UPDATED Evolve: Maternity - Women's Health/Disorders Test Questions With Answers All Correct

Evolve: Maternity - Women's Health/Disorders Test Questions With Answers All Correct Which statement made by a pregnant client to a nurse indicates that the client does not understand the teaching about fetal growth and development? - 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? - 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? - 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? - 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? - 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? - ANSWER- Obtaining a prescription for immunization at discharge A primigravida complains of morning sickness. What should the nurse plan to teach her? - ANSWER- Avoid long periods without food What should be included in nursing care immediately after a sexual assault? - 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: - 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)? - 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? - ANSWER- Frequent ambulation is begun within 24 hours. 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? - ANSWER- "We'll be encouraging you to walk early after surgery." 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? - ANSWER- Lightheadedness What nursing intervention should be implemented routinely after a client has a vacuum aspiration abortion? - 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? - 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: - 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? - ANSWER- Expect shoulder pain for 12 to 24 hours.