34.Which of the following statements is TRUE of external version? a)procedure is done before 30 weeks gestation to chan

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34.Which of the following statements is TRUE of externalversion? a)procedure is done before 30 weeks gestation to changepresentation of the fetus from breech b)procedure is done after 37weeks gestation to change presentation of the fetus from breech tocephalic c)it is a procedure used for multiple gestations for thedelivery of twins d)presentation of fetus is changed from acephalic to breech presentation 35. The nurse's role in assistingthe woman experiencing a complication of pregnancy should include which of the following? a)anticipation of outcomesb)constant assessment and changes with interventions c)support ofclient and family d)emotional refrain a)A,B,C b)A,B,D c)A,C,Dd)B,C,D 36.In order to breastfeed effectively, a PRIMARY goal isthat the a) infant's tongue be placed under the mother's areola b)mother's nipple be directed toward the infant's tongue c)majorityof the mother's areola be covered by the infant's mouth d)infant'smouth be completely sealed around the mother's nipple37.Intraventricular hemorrhage is a complication associated withprematurity. The most common signs of this condition are a)renalsigns such as kidney failure b)digestive symptoms such as diarrheac)neurological signs as hypotonia d)thermoregulation problems suchas cold stress. 38. Crowning has occured. The most appropriatenursing action would be to a)make the mother void b)tell the motherto pant c)tell the mother to push d)tell the mother to hold herbreath 39. when the baby is ready to feed the nurse should alwaysencourage which of the following? a)the father feeds the infantb)the mother has enough diversion c)feeding is taken over if themother seems hesitant d)the mother is relaxed and comfortablebefore she begins feeding. 40. Crowning has occurred. The mostappropriate nursing action would be to a)make the mother voidb)tell the mother to pant c)tell the mother to push d)tell themother to hold her breath 41. An Apgar score of 4-7 indicates theneed for a)suction b)oxygen c)stimulation d)resuscitation 42.Vitals signs of the newborn should be taken as necessary and atleast at this frequency starting at 4-8 hours of age a)q2h b)q4hc)q6h d)q8h 43.An ill infant's parents are very anxious whenthey see the infant with all the special equipment around him/her.Which of the following would be the nurses priority to facilitateparent-infant interaction? a)have them wash their hands so they donot contaminate the equipment when sitting by their child b)assurethem that they are fortunate to have their child in a special-careunit c)explain the equipment and discuss the viability andcontinued existence of the child d)explain the equipment insimple terms, have them wash their hands, and provide anopportunity for them to touch the child 44. Heartburn is a commondiscomfort of pregnancy which results from a)a diet high in acidicfoods b)a high level of hydrochloric acid to speed up digestion c)chemical interaction with the fetus causing more acid to beproduced by the mother's stomach d) a reflux of acidic secretionsfrom the stomach into the lower esophagus as a result of relaxationof the cardiac sphincter 45.Following the nipple feeding of thepre-term infant, he/she should be burped and placed on a)eitherside b)the left side c)the right side d) his/her back with his/herhead elevated 46. What is the most likely reason for constipationduring pregnancy? a)increased peristalsis and flatulence b)refluxof acidic gastric contents and hypochlorhydria c)increased cardiacworkload resulting in delayed peristalsis d)prolonged stomachemptying time decreased intestinal motility. 