Pregnancy, Labor, Childbirth, Postpartum(uncomplicated) ELSEVIER

A women Who is 28 weeks pregnant call the clinic to report that she is frightened because she has begun leaking breastmilk. What is the best response? 1.She needs to come in for calcium level 2. She needs to come in for a nonstress test 3. She needs to get off her feet and rest more 4.This could be normal during pregnancy

A client at 35 weeks gestation asked the nurse why her breathing has become more difficult. How should the nurse respond? 1. "Your lower rib cage is more restricted" 2. " your diaphragm has displaced upward" 3. " your lungs have increased in size since you've gotten pregnant" 4. " the height of your rib cage has increased since you got pregnant"

What is the optimal nursing intervention to minimize perennial edema after an an episiotomy? 1. Apply ice packs 2. Offering a warm sitz bath 3. Administering aspirin as needed 4. Elevating the hips on a pillow

A client at 10 weeks gestation calls the clinic and tells the nurse that she has morning sickness and cannot control it. What should the nurse to just a promote relief? 1. "Eat dry crackers before you get out of bed" 2. " increase your fat intake before bed" 3. " drink high carb fluids with meals" 4. " eat two small meals a day and a snack at noon"

The nurse is teaching a client to care for her episiotomy after discharge. Which priority instruction should the nurse include in her instructions? 1. Rest with legs elevated at least two times a day 2. avoid stair climbing for several days after discharge 3. Perform perennial care after toileting until healing occurs 4. Continue sitzbaths three times a day if they provide comfort

Which information should the nurse include in the discharge teaching of a postpartum client? 1.The prenatal kegel tightening exercise should be continued 2. The a PZI to me sutures will be removed at the first postpartum visit 3. She may not have a bowel movement for up to a week after birth 4. She should schedule a postpartum checkup as soon as her menses returns

A primigravid client Who is that 38 weeks gestation is undergoing a non-stress test. The nurse determines that the baseline fetal heart rate is 130 to 1 40 bpm. It rises to 160 on two occasions and 157 once during 20 minute period. Each of the episodes in which the heart rate is increased lasts 20 seconds. What action should the nurse take? 1. Discontinue the test because the pattern is within normal range 2. Encouraged the client to drink more fluids to decrease the fetal heart rate 3. Notify the primary health provider and prepare for an emergency birth 4. Record this nonreassuring pattern and continue the test for further evaluation

When a client at 39 weeks gestation arrives at the birthing suites she says "I've been having contractions for three hours, and I think my water broke." What will the nurses action be to confirm that the membranes have ruptured. 1. Take the clients oral temperate 2. Test the leaking fluid with nitrazine paper 3. Obtain a clean catch urine specimen 4. Inspect perineum for leaking fluid

Which statements regarding the involution process our correct? Select all that apply. 1. Begins immediately after expulsion of the placenta 2. Is this self-destruction of excess hypertrophied tissue 3. Progresses rapidly during the next few days after birth 4. Is there return of the uterus to a non-pregnant state after birth 5. May be caused by retained placental fragments in infection

A woman at 40 weeks gestation is having contractions. Wondering whether she is in true labor, she asks " how will you know if I'm really in labor? " Which information should the nurse provide to a client at this time? 1. The cervix dilates and becomes effaced in true labor 2. Bloody show is the first sign of true labor 3. The membranes rupture at the beginning of true labor 4. Feral movements lessen and become weaker in true labor

The postpartum nurse is delegating tasks to an unlicensed healthcare provider. Which tasks should the nurse delegate 1. Evaluation of a postpartum clients lochia 2. Vital signs and client four hours after delivery 3. Assessment of a postpartum client episiotomy 4 Assisting the postpartum client to breast-feed for the first time

During her first prenatal visit the client reports that her last menstruation period began on April 15. What is expected the delivery date 1. January 8 2. January 22 3. February 8 4. February 22

The client in labor begins to experience contractions 2 to 3 minutes apart and lasting about 45 seconds. Between contractions the nurse identifies a fetal heart rate of 100 bpm and the internal fetal monitor. What is the priority nursing action 1. Notify the healthcare provider 2. Resume continuous fetal heart monitoring 3. Continue to monitor mother's vital signs 4. Document the fetal heart rate as an expected response to contractions

The nurse instructs a pregnant client regarding fetal growth and development which statement indicates the client needs further teaching? 1. The fetus keeps growing throughout pregnancy 2. The fetus may be underweight if it's exposed to smoke 3. The fetus gets nutrients from Amniotic fluid 4. Fetus it's oxygen from blood in the placenta

During the second stage of labor the nurse discourages the client from holding her breath for longer than six seconds while pushing with each contraction what complication does this prevent? 1. Fetal hypoxia 2. Perineal lacerations 3. Carpopedal spasms 4. Maternal hypertension

A 16-year-old adolescent at 24 weeks gestation visits the prenatal clinic for the first time. After the physical examination she tells the nurse I can't believe how big I am will I get much bigger? What information about adolescent growth and development does the nurse need to understand before responding. 1. Adolescents generally regain their figures two weeks after birth so size is of moderate concern 2. Adolescents are in a high-risk category so weight gain should be limited to prevent complications 3. Body image is very important to adolescents therefore pregnant teenagers are overly concerned about body size 4. Physiological growth in adolescence is more rapid than in adults so the gravid size larger than that of an adult woman

A pregnant client is scheduled for an ultrasound at the end of her first trimester. what should the nurse instruct her to do to prep the sonogram? 1. Empty her bladder 2. Avoid eating for eight hours 3. Take a laxative the night before 4. Increase fluid for one hour before procedure

A client in active labor start screaming "the baby is coming! Do something!" What is the nurses primary action? 1. Notifying the practitioner 2. Telling the client that and it's too soon in encouraging her to pant 3. Checking the perineal area for presenting part 4. Helping the client to hold her knees together and explaining what to expect

The client and her 37th week of gestation calls the nurse at the clinic and reports "my ankles are so swollen." What should the nurse recommend. 1. Limit fluid intake during the day 2. Elevate her legs more frequently during the day 3. Restricts salt intake for the remainder of the pregnancy 4. Taking a mild diuretic of the health provider will prescribe