MATERNITY-PEDS EDITED (300 Q & As) 100% CORRECTLY/VERIFIED
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A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day
tells the nurse that her feet have begun to swell. Which instruction would be most effective
in preventing pooling of blood in the lower extremities?
Move about every hour
Pooling of blood in the lower extremities results from the enlarged uterus exerting
pressure on the pelvic veins. Moving about every hour will straighten out the pelvic
veins and increase venous return.
A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in
preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to
stop her labor contractions. The nurse plans to monitor for which primary side effect of
terbutaline sulfate?
Tachycardia and a feeling of nervousness
Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of
the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling
of "nervousness".
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, What does a diaphragmatic hernia look like?
Scaphoid abdomen and anorexia
A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which
explanation should the nurse give to this anxious client?
There's a strong, tough membrane there to protect the baby so you need not be afraid to
wash or comb his/her hair.
A client who is attending antepartum classes asks the nurse why her healthcare
provider has prescribed iron tablets. The nurse's response is based on what knowledge?
It is difficult to consume 18 mg of additional iron by diet alone.
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to
meet the demands of pregnancy is difficult so iron supplements are often recommended.
What is megaloblastic anemia caused by?
folic acid deficiency
A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she
could use a home pregnancy test to diagnose pregnancy. Which response is best?
A home pregnancy test can be used right after your first missed period.
Home urine tests are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6 to 8 days after conception and is best
detected at 2 weeks’gestation or immediately after the first missed period.
A 28-year-old client in active labor complains of cramps in her leg. What intervention
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, should the nurse implement?
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Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is
capable) and putting the heel of the foot on the floor is the best means of relieving leg cramps.
When does the head return to its normal shape?
7-10 days
What did Nurse theorist Reva Rubin describe?
The initial postpartum period as the "taking-in phase," which is characterized by maternal
reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families
and the newborn.
A couple, concerned because the woman has not been able to conceive, is referred to a
healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which
post procedure complaint indicates that the fallopian tubes are patent?
Shoulder pain
If the tubes are patent (open), pain is referred to the shoulder from a sub diaphragmatic
collection of peritoneal dye/gas.
Which nursing intervention is most helpful in relieving postpartum uterine contractions or
"afterpains?"
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