MATERNITY AND PEDIATRIC NURSING REVIEWED QUESTIONS WITH CORRECT ANSWERS

MATERNITY AND PEDIATRIC NURSING REVIEWED QUESTIONS WITH CORRECT ANSWERS the healthy people 2020 initiative has 42 topic areas with hundreds of objectives. the overall goals of healthy people 2020 are to - CORRECT ANSWER-increase life expectancy, improve quality of life, and eliminate health disparities. Under the topic of maternal, infant, and child health, which of the following constitutes an objective for healthy people 2020? - CORRECT ANSWER-Increase the rate at which babies are put to bed on their backs There are 26 leading health indicators that prioritize objectives for the decade. Which of the following objectives that pertain to children is currently being met? - CORRECT ANSWER-Decrease the number of children who are exposed to second hand smoke There are 26 leading health indicators that prioritize objectives for the decade. Which of the following objectives that pertain to children is currently moving away from the target (worsening)? - CORRECT ANSWER-The rate of teenage depression According to the CDC, 75% of mothers start our breastfeeding, but that number diminishes greatly by 6 months, moving away from the healthy people target of 61% at 6 months. Which of the following would constitute a common barrier for women to continue breastfeeding? - CORRECT ANSWER-Lack of accommodation to breastfeed or express milk on the workplace One way in which the healthy people objectives help to increase the rate of breastfed babies is with the establishment of baby-friendly hospitals. which of the following is a step that the baby-friendly hospital would take on the maternity unit? - CORRECT ANSWER-assist the mother to begin breastfeeding within 1 hour of birth the nursing scope of practice is - CORRECT ANSWER-regulated by state laws the ethical term justice means that - CORRECT ANSWER-nurses are fair in utilizing resources for patients nurses that contribute to quality health care by (select all) - CORRECT ANSWER-1. following the standards of care 2. delivering patient-centered care 4. providing equal care to all patients a nursing student was just asked by his patient s she could take a medication from home for a headache. the nursing student is unsure of the answer, what should he do? - CORRECT ANSWER-tell the patient to wait and he will find out. which nursing roles have the legal authority to prescribe medication? (select all) - CORRECT ANSWER-3. RN 4. CNM the ovaries secrete the following hormones (select all) (p 36) - CORRECT ANSWER-1. estrogen 4. progesterone the usual location of fertilization is - CORRECT ANSWER-the Fallopian tube the fertilization ovum usually implants in the - CORRECT ANSWER-endometrium of the uterus the hormone first detected by a blood test about 11 days after conception and in urine tests about 12 to 14 days after conception is - CORRECT ANSWER-hCG the major male hormone of reproduction, testosterone, is produced in the - CORRECT ANSWER-testicles the functions of the placenta are to (select all) - CORRECT ANSWER-1. supply oxygen to the fetus 2. supply nourishment to the fetus 3. produce hormones the substance that provides support and protection of the vessels inside the umbilical cord is - CORRECT ANSWER-Wharton's jelly according to the FDA, medications in this category are contraindicated for use in pregnancy - CORRECT ANSWER-category X heroin use during during pregnancy has been associated with the following adverse outcomes (select all) - CORRECT ANSWER-2. increased rick of premature birth 3. low birth weight 4. hypoglycemia 5. intracranial hemorrhage in the uterus twins that share the same placenta in the uterus are - CORRECT ANSWERmonozygotic` the nurse is discussing pregnancy care with a woman who just had her pregnancy confirmed by her HCP. she is 8 weeks pregnant. which of the following topics should be discussed with the pregnant woman at this time? (select all) - CORRECT ANSWER-1. nutrition for a healthy pregnancy 2. her feelings about pregnancy 3. managing nausea a woman stated that she is feeling a little confused or uncertain about being pregnant. a therapeutic response would be - CORRECT ANSWER-"it's not unusual to have ambivalent feelings about pregnancy." a pregnant woman 37 weeks gestation is lying on her back. she is experiencing lightheadedness and states "i feel like i'm going to faint" the nurse should - CORRECT ANSWER-turn her to her back immediately a woman 36 weeks gestation states that she does not understand why her ankles are swelling by the end of the day. the best response from the nurse is - CORRECT ANSWER-your circulation in your legs is compromised by the weight of the uterus a woman states that she thinks she is pregnant. which of the following presumptive signs of pregnancy may she be experiencing? (select all) - CORRECT ANSWER-1. absence of menstruation 3. nausea 4. sore tender breasts a pregnant patient 9 weeks gestation arrives at the clinic for a routine pregnancy visit. she comments on the morning sickness that she experiences "every day." the nurse knows that morning sickness is due to (select all that apply) - CORRECT ANSWER-1. high levels of hCG, estrogen, prostaglandin 2. reduced tone of the GI system 3. reduced stomach acidity quickening is usually noticed first - CORRECT ANSWER-between 16 and 20 weeks gestation pregnant patient asks why the quadruple screen test is done. the nurse answers that the test is performed: - CORRECT ANSWER-between 15 and 20 weeks to detect Down's syndrome or trisomy 18 Pregnant patient 8 weeks gestation is at a prenatal visit. Most likely if no complications have developed her next visit will be scheduled in ______ weeks - CORRECT ANSWER-4