Maternal and Child Health Nursing Practice Quiz (3,1,2,4,5,) complete solutions ()

Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply. - Answer- Emergence of family unit Sexual intimacy relationship continuing Defining one's individual roles While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically: - Answer- Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn. Which of the following is the most common kind of placental adherence seen in pregnant women? - Answer- Accreta A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time? - Answer- Transvaginal ultrasound A nurse providing care for the antepartum woman should understand that the contraction stress test (CST): - Answer- Is considered to have a negative result if no late decelerations are observed with the contractions. In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category? - Answer- Geographic A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test? - Answer- "This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby." What is an appropriate indicator for performing a contraction stress test? - Answer- Maternal diabetes mellitus and postmaturity The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? - Answer- Doppler blood flow analysis A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply. - Answer- -The patient can monitor fetal activity once daily for a 60-minute period and note activity. -Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted. -Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted. A patient has undergone an amniocentesis for evaluation of fetal well-being. Which intervention would be included in the nurse's plan of care after the procedure? Select all that apply. - Answer- Observe the patient for possible uterine contractions. Administer RhoGAM to the patient if she is Rh negative. With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that: - Answer- Infants with asymmetric IUGR have the potential for normal growth and development.