Shadow Health - Maternal Health Post- Test With Complete Solution

The nurse is preparing a diet plan for a pregnant client with preeclampsia. Which would the nurse include in the client's diet? Select all that apply. Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Food with a low fiber content Four to five cups of coffee per day Correct answer- Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Which is a subjective symptom of pregnancy? Urinary frequency Breast enlargement Abdominal enlargement Vaginal changes Correct answer- Urinary frequency The nurse caring for a 37-week-gestation client with gestational hypertension determines that the client has very elevated blood pressure. Which is the best intervention to prevent complications in the client? Instruct the client to come in early next week to be seen Provide the client with a nutritious dietary plan Prepare the client for induction of labor Instruct the client to stay in bed Correct answer- Prepare the client for induction of labor Which nursing interventions are performed when conducting a pregnant woman's health history? Select all that apply. Concentrate on asking about specific concerns rather than general concerns Assure the client of strict confidentiality of her case history Repeat words or phrases the client has used, and ask her for clarification Ask the client direct questions to elicit specific details Remain objective and avoid empathetic responses Correct answer- Assure the client of strict confidentiality of her case history Repeat words or phrases the client has used, and ask her for clarification Ask the client direct questions to elicit specific details Which client information would the nurse include in the "S" section of the SBAR format when discussing postpartum hemorrhage? May require intravenous (IV) fluid administration Fundus feels boggy, and is not firm Bleeding profusely and has cramps Uneventful previous pregnancies Correct answer- Bleeding profusely and has cramps Which intervention would the nurse perform to provide a relaxed environment for a laboring client? Stand at the bedside Encourage rapid breathing Demonstrate excitement for the client Control sensory stimuli Correct answer- Control sensory stimuli Which interventions would the nurse include in the plan of care for a pregnant client with mild preeclampsia? Select all that apply. Ensure prolonged bed rest Suggest activities to refocus attention Encourage intake of adequate fluids Restrict sodium and zinc intake Refer the client to an internet based support group Correct answer- Suggest activities to refocus attention Encourage intake of adequate fluids Refer the client to an internet based support group Which subjective signs and symptoms preceding labor would the nurse assess with a client who is 38 weeks pregnant? Select all that apply. Weight loss Pain in the groin Persistent low backache Loss of energy Blood tinged cervical mucus Correct answer- not sure of this one.... ? Persistent low backache Loss of energy Blood tinged cervical mucus Which questions would the nurse ask the client to elicit cultural expectations about childbearing? Select all that apply. "What do you and your family think you should do to remain healthy during pregnancy?" "What can you do to improve your health and the health of your baby?" "Do you want anyone with you when you deliver the baby?" "What foods will help make a healthy baby?" "Did you eat a lot of sweets or junk food before you got pregnant?" "What actions are important for you and your family after the baby's birth?" Correct answer- not sure of this one.... ???? "What do you and your family think you should do to remain healthy during pregnancy?" "What can you do to improve your health and the health of your baby?" "What foods will help make a healthy baby?" "What actions are important for you and your family after the baby's birth?" When assessing a client, the nurse knows that which changes take place in the integumentary system postpartum? Select all that apply. For the first 3 months after birth, clients often report no hair loss when they brush or comb their hair. Fingernails become brittle in consistency and strength Vascular abnormalities such as spider angiomas (nevi) and palmar erythema persist indefinitely in all clients Striae gravidarum (stretch marks) on the breasts, abdomen, and thighs may fade, but usually do not disappear completely. Melasma (chloasma or mask of pregnancy) includes hyperpigmentation of the areolae and linea nigra, and some clients will have permanent darker pigmentation of those areas. The abundance of fine hair seen during pregnancy usually disappears after delivery; any course or bristly hair that appears during pregnancy usually remains. Correct answer- Striae gravidarum (stretch marks) on the breasts, abdomen, and thighs may fade, but usually do not disappear completely. Melasma (chloasma or mask of pregnancy) includes hyperpigmentation of the areolae and linea nigra, and some clients will have permanent darker pigmentation of those areas. The abundance of fine hair seen during pregnancy usually disappears after delivery; any course or bristly hair that appears during pregnancy usually remains. What is an expected change in vital signs at 40 weeks of gestation when compared with pre-pregnancy vital signs in the electronic health record (EHR)? Respirations are abnormally elevated All vital signs reflect anticipated changes Blood pressure is elevated Pulse is abnormally elevated Correct answer- Blood pressure is elevated Which hypertensive disorders can occur during