47. Types of familiesare traditional and non-traditional. However, roles in families mayinclude all of the following except a)inactive participantb)breadwinner c)protector d)caregiver 48. Following the delivery ofan infant with fetal alcohol syndrome, the symptoms of withdrawaloften appears.....hours a)1-4 b)6-12 c)18-24 d)24-36 49. By 12hours after birth, you would expect the mother to exhibit which ofthe following? a)not take any responsibility yet want to learnb)take responsibility and eager to learn c)eager to team yet notfully responsible d)call her mother for help 50.Prior to artificialrupturing of the membranes the fetal head should be a)engagedb)floating c) in a transverse lie d)above the symphysis pubis 51. Aclient experiencing an early postpartum hemorrhage will likely havea uterus that is described as being a) hard b)large c)small d)boggy 52. The fundus is the a)neck of the uterus b)body of theuterus c)largest part of the uterus d)rounded part of the uterusabove the fallopian tubes 53. Of the following clients, which wouldhave the highest elevated risk score in pregnancy? a) age>17,diabetes mellitus, average size baby b) age<35 diabetesmellitus, rubella immunity c) age<16 hypertension, large babyd)age >35 singleton pregnancy, no STD 54. Average length of thenewborn is a)16-20 inches b)18-22 inches c)20-24 inchesd)22-26inches 55.Breastfeeding for a pre-term or sick infant isa)discouraged b)recommended c)not healthy for the infant d) notpossible due to equipment used in the special care unit 56.Assessment of the woman in labour is vital. Psychosocial history aspart of this assessment is important the best indicate prevalenceof which of the following? a)pain threshold b)sexual assaultc)substance abuse d)coping mechanisms 57.A positive Homan's sign isindicated by a complaint of pain in a) the foot when the clientstands b)the leg when the knee is flexed and the foot is extendedc)the leg when the knee is held flat and the foot is rotated d)theleg when the foot is dorsiflexed while the knee is flexed 58. Whichof the following is a true statement about afterpains? a)discomfortusually lasts 2 months b)breastfeeding decreases the discomfortc)they are caused by intermittent uterine contractions d)they arerelated to passing of clots. 59.In which trimester of pregnancydoes fine downy hair called lanugo begin to develop on the fetus?a) first b)second c)third 60. The distance between the...... is theshortest diameter of the pelvic outlet. a) iliac crest b) ischialspines c)linca terminals d)sacral promontory 61. All of thefollowing family tasks are essentials for the survival of thefamily unit except a)reproduction function b)provision of food,shelter, clothing, and warmth c)providing the family with economicresources d)disregarding cultural background 62.Vernix is not notedin this newborn a)post-term b)pre-term c)term 63. In your nursingassessment, which of the following would be most beneficial to knowabout rupture of membranes in regards to amniotic fluid? a)color,location b)odour, time, consistency c)time of rupture, paind)color, odor amount 64. A new mother is table in the initialrecovery phase after a vaginal delivery which of the followingshould the nurse encourage? a)early ambulation, a meal and showerb)dangling their feet and NPO c) bedrest, a full diet and a showerd)bedrest, fluids and no food until bowel sounds 65. Infants bornto drug dependent mothers have a high incidence at a)severe mentalretardation b)upper respiratory infection c)sudden infant deathsyndrome d) growth deficiency for length and weight 66. At 7cm dilation, you note persistent early decelerations on afetal monitoring strip. Based on your knowledge of this pattern,you would a) recognize the pattern is benign and continue routinecare b)turn the woman to her left side and start to administeroxygen by mask c) stay with the woman and observe what happensduring the next contraction d)perform a vaginal examination toassess dilation and to determine whether the mother is ready topush 67. The new mother is quite engaged with her first baby. Shecalls you to her room because because after watching her baby shenotices the baby occasionally pauses between breaths for less than15 seconds. She tells you of her observation and asks if this babyis okay. Your best response would be a) I will notify thepediatrician immediately b)do not worry, the baby's colour is pinkand fire c) I will take your baby to the nursery now so we canmonitor closely d)this pattern of breathing is not unusual, restassured as there are no color changes and the heart rate is fine68.Baby Smith has been crying for 25 minutes. Techniques to helpsoothe baby Smith could include all of the following except a)checkthe diaper b)swaddle the baby c)softly sing to baby d)use quickmovement with baby 69.As with all other newborns, baby Turner istested for phenylketonuria. This is diagnosed by doing the.......72 hours after birth a)Allen test b)Guthrie test c) Phenylalineurine test d)Phenylaline and Tyrosine blood test.