1 A woman presents to the labour and delivery unit at term with spontaneous ruptures of membranes. You anticipate a prec
Posted: Thu Jun 30, 2022 6:57 pm
1 A woman presents to the labour and delivery unit at term withspontaneous ruptures of membranes. You anticipate a precipitousdelivery. Her group B strep status in unknown on her prenatalrecords. Which of the following is the appropriate nursingaction?
a) disregards this information as things are happening quicklyand there is no time.
b) report this finding to the doctor and prepare to start IVantibiotics
c) prepare to administer oral antibiotics which are absorbedquickly
d)tell the woman all will be fine since is a precipitousdelivery
2.On the station is reported to be at -3. This would indicatethe presenting part is
a)crowning
b) located at the ishcial spines
c)located above the ischial spines
d)located below the ischial spines
3.The nurse notes persistent early decelerations on a fetalmonitoring strip. what should the nurse do next?
a)continue with your nursing care as the pattern is benign
b)turn the woman to her left side and start to administer oxygenby mask
c)stay with the woman and observe what happens during the nextcontraction
d)perform a vaginal examination to assess dilatation and todetermine whether the mother is ready to push.
4.implantatation takes place how many days afterfertilization?
a)1 to 2
b)3 to 4
c)7 to 9
d)15 to 20
5.Apgar scoring is usually done at what two intervals afterdelivery?
a)1 minutes;5 minutes
b)2 minutes;5 minutes
c)1 minutes;10 minutes
6.which of the following is the best description of the maternalrespiratory system in pregnancy?
a)tidal volume decreases, vital capacity decreases
b)tidal volume decreases, vital capacity increases
c)tidal volume increases, vital capacity decreases
d)tidal volume increases, vital capacity increases
7. A parent asks what the normal number of wet diapers is in anday. Your best response would be after the first week of lifea baby should have..
a)2-4 diapers/day
b)4-6diapers/day
c)6-10diapers/day
d)1-12 diapers/day
8.Which of the following factors does not influence fundalheight?
a)the woman is very short
b)the woman is very tall
c)trunk elevation
d)knee extension
9.An expected beneficial effect of a lumbar epidural blockis?
a)fetal bradycardia
b)numbness of the lower trunk and extremities
c)elimination of the bearing-down reflex in the 2nd stage
d)it allows the woman to be fully awake during labor andbirth
10.A client with a localized infection of the episiotomy wouldprobably exhibit which of the following signs and symptoms?
a)hemmorrhage, increased blood pressure
b)fever, foul-smelling lochia
c)bruising, decreased pulse rate
d)absence of lochia, decreased blood pressure
11.You are assessing the fundus in the recovery room followingthe birth. you anticipate the fundus will feel
a)boggy and like a sponge
b)firm and like a grapefruit
c)boggy and like a grapefruit
d)not palpable as it needs to resettle in place.
12. Which of the following is an exercise that helpsprevent or reduce back strain?
a)pelvic tilt
b)perineal
c)kegel's
d)abdominal
13. Which symptom would most likely be indicative of aruptured ectopic pregnancy?
a)greater than expected urine enlargement
b)urinary frequency
c)marked lower abdominal pan
d)severe nausea and vomiting
14.The nurse assesses the new mother as stable in the initialrecovery phase after a vaginal delivery. What type of care shouldthe nurse encourage?
a)dangling their feet and NPO
b)bedrest, a full diet, and a shower
c)early ambulation, a meal, and a shower
d)bedrest, fluids, and no food until bowel sounds
15.The infant is beginning to show signs of respiratorydistress. Determine the priority for the following nursinginterventions.
a)notify the physician
b)maintain a patent airway
c)apply monitoring electrodes
d)if cyanosis occurs, provide oxygen
e)record time, symptoms, degree of symptoms, and whether oxygenrelieved the symptoms of respiratory distress.
