Maternity and Women's Health Nursing: Flashcards
A nurse is assessing the newborn of a known opioid user for signs of withdrawal. What clinical manifestations does the nurse expect to identify?
Sneezing, hyperactivity, high-pitched cry
A husband sits in the waiting room while his wife is getting her infertility prescription refilled by the clinic pharmacist. As the nurse sits down beside him, he blurts, “It’s like there are three of us in bed—my wife, me, and the doctor.” What feeling is reflected by this statement?
Anger
After a difficult birth, a neonate has an Apgar score of 8 after 5 minutes. Which signs met the criteria of 2 points?
Reflex irritability: cry Respiratory rate: good cry Heart rate: 110 beats/min
What should the nurse do to help parents proceed with bonding behaviors immediately after birth?
Delay applying the antibiotic to the newborn’s eyes
What question should a nurse in the prenatal clinic ask during the first few minutes of taking a client’s health history?
When did you have your last period?
A nurse is assessing a newborn with a myelomeningocele. What clinical findings prompt the nurse to suspect hydrocephalus?
Tense fontanels, high-pitched cry, A defect in the lumbosacral area
A mother who is formula feeding her 1-month-old infant asks the nurse whether any vitamin or mineral supplements are required. The nurse bases the reply on the knowledge that infants who are fed with ready-to-use formula do require a supplement.
Fluoride
A nurse is caring for a client who is receiving internal radiation for cancer of the cervix. For which adverse reactions to the radiotherapy should the client be monitored?
Hemorrhage, increased temp
A nurse reviews the prescribed treatment with the parents of an infant born with bilateral clubfeet. Which parental statement indicates to the nurse that further education is required?
“We’ll have to have the baby fitted with prosthetic devices before he’ll be able to walk
A nurse is teaching a prenatal class about the changes that occur during the second trimester of pregnancy. What cardiovascular changes should the nurse include?
Cardiac output increases Blood pressure decreases The heart is displaced upward.
A nurse is evaluating a client’s understanding regarding postoperative concerns after mastectomy. Which development near and around the incision noted by the client should be reported to her practitioner?
Swelling with erythema
The nurse in the postpartum unit is teaching self-care to a group of new mothers. What color does the nurse teach them that the lochial discharge will be on the fourth postpartum day?
pinkish brown
A pregnant client who is Rh negative visits the prenatal clinic during the first trimester of pregnancy. She is informed by the health care provider that Rh sensitization is suspected and that Rho(D) immune globulin (RhoGAM) eventually will be given. At what week of gestation should the nurse explain that the medication will be administered?
28 weeks
A client with active genital herpes has a cesarean birth. The nurse teaches the mother how to limit transmission of the virus to her newborn. The nurse concludes that the instructions have been understood when the mother states:
“I have to wash my hands with soap and water before handling the baby.”
A pregnant client with diabetes is referred to the dietitian in the prenatal clinic for nutritional assessment and counseling. What should the nurse emphasize when reinforcing the client’s dietary program?
The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary
