Maternity & Women’s Health Care, 11th Edition, Lowdermilk Study Questions 2023

Maternity & Women’s Health Care, 11th Edition, Lowdermilk Study Questions 2023 Which statement made by a pregnant client to a nurse indicates that the client does not understand the teaching about fetal growth and development? - CORRECT ANSWER-"The baby gets food from the amniotic fluid." -The amniotic fluid serves as a protective environment; the fetus depends on the placenta, along with the umbilical blood vessels, for nutrients and oxygen. "The baby is smaller if the mother smokes," "The baby's oxygen is provided by the mother," and "The baby's umbilical cord has two arteries and one vein" are all true statements, and further teaching would not be required. A nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. Which type of block is most appropriate for this client? - CORRECT ANSWER-Epidural On the third postpartum day a client who is breastfeeding calls the clinic complaining of hot, hard, aching breasts. What recommendation should the nurse include in the response? - CORRECT ANSWER-Apply warm, moist cloths to both breasts before nursing. A nurse in the fertility clinic is instructing a client who will be using progesterone gel vaginally in the treatment of luteal phase infertility. When discussing the side effects of progesterone, what should the nurse tell the client to expect? - CORRECT ANSWER-Enlarged, tender breasts A pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. What does the nurse identify as the main reason that this medication is administered? - CORRECT ANSWER-It acts as an anticonvulsant. During the postpartum period a nurse determines that a client's rubella titer is negative. What action should the nurse plan to take? - CORRECT ANSWER-Obtaining a prescription for immunization at discharge A primigravida complains of morning sickness. What should the nurse plan to teach her? - CORRECT ANSWER-Avoid long periods without food What should be included in nursing care immediately after a sexual assault? - CORRECT ANSWER-Obtaining the assault history from the client The husband of a woman who had her fourth child 3 weeks ago states she has been irritable and crying frequently since bringing her newborn home. He asks the nurse whether this is normal. The nurse tries to help him understand the situation by stating that: - CORRECT ANSWER-Having four children is tiring and assistance may be needed. 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)? - CORRECT ANSWER-January 7 A client who is pregnant for the first time and carrying twins is scheduled for a cesarean birth. What should preoperative teaching include? - CORRECT ANSWER-Frequent ambulation is begun within 24 hours. to walk early after surgery." A client who is pregnant for the first time and is carrying twins is scheduled for a cesarean birth. What should the nurse tell the client to expect? - CORRECT ANSWER-"We'll be encouraging you A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural analgesia. What common response to regional anesthesia does the nurse anticipate? - CORRECT ANSWER-Lightheadedness What nursing intervention should be implemented routinely after a client has a vacuum aspiration abortion? - CORRECT ANSWER-Encouraging the client to take the prescribed antibiotic medication A pregnant client whose first child has Down syndrome is about to undergo amniocentesis. The client tells the nurse that she does not know what she will do if this fetus has the same diagnosis. The client asks the nurse, "Do you think abortion is the same as killing?" How should the nurse respond? - CORRECT ANSWER-"I really can't answer that question. Are you ambivalent about abortion?" A nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief concern is a thick, burning discharge accompanied by a burning sensation and lower abdominal pain. After an examination the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she has been sexually active and asks the nurse whether her parents will be contacted. The nurse explains that her parents will: - CORRECT ANSWER-Not be contacted, because treatment at the clinic is confidential A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? - CORRECT ANSWER-Expect shoulder pain for 12 to 24 hours. A nurse is reviewing a postmenopausal client's history, which reveals that the client previously received hormonal replacement therapy (HRT) as treatment for osteoporosis. For which problem does HRT increase the client's risk? - CORRECT ANSWER-Breast cancer A primigravida at 8 weeks' gestation is visiting the prenatal clinic for the first time. What should an examination reveal at this time? - CORRECT ANSWER-Goodell's sign At 6 weeks' gestation a client is found to have gonorrhea. What medication does a nurse expect the health care provider to prescribe? - CORRECT ANSWER-Ceftriaxone (Rocephin) A nurse is planning to administer Rhogam (Rh immune globulin). Which situation requires the administration of this medication? - CORRECT ANSWER-Rh-negative woman who has had an amniocentesis A client is scheduled for a modified radical mastectomy. What nursing intervention is most important in the client's preoperative plan of care? - CORRECT ANSWER-Allowing her to express her feelings about surgery The nurse is teaching a client who is scheduling a vasectomy. What information is essential that the nurse explain to the client? - CORRECT ANSWER-At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked. A client had a fourth-degree perineal laceration during the birth of her neonate. What should the nurse recommend to protect the area from additional trauma? - CORRECT ANSWER-Eat a high-fiber diet with increased fluid intake. As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you didn't have to look at the pad it's embarrassing for me." What is the best nursing response? - CORRECT ANSWER-"This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems." What is most important information to teach to a client who has had a mastectomy before she leaves the hospital? - CORRECT ANSWER-Why self-examination of the remaining breast is important A client gives birth to a baby weighing 7 lb 2 oz and decides to breastfeed. The nurse is instructing the client regarding breastfeeding. What should the nurse tell the client to expect? - CORRECT ANSWER-Lochial flow will be increased. The nurse teaches a client about the increased need for vitamin A to meet the demands imposed by rapid fetal tissue growth during pregnancy. Which foods should the nurse encourage the client to ingest to meet this increased need? (Select all that apply.) - CORRECT ANSWER-1 Carrots 4 Sweet potatoes On the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. How should the nurse respond? - CORRECT ANSWER-"It seems that you've changed your mind about rooming in." A client who menstruates regularly every 30 days asks a nurse on what day she is most likely to ovulate. Because the client's last menses started on January 1, the nurse should tell her that ovulation should occur on which day in January? - CORRECT ANSWER-16 The nurse presents a program on breast self-examination. After a return demonstration the nurse concludes that she needs to review certain aspects of the teaching program. Which behavior by one of th