16. The nurse should suspect pathological jaundice in thenewborn if
a)it appears after 48 hours after birth
b)it persists for more than 2 days in the pre-term
c)it persists for more than one day in the full-term infant
d)the serum bilirubin concentration rises above 0.2 mg/mg/dL perhour in term infants
17.One advantage of breastfeeding is
a)the baby will sleep better than if he/she is bottle-fed
b)breast milk is more easily digested than a formulapreparation
d)the infant will not have to be fed as often as a bottle-fedbaby
18.In which of the following situations would it be possible toperform an outlet forceps delivery? When the
a) head is ballotable
b)occiput is at the ischial spines
c)biparietal diamater of the head reaches the pelvic inlet
d)fetal skull has reached the perineum and the scalp is visiblebetween contractions.
19.Which of the folllowing statements is TRUE of externalversion?
a)procedure is done before 30 weeks gestation to changepresentation of the fetus from breech to cephalic
b)procedure is done after 37 weeks gestation to changepresentation of the fetus from breech to cephalic
c)it is a procedure used for multiple gestations for thedelivery of twins
d)presentation of fetus is changed from a cephalic to breechpresentation
20.A pregnant woman may contact toxplasmosis by which of thefollowing?
a)by drinking pasteurized goat's mik
b)by gardening in areas frequented by cats
c)by eating a well-done steak in a restaurant
d)by walking her dog and picking up dog feces
21.An extended family can best be defined as
a)mother, no father, daughter, son
b)mother, father, no children, cat
c)mother, father, daughter, son
d) mother, father, daughter, uncle
22. The majority of a newborn's hemoglobulin at birth isfetal hemoglobulin. This hemoglobulin differs from adulthemoglobulin by which of the following?
a)decreased affinity for oxygen
b)increased affinity for oxygen
c)smaller size taking up less volume
d)lower overall levels in the newborn's blood
d)lower overall levels in the newborn's blood
23.By 12 hours after birth you would expect the mother exhibitwhich of the following?
a) be somewhat dependent, yet want to learn
b) take total responsibility for her newborn and eager tolearn
c)eager to learn yet take no responsibility for her newborn
d)ask her mother to provide total care for the newborn
24. The pre-term infant is a great risk to heat loss. Thenurse's action that can BEST minimize this problem would be
a)placing the infant next to an external wall
b)keeping their skin slightly moistened to reduce body heatloss
c)increasing the infant's activity level to heat his/herinternal temperature
25. By 12 hours after birth you would expect the mother toexhibit which of the following?
a)be somewhat dependent, yet want to learn
b)take total responsibility for her newborn and eager tolearn
c)eager to learn yet take no responsibility for her newborn
d)ask her mother to provide total care for the newborn
26.Which of the following might the nurse find on assessment ofa newborn with suspected fetal alcohol syndrome?
a)narrow bridge
b)minor joint and limb abnormalities
c)upper respiratory infection
d)optic nerve hyperplasia
27. Following the birth of her baby, Mrs. Wade has slight edemain an intact perineum. Mrs. Wade requests something for discomfort.The nurse would probably suggest first
a)a sitz bath
b) ice glove or ice pack
c)an intramuscular analgesic
d)for her to lie on her side and place a pillow between herlegs
28.Which of the following would be the priority for the nurse toassess at the first home visit?
a)father involvement, sibling rivalry
b)baby bathing questions and support systems
c)feeding questions/concerns and concerns over baby'sjaundice
d)safety concerns and diaper care
29.Maintenance of fluid and electrolyte status is important inthe pre-term infant. Which of the following are signs ofdehydration?
a)poor skin turgor and sunken fontanelle
b)weight gain fontanelle
30. Infants are disadvantaged at controlling their temperature.Which would be an example of the loss of heat via convection?
a)giving the baby a bath
b)placing the baby on cold scales
c)placing bottle of frozen milk into the incubator
d)removal of the infant from the incubator
31. Which of the following would be the most supportive fora pregnant woman?
a)leaving her alone to plan for the baby
b)encouraging her to get proper exercise and diet
c)protecting her from all responsibility of outside pressuresand those of the family
d)keeping her so busy that her mind is occupied with thingsother than the pregnancy
32. Intraventricular hemorrhage is a complication associatedwith prematurity. The most common manifestation this condition arerelated to
a)renal signs such as kidney failure
b)digestive symptoms such as diarrhea
c)neurological signs such as hypotonia
d)thermoregulation problems such as cold stress
33. What is the maternal physiological renal response duringpregnancy?
a)oliguria
b)nocturia
c)polyuria
d)hematuria
a) disregards this information as things are happening quicklyand there is no time.
