KAPLAN MATERNAL INTREGRATE PRACTICE A,B,C WITH NGN QUESTIONS WITH VERIFIED ANSWERS

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KAPLAN MATERNAL INTREGRATE PRACTICE A,B,C WITH NGN QUESTIONS WITH VERIFIED ANSWERS KAPLAN MATERNAL INTEGRATE PRACTICE A A client comes to the prenatal clinic for her first visit. The nursing hi... story reveals that the client's last menstrual period was five months ago, and the client is sure she is pregnant because she has been feeling the baby move. Whcih of the following responses by the nurse is BEST? 1. "Since you have felt the fetal movement, I am sure that you are pregnant." 2. "Lie down so that I can listen for fetal heart tones with the Doppler." 3. "We'll collect a urine specimen for testing to confirm that you are pregnant." 4. "Have you noticed feeling more fatigued lately?" "Lie down so that I can listen for fetal heart tones with the Doppler." Auscultating fetal heart tones, visualization of fetus by ultrasound or x-ray, or fetal movement palpated by the examiner are all positive signs of pregnancy. A woman complains to the nurse that during the client's menstrual period she gains weight and gets muscle cramps. The nurse should suggest which of the following measure to alleviate the client's symptoms? 1. Take OTC analgesics, restrict caffeine, exercise moderately 2. Avoid analgesics and exercise 3. Restrict fluid intake, exercise moderately, increase caffeine intake. 4. Restrict sodium intake, restrict exercise, sedatives Take OTC analgesics, restrict caffeine, exercise moderately . The use of mild analgesics, restriction of caffeine, and moderate exercise have all been shown to be effective in relief of the wight gain, irritability, and muscle cramping of a menstrual period. The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's BP is 150/96, edema of the face and hands is noted, 3+ protein in the urine, and serum albumin level is 3 gm/dL. Which of the following instructions by the nurse is MOST important? 1. The client should decrease caloric intake 2. The client should eliminate all salt from her diet 3. The client should ensure adequate protein 4. The client should increase her intake of iron The client should ensure adequate protein Client has preclampsia; bedrest on left side. proteins restore osmotic pressure. The nurse cares for the client immediately after a normal vaginal delivery. Which action should the nurse take FIRST? 1. Observe the lochial flow 2. Palpate the fundus 3. Obtain a warming blanket 4. Obtain vital signs. Observe the lochial flow Allows nurse to directly check for hemorrhage; inspection is the first step of physical assessment. The nurse notes that a 2 day old infant shows a tendency to bleed. The nurse understands this is MOST likely caused by which of the following? 1. Hemophilia 2. Absence of intestinal bacteria needed for the production of Vitamin K 3. Immature liver that is unable to synthesize clotting factors 4. Excessive breakdown of RBC's coupled with a delayed production of new ones. Absence of intestinal bacteria needed for the production of Vitamin K newborns don't produce Vitamin K until the 8th day. Newborn given vitamin K at birth; bleeding due to newborn's inability to produce vitamin K the first three to four days; vitamin K produced in GI tract after microorganisms introduced; able to produced vitamin K by day eight. The woman tells the nurse that she has always had a heavy menstrual flow and needs extra iron. The nurse should recommend the client eat which food? 1. chicken livers 2. pork 3. hamburger 4. tofu chicken livers liver is an excellent source of iron. Chicken liversLiver is an excellent concentrated source of iron (7.2 mg per serving); recommended daily intake for women ages 19-50 is 18mg/day, men age 19 and up and postmenopausal women is 8 mg/day; other concentrated sources include cooked artichoke and some cereals (Grape-Nuts, Product 19, Total, Cream of Wheat, Oatmeal). The nurse observes four newborns. Which of the following characteristics, if noted by the nurse, are MOST common in a preterm infant? 1. Red, wrinkled skin, lanugo, and hypotonic muscles 2. Vernix caseosa, silky hair, and faical edema 3. Absent nose bridge, depressed fontanels, and absent lanugo 4. Mottled skin, meconium stools, and hypertonic muscles Red, wrinkled skin, lanugo, and hypotonic muscles vernix is the white substance covering baby's skin. Meconium stool is normal. herptonia is not seen with preterm infants. Red, wrinkled skin due to lack of subcutaneous fat that accumulates during third trimester; lanugo is downy fine hair found on shoulders, forehead, and cheeks and is more noticeable is preterm infants; floppy, poor head control, and limp extremities indicate hypotonia. The nurse instructs a patient who recently had a modified radical mastectomy. The nurse states that it is important that the patient exercise her arm postoperatively to 1. increase muscle strength and diameter 2. maintain body balance 3. limit full range of motion 4. prevent lymphedema prevent lymphedema Postpoeratively, the nurse will encourage prescribed exercises and elevation of the extremity on the affected side to prevent lymphedema. The nurse instructs the woman about how to prevent conception using the basal body temp method. The nurse explains that during ovulation, the woman's basal body temp will change in which direction? 1. lowers significantly 2. rises significantly 3. is unchanged 4. rises slightly rises slightly Just prior to ovulation, a woman's body temperature lowers about 1 degree at the time of ovulation, the body temperature increases about 1 to 2 degrees, this slight rise is important for clients who rely on methods of childbirth planning and depend on knowledge of the ovulatory cycle. The nurse admits a patient to the postpartum unit two hours after a vaginal delivery. Three hours after admission the nurse ambulates the patient to the bathroom, and the patient states there is a sudden gush of bleeding from her vagina. The nurse understands that the increase in amount of bleeding is due to [Show More]

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