CA1 Flashcards
The risks for a pregnant woman with cardiac disease and her fetus are greatest between:
A. weeks 8 and 12.
B. weeks 16 and 24.
C. weeks 28 and 32.
D. weeks 36 and 40.
C. weeks 28 and 32.
Screening for gestational diabetes in women is usually performed at:
A. 4 to 8 weeks’ gestation.
B. 12 to 16 weeks’ gestation.
C. 24 to 28 weeks’ gestation.
D. 32 to 36 weeks’ gestation.
C. 24 to 28 weeks’ gestation.
The ovum of an ectopic pregnancy most commonly lodges in the :
fallopian tube.
abdominal viscera.
ovary.
cervical os.
fallopian tube
After a spontaneous abortion, a woman who’s Rh-negative would be given:
magnesium sulfate.
RhoGAM.
terbutaline.
betamethasone.
RhoGAM
A major factor contributing to the increased incidence of multiple pregnancy is:
increased use of fertility drugs
women becoming pregnant at a younger age.
previous pregnancy.
underlying iron deficiency anemia.
increased use of fertility drugs
Assessment of a woman with placenta previa would most likely reveal:
absence of fetal heart tones.
boardlike abdomen.
painless, bright red vaginal bleeding.
signs of shock.
painless, bright red vaginal bleeding.
The drug of choice for treating a pregnant woman with chlamydia is:
doxycycline (Vibramycin)
azithromycin (Zithromax).
acyclovir (Zovirax).
miconazole (Monistat).
azithromycin (Zithromax).
Which option isn’t a primary factor in determining the presentation of the fetus duringmbirth?
fetal attitude.
fetal heart rate.
fetal lie.
fetal position.
fetal heart rate.
In the LOA and ROA fetal positions, the presenting part is the:
olecranon.
chin.
occiput.
buttocks.
occiput
Which of the following drugs is a common ripening agent?
Cervidil.
Pitocin.
Sublimaze.
Stadol.
Cervidil
Transition is part of which stage of labor?
first stage.
second stage.
third stage.
fourth stage.
first stage.
In which order do the cardinal movements of labor occur?
A. Flexion, extension, internal rotation, external rotation, descent, expulsion
B. Descent, flexion, internal rotation, extension, external rotation, and expulsion
C. Descent, internal rotation, flexion, external rotation, extension, expulsion
D. Descent, extension, internal rotation, flexion, external rotation, expulsion
B. Descent, flexion, internal rotation, extension, external rotation, and expulsion
Which of the following signs isn’t a sign of true labor?
Bloody show.
Painful uterine contractions.
Lightening.
Rupture of the membranes.
Lightening
Which uncommon fetal attitude results in a brow presentation?
Partial extension
Complete extension.
Moderate flexion.
Complete flexion.
Complete extension
Maternal factors indicating the need for cesarean delivery include:
transverse fetal lie.
previous cesarean delivery with bikini incision.
active genital herpes.
hypotension.
active genital herpes.
Contraindications for cesarean delivery include:
papilloma.
fetal distress.
transverse fetal lie.
dead fetus.
dead fetus
The presence of meconium in the amniotic fluid before birth may indicate:
breech presentation.
transverse lie.
abruptio placentae.
placenta previa.
breech presentation
The child born in breech presentation is at risk for:
hypotension.
hypoxia.
intracranial hemorrhage.
infection.
intracranial hemorrhage
Administration of oxytocin should be discontinued when:
contractions are less than 2 minutes apart.
contractions are stronger than 50 mm Hg.
contractions are less than 50 seconds long.
contractions are stronger than 50 mm Hg.
With the administration of magnesium sulfate, the woman should be observed for:
hyperactivity.
flushing
increased reflexes.
increased respirations.
flushing
Which behavior would you expect to assess during the taking-in phase?
A. Strong interest in caring for the neonate.
B. Redefinition of new role.
C. Insecurity about ability to provide neonatal care.
D. Passivity with dependence on others.
Passivity with dependence on others.
Where would you expect to assess the uterine fundus in a patient who’s 2 days postpartum?
A. 2 cm above the level of the umbilicus.
B. at the level of the symphysis pubis.
C. approximately 2 cm below the umbilicus.
D. 2 cm above the symphysis pubis.
approximately 2 cm below the umbilicus.
At the patient’s 6-week follow-up appointment, you should assess:
lochia rubra.
lochia serosa.
lochia alba.
absence of lochia.
absence of lochia.
Which measure would the woman who isn’t breastfeeding use to minimize mengorgement?
cold compresses.
manual expression.
warm showers.
nipple stimulation.
cold compresses.
What is considered the major cause of early postpartum hemorrhage?
Uterine atony.
Perineal laceration.
Retained placental fragments.
Dic.
Uterine atony.
If a patient’s perineal pad weighs 100 g, you would estimate the blood loss as:
50 ml.
100ml.
150 ml.
200 ml.
100ml
Which findings would lead you to suspect that a woman has developed hypovolemic nshock secondary to postpartum hemorrhage?
Respiratory rate of 22 breaths/minute.
Pale-pink, moist skin.
Urine output below 25 ml/hour.
Bounding peripheral pulses.
Urine output below 25 ml/hour.
Which factor predisposes a patient to puerperal infection?
External fetal monitoring during labor.
Rupture of membranes 15 hours ago.
labor lasting 20 hours.
Cesarean birth.
