Nace care of childbearing family Questions With Complete
Solutions
A 23-year-old primigravida who appears to be in her third
trimester of pregnancy comes to the labor and delivery unit
reporting acute abdominal pain.She has had no prenatal care.
Which assessment should the nurse do first?
Auscultate for fetal heart tones
A client treated for preterm labor is to be discharged to
home. Which instruction should a nurse include in this
client’s discharge plan? The client should:.
Avoid sexual intercourse.
A client who had pregnancy-induced hypertension (PIH) is
now postpartum. A nurse should closely monitor this client
for which complication?
Impending convulsion.
A patient has decided to bottle-feed her twins.The nurse
should give this patient which instruction to help alleviate
breast engorgement?
Wear a supportive bra.
A patient who is 34 weeks pregnant attends the antepartal
clinic and is diagnosed with mild pregnancy-induced
hypertension (PIH). The decision is made to treat the patient
at home.Which instruction would be most appropriate to
give to the patient?
,Rest on your side as much as possible.
A 14-year-old client who is pregnant has a low result from a
rubella serology test.Which notation should be made on this
client’s care plan?
Rubella immunization should be given in the early postpartum
period.
A client had a laparoscopic bilateral tubal ligation (BTL) in
the delivery room. Which intervention should a nurse plan
to include in this client’s postoperative care?
Encourage the client to drink cold, carbonated fluids throughout
the day.
A patient who is 38 weeks pregnant is admitted to the
hospital in active labor. The nurse performs Leopold’s
maneuvers to determine the fetal position.While the nurse is
palpating the patient’s abdomen, she suddenly says, “I feel
dizzy.I feel as if I’m going to faint.” Which action should the
nurse take first?
Help the patient to turn onto her side.
Just after a client delivers a baby who weighs 7 pounds (3.18
kg), what is the priority nursing action?
Dry off the newborn.
A patient’s labor is induced using an intravenous infusion of
1,000 mL Ringer’s lactate with 10 units of oxytocin.Two
hours later, the nurse notes a pattern of late fetal heart rate
, decelerations detected on the fetal monitor.Which action is
essential for the nurse to take first?
Pause the oxytocin infusion
A patient states, “My water just broke.” The nurse verifies
that her membranes have ruptured spontaneously.Which
action should the nurse take next?
Auscultate the fetal heart sounds
A patient who is 42 weeks pregnant is admitted to the
hospital in active labor.The patient is upset and says to the
nurse, "I haven't felt the baby move for about three or four
hours." The fetal heart rate is ranging between 136 and
143.Which action should the nurse take?
Tell the patient that the fetal heart rate does not appear to
indicate that the baby is in distress.
A patient who is 38 weeks pregnant and has tested positive
for a chlamydial infection asks the nurse to discuss the
baby's risk of becoming infected.Which information should
the nurse include in discussion with the patient?
The risk of transplacental transmission of chlamydia between
mother and baby is low.
A 38-year-old primigravida returns to the clinic at 16 weeks
gestation for an alpha-fetoprotein test.She asks a nurse,
"Why do i need this test?".Which response would be most
appropriate for the nurse to make?
This test is used to identify fetal abnormalities."
Solutions
A 23-year-old primigravida who appears to be in her third
trimester of pregnancy comes to the labor and delivery unit
reporting acute abdominal pain.She has had no prenatal care.
Which assessment should the nurse do first?
Auscultate for fetal heart tones
A client treated for preterm labor is to be discharged to
home. Which instruction should a nurse include in this
client’s discharge plan? The client should:.
Avoid sexual intercourse.
A client who had pregnancy-induced hypertension (PIH) is
now postpartum. A nurse should closely monitor this client
for which complication?
Impending convulsion.
A patient has decided to bottle-feed her twins.The nurse
should give this patient which instruction to help alleviate
breast engorgement?
Wear a supportive bra.
A patient who is 34 weeks pregnant attends the antepartal
clinic and is diagnosed with mild pregnancy-induced
hypertension (PIH). The decision is made to treat the patient
at home.Which instruction would be most appropriate to
give to the patient?
,Rest on your side as much as possible.
A 14-year-old client who is pregnant has a low result from a
rubella serology test.Which notation should be made on this
client’s care plan?
Rubella immunization should be given in the early postpartum
period.
A client had a laparoscopic bilateral tubal ligation (BTL) in
the delivery room. Which intervention should a nurse plan
to include in this client’s postoperative care?
Encourage the client to drink cold, carbonated fluids throughout
the day.
A patient who is 38 weeks pregnant is admitted to the
hospital in active labor. The nurse performs Leopold’s
maneuvers to determine the fetal position.While the nurse is
palpating the patient’s abdomen, she suddenly says, “I feel
dizzy.I feel as if I’m going to faint.” Which action should the
nurse take first?
Help the patient to turn onto her side.
Just after a client delivers a baby who weighs 7 pounds (3.18
kg), what is the priority nursing action?
Dry off the newborn.
A patient’s labor is induced using an intravenous infusion of
1,000 mL Ringer’s lactate with 10 units of oxytocin.Two
hours later, the nurse notes a pattern of late fetal heart rate
, decelerations detected on the fetal monitor.Which action is
essential for the nurse to take first?
Pause the oxytocin infusion
A patient states, “My water just broke.” The nurse verifies
that her membranes have ruptured spontaneously.Which
action should the nurse take next?
Auscultate the fetal heart sounds
A patient who is 42 weeks pregnant is admitted to the
hospital in active labor.The patient is upset and says to the
nurse, "I haven't felt the baby move for about three or four
hours." The fetal heart rate is ranging between 136 and
143.Which action should the nurse take?
Tell the patient that the fetal heart rate does not appear to
indicate that the baby is in distress.
A patient who is 38 weeks pregnant and has tested positive
for a chlamydial infection asks the nurse to discuss the
baby's risk of becoming infected.Which information should
the nurse include in discussion with the patient?
The risk of transplacental transmission of chlamydia between
mother and baby is low.
A 38-year-old primigravida returns to the clinic at 16 weeks
gestation for an alpha-fetoprotein test.She asks a nurse,
"Why do i need this test?".Which response would be most
appropriate for the nurse to make?
This test is used to identify fetal abnormalities."
