Maternal-Child Exam 1 from Quizlet
Quiz by Heather Silvani
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51 questions
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- Q1A nurse is caring for a client who is prescribed Rho immune globulin standard dose IM (Rhogam). The nurse should understand the action of this medication as which of the following?Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative30s
- Q2Fetal 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.30s
- Q3The 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 umbilicus30s
- Q4A 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."30s
- Q5A 20 year -old client calls the clinic to report that she has found a lump in her breast. The nurse's best response to her is which of the following?"Many women have benign lumps and bumps in their breasts. However to make sure that it is benign, you should come in for an examination by your physician"30s
- Q6Activity is an important component of prenatal teaching. Activity that is considered safe for a client that states she does not participate in any activity or exercise program at this time would be?Walking30s
- Q7During her annual gynecologic check up a 17 year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as?Dysmenorrhea30s
- Q8Prenatal testing is done to identify health issues that may interfere with the developing fetus. Within the first trimester what lab tests are normally obtained? (select all that apply)Blood type and Rh factor, Complete blood count (CBC), HIV30s
- Q9Prenatal testing is done to identify health issues that may interfere with the developing fetus. Within the first trimester what lab tests are normally obtained? (select all that apply)HIV30s
- Q10The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as?10-12 weeks gestation30s
- Q11A 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 understand the management of constipation when she makes which of the following statements?"In addition to increasing my dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have no restrictions"30s
- Q12At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are administered and she is placed on bed rest, she continues to experience regular contractions and her cervix is beginning to dilate and efface. What additional medication should be considered to assist the development of the fetus?Betamethasone30s
- Q13A 30 week gestational age pregnant client presents to the labor suite with complaints of contractions and pressure. What medications can the nurse expect the provider to order for administration? (select all that apply)Betamethasone, Magnesium sulfate, Terbutaline (Brethine)30s
- Q14Hormonal shifts in pregnancy and the physiological changes that occur affect every body system. As the nurse, which of the following symptoms or presentation would you consider abnormal?Headaches occurring in the third trimester30s
- Q15A women with the diagnosis of hyperemesis gravidarum requires hospitalization. In addition to her need to be hospitalized what else is significant?She has vomiting severe and persistent enough to cause weight loss, dehydration and electrolyte imbalance.30s