Archer - Maternal and Newborn\\\ARCHER MATERNAL
AND NEWBORN WITH QUESTIONS AND WELL VERIFIED
ANSWERS ALREADY GRADED A+ LATEST EXAM
Which of the following signs or symptoms would you expect in a postpartum patient experiencing
subinvolution?
Select all that apply.
A. Boggy uterus
B. Board-like abdomen
C. Decreased fundal height
D. Increased bleeding - -----ANS----Choices A and D are correct. A boggy uterus is a sign of subinvolution.
Boggy, refers to a womb that is not firm and contracting as it is expected to in the postpartum stage. The
uterus should contract to clamp down and prevent bleeding, but in sub-involution, it does not do so
(Choice A). Increased bleeding is a sign of subinvolution. When the uterus is not contracting and
clamping down on itself, it is not preventing postpartum bleeding. A healthy postpartum uterus would
be contracting firmly, but this does not occur with subinvolution, so the mother is at risk for increased
bleeding (Choice D).
While assessing a newborn infant in the nursery, you observe bounding +3 radial pulses and faint +1
pedal pulses. You also notice that the feet are cold and pale, while the hands are warm and pink. Which
cardiac defect do you suspect this infant has?
A. Tetralogy of Fallot (TOF)
[30%]
B. Hypoplastic left heart syndrome
,[9%]
C. Coarctation of the aorta (COA)
[47%]
D. Transposition of the great arteries
[14%] - -----ANS----Choice C is correct. Coarctation of the aorta is a narrowing of the aorta near the
ductus arteriosus. Because of this narrowing, there is increased blood flow to the upper extremities and
decreased blood flow to the lower extremities. That is what causes the symptoms described in the
question: bounding upper pulses, faint lower pulses, and overall better perfusion to the upper
extremities.
The client admitted to the gynecology ward for premature labor is given terbutaline to arrest labor. The
nurse should monitor which parameter when administering this medication?
A. Breath sounds
B. Urine output
C. Pain
D. Level of consciousness - -----ANS----Choice A is correct. One of the most common side effects of
terbutaline is pulmonary edema. The nurse should monitor the client's breath sounds as well as assess
for respiratory crackles and difficulty of breathing to detect if pulmonary edema is present.
The nurse is caring for a neonate with a decreased cardiac output. If noted in this patient, which of the
following is not a sign of decreased cardiac output?
A. Oliguria
B. Difficulty breastfeeding
C. Bradycardia
D. Hypotension - -----ANS----Choice C is correct. Bradycardia is not a typical symptom of decreased
cardiac output in neonates. Instead, a decreased cardiac output generally results in tachycardia as the
heart pumps faster to compensate. Typical signs of decreased cardiac output in an infant include
oliguria, difficulty feeding, hypotension, irritability, restlessness, pallor, and decreased distal pulses.
The nurse cares for a client diagnosed with pelvic inflammatory disease (PID). The nurse anticipates the
primary healthcare provider (PHCP) to prescribe which medication?
, A. Voriconazole
B. Doxycycline
C. Phenazopyridine
D. Famciclovir - -----ANS----Choice B is correct. Pelvic inflammatory disease (PID) is most likely caused by
sexually transmitted infections or bacterial vaginosis. Doxycycline is an effective antibiotic utilized in PID.
The nurse counsels a client about a newly inserted copper intrauterine device (IUD) for contraception. It
would require follow-up if the client states which of the following?
Select all that apply.
A. "This device may raise my risk for breast cancer."
B. "I may continue to have bleeding and cramping."
C. "I should perform weight-bearing exercises."
D. "I will need my device replaced after 12 years."
E. "This device may raise my risk for a stroke." - -----ANS----Choices A, C, and E are correct. The copper
intrauterine device is non-hormonal; therefore, it does not raise the risk of breast cancer. Unlike depot
medroxyprogesterone, the IUD does not cause bone demineralization. An increase in cardiovascular
disease is not associated with the copper IUD as it is non-hormonal.
The client in the delivery room has just delivered her third child. The physician ordered
methylergonovine (Methergine) for the client and it was promptly administered. Which manifestation
would indicate to the nurse that the medication is having its intended effect?
A. The client reports a decrease in pain.
B. The nurse palpates a firm uterus on the client.
C. The client states that she wants to empty her bladder
D. The client's blood pressure increases. - -----ANS----Choice B is correct. Methylergonovine promotes
vasoconstriction and uterine contraction. A firm and contracted uterus is a sign that the medication is
having its desired effect.
