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Maternity test 2
  • Zoey

  • 問題数 50 • 1/22/2024

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    問題一覧

  • 1

    Which statement indicates that a mother understood the info about the function of the placenta taught by the nurse?

    the placenta separates my blood from the baby’s and produces hormones until delivery

  • 2

    A pregnant woman complains about backaches. Which of the following should the nurse recommend?

    wearing low heeled shoes and using good body mechanics

  • 3

    A clinical instructor is observing a student nurse obtain a pt history on a new prenatal pt. which statement allows the clinical instructor to determine that the student nurse effectively understands therapeutic communication?

    what is your current living situation?

  • 4

    A 16 year old patient is acting indifferent when the nurse is asking questions about her pregnancy. this is consistent with what expected behavior of pregnant teens?

    inconsistency

  • 5

    Which potential complication is the nurse unlikely to associate with amniocentesis?

    maternal liver damage

  • 6

    A pregnant woman lives in a community that is experience a measles outbreak because of a lack of immunization. the woman says she heard that measles is teratogenic and does not know what that means. which statement by the nurse best explains this concept?

    the measles virus is a harmful substance that could hurt the fetus

  • 7

    Which of the following female external genital organs is correctly matched to its description

    Bartholin glands - secrete lubricating fluids

  • 8

    during a woman’s initial prenatal visit, she learns that the OB will perform a complete physical exam. what is the best response when the clients asks the nurse, “why is a complete physical exam required?”

    your overall health will influence your pregnancy. the doctor will need to obtain a complete physical examination

  • 9

    a woman arrives at the clinic and tells the nurse that she thinks she is pregnant. which symptoms, as related by the pt, does the nurse consider the best indicator of pregnancy?

    positive urine human chorionic gonadotropin (hCG)

  • 10

    the nurse is assessing a newborn and notes that the infant has a small head, flat face, and narrow eye openings. what is a possible explanation for this finding?

    the mother consumer alcohol during pregnancy

  • 11

    Using naegele’s rule, calculate the estimated date of delivery for a pt whose first day of the last menstrual period was Oct 8, 2016?

    July 15, 2017

  • 12

    at which point will the nurse begin scheduling a pregnant woman for weekly OB visits?

    36 weeks

  • 13

    the nurse is conducting an assessment on a pregnant pt. which symptoms does the nurse recognize as abnormal for a pregnant patient?

    burning upon urination

  • 14

    the newborn nursing nurse admits a baby with a songenitak defect of the digestive tract and recognizes that this is due to an anomaly in which later during cell differentiation?

    endoderm

  • 15

    which of the male reproductive organs transport sperm and brings the sperm to maturity?

    epididymis

  • 16

    which of the following is the correct pathway of blood from the mother to her fetus?

    mother blood, placenta, umbilical vein, liver, heart

  • 17

    the nurse cares for a newly diagnosed pregnant woman with history of three spontaneous abortions in the first trimester and an emergency cesarean section because of breech presentation of her last pregnancy. which health- care provider is most appropriate to care for this patient?

    OB/gyno

  • 18

    when talking with the nurse, a pregnant pt points out his darkened areolas, the lines nigra on her abdomen, and the brown patches on her forehead and nose and says “I’m never going to be able to wear a bikini again” which is the nurses best response?

    these changes normally go away after you have a baby

  • 19

    a nurse is discussing rubella immunity with a. pregnant woman. which statement indicates that the nurse needs further education regarding rubella immunity?

    you may receive a rubella vaccine during preganncy

  • 20

    the nurse is educating a patient at 4 week gestation about the development of the fetus. how should the nurse respond when the pt asks when she can find out the gender of the fetus?

    we can do an ultrasound at 12 weeks and determine the sex

  • 21

    the nurse is unable to locate fetal heart tones in a woman who is at 10 weeks gestation. what is the nurses priority action?

    reassuring the woman that this is a normal finding

  • 22

    human chorionic gonadotropin (hCG) is produced to support the development of the embryo and is an indicator for pregnancy. how long after conception is hCG detectable in urine?

    12 - 14 days

  • 23

    a woman in her third trimester is reporting an itchy rash on her abdomen, arms, and legs. the nurse realized that the patient may have what skin condition that is associated with pregnancy?

    pruritos urticarial papeles and plaques of pregnancy (PUPPP)

  • 24

    The nurse is obtaining personal information as part of the pt history. how should the nurse ask the woman about physical abuse and overall safety in her living situation

    tell me about your home life

  • 25

    The nurse reviews a pregnant patients laboratory values and notes a reduced red blood cell count and hemoglobin level. which symptoms should the nurse expect the pt to report?

    fatigue

  • 26

    The nurse is educating a woman who is pregnant with twins about the differences between monozygotic and dizygotic twins. which statement should the nurse include in the teaching?

    in monozygotic twins, each embryo will have its own amniotic sacs but will share a placenta

  • 27

    which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?

    do not empty your bladder prior to the procedure

  • 28

    the nurse is examining a woman who is at 20 weeks gestation. which findings does the nurse consider appropriate at this stage of pregnancy?

    fetal HR 148 bpm, fundal height - 20 cm, quickening

  • 29

    a defect in the ectoderm layer could cause issues with what organ of the body?

    eyes

  • 30

    the nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?

    feeling SOB with no explanation

  • 31

    While assisting the physician with a physical examination, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?

    auscultation of fetal heart sounds

  • 32

    which finding does the nurse recognize as a normal result of pregnancy?

    reduced platelet count

  • 33

    during the physical examination of a pregnant woman the health care provider notes a bluish purple coloration of the vagina mucosa and cervix. the nurse knows that this find indicates which probable sign of pregnancy?

    chadwicks sign

  • 34

    if fertilization does not occur, shedding of the uterine lining begins due to a decrease in which hormones?

    estrogen and progesterone

  • 35

    the measurement of a pregnant woman’s abdomen reveals that her amniotic fluid may be low. the nurse know that amniotic fluid serves what functions? (select all that apply)

    cushioning the fetus, preventing the amniotic membrane from adhering to the fetus, protecting the fetus from bacteria from the vagina, preventing compression of the umbilical cord

  • 36

    the nurse is education a patient about the process of fertilization. which statement by the pt requires correction?

    the sperm and the egg are called zygotes

  • 37

    a pregnant patient is complaining of constipation. the nurse should recommend that the patient incorporate which food into her diet?

    nuts

  • 38

    the nurse reviews a pregnant patients medical record and sees G5, T2, P5, A1, L5. which statement reflect an accurate analysis of this info? (select all that apply)

    the women has been pregnant a total of fives time, including the current pregnancy, two of the children born alive died after birth

  • 39

    in fetal circulation, the oxygenated blood bypasses the liver through which structure?

    ductus venosus

  • 40

    the nurse is providing teaching to a pregnant pt. which recommendation will help the pt avoid vena cabal syndrome?

    lie on your left side

  • 41

    the nurse caring for a woman at 32 weeks gestation finds elevated protein and nitrate levels in the urine. what will the nurse assess for next

    symptoms of a UTI

  • 42

    the nurse performs a cervical exam on a woman in labor and recognizes that the elasticity of the cervix results from which characteristic of the anatomy? (select all that apply)

    large number of folds in the cervical lining, high fibrous content of the supportive tissues , high collagenous content of the supportive tissue

  • 43

    Which finding is normal when assessing a newborn shortly after birth?

    the umbilical cord has two arteries and one vein (AVA)

  • 44

    rank these events in the order in which they occur ( write numbers in answer box ex 4321) 1. release of egg 2. fertilization of the ovum 3. implantation into the endometrium 4. release of progesterone by the corpus outrun 5. secretion of the luteinizing hormone

    51423

  • 45

    a fetus weighs 780g and has developed hand grip and startle reflex but is not yet using the senses of vision and hearing. this growth and development pattern of the fetus is consistent with what gestational age?

    6 months

  • 46

    a pt is late for her prenatal visit and when she arrives, she blames symptoms, suggesting a UTI for her late arrival. upon exam, the nurse finds mild spotting and notes bruising on the woman’s abdomen. what does the nurse suspect?

    domestic abuse

  • 47

    the ER nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy. assessment findings include a distended, pregnant- appearing abdomen and fetal heart tones. how does the nurse interpret these contradictory findings?

    denial of pregnancy until late in gestation is not uncommon of adolescence

  • 48

    the nurse reviews the chart of a man undergoing testing to determine the cause of infertility. which hormone levels will the nurse review as a possible cause of the pt’s low sperm count? ( select all that apply)

    luteinizing hormobe, testosterone , follicle stimulating hormone (FSH)

  • 49

    Which finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?

    amernorrhea

  • 50

    a pregnant woman is being assessed by the nurse and reports pain and swelling in her right calf. which action should the nurse take?

    notify the health care provider