b) report this finding to the doctor and prepare to start IVantibiotics
c) prepare to administer oral antibiotics which are absorbedquickly
d)tell the woman all will be fine since is a precipitousdelivery
2.On the station is reported to be at -3. This would indicatethe presenting part is
a)crowning
b) located at the ishcial spines
c)located above the ischial spines
d)located below the ischial spines
3.The nurse notes persistent early decelerations on a fetalmonitoring strip. what should the nurse do next?
a)continue with your nursing care as the pattern is benign
b)turn the woman to her left side and start to administer oxygenby mask
c)stay with the woman and observe what happens during the nextcontraction
d)perform a vaginal examination to assess dilatation and todetermine whether the mother is ready to push.
4.implantatation takes place how many days afterfertilization?
a)1 to 2
b)3 to 4
c)7 to 9
d)15 to 20
5.Apgar scoring is usually done at what two intervals afterdelivery?
a)1 minutes;5 minutes
b)2 minutes;5 minutes
c)1 minutes;10 minutes
6.which of the following is the best description of the maternalrespiratory system in pregnancy?
a)tidal volume decreases, vital capacity decreases
b)tidal volume decreases, vital capacity increases
c)tidal volume increases, vital capacity decreases
d)tidal volume increases, vital capacity increases
7. A parent asks what the normal number of wet diapers is in anday. Your best response would be after the first week of lifea baby should have..
a)2-4 diapers/day
b)4-6diapers/day
c)6-10diapers/day
d)1-12 diapers/day
8.Which of the following factors does not influence fundalheight?
a)the woman is very short
b)the woman is very tall
c)trunk elevation
d)knee extension
9.An expected beneficial effect of a lumbar epidural blockis?
a)fetal bradycardia
b)numbness of the lower trunk and extremities
c)elimination of the bearing-down reflex in the 2nd stage
d)it allows the woman to be fully awake during labor andbirth
10.A client with a localized infection of the episiotomy wouldprobably exhibit which of the following signs and symptoms?
a)hemmorrhage, increased blood pressure
b)fever, foul-smelling lochia
c)bruising, decreased pulse rate
d)absence of lochia, decreased blood pressure
11.You are assessing the fundus in the recovery room followingthe birth. you anticipate the fundus will feel
a)boggy and like a sponge
b)firm and like a grapefruit
c)boggy and like a grapefruit
d)not palpable as it needs to resettle in place.
12. Which of the following is an exercise that helpsprevent or reduce back strain?
a)pelvic tilt
b)perineal
c)kegel's
d)abdominal
13. Which symptom would most likely be indicative of aruptured ectopic pregnancy?
a)greater than expected urine enlargement
b)urinary frequency
c)marked lower abdominal pan
d)severe nausea and vomiting
14.The nurse assesses the new mother as stable in the initialrecovery phase after a vaginal delivery. What type of care shouldthe nurse encourage?
a)dangling their feet and NPO
b)bedrest, a full diet, and a shower
c)early ambulation, a meal, and a shower
d)bedrest, fluids, and no food until bowel sounds
15.The infant is beginning to show signs of respiratorydistress. Determine the priority for the following nursinginterventions.
a)notify the physician
b)maintain a patent airway
c)apply monitoring electrodes
d)if cyanosis occurs, provide oxygen
e)record time, symptoms, degree of symptoms, and whether oxygenrelieved the symptoms of respiratory distress.
16. The nurse should suspect pathological jaundice in thenewborn if
a)it appears after 48 hours after birth
b)it persists for more than 2 days in the pre-term
c)it persists for more than one day in the full-term infant
d)the serum bilirubin concentration rises above 0.2 mg/mg/dL perhour in term infants
17.One advantage of breastfeeding is
a)the baby will sleep better than if he/she is bottle-fed
b)breast milk is more easily digested than a formulapreparation
d)the infant will not have to be fed as often as a bottle-fedbaby
18.In which of the following situations would it be possible toperform an outlet forceps delivery? When the
a) head is ballotable
b)occiput is at the ischial spines
c)biparietal diamater of the head reaches the pelvic inlet
d)fetal skull has reached the perineum and the scalp is visiblebetween contractions.