Risk factors for preeclampsia include all of the following, except:
AND NEWBORN WITH QUESTIONS AND WELL VERIFIED
ANSWERS ALREADY GRADED A+ LATEST EXAM
Which of the following signs or symptoms would you expect in a postpartum patient experiencing
subinvolution?
Select all that apply.
A. Boggy uterus
B. Board-like abdomen
C. Decreased fundal height
D. Increased bleeding - -----ANS----Choices A and D are correct. A boggy uterus is a sign of subinvolution.
Boggy, refers to a womb that is not firm and contracting as it is expected to in the postpartum stage. The
uterus should contract to clamp down and prevent bleeding, but in sub-involution, it does not do so
(Choice A). Increased bleeding is a sign of subinvolution. When the uterus is not contracting and
clamping down on itself, it is not preventing postpartum bleeding. A healthy postpartum uterus would
be contracting firmly, but this does not occur with subinvolution, so the mother is at risk for increased
bleeding (Choice D).
While assessing a newborn infant in the nursery, you observe bounding +3 radial pulses and faint +1
pedal pulses. You also notice that the feet are cold and pale, while the hands are warm and pink. Which
cardiac defect do you suspect this infant has?
A. Tetralogy of Fallot (TOF)
[30%]
B. Hypoplastic left heart syndrome
,[9%]
C. Coarctation of the aorta (COA)
[47%]
D. Transposition of the great arteries
[14%] - -----ANS----Choice C is correct. Coarctation of the aorta is a narrowing of the aorta near the
ductus arteriosus. Because of this narrowing, there is increased blood flow to the upper extremities and
decreased blood flow to the lower extremities. That is what causes the symptoms described in the
question: bounding upper pulses, faint lower pulses, and overall better perfusion to the upper
extremities.
The client admitted to the gynecology ward for premature labor is given terbutaline to arrest labor. The
nurse should monitor which parameter when administering this medication?
A. Breath sounds
B. Urine output
C. Pain
D. Level of consciousness - -----ANS----Choice A is correct. One of the most common side effects of
terbutaline is pulmonary edema. The nurse should monitor the client's breath sounds as well as assess
for respiratory crackles and difficulty of breathing to detect if pulmonary edema is present.
The nurse is caring for a neonate with a decreased cardiac output. If noted in this patient, which of the
following is not a sign of decreased cardiac output?
A. Oliguria
B. Difficulty breastfeeding
C. Bradycardia
D. Hypotension - -----ANS----Choice C is correct. Bradycardia is not a typical symptom of decreased
cardiac output in neonates. Instead, a decreased cardiac output generally results in tachycardia as the
heart pumps faster to compensate. Typical signs of decreased cardiac output in an infant include
oliguria, difficulty feeding, hypotension, irritability, restlessness, pallor, and decreased distal pulses.
The nurse cares for a client diagnosed with pelvic inflammatory disease (PID). The nurse anticipates the
primary healthcare provider (PHCP) to prescribe which medication?
, A. Voriconazole
B. Doxycycline
C. Phenazopyridine
D. Famciclovir - -----ANS----Choice B is correct. Pelvic inflammatory disease (PID) is most likely caused by
sexually transmitted infections or bacterial vaginosis. Doxycycline is an effective antibiotic utilized in PID.
The nurse counsels a client about a newly inserted copper intrauterine device (IUD) for contraception. It
would require follow-up if the client states which of the following?
Select all that apply.
A. "This device may raise my risk for breast cancer."
B. "I may continue to have bleeding and cramping."
C. "I should perform weight-bearing exercises."
D. "I will need my device replaced after 12 years."
E. "This device may raise my risk for a stroke." - -----ANS----Choices A, C, and E are correct. The copper
intrauterine device is non-hormonal; therefore, it does not raise the risk of breast cancer. Unlike depot
medroxyprogesterone, the IUD does not cause bone demineralization. An increase in cardiovascular
disease is not associated with the copper IUD as it is non-hormonal.
The client in the delivery room has just delivered her third child. The physician ordered
methylergonovine (Methergine) for the client and it was promptly administered. Which manifestation
would indicate to the nurse that the medication is having its intended effect?
A. The client reports a decrease in pain.
B. The nurse palpates a firm uterus on the client.
C. The client states that she wants to empty her bladder
D. The client's blood pressure increases. - -----ANS----Choice B is correct. Methylergonovine promotes
vasoconstriction and uterine contraction. A firm and contracted uterus is a sign that the medication is
having its desired effect.
Risk factors for preeclampsia include all of the following, except:
