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Chapter 6: Nursing Care of Mother and Infant during Labor and Birth Chapter 7: Nursing Management of Pain during Labor and Birth Chapter 8: Nursing Care of Women with Complications during Labor and Birth Chapter 9: The Family after Birth Chapter 10: Nursing Care of Women with Complications After Birth

MULTIPLE CHOICE 1. The nurse is caring for a woman who had a cesarean birth yesterday. Varicose veins are visible on both legs. What nursing action is the most appropriate to prevent thrombus formation? a. Have the woman sit in a chair for meals. b. Monitor vital signs every 4 hours and report any changes. c. Tell the woman to remain in bed with her legs elevated. d. Assist the woman with ambulation for short periods of time. ANS: D Early ambulation and range-of-motion exercises are...

MULTIPLE CHOICE 1. The parents of a newborn girl express concern about the infants vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process ANS: B Blood-tinged muc...

MULTIPLE CHOICE 1. The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level? a. It prevent osteoporosis. b. It decreases vaginal lubrication. c. It raises the level of low-density lipoproteins. d. It raises the level of high-density lipoproteins. ANS: C Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-densi...

MULTIPLE CHOICE 1. The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anaesthesia? a. Restrict oral fluids. b. Keep legs flexed. c. Walk with assistance as soon as possible. d. Lie flat for several hours. ANS: D The woman would be advised to remain flat for several hours after the block to decrease the chance of post spinal headache...

MULTIPLE CHOICE 1. A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort? a. Wear a well-fitting bra continuously for several days. b. Stand in a warm shower, letting the water spray over the breasts. c. Express small amounts of milk from the breasts several times a day. d. Massage the breasts when they ache. ANS: A When a mother does not wish to breastfeed, a snug b...

Chapter 1: The Past, Present, and Future Chapter 2: Human Reproductive Anatomy and Physiology Chapter 3: Fetal Development Chapter 4: Prenatal Care and Adaptations to Pregnancy Chapter 5: Nursing Care of Women with Complications during Pregnancy

MULTIPLE CHOICE 1. Which statement indicates a woman understands activity limitations for the management of preterm labor? a. After my shower in the morning, I do the laundry and straighten up the house; then I rest. b. I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day. c. I have a 2-year-old to care for, but I try to rest as much as I can. d. I get really bored at home, so I go to the shopping mall for just a little while. ANS: B ...

MULTIPLE CHOICE 1. The patient remarks that she has heard some foods will enhance brain development of the fetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development. What food can the nurse recommend? a. Fried fish b. Olive oil c. Red meat d. Leafy green vegetables ANS: C Foods rich in DHA are red meat, flounder, halibut, and soybean and canola oil. Frying fish negatively alters the DHA. DIF: Cognitive Level: Application REF...

MULTIPLE CHOICE 1. The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate? a. A well-oxygenated fetus b. Compression of the umbilical cord c. Compression of the fetal head d. Uteroplacental insufficiency ANS: A Accelerations in the fetal heart rate suggest that the fetus is well oxygenated. DIF: Cognitive Level: Analysis REF: Page 141 TOP: Fetal Accelerations KEY: Nursing Pro...