FAMILY - COMBINED OLD - EXAM #3

A new young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity?

A woman with systemic lupus erythematosus is interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if she is symptom-free or in remission for how long before getting pregnant?

Cytomegalovirus infection can result in different congenital anomalies. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur with which type of transmission of CMV?

A pregnant client at 14 weeks' gestation calls the clinic. When talking with the nurse, the client reports continued, frequent nausea and vomiting. She states, "This has been happening since I got pregnant and now I cannot keep anything down." Which intervention would be the priority for this client?

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client?

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as:

A woman has presented to the emergency department with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured?

Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with premature prelabor rupture of membranes (PPROM) has completed how many weeks of gestation?

A pregnant woman is being evaluated for HELLP. The nurse reviews the client's diagnostic test results. An elevation in which result would the nurse interpret as helping to confirm this diagnosis?

A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition?

A nurse is providing care to a pregnant client hospitalized with preeclampsia. The nurse immediately notifies the health care provider that the client has developed eclampsia based on which finding?

A woman at 12 weeks' gestation comes to the clinic with vaginal bleeding. When assessing the woman further, the nurse would suspect a threatened abortion based on which finding?

The nurse recognizes that documenting accurate blood pressures is vital in the diagnosing of preeclampsia and eclampsia. The nurse suspects preeclampsia based on which finding?

Which finding would lead the nurse to suspect that a large-for-gestational-age newborn is developing hyperbilirubinemia?

A nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome?

A pregnant client diagnosed with hyperemesis gravidarum is prescribed intravenous fluids for rehydration. When preparing to administer this therapy, which solution would the nurse anticipate being prescribed initially?

The nurse begins frequent oral feedings for a small-for-gestational-age newborn to prevent which occurrence?

A nurse is planning care for a newborn of a diabetic mother. A priority nursing diagnosis for this infant is:

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect?

A newborn in the observational nursery demonstrates signs of neonatal abstinence syndrome. What findings would correlate with this diagnosis? Select all that apply.

You're providing an in-service to a group of new labor and delivery nurse graduates about the pathophysiology of preeclampsia. Which statement by one of the group participants demonstrates they understood how this condition develops?

During pregnancy a woman's blood volume increases to accommodate the growing fetus to the point that vital signs may remain within normal range without showing signs of shock until the woman has lost what percentage of her blood volume?

Periventricular-intraventricular hemorrhage is suspected in a newborn of 30 weeks' gestation. The nurse would anticipate preparing the newborn for which diagnostic tool to confirm the diagnosis?

The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?

The nurse is teaching new parents the best way to prevent hypothermia. Which mechanism would the nurse include when explaining about the newborn's primary method of heat production?

A client is Rh-negative and has given birth to a newborn that is Rh-positive. Within how many hours should the mother receive the Rh immunoglobulin?

A nurse is caring for a newborn with hypoglycemia. What symptoms should the nurse monitor the infant for? Select all that apply (4)

A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply (3)

Which of the following manifestations should the nurse observe in the infant to confirm the occurrence of cold stress?

Based on this assessment of a newborn client, which interventions should the nurse perform? Select all that apply

Which assessment data warrants immediate intervention for the client in labor who is receiving an oxytocin infusion via pump?

When should the nurse assess the newborns initial blood glucose level?

During physical assessment of a client who gave birth 3 hours ago, a nurse finds that the client has completely saturated a perinea! pad within 15 minutes. Which nursing actions would be appropriate? Select all that apply.

A nurse is providing care to a woman who is 6 hours postpartum. The nurse suspects urinary retention based on which finding?

The nurse in a labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which assessment finding would alert the nurse to a compromise?

A G3, P2 woman arrives at the birthing center stating that she has been in labor for the past 18 hours. The nurse suspects a protracted labor pattern disorder based on which finding?

A 19-year-old nulliparous is in early labor with erratic contractions. An assessment notes that she is remaining at 3 cm. There is also a concern that the uterus is not fully relaxing between contractions. The nurse suspects which complication?

The nurse knows that preeclampsia tends to occur during what time in a pregnancy?

A client presents to the birthing center in labor. The client's membranes have just ruptured. Which assessment is the nurse's priority?

A woman is in the fourth stage of labor. During the first hour of this stage, the nurse would assess the woman's fundus at which frequency?

a nurse is assigned to care for a newborn with hyperbilirubinemia . The newborn is relatively large in size and shows signs of listlessness. What would have most likely happened to have caused these conditions to occur in the infant? …

a nurse is caring for an infant born with a high bilirubin level. When planning infant care, what interventions will assist in reducing the bilirubin level? Select all that apply 

a nurse is caring for an infant born with hypoglycemia. What care should the nurse administer to a newborn with hypoglycemia? 

when caring for a preterm infant, what intervention will most address the sensorimotor needs of the infant?

a nurse is caring for an antenatal mother diagnosed with umbilical cord prolapse. Which of the following should the nurse monitor for in a fetus in a case of umbilical cord prolapse? 