19.Which of the folllowing statements is TRUE of externalversion?
a)procedure is done before 30 weeks gestation to changepresentation of the fetus from breech to cephalic
b)procedure is done after 37 weeks gestation to changepresentation of the fetus from breech to cephalic
c)it is a procedure used for multiple gestations for thedelivery of twins
d)presentation of fetus is changed from a cephalic to breechpresentation
20.A pregnant woman may contact toxplasmosis by which of thefollowing?
a)by drinking pasteurized goat's mik
b)by gardening in areas frequented by cats
c)by eating a well-done steak in a restaurant
d)by walking her dog and picking up dog feces
21.An extended family can best be defined as
a)mother, no father, daughter, son
b)mother, father, no children, cat
c)mother, father, daughter, son
d) mother, father, daughter, uncle
22. The majority of a newborn's hemoglobulin at birth isfetal hemoglobulin. This hemoglobulin differs from adulthemoglobulin by which of the following?
a)decreased affinity for oxygen
b)increased affinity for oxygen
c)smaller size taking up less volume
d)lower overall levels in the newborn's blood
d)lower overall levels in the newborn's blood
23.By 12 hours after birth you would expect the mother exhibitwhich of the following?
a) be somewhat dependent, yet want to learn
b) take total responsibility for her newborn and eager tolearn
c)eager to learn yet take no responsibility for her newborn
d)ask her mother to provide total care for the newborn
24. The pre-term infant is a great risk to heat loss. Thenurse's action that can BEST minimize this problem would be
a)placing the infant next to an external wall
b)keeping their skin slightly moistened to reduce body heatloss
c)increasing the infant's activity level to heat his/herinternal temperature
25. By 12 hours after birth you would expect the mother toexhibit which of the following?
a)be somewhat dependent, yet want to learn
b)take total responsibility for her newborn and eager tolearn
c)eager to learn yet take no responsibility for her newborn
d)ask her mother to provide total care for the newborn
26.Which of the following might the nurse find on assessment ofa newborn with suspected fetal alcohol syndrome?
a)narrow bridge
b)minor joint and limb abnormalities
c)upper respiratory infection
d)optic nerve hyperplasia
27. Following the birth of her baby, Mrs. Wade has slight edemain an intact perineum. Mrs. Wade requests something for discomfort.The nurse would probably suggest first
a)a sitz bath
b) ice glove or ice pack
c)an intramuscular analgesic
d)for her to lie on her side and place a pillow between herlegs
28.Which of the following would be the priority for the nurse toassess at the first home visit?
a)father involvement, sibling rivalry
b)baby bathing questions and support systems
c)feeding questions/concerns and concerns over baby'sjaundice
d)safety concerns and diaper care
29.Maintenance of fluid and electrolyte status is important inthe pre-term infant. Which of the following are signs ofdehydration?
a)poor skin turgor and sunken fontanelle
b)weight gain fontanelle
30. Infants are disadvantaged at controlling their temperature.Which would be an example of the loss of heat via convection?
a)giving the baby a bath
b)placing the baby on cold scales
c)placing bottle of frozen milk into the incubator
d)removal of the infant from the incubator
31. Which of the following would be the most supportive fora pregnant woman?
a)leaving her alone to plan for the baby
b)encouraging her to get proper exercise and diet
c)protecting her from all responsibility of outside pressuresand those of the family
d)keeping her so busy that her mind is occupied with thingsother than the pregnancy
32. Intraventricular hemorrhage is a complication associatedwith prematurity. The most common manifestation this condition arerelated to
a)renal signs such as kidney failure
b)digestive symptoms such as diarrhea
c)neurological signs such as hypotonia
d)thermoregulation problems such as cold stress
33. What is the maternal physiological renal response duringpregnancy?
a)oliguria
b)nocturia
c)polyuria
d)hematuria