MATERNAL- MIDTERM

21問 • 1年前

問題一覧

LC., 18 years of age, asks how much longer her nurse practitioner will refer to the baby inside her as an embryo. To ensure team members use terms con- sistently, the nurse would want them to know the con- ceptus is classified as an embryo at what time?

From implantation until 5 to 8 weeks

L.C. tells the nurse she is worried her baby will be born with a congenital heart disease. What assess ment of the umbilical cord at birth would be most im- portant to help detect congenital heart defects?

Assessing whether the umbilical cord has two arteries and one vein

L.C. asks the nurse why her nurse midwife is concerned whether her fetus's lungs are producing surfactant. The nurse's best answer would be

Surfactant keeps lungs from collapsing at birth, so it aids newborn breathing."

To investigate whether there are any psychosocial predictors of people who smoke during pregnancy, a cross-sectional analysis of a birth cohort was reviewed. In this prospective study, the answers to questionnaires completed by 514 birthing shortly after the birth of their full-term infants found that 14.8% of the participants smoked. Of those who responded that they smoked during pregnancy, have the following char- they were also more likely to acteristics: lower education, maternal age younger than 20 years, unmarried, history of elective abortion, history of unplanned pregnancy, lack of emotional ac- ceptance of the pregnancy by the parents, emotional distress, and alcohol consumption (Širvinskienė et al., 2016). Based on the previous study, which statement by L.C. would make the nurse most worried she might have difficulty quitting smoking during the remainder of her pregnancy?

"I sometimes do have a few beers on the weekend with my boyfriend."

L.C. is scheduled to have an ultrasound examination and the nurse wants to ensure that she understands and is prepared for this procedure to mitigate her anxiety. What instruction would the nurse give her before her examination?

You will need to drink at least three glasses of water before the procedure."

L.C. is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is successful, what instruction would be best to give her before this procedure?

Void (pee) immediately before the procedure to reduce the size of your bladder."

The nurse is collaborating with G.B.'s obstetrician and is planning possible interventions in light of fetal position. Which of the following fetal positions is considered ideal and is most conducive to a birth that requires few interventions by the obstetrician?

Right occipitoanterior with full flexion

C.B. didn't recognize for over an hour that she was in labor. During her prenatal education, C.B. should have been taught to recognize which sign of true labor?

Show" or release of the cervical mucus plug

C.B. is anxious for her placenta to deliver so she can move to a rocking chair and help relieve her back pain. To best facilitate C.B.'s wishes, which action is best?

Assure her that a placenta loosens quickly so the waiting time will not be long

Suppose C.B. is having long and hard uterine con- tractions. What length of contraction would the nurse report as indicative of a potential safety risk?

A contraction over 70 seconds in length

The nurse assesses C.B.'s uterine contractions and the FHR. Which of the following would the nurse document as a late deceleration?

The FHR decreased in rate 30 seconds after the start of a contraction.

This newborn, like all newborns, is in danger of losing body heat by conduction. The nurse is taking action to ensure that the newborn's body temperature is maintained to protect their health and comfort. Under which condition is heat loss by conduction most likely to occur? a. b. c. d.

The nurse places the newborn on a scale that has not been prewarmed

The newborn had Apgar scores of 6 at 1 minute and 8 at 5 minutes after birth. Which of the following are the five areas assessed with Apgar scoring?

Heart rate, respiratory effort, muscle tone, reflex irritability, and color

I.R. has milia on the nose. What teaching point given by the nurse to J.R. and C.R. would constitute a quality and safety risk?

These will disappear on their own, so you don't need to take any action

C.R. is preparing to take her new daughter home and has asked an unlicensed care provider when her ba by's dried umbilical cord will fall off. The nurse should confirm that the care provider has stated what time?

Days 6 to 10

B.M. had a miscarriage when she was younger. After Bddressing her immediate psychosocial needs, the nurse identifies which advice as best for a patient who says they are miscarrying?

Save any clots or material passed for your healthcare provider to examine.

B.M. has an Rh-negative blood type. Her electronic record shows she had a previous miscarriage at 16 weeks into her last pregnancy. What medication should the nurse check she received following the miscarriage to minimize isoimmunization?

RhIG (RhoGAM)

Suppose a sonogram shows that B.M., who is begin. ning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety?

Assess for vaginal bleeding and clear fluid leakage every shift.

B.M.'s spouse drove her to the emergency room because she was having symptoms of preterm labor The admitting nurse in the emergency department identifies which action as the priority

Position her in a side-lying position and assess FHR and contractions.

The nurse routinely assesses all pregnant patients for signs of hypertension while interviewing them at for prenatal clinic and then documents the findings in the electronic health record. Which statement by B.M. would the nurse document as possible evidence that she might be developing gestational hypertension?

My abdomen feels firm, as if I had a blown-up balloon inside me."

Because many people of childbearing age exercise regularly, researchers conducted a meta-analysis of studies including a total of 166,094 pregnant people to see if there was an association between their prenatal exercise regimes and the develop- ment of small-for-gestational-age babies. Results of the study showed no consistent association between the exercise regimes and the incidence of small-for- gestational-age babies (Davenport et al., 2018). Based on the previous study, which statement by B.M. about her aerobics classes would give the nurse the most concern regarding fetal health?

"I rarely have time to eat on the days I go to my aerobics class because I get so busy."

PRELIM

PRELIM

MIDTERM TEST

MIDTERM TEST

Midterm-:religions

Midterm-:religions

final

final

問題一覧

From implantation until 5 to 8 weeks

Assessing whether the umbilical cord has two arteries and one vein

L.C. asks the nurse why her nurse midwife is concerned whether her fetus's lungs are producing surfactant. The nurse's best answer would be

Surfactant keeps lungs from collapsing at birth, so it aids newborn breathing."

"I sometimes do have a few beers on the weekend with my boyfriend."

You will need to drink at least three glasses of water before the procedure."

L.C. is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is successful, what instruction would be best to give her before this procedure?

Void (pee) immediately before the procedure to reduce the size of your bladder."

Right occipitoanterior with full flexion

C.B. didn't recognize for over an hour that she was in labor. During her prenatal education, C.B. should have been taught to recognize which sign of true labor?

Show" or release of the cervical mucus plug

C.B. is anxious for her placenta to deliver so she can move to a rocking chair and help relieve her back pain. To best facilitate C.B.'s wishes, which action is best?

Assure her that a placenta loosens quickly so the waiting time will not be long

Suppose C.B. is having long and hard uterine con- tractions. What length of contraction would the nurse report as indicative of a potential safety risk?

A contraction over 70 seconds in length

The nurse assesses C.B.'s uterine contractions and the FHR. Which of the following would the nurse document as a late deceleration?

The FHR decreased in rate 30 seconds after the start of a contraction.

The nurse places the newborn on a scale that has not been prewarmed

The newborn had Apgar scores of 6 at 1 minute and 8 at 5 minutes after birth. Which of the following are the five areas assessed with Apgar scoring?

Heart rate, respiratory effort, muscle tone, reflex irritability, and color

I.R. has milia on the nose. What teaching point given by the nurse to J.R. and C.R. would constitute a quality and safety risk?

These will disappear on their own, so you don't need to take any action

Days 6 to 10

B.M. had a miscarriage when she was younger. After Bddressing her immediate psychosocial needs, the nurse identifies which advice as best for a patient who says they are miscarrying?

Save any clots or material passed for your healthcare provider to examine.

RhIG (RhoGAM)

Suppose a sonogram shows that B.M., who is begin. ning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety?

Assess for vaginal bleeding and clear fluid leakage every shift.

B.M.'s spouse drove her to the emergency room because she was having symptoms of preterm labor The admitting nurse in the emergency department identifies which action as the priority

Position her in a side-lying position and assess FHR and contractions.

My abdomen feels firm, as if I had a blown-up balloon inside me."

"I rarely have time to eat on the days I go to my aerobics class because I get so busy."