Maternity and Women's Health Nursing EXAM REVISION QUESTIONS AND THEIR EXPECTED ANSWERS

A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a recent immigrant from Asia, and the nurse explores the foods that the client usually eats. Which foods should the nurse counsel the client to avoid during pregnancy? (Select all that apply.) Raw shellfish Herbal supplements Soft-scrambled eggs An expectant couple asks the nurse about the cause of low back pain during labor. The nurse replies that this pain occurs most often when the fetus is positioned: Occiput posterior How does the nurse know that a client at 40 weeks' gestation is experiencing true labor? Cervical dilation A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which adverse reactions to the radiotherapy should the client be monitored? (Select all that apply.) Hemorrhage Increased temperature A client who has breast cancer had postlumpectomy chemotherapy and is now scheduled for radiation on an outpatient basis. What is an important nursing intervention while the client is receiving radiation? Observing the irradiated site daily for redness or irritation A nurse is counseling a pregnant woman with type 1 diabetes. What is the most important nursing consideration in the planning of care for this client? Requirement of intensive prenatal care A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate begins to choke on mucus. How should the nurse suction him with a bulb syringe? By suctioning the mouth before the nostrils What should the nurse's initial discussion include to best help new parents understand the unique characteristics of a newborn? Expected movements and behaviors A parent of a preterm infant in the neonatal intensive care unit, asks a nurse why the baby is in a bed with a radiant warmer. The nurse explains that preterm infants are at increased risk for hypothermia because they: Lack the subcutaneous fat that usually provides insulation On a routine prenatal visit the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time is: Quickening While caring for a client in labor, a nurse notes that during a contraction there is a 15-beat/min acceleration of the fetal heart rate above the baseline. What is the nurse's next action? Record the fetal response to contractions and continue to monitor the heart rate A nurse in the fertility clinic works with couples who have been trying to become pregnant for more than 1 year. How can the nurse help ease the feeling of isolation that infertile couples often experience? Explore ways to promote communication with family and friends During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal infection because of the presence of a white curdlike vaginal discharge. What other assessment supports a fungal vaginal infection? An itchy perineum A client states that she wishes to use the calendar method of birth control. The nurse concludes that the client understands how to calculate the beginning of the fertile period when she states, "I will: Subtract 18 days from the length of my shortest cycle" A client who has had a mastectomy asks what the term ERP-positive means. How should the nurse explain this finding? The tumor cells generally exhibit a positive response to hormone therapy that reduces estrogen. A newborn of 30 weeks' gestation has a heart rate of 86 beats/min and slow, irregular respirations. The infant grimaces in response to suctioning, is cyanotic, and has flaccid muscle tone. What Apgar score should the nurse assign to this neonate? 3 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? Enlarged, tender breasts A health care provider determines that a fetus is in a breech presentation. For which complication should the nurse monitor the client? Nonreassuring fetal signs, indicating prolapse of the cord Women who become pregnant for the first time at a later reproductive age (35 years or older) are at risk for what complications? (Select all that apply.) Preterm labor Multiple gestation Chromosomal anomalies Bleeding in the first trimester A client at term is admitted in active labor. She has tested positive for HIV. Which intervention in the standard orders should the nurse question as a risk to the fetus? Internal fetal scalp electrode A client who had a cesarean birth is unable to void 3 hours after the removal of an indwelling catheter. How can the nurse evaluate whether the client's bladder is distended? By palpating the client's suprapubic area gently What instruction should a nurse include when teaching about the correct use of a female condom? "Remove the condom before standing up." A nurse expects signs of respiratory distress syndrome (RDS) in a neonate whose mother: Has type 1 diabetes A preterm infant with respiratory distress syndrome (RDS) has blood drawn for an arterial blood gas analysis. What test result should the nurse anticipate for this infant? Decreased blood pH After a spontaneous vaginal delivery the client expresses concern because the newborn has a red rash with small papules on the face, chest, and back. What condition does the nurse recognize? Erythema toxicum The nurse concludes that a couple with a newborn with Erb's palsy has an accurate understanding of the infant's prognosis. Which statement confirms this conclusion? "Recovery usually occurs in about 3 months." A new mother's laboratory results indicate the presence of cocaine and alcohol. Which craniofacial characteristic indicates to the nurse that the newborn has fetal alcohol syndrome (FAS)? (Select all that apply.)