NUR 2513 Maternal Child Health Exam1Questions and Answers; 2022 Complete Revision Guide - Rasmussen

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NUR 2513 Maternal Child Health Exam1Questions and Answers; 2022 Complete Revision Guide - Rasmussen NUR 2513 Maternal Child Health 1. A perinatal nurse is caring for a woman that desires an unmedica... ted birth. Which of the following are options for non-pharmacologic methods of pain control in labor? Select all that apply. A. Epidural *B. Hydrotherapy *C. Massage *D. Birth ball E. Pudendal block *F. Breathing patterns 2. The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient? A. Risk for injury related to fetal distress B. Imbalanced nutrition related to decreased sodium levels C. Ineffective tissue perfusion related to poor heart contraction *D. Ineffective tissue perfusion related to vasoconstriction of blood vessels 3. A pregnant patient is being admitted for severe preeclampsia. In which room location should the nurse place this patient? A. Near the nursery B. Next to the elevator *C. In the back private room D. Across from the noisy nurse's station 4. A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information? *A. Sickle cell anemia is recessively inherited. B. Sickle cell anemia has more than one polygenic inheritance pattern. C. Sickle cell anemia is dominantly inherited. D. Sickle cell anemia is not inherited; it occurs following a malaria infection. 5. The nurse encourages a woman with gestational diabetes to maintain an active exercise plan during pregnancy. Prior to exercising the nurse would advise her to take which action? A. Inject a bolus of insulin. B. Eat a high-carbohydrate snack. *C. Eat a sustaining-carbohydrate snack. D. Add a bolus of long-acting insulin. 6. A patient makes an appointment at the prenatal clinic because she thinks she might be pregnant. Which assessment is a positive sign of pregnancy? A. Amenorrhea *B. Audible fetal heart tones with a doppler C. Nausea and vomiting D. A positive pregnancy test 7. The nurse is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; a live/healthy delivery at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client’s current status? A. 3-0-2-0-2 *B. 4-0-1-2-1 C. 2-0-0-2-0 D. 4-2-0-2-2 8. A nurse on the labor and delivery floor admits a patient who is 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following? *A. Placenta placement B. Fetal viability C. Fetal lung maturity D. Fetal measurement for dating 9. A clinical nurse is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2020. Which of the following is the appropriate response by the nurse? *A. February 11, 2021 B. February 26, 2021 C. July 1, 2021 D. April 26, 2021 10. A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been “eating for two” so the baby is healthy. How should the nurse respond to the patient? A. “Elevated blood glucose levels cause low birth weights in infants.” B. “Elevated blood glucose levels ensure the baby has mature lungs at birth.” C. “Elevated blood glucose levels hasten the development of the fetus in utero.” *D. “Elevated blood glucose levels in the first trimester have been linked to congenital anomalies.” 11. Which trend is currently influencing maternal and child healthcare? *A. An expansion of community-based services B. Closure of regionalized healthcare centers C. The availability of additional family support D. A reduction in the number of latch key kids 12. A client with a gestational age of 32 weeks arrives at the clinic for a routine prenatal visit. When measuring fundal height and listening to fetal heart tones, the nurse finds fundal height to be 28 cm and fetal heart tones at 115 bpm, and mother states fetal movements have slowed. What may the nurse conclude with this finding? A. Fetus has stopped growing due to the limited uterine growth. B. The client should return in two weeks to reevaluate the fetal well-being. *C. Possible IUGR and the nurse should identify risk factors and notify the physician. D. Possible macrosomia, the nurse should check blood glucose and notify the physician. 13. A nurse is caring for several clients on a busy floor. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following client? A. A client that is experiencing fetal death at 34 weeks gestation *B. A client who is experiencing preterm labor at 29 weeks gestation C. A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation D. A client who has a post term pregnancy at 41-week gestation 14. The nurse is planning an educational session for community members to address the issue of school- age child mortality. Which topic should the nurse identify as the highest priority for this population? A. Cancer B. Assault C. Suicide *D. Accidents 15. A nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make? A. This will occur in the last trimester of pregnancy *B. This will occur between the sixteenth to twenty weeks of pregnancy C. This will occur at the end of the first trimester of pregnancy D. This will occur when the uterus begins to rise out of the pelvis [Show More]

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