CHILDBEARING FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do
first when repetitive late decelerations of the fetal heart rate are observed? -
✔✔Discontinue the oxytocin infusion.
✔✔A nurse is obtaining a health history from a client with newly diagnosed cervical
cancer. What aspect of the client's life is most important for the nurse to explore at this
time? - ✔✔Support system
✔✔Immediately after a client has completed the third stage of labor, the nurse adds the
prescribed 10 units of oxytocin (Pitocin) to the IV. What is the desired response to this
medication? - ✔✔Prevention of the occurrence of profuse bleeding after placental
separation
✔✔A client who has syphilis tells the nurse that it must have been contracted from a
toilet seat. The nurse knows that this cannot be true because the causative agent of
syphilis is: - ✔✔Inactivated when exposed to a dry environment
✔✔After giving birth to a 7-lb 2-oz baby, a client decides to breastfeed. What should the
nurse tell the client to expect regarding breastfeeding? - ✔✔An increase in flow is
expected.
✔✔A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the
client confides that her mother died of endometrial cancer 1 year ago and says that she
is afraid that she will die of the same cancer. Which risk factor stated by the client after
an education session on risk factors indicates that further teaching is needed? -
✔✔Late-onset menarche
✔✔A new mother wishes to breastfeed her infant and asks the nurse whether she
needs to alter her diet. How should the nurse respond? - ✔✔"You'll need greater
amounts of the same foods you've been eating and more fluids."
✔✔The nurse in a women's health clinic is counseling a 34-year-old client who has
requested a prescription for oral contraceptives. The nurse determines that more
discussion is necessary if the client's health history reveals: - ✔✔Hypertension
✔✔What is the priority nursing intervention during the 2 hours after a cesarean birth? -
✔✔Assessing the lochia to identify the complication of hemorrhage
, ✔✔A client who is visiting the family planning clinic is prescribed an oral contraceptive.
As part of teaching, the nurse plans to inform the client of the possibility of: -
✔✔Breakthrough bleeding
✔✔After a mastectomy, a client returns from surgery with a closed suction drainage
system in place and a dry sterile dressing covering the incision. What should the nurse
do when observing this client for signs of bleeding? - ✔✔Inspect the bedclothes under
the client's axillary area for signs of drainage.
✔✔What client behavior indicates to the nurse that a woman needs further teaching
about breastfeeding her newborn? - ✔✔When she leans forward to place her breast in
the infant's mouth
✔✔A primipara who had a prolonged labor states that she is very tired and asks the
nurse to place her newborn son in the nursery while she sleeps. After awakening and
having the infant brought back to her, she asks whether she may undress him. How
should the nurse respond? - ✔✔"This is important for you. Of course you can undress
your baby."
✔✔A 23-year-old woman arrives at the prenatal clinic because she thinks that she is
pregnant. Her last menstrual period began on March 31, and her pregnancy test reveals
a positive result. According to Nägele's rule, what is this client's expected date of birth
(EDB)? - ✔✔January 7
✔✔A nurse in the fertility clinic works with couples who have been trying to become
pregnant for more than 1 year. How can the nurse help ease the feeling of isolation that
infertile couples often experience? - ✔✔Explore ways to promote communication with
family and friends.
✔✔A client who is scheduled for an amniocentesis says, "I'm glad that this test will show
if my baby is well." How should the nurse respond? - ✔✔"Potential defects caused by
chromosomal errors can be detected."
✔✔A client with mild preeclampsia is told that she must remain on bedrest at home. The
client starts to cry and tells the nurse that she has two small children at home who need
her. How should the nurse respond? - ✔✔"Let's explore your available current support
and opportunities for child care."
✔✔An adolescent who gave birth one day ago confides to the nurse that she hopes that
her baby will be good and sleep through the night. What should the nurse include in the
plan of care to facilitate a realistic expectation of a nighttime newborn schedule? -
✔✔Talk softly and cuddle the baby when crying occurs.
