Maternal health Flashcards
Nurse Julia plans to instruct the postpartum client about methods to prevent breast engorgement. Which of the following measures would the nurse include in the teaching plan?
a) Decreasing fluid intake for the first 24 to 48 hours
b) Wearing a supportive brassiere with nipple shields
c) Breast-feeding the baby at frequent intervals
d) Feeding the baby a maximum of 5 minutes per side on the first day
c) Breast-feeding the baby at frequent intervals
A new mother calls the clinic crying because her 2-day-old infant now weighs 7 pounds, 2 ounces, when he weighed 7 pounds, 8 ounces at birth. She says, “I must be doing something wrong.” The best nursing response would be:
a) “You are right to be concerned. I will schedule an appointment for tomorrow.”
b) “The infant is obviously not eating enough. Try feeding every two hours.”
c) “The infant should be taken to the nearest emergency room immediately.”
d) “This is normal weight loss. The infant should be back to birth weight in 5-7 days”.
d) “This is normal weight loss. The infant should be back to birth weight in 5-7 days”.
A nurse advises a female client to learn pubococcygeal exercises. What is the purpose of these exercises?
a) Preventing constipation
b) Contracting and relaxing the muscles of the pelvic floor
c) Contracting and relaxing the gluteus maximus muscle
d) Helping prevent pregnancy
b) Contracting and relaxing the muscles of the pelvic floor
A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response?
a) Cooing sounds rather than words
b) High-pitched speech with tonal variations
c) Repeated stimulation with loud sounds
d) Low-pitched speech with a sameness of tone
b) High-pitched speech with tonal variations
When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened, and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes
a) Babinski reflex
b) Tonic neck reflex
c) Grasping reflex
d) Startle reflex
d) Startle reflex
When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following?
a) Encourage the mother to discontinue breast-feeding
b) Notify the physician if the skin becomes bronze in colour
c) Turn the neonate every 6 hours
d) Check the vital signs every 2 to 4 hours
d) Check the vital signs every 2 to 4 hours
A female adult client is taking a progestin-only oral contraceptive, or mini pill. Progestin use may increase the patient’s risk for:
a) Tubal or ectopic pregnancy
b) Female hypogonadism
c) Premenstrual syndrome
d) Endometriosis
a) Tubal or ectopic pregnancy
A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform:
a) Leg lifting
b) Tailor sitting
c) Shoulder circling
d) Squatting exercises
b) Tailor sitting
A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond?
a) “No, it can promote sodium retention.”
b) “No, it can initiate premature uterine contractions.”
c) “Yes, it produces no adverse effect.”
d) “No, it can lead to increased absorption of fat-soluble vitamins.”
b) “No, it can initiate premature uterine contractions.”
The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the foetus move at which time?
a) Between 24 and 26 weeks’ gestation
b) Between 16 and 20 weeks’ gestation
c) Between 10 and 12 weeks’ gestation
d) Between 21 and 23 weeks’ gestation
b) Between 16 and 20 weeks’ gestation
A pregnant woman with pregnancy-induced hypertension probably exhibits which of the following symptoms?
a) Headaches, double vision, vaginal bleeding
b) Proteinuria, headaches, vaginal bleeding
c) Proteinuria, double vision, uterine contractions
d) Proteinuria, headaches, double vision
d) Proteinuria, headaches, double vision
The nurse is seeing several pregnant women at a general practice surgery. Which woman is at highest risk for having a low-birth weight infant or one with birth defects, and is in need of prenatal education?
a) A 30-year-old woman who was 10 pounds overweight before becoming pregnant
b) A 32-year-old, unmarried middle class executive secretary.
c) A 25-year-old woman who smokes and drinks two beers a day
d) An 18-year-old woman who is in her eighth month and has gained 22 pounds
c) A 25-year-old woman who smokes and drinks two beers a day
A client asks the nurse why vitamin C intake is so important during pregnancy. Which of the following would be the nurse’s best response?
a) “Studies have shown that vitamin C helps the growth of foetal bones.”
b) “Supplemental vitamin C in large doses can help prevent neural tube defects.”
c) “Vitamin C is required to promote blood clot and collagen formation”.
d) “Eating moderate amounts of food high in vitamin C helps metabolize fats and carbohydrates.”
c) “Vitamin C is required to promote blood clot and collagen formation”.
A young woman who is contemplating pregnancy and has a diet consisting mainly of “junk food” tells the nurse, “I will begin eating right and taking multiple vitamins after I become pregnant.” The best nursing response is:
a) “You must eat well and may take multiple vitamins both before and during pregnancy.”
b) “You must begin eating well and may take multiple vitamins as soon as you suspect that you are pregnant.”
c) “As long as you consume enough calories, there will not be problems if you become pregnant.”
d) “Eating well and taking multiple vitamins are not important until the second trimester of pregnancy.”
a) “You must eat well and may take multiple vitamins both before and during pregnancy.”
The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says:
a) “If I start to leak colostrum, I should cleanse my nipples with soap and water”
b) “Nausea and vomiting can be decreased if I eat a few crackers before arising”
c) “If I have a vaginal discharge, I should wear nylon underwear”
d) “Leg cramps can be alleviated if I put an ice pack on the area”
b) “Nausea and vomiting can be decreased if I eat a few crackers before arising”
