a boggy uterus with the fundus above the umbilicus and deviated to the side. What should the nurse’s next assessment be? Selected Answer: d. Fullness of the bladder Question 79 0 out of 1 points The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant? Selected Answer: d. Hormones that stimulate growth Question 80 1 out of 1 points When the newborn’s crib was moved suddenly, the nurse noticed that his legs flexed and arms fanned out, and then both came back toward the midline. How would the nurse interpret this behavior? Selected Answer: c. The Moro reflex Question 81 1 out of 1 points An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition? Selected Answer: d. Total placenta previa Question 82 1 out of 1 points While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurse’s initial action? Selected Answer: b. Reposition the woman on her side. Question 83 0 out of 1 points A patient who received an epidural block asks why her blood pressure is taken so often. What is the nurse’s best response to explain the frequent blood pressure assessments? Selected Answer: a. They ensure that unsafe levels of hypertension do not occur. Question 84 1 out of 1 points A 10-year-old girl asks the nurse, “What is the first sign of puberty?” What is the correct nursing response? Selected Answer: d. Breast development Question 85 1 out of 1 points While inspecting a newborn’s head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting? Selected Answer: b. Cephalohematoma Question 86 1 out of 1 points A primigravida in her first trimester is Rh negative. What will this woman receive to prevent anti-Rh antibodies from forming? Selected Answer: a. Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant Question 87 1 out of 1 points Of what is the normal umbilical cord comprised? Selected Answer: a. 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus Question 88 1 out of 1 points A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. What complication should the nurse closely assess for with this patient? Selected Answer: d. Chorioamnionitis Question 89 1 out of 1 points What should a woman expect after insertion of an intrauterine device (IUD)? Selected Answer: c. A string should be felt in the vagina. Question 90 1 out of 1 points Which narcotic antagonist is used to reverse narcotic-induced respiratory depression? Selected Answer: b. Naloxone (Narcan) Question 91 1 out of 1 points The nurse is caring for a woman in the first stage of labor. What will the nurse remind the patient about contractions during this stage of labor? Selected Answer: a. They dilate and efface the cervix. Question A newborn was just admitted to the neonatal intensive care unit with a meningomyelocele. What is the priority preoperative nursing care of this newborn? Selected Answer: b. Keep the sac dry. Question 93 1 out of 1 points Postoperative nursing care of the infant following surgical repair of a cleft lip would include: Selected Answer: d. Applying elbow restraints to protect the surgical area Question What should the nurse implement for security purposes when bringing the infant from the nursery to the mother? Selected Answer:b. Ask the mother to identify herself verbally. Question 95 1 out of 1 points What is the best nursing action to implement when late decelerations occur? Selected Answer: d. Increase oxygen to 10 L/minute Question 96 1 out of 1 points A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include? Selected Answer: a. Comprehensive prenatal care Question 97 1 out of 1 points When the nurse tells a pregnant woman that she needs 1200 mg of calcium daily during pregnancy, the woman responds, “I don’t like milk.” What dietary adjustments could the nurse recommend? Selected Answer: b. Eat more green leafy vegetables. Question 98 1 out of 1 points The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development? Selected Answer: c. Neural tube defects Question 99 1 out of 1 points A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman? Selected Answer: c. A regular schedule of moderate exercise during pregnancy is beneficial. Question 100 1 out of 1 points Parents ask the nursery staff what the light does for their jaundiced infant. What is the nurse’s best response? Selected Answer: d. “The light breaks down bilirubin.” Thursday, May 2, 2019 9:46:14 AM CDT OK