TEST BANK FOR EVOLVE RESOURCES IN MATER
m m m m m m
NAL-
CHILD NURSING, 6TH EDITION BY MCKINNEY
m m m m m
Ampregnantmwomanmwithmamhistorymofmheartmdiseasemvisitsmthemprenatalmclinicmatmtheme
ndmofmhermsecondmtrimester.mWhatmdoesmthemnursemanticipatemaboutmthemcaremshemwillm
need?
Preparationmformamcesareanmbirth
2
Bedrestmduringmthemlastmtrimester
m3
Prophylacticmantibioticsmatmthemtimemofmbirth
4
Increasingmdosagesmofmcardiacmmedicationsmasmpregnancymprogressesm-
mANSWERm3mantibioticsmformbactmendocarditis
DuringmamprenatalmexaminationmamnursemdrawsmbloodmfrommanmRh-
negativemclient.mThemnursemexplainsmthatmanmindirectmCoombsmtestmwillmbemperformedmt
ompredictmwhethermthemfetusmismatmriskmfor:
1
Acutemhemolyticmanemia
2
Respiratorymdistressmsyndrome
3
Proteinmmetabolismmdeficiency
4
Physiologicmhyperbilirubinemiam-mANSWERma
Amclientmismtomundergomamtuberculinmtestmasmpartmofmhermprenatalmworkup.mBeforemadmi
nisteringmthemtest,mwhatminformationmaboutmthemclientmshouldmthemnursemobtain?
1
Whethermshemhasmhadmampreviousmtuberculinmtest
2
Whethermthemclientmismpronemtomrespiratorymdiseases
3
Whethermanmearliermtuberculinmtest'smresultmwasmpositive
4
Whethermthemclient'smfamilymhasmamhistorymofmtuberculosism-mANSWERm3
Amclientmwhomismatm12mweeks'mgestationmtellsmamnursematmthemprenatalmclinicmthatmshemis
mexperiencingmseveremnauseamandmfrequentmvomiting.mThemnursemsuspectsmthatmthemcl
ientmhasmhyperemesismgravidarum.mWhatmfactormismfrequentlymassociatedmwithmthismdis
order?
1
Historymofmcholecystitis
,2
Largemamountmofmamnioticmfluid
3
Highmlevelmofmchorionicmgonadotropin
4
Decreasedmsecretionmofmhydrochloricmacidm-mANSWERm3
Duringmamroutinemexaminationmatmthemprenatalmclinicmthemnursemnotesmsignificantmincre
asesminmthemclient'smbloodmpressuremandmedemamofmthemfacemandmhands.mThemdiagnost
icmcriterionmformpreeclampsiamismambloodmpressuremofm140/90mmmmHg,mbutmwhatmismtheml
owestmbloodmpressuremthatmshouldmpromptmthemnursemtommonitormthemclientmformothermsi
gnsmandmsymptomsmofmpreeclampsia?
1
130/85mmmmHg
2
125/80mmmmHg
3
115/75mmmmHg
4
110/70mmmmHgm-mANSWERm1
Am38-year-
oldmclientmattendsmthemprenatalmclinicmformthemfirstmtime.mAmnursemexplainsmthatmseveralm
testsmwillmbemperformed,monemofmwhichmismthemserummalpha-
fetoproteinmtest.mThemclientmasksmwhatmthemtestmwillmreveal.mWhatmshouldmthemnurseminc
ludeminmthemreply?
1
Trisomym21
2
Turnermsyndrome
3
Openmneuralmtubemdefects
4
Chromosomalmaberrationsm-mANSWERm3
Amclientmatmthemprenatalmclinicmhasmmildmpreeclampsia.mWhatmshouldmthemnursemteachm
hermtomdominmregardmtomhermfluidmandmnutritionalmintake?
1
Restrictmfluidmintake.
2
Staymonmamlow-saltmdiet.
3
Continuemthempregnancymdiet.