Cesarean birth.
A patient reports foul-smelling lochia with strong uterine contractions, persisting after birth. Her temperature has been elevated, ranging from 102.2F (39C) to 104 F (40C), for
the past 2 days. Her uterus is firm but tender, and her abdomen is soft with no guarding noted. You would suspect:
localized perineal infection.
peritonitis.
endometritis.
parametritis.
endometritis.
Which microorganism most commonly causes mastitis?
staphylococcus aureus.
staphylococcus epidermis.
beta hemolytic streptococcus.
mumps virus.
staphylococcus aureus.
If your patient has DVT, which complications should you watch?
Endometritis.
pulmonary embolism.
Hematoma.
Mastitis.
pulmonary embolism.
Which option correctly describes the normal anatomy of the umbilical cord?
one artery and one vein.
one artery and one ligament.
two arteries and one vein.
one artery and two veins.
two arteries and one vein.
Apgar Scoring evaluates:
A. heart rate, respiratory rate, color, blood pressure, and temperature.
B. heart rate, respiratory effort, muscle tone, reflex irritability, and color.
C. respiratory rate, blood pressure, reflex irritabilty, muscle tone, and temperature.
D. temperature, heart rate, color, muscle tone, and blood pressure
B. heart rate, respiratory effort, muscle tone, reflex irritability, and color.
A sign of respiratory distress in a neonate is:
acrocyanosis,
nasal flaring.
abdominal movements.
short periods of apnea (less than 15 seconds)
nasal flaring.
Which finding is normal for a neonate’s fontanels?
they’re soft to touch.
they’re depressed.
they’re bulging.
they’re closed.
they’re soft to touch.
Which finding is normal for a neonate’s fontanels?
they’re soft to touch.
they’re depressed.
they’re bulging.
they’re closed.
they’re soft to touch.
A pregnant patient who is older than age 35 is at greater risk for having:
a low-birth weight infant.
a preterm infant.
PIH.
placenta previa.
placenta previa.
A pregnant patient who’s fatigued is likely to be more comfortable in which position?
Modified Sims’
Supine with legs elevated.
Supine with head elevated.
sitting upright with legs elevated.
Modified Sims’
When examining a postpartal woman, the nurse should immediately report:
A. a fundus that is palpated 2 cm below the umbilicus on the second postpartal day.
B. a fundus that cannot be located by palpation on the ninth postpartal day.
C. a soft, spongy uterine fundus noted during the first hour postpartum.
D. red, bloody vaginal discharge on the perineal pad on the first day postpartum.
C. a soft, spongy uterine fundus noted during the first hour postpartum.
Question
choice 1
choice 2
Choice 3
choice 4
Choice 3
A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with a Placenta previa. The nurse reviews thee plan of care and prepares to monitor the client for which risk associated with Placenta previa?
infection
hemorrhage
chronic hypertension
Disseminated intravascular coagulation
hemorrhage
A nurse in a Labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following is an initial nursing action?
A. gently push the cord into the vagina
B. place the client in Trendelenburg’s position
C. find the closest telephone and page the physician stat
D. call the Delivery room to notify the staff that the client will be transported immediately.
B. place the client in Trendelenburg’s position
Anurse has developed a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which interventions as the highest priority?
A. providing comfort measures
B. monitoring the fetal heart rate
C. changing the client’s position frequently
D. keeping the significant other informed of the progress of labor
B. monitoring the fetal heart rate
A maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s prescriptions and would question which
prescription?
A. prepare the client for an ultrasound
B. obtain equipment for a manual pelvic examination
C. prepare to draw a hemoglobin and hematocrit blood sample
D. obtain equipment for external electronic fetal heart rate monitoring
B. obtain equipment for a manual pelvic examination
A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as:
Scant
light
heavy
excessive
heavy
A nurse is caring for four 1-day postpartum clients. Which client has an abnormal finding that would require further intervention?
A. the client with mild afterpains
B. the client with a pulse rate of 60 beats/min.
C. the client with colostrum discharge from both breasts
D. the client with lochia that is red and has a foul-smelling odor
D. the client with lochia that is red and has a foul-smelling odor
When performing a postpartum assessment on a client, a nurse notes the presence of ! Point
clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which nursing action is appropriate?
notify the physician
document the findings
reassess the client in 2 hours
encourage increased oral intake of fluids
notify the physician
A nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The client had a midline episiotomy and has several hemorrhoids. What is the priority nursing diagnosis for this client?
Acute pain
Disturbed body image
Impaired urinary elimination
Risk for imbalanced fluid volume
Acute pain
A clientin a postpartum unit complains of sudden sharp chest pain and dyspnea. The nurse notes that the client is tachycardic and the respiratory rate is elevated. The nurse suspects a pulmonary embolism. Which of the following would be the initial nursing action?
initiate an intravenous line
assess the client’s blood pressure
prepare to administer morphine sulfate
administer oxygen, 8 to 10 L/min, by face mask.
administer oxygen, 8 to 10 L/min, by face mask.
A clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. Which assessment finding indicates to the nurse that the client is at high risk for contracting human immunodeficiency virus (HIV)?
A. a client who has a history of intravenous drug use
B. a client who has a significant other who is heterosexual
C. a client who has a history of sexually transmitted diseases
D. a client who has had one sexual partner for the past 10 years
C. a client who has a history of sexually transmitted diseases
