,12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT)
Combined oral contraceptives are composed of synthetic
estrogen combined with small amounts of synthetic
progesterone. Your client, Mrs. Vanessa Narciso, has been
using COCs as her primary contraception method. She
comes to the clinic complaining “Bakit hindi pa din ako
mabuntis? Tumigil na naman ako ng paginom ng pills.”. Your
most appropriate response will be:
“You should have been able to conceive by now. Would
your husband be willing to undergo fertility tests?”
“It is best not to try to get pregnant at this time since your
intake of COCs may cause birth defects.”
“You should talk to your doctor immediately. You might have
developed complications from prolonged use of the pill”
Correct!
“Your body just needs time to recover from the effects of the
pill. It may be difficult to get pregnant during the first 3 to 12
months after discontinuation.”
Question 2 0. pts
Nurse Marina is providing follow-up to Vanessa Narciso, a 30
year old G1P1, 1 week after the birth of her neonate. Nurse
,12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT)
Marina would anticipate what outcomes from this new
mother? (Select all that apply)
u Answered
Lochia is changing from red to pink and smaller in amount.
Correct!
The client feels tired but is able to care for herself and her
new infant.
Correct!
The family has adequate support from one another and
others.
The client feeds the baby every 6 to 8 hours without
difficulty
rrect Answer
The client has positive comments about her new infant
Question 3 pts
Labor may begin with rupture of the membranes,
experienced either as a sudden gush or as scanty, slow
seeping of clear fluid from the vagina. Mrs. Vanessa Narciso,
your 30 week pregnant client, was rushed to the emergency
room, complaining that she expelled blood tinged mucus 24
hours ago. She also reports that some twenty minutes ago, a
heavy gush of warm liquid suddenly flowed. This was
followed by regular, more intense and more painful uterine
, 12/13/21, 10:23 AM SUMMATIVE ASSESSMENT 2 (Maternal Concept): NCM 107 - CARE OF MOTHER & CHILD, ADOLESCENCE (WELL CLIENT)
contractions. Mrs. Narciso informs you that her BOW has
ruptured. Your priority question would be:
u Answered
“How frequent are your contractions now?”
“How much fluid did you lose from the rupture of your
BOW?”
“Was it also accompanied by a bloody show?”
rrect Answer “What did the fluid look like?”
Question 4 pts
Mrs. Vanessa Narciso, a 30 year old G1P0, was admitted
due to labor pains. She tells the nurse that she thinks her
membranes have ruptured. Nurse Marina performs a
nitrazine test and confirms that the membranes have
ruptured with the color blue. The physician orders internal
electronic fetal monitoring. Mrs. Vanessa asks Nurse Marina
about any dangers the procedure causing harm to her baby.
Nurse Marina’s best response would be:
u Answered
“The procedure requires placement of an ultrasound
transducer over your abdomen and poses no risk to you or
your baby.”
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