4
Increasemcarbohydratemconsumptionm-mANSWERm3
Anmadolescentmatm10mweeks'mgestationmvisitsmthemprenatalmclinicmformthemfirstmtime.mThe
mnutritionminterviewmindicatesmthatmhermdietarymintakemconsistsmmainlymofmsoftmdrinks,mc
andy,mFrenchmfries,mandmpotatomchips.mWhymdoesmthemnursemconsidermthismdietminadeq
uate?
,1
Themcaloricmcontentmwillmresultminmtoomgreatmamweightmgain.
2
Themingredientsminmsoftmdrinksmandmcandymcanmbemteratogenicminmearlympregnancy.
3
Themsaltminmthismdietmwillmcontributemtomthemdevelopmentmofmgestationalmhypertension.
m4
Themnutritionalmcompositionmofmthemdietmplacesmhermatmriskmformamlow-
birthweightminfantm-mANSWERm4
Duringmhermfirstmvisitmtomthemprenatalmclinicmamclientmismfoundmtombemobese.mDuringmthem
ensuingm5mmonths,mthemclientmhasmnotmbeenmsuccessfulmadheringmtomhermnutritionalmpla
n.mWhichmfindingmindicatesmtomthemnursemthatmthemclientmhasmbeenmsuccessfulmduringmth
emsixthmmonth?
1
Weightmlossmofm1mlb
m2
Weightmgainmofm2mlb
3
Nomchangeminmweightmfrommlastmmonth
4
Themclient'smstatementmthatmshemlostmweightmlastmweekm-mANSWERm2
althoughmobese,mneedmtomgainmweight
Amclientmtellsmamnurseminmthemprenatalmclinicmthatmshemhasmvaginalmstainingmbutmnompain.
mHermhistorymrevealsmamenorrheamformthemlastm2mmonthsmandmpregnancymconfirmationm
aftermhermfirstmmissedmperiod.mWhatmtypemofmabortionmismsuspected?
1
Missed
2
Inevitable
3
Threatened
4
Incompletem-mANSWERm3
Spottingminmthemfirstmtrimestermmaymindicatemthatmthemclientmismhavingmamthreatenedmabo
rtion;manymclientmwithmthempossibilitymofmhemorrhagemshouldmnotmbemleftmalone,msomherm
admissionmtomthemhospitalmhelpsmensuremhermsafety.mAmmissedmabortionmmaymnotmcaus
emanymoutwardmsignsmormsymptoms,mexceptmthatmthemsignsmofmpregnancymdisappear.mA
nminevitablemabortionmcanmbemconfirmedmonlymifmvaginalmexaminationmrevealsmcervicalm
dilation.mWithmanmincompletemabortionmsome,mbutmnotmall,mofmthemproductsmofmconceptio
nmhavembeenmexpelled.
Amclientmwithmmildmpreeclampsiamismadmittedmtomthemhigh-
riskmprenatalmunitmbecausemhermbloodmpressuremismprogressivelymincreasing.mThemnurs
emreviewsmthempractitioner'smprescriptions.mWhatmprescriptionsmdoesmthemnursemexpect
?mSelectmallmthatmapply.
1m
Dailymweight
2m
, Side-lyingmbedmrest
3m
2-gram-sodiummdiet
4m
Deepmtendonmreflexes
5m
Glucosemtolerancemtestm-mANSWERm124
Amclientmatm9mweeks'mgestationmasksmthemnurseminmthemprenatalmclinicmwhethermshemma
ymhavemchorionicmvillimsamplingm(CVS)mperformedmduringmthismvisit.mWhatmshouldmthemn
ursemkeepminmmindmasmthemoptimalmtimemformCVSmwhilemformulatingmamresponse?
