211 Lifespan Worksheet Questions

A nurse is assessing a patient for Chadwick's sign. In order to do this correctly, what action does the nurse take? - answerAssesses the color of the patient's vaginal mucosa and cervix. A patient who has a previous diagnosis of round ligament pain is in the clinic for a follow-up visit. Which statement by the patient would indicate that teaching objectives for this problem have been met? - answer"I have been supporting my uterus with a pillow when resting." The nurse has learned that which hormone is primarily responsible for maintaining a pregnancy? - answerProgesterone The nurse caring for perinatal patients understands the term decidua to mean which of the following? - answerEndometrial lining of the uterus A pregnant woman is complaining of frequent heartburn. What statement by the patient indicates to the nurse that teaching has been effective? - answer"I will not lie down for 1 hour after eating." A father accompanies his partner to her OB clinic visit. The woman is near term. The father confides to the nurse that the patient is cranky, irritable, and yells at him for no reason. Which action by the nurse is best? - answerEducate why the woman needs emotional support. A pregnant woman has the nursing diagnosis of risk for ineffective role performance. What statement by the patient indicates that she is meeting a maternal task associated with the second trimester? - answer"This baby seems so real to me since I feel him move." What type of cultural concern is the most likely deterrent to many women seeking prenatal care? - answerModesty The nursing instructor explains to a class of students that the pituitary gland has many functions related to pregnancy. Which of the following functions are performed by hormones secreted by this gland? (Select all that apply.) - answer-Influence ovarian follicular development -Stimulate the uterine lining -Prompt ovulation -Maintain the pregnancy A nurse is providing anticipatory guidance to a pregnant woman regarding normal changes in the nose and nasal passages. What information should the nurse provide? (Select all that apply.) - answer-Stuffiness is common. -Increase your fluid intake. -Blow your nose gently. A dosage strength of 0.2 mg per 3 ml is available. Give 0.7 mg. Express your answer to the nearest tenth. - answer10.5 ml The dosage ordered is 6 mg. Solution available is 4 mg/ml. Calculate the dosage volume. - answer1.5 ml Covert the following weights from pounds to kilograms: 189 pounds = ______kg (round to nearest kg) - answer86 kg A woman presents to the family practice clinic complaining of abdominal pain, pain during ovulation, and heavy periods. What action by the nurse is best? - answerPrepare the woman for a pelvic exam. A patient is in the clinic for an annual exam. Her past medical history includes endometriosis for which she takes medroxyprogesterone (Depo-Provera). What assessment finding would the nurse relate to the medical condition or medication? - answer20-lb weight gain A 21-year-old woman who has not been sexually active is in the clinic and requests a Gardasil vaccination. After giving the shot, what instruction does the nurse provide to her? - answerReturn in 2 months for the next shot. A nulliparous 53-year-old woman is in the clinic complaining of lower abdominal fullness, heavy menses, and severe menstrual cramping. What treatment does the nurse anticipate for this woman? - answerAdministration of leuprolide (Lupron) A clinic nurse sees adolescent girls frequently. Many of the girls should be screened for gonorrhea and Chlamydia infection, but they are hesitant about having a pelvic exam. What option can the nurse offer these girls? - answerUrine collection A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best? - answer"If they last more than 60 seconds or become regular, come in." A nurse is assessing a patient in the women's clinic for Chadwick's sign. How does the nurse perform this assessment? - answerInspects the vulva and vagina for a bluish tint An instructor is explaining to students in the OB rotation that Goodell's sign is which of the following? - answerCervical softening A nurse is teaching a woman who is in her first trimester of pregnancy about physical changes she can expect. Which information should the nurse provide? - answerPregnant women are more susceptible to yeast infections. A pregnant woman in the perinatal clinic complains of a diffuse, reddish discoloration of her palms. What action by the nurse is most appropriate? - answerExplain that this is a normal finding. A woman in her third trimester of pregnancy complains of a painful burning sensation in her hands and lower arms. Which action by the nurse is best? - answerAdvise the woman to elevate her hands at night. A pregnant woman in the perinatal clinic complains of occasional fainting. Which action by the nurse is best? - answerTell her to lie down on her left side if she has warning signs. A woman in the emergency department is in her third trimester and is bleeding heavily from a laceration on her thigh from a car crash. She is pale and diaphoretic. Her blood pressure is 138/82 mm Hg. What can the nurse conclude from this information? - answerHer increased blood volume is maintaining the blood pressure. A woman in the third trimester of her first pregnancy complains of excessive fatigue. Her hemoglobin is 11.2 g/dL. What action by the nurse is best? - answerAssess the woman's diet for adequate iron and protein. A woman in her second trimester of pregnancy is in the clinic for a checkup. She complains of feeling short of breath at times. Her lungs are clear and her oxygen saturation is 98%. Her vital signs are all normal. What action by the nurse is best? - answerEncourage slow, deep breathing. A woman is in the first trimester of her first pregnancy and confides to the nurse that she is not really sure if she is happy because so many things in her life will change. She is not sure she is willing to alter her current lifestyle. What action by the nurse is most appropriate? - answerReassure the woman that ambivalence is normal now. A patient is complaining of constipation. What teaching should the nurse plan to provide? (Select all that apply.) - answer-Drink 8 to 10 glasses of water each day. -Don't strain to move your bowels. -Increase your fiber intake. The nurse places his or her hands on the maternal abdomen to gently palpate the fundal region of the uterus. This action is described as which Leopold maneuver? - answerFirst maneuver The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best? - answer