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Client teaching is an important part of the maternity nurse's role. Which factor has the greatest
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influence on successful teaching of the gravid client? - Correct Answers A. The client's readiness
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to learn
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Il` A 38-week primagravida who works as a secretary and sits at a computer 8 hours a day tells the
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Il` nurse that her feet have begun to swell. Which instruction would be most effective in preventing
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Il` pooling of blood in the lower extremities? - Correct Answers C. Move about every hour
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Il` During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When
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Il` compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who
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Il` have - Correct Answers B. lower birth weights
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Il` A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm
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Il` labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her
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Il` labor contractions. The nurse plans to monitor for which primary side effect of terbutaline
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Il` sulfate? - Correct Answers C. Tachycardia and a feeling of nervousness
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Il` A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is
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Il` most effective to prevent nipple soreness? - Correct Answers C. correctly place the infant on the
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Il` breast
Il` A full term infant is transferred to the nursery from L & D. Which information is most important
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Il` for the nurse to receive when planning immediate care for the newborn? - Correct Answers B.
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Il` Infant's condition at birth and treatment received. Il` Il` Il` Il` Il` Il`
Il` In developing a teaching plan for expectant parents, the nurse plans to include information about
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Il` when the parents can expect the infant's fontanels to close. The nurse bases the explanation on
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, knowledge that for the normal newborn, the - Correct Answers D. anterior fontanel closes at 12-
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18 mos and the posterior fontanel by the end of the second month.
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Il` When assessing a client who is 12-weeks gestation, the nurse recommends the she and her
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Il` husband consider attending childbirth preparation classes.
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What is the best time for the couple to attend these classes? - Correct Answers D. At 30 weeks
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gestation.
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Il` The nurse should encourage the laboring client to begin pushing when - Correct Answers C. the
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Il` cervix is completely dilatedIl` Il` Il`
Il` The nurse is counseling a couple who has sought information about conceiving. For teaching
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Il` purposes, the nurse should know that ovulation usually occurs - Correct Answers A. two weeks
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Il` before menstruation. Il`
Il` The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to
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Il` complain of tingling fingers and dizziness. What action should the nurse take? - Correct Answers
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Il` C. have the client breath into her cupped hands
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Il` When preparing a newborn care for expectant parents, what content should the nurse teach
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Il` concerning the newborn infant born at term gestation? - Correct Answers C. Vernix is a white,
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Il` cheesy substance, predominately located in the skin folds.
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Il` Twenty-four hours after admission to the newborn nursery, a full-term male infant develops Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` localized edema on the right side of his head. The nurse knows that, in the newborn, an
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Il` accumulation of blood between the periosteum and skull which does not cross the suture line is a Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` newborn variation known as - Correct Answers A. a cephalhematoma, caused by forceps trauma
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Il` and may last up to 8 weeks.
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Il` An expectant father tells the nurse he fears that his wife "is losing her mind". He states she is
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Il` constantly rubbing her abdomen and talking to the baby and that she actually reprimands the
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