1
Atm8mweeksmbutmnomlatermthanm10mweeks
2
Atm10mweeksmbutmnomlatermthanm12mweeks
3
Atm12mweeksmbutmnomlatermthanm14mweeks
4
Atm14mweeksmbutmnomlatermthanm16mweeksm-mANSWERm2
Am37-year-
oldmclientmwithmtypem1mdiabetesmandmgoodmglycemicmcontrolmismpregnantmformthemthirdmti
me.mHermfirstmchildmism4myearsmold,mandmhermsecondmpregnancymresultedminmamstillbirth.m
Shemismseenminmthemantepartummtestingmunitmformamnonstressmtestm(NST)matm33mweeks'm
gestation.mWhatmaremthemprimarymriskmfactorsminmthemclient'smhistorymthatmindicatemamne
edmformthemNST?mSelectmallmthatmapply.
1m
Agemgreatermthanm35myears
2m
Themriskmformplacentamprevia
3m
Themriskmformplacentalminsufficiency
4m
Amhistorymofmstillbirthmfrommhermlastmpregnancy
5m
Maternalmhistorymofmhypertensionm-mANSWERm345
Pregnantmwomenmwithmdiabetesmarempronemtomplacentalminsufficiency,mwhichmcanmthre
atenmfetalmwell-
being.mInmaddition,mhistorymofmstillbirthmismalsomanmindicationmformNST.mInmaddition,mmate
rnalmconditionsmthatmcanmaffectmplacentalmperfusionmsuchmasmhypertensionmismanmindica
tionmformamNST.mAdvancedmmaternalmagemalonemismnotmanmindicatormformanmNST;malthou
ghmadvancedmmaternalmagemincreasesmthemriskmofmplacentamprevia,mitmismnotmthemprimar
ymreasonmformhavingmanmNST.
Amprimigravidamatm38mweeksmofmgestationmpresentsmtomthemclinicmwithmambloodmpressure
mofm142/94,medemaminmallmextremities,mandmamweightmgainmofmfivempoundsmsincemthempre
viousmcheckupmonemweekmago.mThemclientmhasmdeliveredmandmismreceivingmmagnesium
msulfatempostpartum.mThemprioritymduringmthemimmediatemfourmhoursmaftermdeliverymwou
ldmbe:
1
m m m m m m
NAL-
CHILD NURSING, 6TH EDITION BY MCKINNEY
m m m m m
Ampregnantmwomanmwithmamhistorymofmheartmdiseasemvisitsmthemprenatalmclinicmatmtheme
ndmofmhermsecondmtrimester.mWhatmdoesmthemnursemanticipatemaboutmthemcaremshemwillm
need?
Preparationmformamcesareanmbirth
2
Bedrestmduringmthemlastmtrimester
m3
Prophylacticmantibioticsmatmthemtimemofmbirth
4
Increasingmdosagesmofmcardiacmmedicationsmasmpregnancymprogressesm-
mANSWERm3mantibioticsmformbactmendocarditis
DuringmamprenatalmexaminationmamnursemdrawsmbloodmfrommanmRh-
negativemclient.mThemnursemexplainsmthatmanmindirectmCoombsmtestmwillmbemperformedmt
ompredictmwhethermthemfetusmismatmriskmfor:
1
Acutemhemolyticmanemia
2
Respiratorymdistressmsyndrome
3
Proteinmmetabolismmdeficiency
4
Physiologicmhyperbilirubinemiam-mANSWERma
Amclientmismtomundergomamtuberculinmtestmasmpartmofmhermprenatalmworkup.mBeforemadmi
nisteringmthemtest,mwhatminformationmaboutmthemclientmshouldmthemnursemobtain?
1
Whethermshemhasmhadmampreviousmtuberculinmtest
2
Whethermthemclientmismpronemtomrespiratorymdiseases
3
Whethermanmearliermtuberculinmtest'smresultmwasmpositive
4
Whethermthemclient'smfamilymhasmamhistorymofmtuberculosism-mANSWERm3
Amclientmwhomismatm12mweeks'mgestationmtellsmamnursematmthemprenatalmclinicmthatmshemis
mexperiencingmseveremnauseamandmfrequentmvomiting.mThemnursemsuspectsmthatmthemcl
ientmhasmhyperemesismgravidarum.mWhatmfactormismfrequentlymassociatedmwithmthismdis
order?
