HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
HESIgRN:
Maternityg-
gTestgBankgForgLP
NgtogRNgTransition
sgAchievinggSucces
sgingyourgNewgRol
eg5thgEditiongWith
gRationales
,HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
Ag38-
weekgprimigravidagwhogworksgasgagsecretarygandgsitsgatga
gcomputergforg8ghoursgeachgdaygtellsgthegnursegthatghergf
eetghavegbegungtogswell.gWhichginstructiongwouldgbegmos
tgeffectivegingpreventinggpoolinggofgbloodgingtheglowergext
remities?g-gCORRECTgANSWER-Movegaboutgeveryghour
Poolinggofgbloodgingtheglowergextremitiesgresultsgfromgthe
genlargedguterusgexertinggpressuregongthegpelvicgveins.gM
ovinggaboutgeveryghourgwillgstraightengoutgthegpelvicgvein
sgandgincreasegvenousgreturn.
Ag26-year-
old,ggravidag2,gparag1gclientgisgadmittedgtogtheghospitalga
tg28-
weeksggestationgingpretermglabor.gShegisggiveng3gdosesgof
gterbutalinegsulfateg(Brethine)g0.25gmggsubcutaneouslygtog
stopgherglaborgcontractions.gThegnursegplansgtogmonitorgf
orgwhichgprimarygsidegeffectgofgterbutalinegsulfate?g-
gCORRECTgANSWER-
Tachycardiagandgagfeelinggofgnervousness
Terbutalinegsulfateg(Brethine),gagbeta-
sympathomimeticgdrug,gstimulatesgbeta-
adrenergicgreceptorsgingtheguterinegmusclegtogstopgcontr
,HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
actions.gThegbeta-adrenergicgagonistgpropertiesgof
, HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
thegdruggmaygcausegtachycardia,gincreasedgcardiacgoutput,gre
stlessness,gheadache,gandgagfeelinggofg"nervousness".
Whengdogtheganteriorgandgposteriorgfontanelsgclose?g-
gCORRECTgANSWER-
anteriorgfontanelgclosesgatg12gtog18gmonthsgandgthegposte
riorgbygthegendgofgthegsecondgmonth.
Whengassessinggagclientgwhogisgatg12-
weeksggestation,gthegnursegrecommendsgthatgshegandgherghu
sbandgconsidergattendinggchildbirthgpreparationgclasses.gWhen
gisgthegbestgtimegforgthegcouplegtogattendgthesegclasses?g-
gCORRECTgANSWER-30gweeksggestation
atg30gweeksggestationgisgclosestg(ofgthegoptions)gtogthegti
megparentsgwouldgbegreadygforgsuchgclasses.gLearninggisgfa
cilitatedgbyganginterestedgpupil!
gThegcouplegisgmostginterestedgingchildbirthgtowardgthegen
dgofgthegpregnancygwhengtheygaregpsychologicallygreadygfo
rgthegterminationgofgthegpregnancy,gandgthegbirthgofgtheir
gchildgisgangimmediategconcern.
Thegnursegshouldgencouragegtheglaboringgclientgtogbeging
pushinggwhen...g-gCORRECTgANSWER-
thegcervixgisgcompletelygdilated.
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
HESIgRN:
Maternityg-
gTestgBankgForgLP
NgtogRNgTransition
sgAchievinggSucces
sgingyourgNewgRol
eg5thgEditiongWith
gRationales
,HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
Ag38-
weekgprimigravidagwhogworksgasgagsecretarygandgsitsgatga
gcomputergforg8ghoursgeachgdaygtellsgthegnursegthatghergf
eetghavegbegungtogswell.gWhichginstructiongwouldgbegmos
tgeffectivegingpreventinggpoolinggofgbloodgingtheglowergext
remities?g-gCORRECTgANSWER-Movegaboutgeveryghour
Poolinggofgbloodgingtheglowergextremitiesgresultsgfromgthe
genlargedguterusgexertinggpressuregongthegpelvicgveins.gM
ovinggaboutgeveryghourgwillgstraightengoutgthegpelvicgvein
sgandgincreasegvenousgreturn.
Ag26-year-
old,ggravidag2,gparag1gclientgisgadmittedgtogtheghospitalga
tg28-
weeksggestationgingpretermglabor.gShegisggiveng3gdosesgof
gterbutalinegsulfateg(Brethine)g0.25gmggsubcutaneouslygtog
stopgherglaborgcontractions.gThegnursegplansgtogmonitorgf
orgwhichgprimarygsidegeffectgofgterbutalinegsulfate?g-
gCORRECTgANSWER-
Tachycardiagandgagfeelinggofgnervousness
Terbutalinegsulfateg(Brethine),gagbeta-
sympathomimeticgdrug,gstimulatesgbeta-
adrenergicgreceptorsgingtheguterinegmusclegtogstopgcontr
,HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
actions.gThegbeta-adrenergicgagonistgpropertiesgof
, HESIgRN:gMaternityg-
gTestgBankgForgLPNgtogRNgTransitionsgAchievinggSuccessgingyourgNewgRoleg5thgEdition
thegdruggmaygcausegtachycardia,gincreasedgcardiacgoutput,gre
stlessness,gheadache,gandgagfeelinggofg"nervousness".
Whengdogtheganteriorgandgposteriorgfontanelsgclose?g-
gCORRECTgANSWER-
anteriorgfontanelgclosesgatg12gtog18gmonthsgandgthegposte
riorgbygthegendgofgthegsecondgmonth.
Whengassessinggagclientgwhogisgatg12-
weeksggestation,gthegnursegrecommendsgthatgshegandgherghu
sbandgconsidergattendinggchildbirthgpreparationgclasses.gWhen
gisgthegbestgtimegforgthegcouplegtogattendgthesegclasses?g-
gCORRECTgANSWER-30gweeksggestation
atg30gweeksggestationgisgclosestg(ofgthegoptions)gtogthegti
megparentsgwouldgbegreadygforgsuchgclasses.gLearninggisgfa
cilitatedgbyganginterestedgpupil!
gThegcouplegisgmostginterestedgingchildbirthgtowardgthegen
dgofgthegpregnancygwhengtheygaregpsychologicallygreadygfo
rgthegterminationgofgthegpregnancy,gandgthegbirthgofgtheir
gchildgisgangimmediategconcern.
Thegnursegshouldgencouragegtheglaboringgclientgtogbeging
pushinggwhen...g-gCORRECTgANSWER-
thegcervixgisgcompletelygdilated.