1. For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following? Show
2. When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
3. When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?
4. For which of the following clients would the nurse expect that an intrauterine device would not be recommended?
5. A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?
6. Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?
7. The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Nagele’s rule, the nurse determines her EDD to be which of the following?
8. When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,”the nurse should record her obstetrical history as which of the following?
9. When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?
10. When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?
11. A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the priority when assessing the client?
12. A client 12 weeks’ pregnant come to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation.The nurse would document these findings as which of the following?
13. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
14. Before assessing the postpartum client’s uterus for firmness and position in relation to the umbilicus and midline, which of the following shouldthe nurse do first?
15. Which of the following should the nurse do when a primipara who is lactating tells the nurse that she has sore nipples?
16. The nurse assesses the vital signs of a client, 4 hours’ postpartum that are as follows: BP 90/60; temperature 100.4ºF; pulse 100 weak, thready; R 20 per minute. Which of the following shouldthe nurse do first?
17. The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?
18. A postpartum client has a temperature of 101.4ºF, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following shouldthe nurse assess next?
19. Which of the following is the priority focus of nursing practice with the current early postpartum discharge?
20. Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?
21. A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following?
22. During the first 4 hours after a male circumcision, assessing for which of the following is the priority?
23. The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Whish of the following would be the best response by the nurse?
24. Immediately after birth the nurse notes the following on a male newborn: respirations 78; apical hearth rate 160 BPM, nostril flaring; mild intercostal retractions; and grunting at the end of expiration. Which of the following shouldthe nurse do?
25. The nurse hears a mother telling a friend on the telephone about umbilical cord care. Which of the following statements by the mother indicates effective teaching?
26. A newborn weighing 3000 grams and feeding every 4 hours needs 120 calories/kg of body weight every 24 hours for proper growth and development. How many ounces of 20 cal/oz formula should this newborn receive at each feeding to meet nutritional needs?
27. The postterm neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following?
28. When measuring a client’s fundal height, which of the following techniques denotes the correct method of measurement used by the nurse?
29. A client with severe preeclampsia is admitted with of BP 160/110, proteinuria, and severe pitting edema. Which of the following would be most important to include in the client’s plan of care?
30. A postpartum primipara asks the nurse, “When can we have sexual intercourse again?” Which of the following would be the nurse’s best response?
31. When preparing to administer the vitamin K injection to a neonate, the nurse would select which of the following sites as appropriate for the injection?
32. When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?
33. To differentiate as a female, the hormonal stimulation of the embryo that must occur involves which of the following?
34. A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?
35. The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?
36. During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?
37. During a prenatal class, the nurse explains the rationale for breathing techniques during preparation for labor based on the understanding that breathing techniques are most important in achieving which of the following?
38. After 4 hours of active labor, the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?
39. A multigravida at 38 weeks’ gestation is admitted with painless, bright red bleeding and mild contractions every 7 to 10 minutes. Which of the following assessments should be avoided?
40. Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa?
41. The nurse understands that the fetal head is in which of the following positions with a face presentation?
42. With a fetus in the left-anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?
43. The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?
44. A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?
45. When describing dizygotic twins to a couple, on which of the following would the nurse base the explanation?
46. Which of the following refers to the single cell that reproduces itself after conception?
47. In the late 1950s, consumers and health care professionals began challenging the routine use of analgesics and anesthetics during childbirth. Which of the following was an outgrowth of this concept?
48. A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle accident as a teenager. The nurse is aware that this could prevent a fetus from passing through or around which structure during childbirth?
49. When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?
50. When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells?
Which type of lochia should expect to find in a client 2 days postpartum?Lochia for the first 3 days after delivery is dark red in color. A few small blood clots, no larger than a plum, are normal.
Which type of lochia should the nurse expect to find in a client 3 days postpartum?Within the first 24 hours, the woman's pulse rate begins to drop, and her temperature may be slightly elevated. Vaginal discharge is grossly bloody (lochia rubra) for 3 to 4 days, then becomes pale brown (lochia serosa), and after the next 10 to 12 days, it changes to yellowish white (lochia alba).
What is the duration of lochia Serosa?The phases of lochia were divided according to the classical description; lochia rubra, serosa and alba. The median total duration of lochia was 33 days, lochia rubra 4 days and lochia serosa 22 days.
What type of milk is present in the breasts 7 to 10 days postpartum?Transitional milk comes when mature breast milk gradually replaces colostrum. You will make transitional milk from 2-5 days after delivery until up to 2 weeks after delivery. You may notice that your breasts become fuller and warmer and that your milk slowly changes to a bluish-white color.
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