1
Historymofmcholecystitis
,2
Largemamountmofmamnioticmfluid
3
Highmlevelmofmchorionicmgonadotropin
4
Decreasedmsecretionmofmhydrochloricmacidm-mANSWERm3
Duringmamroutinemexaminationmatmthemprenatalmclinicmthemnursemnotesmsignificantmincre
asesminmthemclient'smbloodmpressuremandmedemamofmthemfacemandmhands.mThemdiagnost
icmcriterionmformpreeclampsiamismambloodmpressuremofm140/90mmmmHg,mbutmwhatmismtheml
owestmbloodmpressuremthatmshouldmpromptmthemnursemtommonitormthemclientmformothermsi
gnsmandmsymptomsmofmpreeclampsia?
1
130/85mmmmHg
2
125/80mmmmHg
3
115/75mmmmHg
4
110/70mmmmHgm-mANSWERm1
Am38-year-
oldmclientmattendsmthemprenatalmclinicmformthemfirstmtime.mAmnursemexplainsmthatmseveralm
testsmwillmbemperformed,monemofmwhichmismthemserummalpha-
fetoproteinmtest.mThemclientmasksmwhatmthemtestmwillmreveal.mWhatmshouldmthemnurseminc
ludeminmthemreply?
1
Trisomym21
2
Turnermsyndrome
3
Openmneuralmtubemdefects
4
Chromosomalmaberrationsm-mANSWERm3
Amclientmatmthemprenatalmclinicmhasmmildmpreeclampsia.mWhatmshouldmthemnursemteachm
hermtomdominmregardmtomhermfluidmandmnutritionalmintake?
1
Restrictmfluidmintake.
2
Staymonmamlow-saltmdiet.
3
Continuemthempregnancymdiet.
4
Increasemcarbohydratemconsumptionm-mANSWERm3
Anmadolescentmatm10mweeks'mgestationmvisitsmthemprenatalmclinicmformthemfirstmtime.mThe
mnutritionminterviewmindicatesmthatmhermdietarymintakemconsistsmmainlymofmsoftmdrinks,mc
andy,mFrenchmfries,mandmpotatomchips.mWhymdoesmthemnursemconsidermthismdietminadeq
uate?
,1
Themcaloricmcontentmwillmresultminmtoomgreatmamweightmgain.
2
Themingredientsminmsoftmdrinksmandmcandymcanmbemteratogenicminmearlympregnancy.
3
Themsaltminmthismdietmwillmcontributemtomthemdevelopmentmofmgestationalmhypertension.
m4
Themnutritionalmcompositionmofmthemdietmplacesmhermatmriskmformamlow-
birthweightminfantm-mANSWERm4
Duringmhermfirstmvisitmtomthemprenatalmclinicmamclientmismfoundmtombemobese.mDuringmthem
ensuingm5mmonths,mthemclientmhasmnotmbeenmsuccessfulmadheringmtomhermnutritionalmpla
n.mWhichmfindingmindicatesmtomthemnursemthatmthemclientmhasmbeenmsuccessfulmduringmth
emsixthmmonth?
1
Weightmlossmofm1mlb
m2
Weightmgainmofm2mlb
3
Nomchangeminmweightmfrommlastmmonth
4
Themclient'smstatementmthatmshemlostmweightmlastmweekm-mANSWERm2
althoughmobese,mneedmtomgainmweight
Amclientmtellsmamnurseminmthemprenatalmclinicmthatmshemhasmvaginalmstainingmbutmnompain.
mHermhistorymrevealsmamenorrheamformthemlastm2mmonthsmandmpregnancymconfirmationm
aftermhermfirstmmissedmperiod.mWhatmtypemofmabortionmismsuspected?