A nurse is caring for obstetric clients. The nurse should be aware of which of the following as an indication for labor induction?

A nurse is caring for a pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. What possible effect of maternal coffee consumption during pregnancy should the nurse make the client aware of? 

Caring for a client undergoing treatment for an ectopic pregnancy. Which of the following symptoms is observed in a client if the rupture or hemorrhaging occurs before the ectopic pregnancy is successfully treated? 

the nurse is required to assess a client for HELLP syndrome. Which of the following are the signs and symptoms of this condition? Select all that apply 

the nurse is assessing a client who was in her 24th week of pregnancy the nurse knows which of the following presenting symptoms should be further assessed as a possible sign of pre-term labor? Select all that apply 

A nurse is caring for a client who has just undergone delivery. What is the best method for the nurse to assess this client for postpartum hemorrhage?

The nurse is caring for a pregnant client with severe preeclampsia. Which of the following nursing interventions should a nurse perform to institute and maintain seizure precautions in this client? 

of the following clients is at the greatest risk for developing placenta previa 

During the assessment of a pregnant client, the nurse learns that the client has CVD. Which of the following should the nurse identify as a major risk that can be faced by the newborn of the client? 

the nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which of the following instructions should the nurse give this client to prevent toxoplasmosis transmission? Select all that apply 

Which of the following is a contraindication for oxytocin administration?

Fetal growth is dependent on: Genetics, placental, and maternal factors

which of the following is a risk to newborn because of meconium in the amniotic fluid 

which maternal factors should the nurse consider that could lead to a newborn being large for gestational age? Select all that apply 

which of the following indicates meconium aspiration and a newborn? 

A 19-year-old woman presents to the emergency department in the late stages of active labor. Assessment reveals she received no prenatal care. As part of her examination, a rapid HIV screen indicates she is HIV positive. To reduce the perinatal transmission to her infant, which intravenous medication would the nurse anticipate administering?

A potential complication for the mother and fetus is Rh incompatibility; therefore, assessment should include blood typing. If the mother is Rh negative, her antibody titer should be evaluated. If treatment with Rho(D) immune globulin is indicated, the nurse would expect to administer it at which time?

At what point in the pregnancy is it possible for the fetus to survive outside the womb?

a nurse is caring for an infant born after a prolonged and difficult maternal labor. What are the nursing interventions involved when assessing for trauma and birth injuries in the newborn? 

the nurse is caring for a client in the early stages of Labor. What maternal factors will alert the nurse to plan for the possibility of a small fridge stational age newborn? Select all that apply 

the nurse is performing a newborn assessment. What findings will alert the nurse to the development of polycythemia in the newborn? 

a nurse is assessing a term newborn and finds the blood glucose level is 23 MG per DL and the newborn has a weak cry, is irritable, and has Bradycardia. Which intervention is most important? 

which of the following interventions should the nurse perform to promote thermal regulation in a preterm newborn? 

a nurse has placed an infant with asphyxia on a radiant warmer. Which of the following signs indicate that the resuscitation methods have been successful? 

A nurse is caring for an infant born with polycythemia . Which intervention is most appropriate when caring for the infant? 

which of the following precautions should a nurse take to prevent infection in a newborn? Select all that apply 

A nurse is newly posted to the obstetric unit of the health care facility. which of the following are the causes of intrauterine fetal demise in late pregnancy that the nurse should be aware of? 

A nurse is assessing the cause of multiple gestations. Which of the following factors should the nurse assess as contributors to an increased probability of multiple gestations? 

a nurse is caring for a newborn with fetal alcohol spectrum disorder. What characteristic of fetal alcohol spectrum disorder should the nurse assess for in the newborn? 

a nurse is assigned to care for a client who has been diagnosed with placental abruption. The nurse knows that which of the following could have led to the abruption? 

a nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which of the following is an important area that the nurse should address during assessment of the client? 

A nurse is caring for a pregnant client who works at a daycare center and is in regular contact with children. What instructions should the nurse give this client in order to minimize risk of transmission of cytomegalovirus to the fetus? 

a nurse is monitoring a client with spontaneous abortion who has been prescribed misoprostol. the nurse knows that which of the following symptoms are common adverse effects of this medication? Select all that apply 

a pregnant client is brought to the health care facility with signs of premature rupture of membranes, which of the following are associated conditions and complications of premature rupture of membranes? Select all that apply 

A nurse is caring for a pregnant client with an eclamptic seizure. Which of the following should the nurse know as a characteristic of eclampsia? 

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does this indicate?

a client with pre-eclampsia is receiving magnesium sulfate to suppress or control seizures. Which of the following nursing intervention should the nurse perform to determine the effectiveness of therapy? 

A nurse has been assigned to assess a pregnant client for placental abruption. Which of the following is a classic manifestation of this condition that the nurse should assess for?