pregnancy? Chronic Hypertension Preeclampsia-eclampsia Hyperemesis gravidarum Gestational hypertension Gestational trophoblastic disease Correct answer- Chronic Hypertension Preeclampsia-eclampsia Gestational hypertension How would the nurse classify a client who is at 18 weeks of gestation and has a blood pressure of 140/98 and a past medical history of treatment for hypertension? Preeclampsia Gestational hypertension Superimposed preeclampsia Eclampsia Correct answer- Superimposed preeclampsia Which statement is accurate regarding preeclampsia? Preeclampsia is a condition of the first trimester, whereas eclampsia is a condition of the second and third trimester Preeclampsia results in decreased function in such organs as the placenta, kidneys, liver, and brain The cause of preeclampsia is well documented and understood Severe preeclampsia is defined as preeclampsia plus proteinuria Correct answer- Preeclampsia results in decreased function in such organs as the placenta, kidneys, liver, and brain A client with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the client and documents the following findings: temperature 37.1° C, pulse rate 96 beats/min, respiratory rate 24 breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the primary health care provider and anticipates a prescription for which medication? Hydralazine Magnesium sulfate bolus Diazepam Calcium Gluconate Correct answer- Hydralazine The nurse caring for a pregnant client knows which situation is the most common medical complication of pregnancy? Hypertension Hyperemesis gravidarum Hemorrhagic complications Infection Correct answer- Hypertension Which interpretation is appropriate when assessing a client who is 7 months pregnant with increased chest movements and decreased abdominal movements while breathing? Normal finding during pregnancy Impaired diaphragm function Decreased abdominal muscle tone Presence of obstructive lung disease Correct answer- Normal finding during pregnancy The nurse assesses fetal well-being during labor by monitoring which factor? Response of the fetal heart rate (FHR) to uterine contractions Maternal pain control to uterine contractions Accelerations in FHR Frequency of uterine contractions Correct answer- Response of the fetal heart rate (FHR) to uterine contractions Which nursing advice is appropriate for the 5-month-pregnant client reporting dizziness after waking up in the morning? "Keep your legs elevated while sleeping" "Try to spend less of your time sleeping" "Try sleeping in the side lying (Lateral) position" "Use 2 pillows for your head while sleeping" Correct answer- "Try sleeping in the side lying (Lateral) position" Which nursing instruction is appropriate for the pregnant client experiencing nausea and vomiting? Drink a glass of water with fat free carbohydrate before getting out of bed in the morning Eat small, frequent meals every 2-3 hours Increase intake of high fat foods to keep the stomach full and coated Limit fluid intake throughout the day Correct answer- Eat small, frequent meals every 2-3 hours Which nursing advice is appropriate to ease the client's discomfort of frequent urination? Eat dry carbohydrates Perform Kegel exercises Apply local heat or ice Get back rubs regularly Correct answer- Perform Kegel exercises Which action would the nurse take when planning care for a client with a different cultural background? Strive to keep the client's cultural background from influencing health needs Encourage the continuation of cultural practices in the hospital setting In a non judgemental way, attempt to change the client's cultural beliefs As far as possible, adapt the client's cultural practices to her health needs Correct answer- As far as possible, adapt the client's cultural practices to her health needs Which statement by a client 3 weeks postpartum indicates the need to ask if she has thought about harming her baby? "I have lost so much weight" "I can't get to sleep even when I have time" "I still have strong cravings for desserts" "I feel like I am constantly waking up to feed the baby" Correct answer- "I can't get to sleep even when I have time" Which statement describes the nurse's understanding of an effective method of communication to use when carrying out nursing interventions for a family who have just recently had a baby? "I will inform the family about the interventions that I have planned" "It is important that my nonverbal and verbal communications are effective" "I will make sure to obtain the majority of the information from the head of the household" "It is important that I perform a few assessments to make sure the family understands the plan of care" Correct answer- "It is important that my nonverbal and verbal communications are effective" Which recommendations would the nurse provide a postpartum client who intends to breastfeed but is very concerned about returning to her pre-pregnancy weight? Select all that apply. "Consider joining a weight loss group as soon as possible to ensure adequate weight loss" "Even though more calories are needed for lactation, typically women who breastfeed lose weight more rapidly than women who bottle feed in the postpartum period" Weight loss diets are not recommended for women who breastfeed" If you decrease calorie intake by 100 to 200 calories a day, you will lose weight more quickly" Correct answer- "Even though more calories are needed for lactation, typically women who breastfeed lose weight more rapidly than women who bottle feed in the postpartum period" "Weight loss diets are not recommended for women who breastfeed"