1
Missed
2
Inevitable
3
Threatened
4
Incompletem-mANSWERm3
Spottingminmthemfirstmtrimestermmaymindicatemthatmthemclientmismhavingmamthreatenedmabo
rtion;manymclientmwithmthempossibilitymofmhemorrhagemshouldmnotmbemleftmalone,msomherm
admissionmtomthemhospitalmhelpsmensuremhermsafety.mAmmissedmabortionmmaymnotmcaus
emanymoutwardmsignsmormsymptoms,mexceptmthatmthemsignsmofmpregnancymdisappear.mA
nminevitablemabortionmcanmbemconfirmedmonlymifmvaginalmexaminationmrevealsmcervicalm
dilation.mWithmanmincompletemabortionmsome,mbutmnotmall,mofmthemproductsmofmconceptio
nmhavembeenmexpelled.
Amclientmwithmmildmpreeclampsiamismadmittedmtomthemhigh-
riskmprenatalmunitmbecausemhermbloodmpressuremismprogressivelymincreasing.mThemnurs
emreviewsmthempractitioner'smprescriptions.mWhatmprescriptionsmdoesmthemnursemexpect
?mSelectmallmthatmapply.
1m
Dailymweight
2m
, Side-lyingmbedmrest
3m
2-gram-sodiummdiet
4m
Deepmtendonmreflexes
5m
Glucosemtolerancemtestm-mANSWERm124
Amclientmatm9mweeks'mgestationmasksmthemnurseminmthemprenatalmclinicmwhethermshemma
ymhavemchorionicmvillimsamplingm(CVS)mperformedmduringmthismvisit.mWhatmshouldmthemn
ursemkeepminmmindmasmthemoptimalmtimemformCVSmwhilemformulatingmamresponse?
1
Atm8mweeksmbutmnomlatermthanm10mweeks
2
Atm10mweeksmbutmnomlatermthanm12mweeks
3
Atm12mweeksmbutmnomlatermthanm14mweeks
4
Atm14mweeksmbutmnomlatermthanm16mweeksm-mANSWERm2
Am37-year-
oldmclientmwithmtypem1mdiabetesmandmgoodmglycemicmcontrolmismpregnantmformthemthirdmti
me.mHermfirstmchildmism4myearsmold,mandmhermsecondmpregnancymresultedminmamstillbirth.m
Shemismseenminmthemantepartummtestingmunitmformamnonstressmtestm(NST)matm33mweeks'm
gestation.mWhatmaremthemprimarymriskmfactorsminmthemclient'smhistorymthatmindicatemamne
edmformthemNST?mSelectmallmthatmapply.
1m
Agemgreatermthanm35myears
2m
Themriskmformplacentamprevia
3m
Themriskmformplacentalminsufficiency
4m
Amhistorymofmstillbirthmfrommhermlastmpregnancy
5m
Maternalmhistorymofmhypertensionm-mANSWERm345
Pregnantmwomenmwithmdiabetesmarempronemtomplacentalminsufficiency,mwhichmcanmthre
atenmfetalmwell-
being.mInmaddition,mhistorymofmstillbirthmismalsomanmindicationmformNST.mInmaddition,mmate
rnalmconditionsmthatmcanmaffectmplacentalmperfusionmsuchmasmhypertensionmismanmindica
tionmformamNST.mAdvancedmmaternalmagemalonemismnotmanmindicatormformanmNST;malthou
ghmadvancedmmaternalmagemincreasesmthemriskmofmplacentamprevia,mitmismnotmthemprimar
ymreasonmformhavingmanmNST.
Amprimigravidamatm38mweeksmofmgestationmpresentsmtomthemclinicmwithmambloodmpressure
mofm142/94,medemaminmallmextremities,mandmamweightmgainmofmfivempoundsmsincemthempre
viousmcheckupmonemweekmago.mThemclientmhasmdeliveredmandmismreceivingmmagnesium
msulfatempostpartum.mThemprioritymduringmthemimmediatemfourmhoursmaftermdeliverymwou
ldmbe:
1
