A charge nurse on a exertions and delivery unit is teaching a newly certified nurse a way to
carry out Leopoid maneuvers. Which of the subsequent photographs indicates step one of
Leopoid maneuvers? - ANS-Picture of nurse palpating pinnacle of belly; wherein backside is
A nurse in a family making plans hospital is being concerned for a consumer who requests
an oral contraceptive. Which of the subsequent findings in the purchaser's hx ought to the
nurse apprehend as a contraindication to oral contraceptives? (SATA) - ANS-Cholecystitis is
correct.
A history of gallbladder ailment is a contraindication for using oral contraceptives.
Hypertension is accurate.
Hypertension is a contraindication for using oral contraceptives.
Human papillomavirus is inaccurate.
The presence of human papillomavirus isn't always a contraindication for the use of oral
contraceptives.
Migraine complications is correct. A records of migraine headaches is a contraindication for
using oral contraceptives.
Anxiety disease is incorrect. The presence of an anxiety ailment isn't always a
contraindication for the usage of oral contraceptives.
A nurse in a provider's workplace is reviewing the scientific record of a consumer who is
within the first trimester of pregnancy. Which of the following have to the nurse perceive as a
hazard issue for the development of preeclampsia - ANS-Pregestational Diabetes Mellitus
A nurse in an antepartum health center is assessing a purchaser who's at 32 weeks of
gestation. Which of the subsequent findings have to the nurse document to the provider? -
ANS-Reports of decreased fetal motion
A nurse in an antepartum sanatorium is imparting take care of a patron who's at 26 weeks of
gestation. Upon reviewing the customer's medical file, which of the subsequent findings
ought to the nurse document to the provider? - ANS-Fundal Height Measurement
A nurse inside the antepartum sanatorium is assessing a consumer's edition to pregnancy.
The customer states that she is, "glad one minute and crying the subsequent." The nurse
ought to interperate the customer's declaration as an indication of which of the following? -
ANS-A. Emotional lability
B. Focusing section
C. Cognitive restructuring
D. Couvade syndrome
Answer: Emotional lability
A. Emotional lability
,The nurse need to recognize and interpret the client's announcement as an indication of
emotional lability. Many clients enjoy rapid and unpredictable adjustments in mood in the
course of being pregnant. Intense hormonal changes can be accountable for temper
changes that occur at some stage in pregnancy. Tears and anger exchange with emotions of
joy or cheerfulness for little or no purpose.
B. Focusing phase
The focusing phase is the 1/3 segment of the father's emotional reaction to the being
pregnant. It is characterized with the aid of his energetic involvement in the being pregnant
and his dating with the child.
C. Cognitive restructuring
Cognitive restructuring is accepting the concept of pregnancy and assimilating it into the
female's life. The diploma of popularity is proven inside the mother's emotional responses.
D. Couvade syndrome
Couvade syndrome is being pregnant-like manifestations skilled by using t
A nurse is admitting a customer to the exertions and shipping unit while the client states, "My
water simply broke". Which of the subsequent interventions is the nurse's precedence? -
ANS-Begin FHR tracking
A nurse is assessing a consumer who's 1 day postpartum and has a vaginal hematoma.
Which of the following manifestations should the nurse expect? - ANS-Vaginal stress
A nurse is assessing a patron who is at 30 weeks of gestation at some point of a habitual
prenatal visit. Which of the subsequent findings have to the nurse record to the company? -
ANS-A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks
Answer: Swelling of the face
A. Swelling of the face
Swelling of the face, sacral location, and palms can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid moves
out of the intravascular compartment into the tissues, inflicting edema.
B. Varicose veins in the calves
Varicose veins are an expected locating in the second trimester. The increase in hormones
during pregnancy causes the rest of the smooth muscle of the vascular machine, leading to
vessel dilation and vasocongestion. Additionally, the weight of the enlarging uterus on the
pelvic veins decreases the go back of blood from the lower extremities.
C. Nonpitting 1+ ankle edema
Nonpitting edema of the lower extremities is an anticipated locating inside the 0.33 trimester.
Warm climate, sitting or standing for prolonged periods of time, and tight c
A nurse is assessing a patron who is at 36 weeks of gestation. Which of the following
findings have to the nurse record to the provider? - ANS-Report of visual disturbances
, A nurse is assessing a client who's at 38 weeks of gestation all through a weekly prenatal
visit. Which of the following findings ought to the nurse document to the issuer? -
ANS-Weight advantage of two.2 kg (4.Eight lb)
A nurse is assessing a overdue preterm newborn. Which of the subsequent manifestations is
a sign of hypoglycemia? - ANS-Respiratory misery
A nurse is assessing a new child following a circumcision. Which of the following findings
need to the nurse identify as an illustration that the new child is experiencing ache? - ANS-A.
Decreased heart price
B. Chin quivering
C. Pinpoint pupils
D. Slowed respirations
Answer: Chin quivering
A. Decreased coronary heart rate
The heart rate will growth whilst a newborn is experiencing pain.
B. Chin quivering
Behavioral responses to a newborn's pain encompass facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
C. Pinpoint pupils
When experiencing ache, a new child's scholars typically dilate.
D. Slowed respirations
When experiencing pain, a newborn's respirations are usually rapid and shallow.
A nurse is assessing a new child who's 12 hr antique. Which of the subsequent
manifestations calls for intervention through the nurse? - ANS-A. Acrocyanosis of the
extremities
B. Murmur at the left sternal border
C. Substernal chest retractions whilst napping
D. Positive Babinski reflex
Answer: Substernal chest retractions even as dozing
A. Acrocyanosis of the extremities
Acrocyanosis of the extremities is an predicted manifestation in newborns. Acrocyanosis is a
bluish discoloration of the newborn's hands and ft.
B. Murmur on the left sternal border
An audible murmur heard at the left sternal border is an expected manifestation in newborns.
C. Substernal chest retractions even as dozing
Substernal chest retractions can imply breathing misery syndrome in the new child. This
manifestation requires similarly assessment and intervention via the nurse.
D. Positive Babinski reflex