Maternity Practice Exam - 50 questions.

Maternity Practice Exam - 50 questions And Answers . Client teaching is an important part of the perinatal nurse's role. Which factor has the greatest influence on successful teaching of the pregnant client? - The client's investment in what is being taught. When teaching any client, readiness to learn is related to how much the client has invested in what is being taught , or how important the material is to their particular life. For example, the client with severe morning sickness in the first trimester may not be "ready to learn" about labor and delivery, but is probably very "ready to learn" about ways to relieve morning sickness. A 25-year-old client has a positive pregnancy test. One year ago she had a spontaneous abortion at 3 months of gestation. What is the correct description of this client that should be documented in the medical record? - Gravida 2, para 0. This is the client's second pregnancy or second "gravid" event, The spontaneous abortion (miscarriage) occurred at 3 months of gestation (12 weeks), so she is a para 0. Parity cannot be increased unless delivery occurs at 20 weeks of gestation or beyond. A 26-year-old gravida 2, para 1 client is admitted to the hospital at 28 weeks of gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for the primary side effects of terbutaline sulfate, which are: - tachycardia and a feeling of nervousness. tachycardia and a feeling of nervousness. Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of "nervousness" A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower extremities? - Move about (around) every hour. Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to the baseline after the contraction. What action should the nurse implement? - Increase the rate of the Pitocin infusion. The goal of labor augmentation is to produce firm contractions that occur every 2 to 3 minutes, with a duration of 60 to 70 seconds, and without evidence of fetal stress. Fetal heart rate accelerations are a normal response to contractions, so the Pitocin infusion should be increased per protocol to stimulate the frequency and intensity of contractions. A 41-week multigravida is receiving oxytocin (Pitocin) to augment labor. Contractions are firm and occurring every 5 minutes, with a 30- to 40-second duration. The fetal heart rate increases with each contraction and returns to the baseline after the contraction. What action should the nurse implement? - Increase the rate of the Pitocin infusion. The goal of labor augmentation is to produce firm contractions that occur every 2 to 3 minutes, with a duration of 60 to 70 seconds, and without evidence of fetal stress. Fetal heart rate accelerations are a normal response to contractions, so the Pitocin infusion should be increased per protocol to stimulate the frequency and intensity of contractions. A breastfeeding postpartum client is diagnosed with mastitis and antibiotic therapy is prescribed. What instruction should the nurse provide to this client? - Breastfeed the infant, ensuring that both breasts are completely emptied. Mastitis (caused by plugged milk ducts) is related to breast engorgement, and breastfeeding during mastitis facilitates the complete emptying of engorged breasts , eliminating the pressure on the inflamed breast tissue. A client at 28 weeks of gestation calls the antepartal clinic and states that she just experienced a small amount of vaginal bleeding, which she describes as bright red. The bleeding has subsided. She further states that she is not experiencing any