ANSWERS GUARANTEE A+
✔✔A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do
first when repetitive late decelerations of the fetal heart rate are observed? -
✔✔Discontinue the oxytocin infusion.
✔✔A nurse is obtaining a health history from a client with newly diagnosed cervical
cancer. What aspect of the client's life is most important for the nurse to explore at this
time? - ✔✔Support system
✔✔Immediately after a client has completed the third stage of labor, the nurse adds the
prescribed 10 units of oxytocin (Pitocin) to the IV. What is the desired response to this
medication? - ✔✔Prevention of the occurrence of profuse bleeding after placental
separation
✔✔A client who has syphilis tells the nurse that it must have been contracted from a
toilet seat. The nurse knows that this cannot be true because the causative agent of
syphilis is: - ✔✔Inactivated when exposed to a dry environment
✔✔After giving birth to a 7-lb 2-oz baby, a client decides to breastfeed. What should the
nurse tell the client to expect regarding breastfeeding? - ✔✔An increase in flow is
expected.
✔✔A 23-year-old woman comes to the clinic for a Pap smear. After the examination, the
client confides that her mother died of endometrial cancer 1 year ago and says that she
is afraid that she will die of the same cancer. Which risk factor stated by the client after
an education session on risk factors indicates that further teaching is needed? -
✔✔Late-onset menarche
✔✔A new mother wishes to breastfeed her infant and asks the nurse whether she
needs to alter her diet. How should the nurse respond? - ✔✔"You'll need greater
amounts of the same foods you've been eating and more fluids."
✔✔The nurse in a women's health clinic is counseling a 34-year-old client who has
requested a prescription for oral contraceptives. The nurse determines that more
discussion is necessary if the client's health history reveals: - ✔✔Hypertension
✔✔What is the priority nursing intervention during the 2 hours after a cesarean birth? -
✔✔Assessing the lochia to identify the complication of hemorrhage
, ✔✔A client who is visiting the family planning clinic is prescribed an oral contraceptive.
As part of teaching, the nurse plans to inform the client of the possibility of: -
✔✔Breakthrough bleeding
✔✔After a mastectomy, a client returns from surgery with a closed suction drainage
system in place and a dry sterile dressing covering the incision. What should the nurse
do when observing this client for signs of bleeding? - ✔✔Inspect the bedclothes under
the client's axillary area for signs of drainage.
✔✔What client behavior indicates to the nurse that a woman needs further teaching
about breastfeeding her newborn? - ✔✔When she leans forward to place her breast in
the infant's mouth
✔✔A primipara who had a prolonged labor states that she is very tired and asks the
nurse to place her newborn son in the nursery while she sleeps. After awakening and
having the infant brought back to her, she asks whether she may undress him. How
should the nurse respond? - ✔✔"This is important for you. Of course you can undress
your baby."
✔✔A 23-year-old woman arrives at the prenatal clinic because she thinks that she is
pregnant. Her last menstrual period began on March 31, and her pregnancy test reveals
a positive result. According to Nägele's rule, what is this client's expected date of birth
(EDB)? - ✔✔January 7
✔✔A nurse in the fertility clinic works with couples who have been trying to become
pregnant for more than 1 year. How can the nurse help ease the feeling of isolation that
infertile couples often experience? - ✔✔Explore ways to promote communication with
family and friends.
✔✔A client who is scheduled for an amniocentesis says, "I'm glad that this test will show
if my baby is well." How should the nurse respond? - ✔✔"Potential defects caused by
chromosomal errors can be detected."
✔✔A client with mild preeclampsia is told that she must remain on bedrest at home. The
client starts to cry and tells the nurse that she has two small children at home who need
her. How should the nurse respond? - ✔✔"Let's explore your available current support
and opportunities for child care."
✔✔An adolescent who gave birth one day ago confides to the nurse that she hopes that
her baby will be good and sleep through the night. What should the nurse include in the
plan of care to facilitate a realistic expectation of a nighttime newborn schedule? -
✔✔Talk softly and cuddle the baby when crying occurs.
