CBRC Obstetric Nursing

37問 • 3年前

問題一覧

Hershey tells the nurse that the first day of her last menstrual period was October 22, 2015. What is the estimated date of birth?

July 29, 2016

During a prenatal examination a nurse draws blood from an RH negative client the nurse explains that an indirect Coombes test will be performed to predict whether the fetus is at risk for developing:

Acute hemolytic anemia

A client in the 18 week of pregnancy is scheduled for transvaginal ultrasound. What instruction should the nurse give this client?

Don't urinate for at least three hours before the test

A 36 your old multigravida who is at 14 weeks gestation is scheduled for an alpha fetoprotein test, she asked the nurse what does a high alpha-fetoprotein indicate the nurse bases a response on the knowledge that this test detects

Neural tube defects

Situation: as a nurse knowledge about the different physiological changes a pregnant woman goes through is important. The following conditions apply: A pregnant woman reports nausea and vomiting during the first trimester of pregnancy and an increase in which hormone should the nurse explain in this precipitation cause of the nausea and vomiting?

Human chorionic gonadotrophin

What should a nurse suggest a pregnant client that might help overcome first trimester morning sickness?

Eat a few dry crackers toast before going out of bed in the morning

Phases of Menstrual cycle

Menstrual phase, Proliferative phase, Secretary phase, Ischemic phase

Situation: The productive system contains both organs inside the body and external structures on the body. It's function is to enable the production of the species, as well as the actual process of pregnancy and birth. Nurse Hershey inform the client during which of the following phase of menstrual cycle is it ideal for the implantation of a fertilized egg occur?

Secretory phase

Another client asked the nurse, what is the most frequent side effect after the insertion of an intrauterine device (IUD)?

Excessive menstrual flow

Which instruction by the nurse is the best time to achieve a pregnancy?

14 days before the next period is expected

Nurse Cha teaches woman in the clinic that after ovulation has occured, the ovum will remain viable for:

24 to 36 hours

The same client inquires how an intrauterine device can prevent pregnancy. How should the nurse respond?

That IUD serves as a barrier to the openings of the fallopian tube

Situation: assessment of the pregnancy and the patients obstetric history are essential in ensuring that the pregnancy will not suffer from any complications. What is the best advice a nurse can give the pregnant women in her first trimester?

Avoid drugs, and refrain from smoking and ingesting alcohol

Her period comes regularly every 30 days, as the nurse on what day we'll she most likely to ovulate if her last period started on November 1. Which date should the nurse tell at the client?

November 16

A pregnant client has a two year old son born at 40 weeks, five year old daughter born at 38 weeks, and seven year old twin daughters born at 35 weeks. She had a spontaneous abortion three years ago at 10 weeks. Using the GRPAL format, what does the nurse document about the clients of obstetric history?

G5 T2 P1 A1 L4

In Bartholemew's Rule of 4, When the level of the fundus of the client is at the umbilicus, that AOG would be:

20 weeks

A population that should be given attention by the community public health nurse is obese women who become pregnant. Obesity is responsible for what complication?

Gestational diabetes

Situation: prenatal care is an essential component of maternal and child health. A nurse needs to be knowledgeable about the different components of prenatal care in order to be able to give adequate care to their patients. Nurse Cha is a staff of the rural health unit and she is in the prenatal clinic. The following questions apply: Cha, 27 years old, came to the clinic today and asked about the signs and symptoms of pregnancy. Which among the following is a probable sign of pregnancy?

Fetal heartbeat

During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The client states that her mother told her she should restrict her salt intake. What is the nurse best response?

You need salt to maintain body water balance, it is not restricted. Just eat a well-balanced diet

A client is concerned about gaining weight during pregnancy. What should the nurse explain is the cost of the largest amount of weight gaining during pregnancy.

Fetal growth

What recommendation should the nurse give to clients who have fluid retention during pregnancy?

Elevate lower extremities

False labor contractions

Braxton Hicks

Blue discoloration of the cervix and vagina

Chadwick sign

Softening of the cervix

Goodell

Softening of the Uterus

Hegar

Situation: nursing care of the pregnant women also involves the different pathology is associated with this process. A solid foundation in the normal process of pregnancy will help a nurse to fully appreciate the abnormalities that may occur during the pregnancy. The following questions apply: During a physical examination in the prenatal clinic, the clients vaginal mucosa observed to have a purpleish discoloration. What side should the nurse document in the clients clinical record?

Chadwick

During a routine visit to prenatal clinic, the nurse performs Leopolds Maneuver in order to determine the fetal position. Which group is used to figure out where the fetal back is?

Umbilical grip

As a nurse on duty in a prenatal clinic, you include in your health teaching that during pregnancy there is an increase in vaginal secretions during pregnancy leucorrhea. You know that this is caused by an increase in:

Production of estrogen

A client at 6 weeks gestation tells the nurse in the prenatal clinic that she is sick every morning with nausea and vomiting and adds that she does not think she can tolerate it throughout her pregnancy. The nurse assures her that this is a common occurrence in early pregnancy and will probably disappear by the end of the:

Third month

Situation: Pregnancy and childbirth are both exciting and rewarding experiences and the labor and delivery process is a natural and beautiful process. Whether you are preparing for your first child or your fifth, anxiety and stress almost always accompany the labor and delivery process. The fact is that even though you may have been through the labor and delivery process before, each birth is unique. Each baby is unique, and your body may not respond in exactly the same way each time you deliver a baby. A client at 35 weeks gestation asks a nurse why her breathing has become more difficult. How should the nurse respond?

Your diaphragm has been displaced upward

What changes does a nurse expect in client's hematologic system during the second trimester of pregnancy?

An increase in blood volume

What does a nurse explain to a pregnant client about the cost of her Physiologic anemia?

Plasma volume increases

A nurse is assessing a pregnant client during the third trimester. What clinical findings is an expected response to the pregnancy?

Shortness of breath on exertion

A client at eight weeks gestation report having to urinate more often. The nurse explains that urinary frequency often occurs because bladder capacity during pregnancy is diminished by:

Compression by the enlarging uterus

Growth of abnormal unfertilized egg:

Hydatidiform mole

Situation: several conditions in maternal health can harm not only the mother but also the fetus. The following questions also apply to abnormal conditions in maternal health: A nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which clinical findings should the nurse anticipate?

Unusual uterine enlargement

What nursing interventions should be included when caring for a client with placenta previa?

Documentation of the amount of bleeding

Pathognomonic sign

Castle Aranza · 60問 · 3年前

Pathognomonic sign