NUR 1600 Reproduction Review

NUR 1600 Reproduction Review 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) Explanation: Question 1 See full question The nurse is caring for a client on her second postpartum day. The nurse should expect the client's lochia to be: You Selected: • red and moderate. Correct response: • red and moderate. Explanation: Remediation: Question 2 See full question A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan? You Selected: • "Another method of contraception is needed until the sperm count is 0." Correct response: • "Another method of contraception is needed until the sperm count is 0." Explanation: Remediation: Question 3 See full question A 20-year-old married client with a positive pregnancy test states, “Is it really true? I can not believe I am going to have a baby!” Which response by the nurse would be most appropriate at this time? You Selected: • "Yes it is true. How does that make you feel?" Correct response: • "Yes it is true. How does that make you feel?" Explanation: Remediation: Question 4 See full question On a client's second postpartum visit, a physician reviews the chart. What's the best term for the lochia described? You Selected: • Rubra Correct response: • Rubra Explanation: Remediation: Question 5 See full question A labor and birth nurse is caring for a client in labor. Which of the following does the nurse identify as a sign that the second stage of labor has begun? You Selected: • The client’s cervix cannot be felt during a vaginal examination. Correct response: • The client’s cervix cannot be felt during a vaginal examination. Explanation: Remediation: Question 6 See full question A primigravida client is admitted to the labor and birth area where the nurse evaluates her. Which of the following assessment findings would be a priority for the nurse to report to the healthcare provider? You Selected: • Fetal heart rate decelerating slightly with contractions Correct response: • Membranes ruptured with fetus at the –3 station Explanation: Remediation: Question 7 See full question A client in active labor asks the nurse why her blood pressure is being monitored so frequently. Which of the following is an appropriate response by the nurse? You Selected: • "Alterations in cardiovascular function affect the fetus." Correct response: • "Alterations in cardiovascular function affect the fetus." Explanation: Remediation: Question 8 See full question The nurse brings the infant to the new mother after obtaining assessment data and performing newborn interventions. Which of the following behaviors exhibited by the mother demonstrates that effective bonding is beginning to take place? You Selected: • The mother looks at the newborn with direct eye contact. Correct response: • The mother looks at the newborn with direct eye contact. Explanation: Remediation: Question 9 See full question During a prenatal visit, a health care provider decides to admit a client to the hospital. Based on the nurse’s progress note, which complication of pregnancy would the health care provider suspect? You Selected: • Hyperemesis gravidarum. Correct response: • Hyperemesis gravidarum. Explanation: Remediation: Question 10 See full question A nurse is caring for a client in the fourth stage of labor. Based on the nurse’s note, which postpartum complication has the client developed? You Selected: • Postpartum hemorrhage. Correct response: • Postpartum hemorrhage. Question 1 See full question A mother brings her 2-month-old infant to the clinic for a well-baby checkup. To best assess the interaction between the mother and infant, the nurse should observe them: You Selected: • as the mother feeds the infant. Correct response: • as the mother feeds the infant. Explanation: Remediation: Question 2 See full question A nurse is teaching a group of clients about birth control methods. When providing instruction about subdermal contraceptive implants, the nurse should cite which feature as the main advantage of this method? You Selected: • The implants provide effective, continuous contraception that isn't user dependent. Correct response: • The implants provide effective, continuous contraception that isn't user dependent. Explanation: Remediation: Question 3 See full question The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with preeclampsia to the labor and birth area. Which client care rooms is most appropriate for this client? You Selected: • a darkened private room as close to the nurses' station as possible Correct response: • a darkened private room as close to the nurses' station as possible Explanation: Remediation: Question 4 See full question A primigravida, currently about 8 weeks pregnant, and her husband ask when they should begin the preparation for childbirth classes that discuss maternal nutrition during pregnancy. Which time would be most appropriate for the nurse to suggest that they begin the classes? You Selected: • now during the first trimester of pregnancy Correct response: • now during the first trimester of pregnancy Explanation: Remediation: Question 5 See full question A client is a long-distance runner and is 8 weeks pregnant with her first baby. The client tells the nurse that she would like to continue running throughout the pregnancy and asks the nurse if there are any safety risks. Which response by the nurse correctly identifies musculoskeletal changes in pregnancy that may be a safety risk to the client? You Selected: • “The joints of the pelvis relax.” Correct response: • “The joints of the pelvis relax.” Explanation: Question 6 See full question A client at 24 weeks gestation comes to the clinic for a prenatal check-up and informs the nurse that she has been “seeing double.” The nurse checks the urine and determines that there is 3+ proteinuria. What does the nurse determine is the potential priority problem? You Selected: • Gestational Diabetes Correct response: • Gestation hypertension Explanation: Remediation: Question 7 See full question The nurse is teaching pain management to a prenatal class. The nurse knows that the instruction has been effective when a participant says which of the following? You Selected: • “I will feel most of my pain in my pelvis during early labor.” Correct response: • “I will feel most of my pain in my pelvis during early labor.” Explanation: Remediation: Question 8 See full question A woman who delivered her last infant by caesarean section is admitted to the hospital at term with contractions every 5 minutes. The health care provider (HCP) intends to have her undergo “a trial labor.” The nurse explains to the client that: You Selected: • labor progress will be evaluated continually to determine appropriate progress for a vaginal delivery. Correct response: • labor progress will be evaluated continually to determine appropriate progress for a vaginal delivery. Explanation: