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Maternal-Child Exam 1 from 2nd Quizlet

Quiz by Heather Silvani

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67 questions
Show answers
  • Q1
    A 25-year-old single female comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the client has human papillomavirus (HPV). The client asks, "What is that? Can you get rid of it?" Your best response is
    "HPV stands for 'human papillomavirus.' It is a sexually transmitted infection (STI) that may lead to cervical cancer."
  • Q2
    The nurse is providing nutritional education to a woman in her first pregnancy. The woman understands her dietary needs when she states
    "I will need to increase my calcium and iron as well as drink additional water each day to stay well hydrated."
  • Q3
    A common discomfort of pregnancy can be managed by changing nutritional intake and some OTC medications. In reviewing information with the patient after her first prenatal visit the nurse is confident that this woman understands the management of constipation when she states
    "In addition to increasing my dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have no restrictions"
  • Q4
    A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods. (Natural family planning, FAM's) the nurse's most appropriate reply is
    "They can be effective for many couples, but they require motivation."
  • Q5
    The nurse includes screening for domestic violence in the first prenatal visit for all patients. An appropriate question would be
    "This is something that we ask everyone. Do you feel safe in your current living environment and relationships?"
  • Q6
    A woman asks the nurse: "What protects my baby's umbilical cord from being pinched while the baby's inside". The nurse's best response is
    "Your baby's umbilical cord is surrounded by connective tissue called Wharton's Jelly, which prevents compression of the blood vessels and ensures continued nourishment and oxygen to your baby."
  • Q7
    A woman's obstetrical history indicates that she is pregnant for the 4th time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
  • Q8
    The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as?
    10-12 weeks gestation
  • Q9
    When is the embryonic period of fetal development?
    15-60 days after conception
  • Q10
    Fetal movement that is noted by the mother is a very important assessment factor to determine fetal well being. If the nurse is to ask the client if she has "felt her baby move", when is the best time for a primigravid client to note the first fetal activity?
    18 - 20 weeks
  • Q11
    The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy. The patient's quadruple marker screen result is positive at 17 weeks of gestation. The nurse explains that the patient needs a referral to
    A genetics counselor/specialist
  • Q12
    A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her 'fertile 'time. She asks the nurse about emergency contraception. The nurse tells her that
    An over the counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting
  • Q13
    A client who is 32 weeks pregnant is being monitored in the Antepartum unit for pregnancy induced hypertension (gestational hypertension). She suddenly complains of continuous abdominal pain and vaginal bleeding. Which of the following nursing interventions should be included in the care of this client (select all that apply)
    Assess the amount of vaginal bleeding, Assess vital signs, Assess fetal heart tones
  • Q14
    A woman in the third trimester of her first pregnancy complains of excessive fatigue. Her hemoglobin is 11.2 g/dL. What action by the nurse is best?
    Assess the woman's diet for adequate iron and protein
  • Q15
    The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal height. Identify where the nurse will find the uterine fundus?
    At or near the umbilicus

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