MATERNAL CHILD EXAM 1 AND 2 | NUR 2513
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NUR 2513 MATERNAL CHILD EXAM 1
A client makes an appointment at the prenatal clinic because she thinks
she might be pregnant. which assessment is a positive sign of pregnancy?
1. amenorrhea
2. audible fetal heart tones with a doppler
3. N/V
4. a positive pregnancy test ------CORRECT ANSWER----------------audible
fetal heart tones with doppler
A client with type 1 diabetes in the first trimester of pregnancy is having
difficulty keeping blood glucose levels within normal limits. the client
explains she has been "eating for two so the baby is healthy". how should
the nurse respond to the client?
1. you need to restrict your diet
2. a pregnant women needs to eat about 300 additional cals a day extra to
support a growing fetus
3. a pregnant women shouldn't eat for two. you are going to end up having
a large baby
4. why would you be eating for 2 ------CORRECT ANSWER----------------a
pregnant women needs to eat about 300 additional calories a day extra to
support a growing fetus
a client with hypertension who is receiving intravenous magnesium sulfate
therapy has requested an epidural anesthetic. the perinatal nurse should
first review the clients CBC results for which of the following?
,1. decreased platelet count
2. elevated glucose
3. decreased protein level
4. absence of sodium ------CORRECT ANSWER----------------decreased
platelet count
A clinical nurse is caring for a client who asks what her estimated date of
delivery will be if her last menstrual period started May 4, 2020 which of the
following is the appropriate response by the nurse
1. Feb 11, 2021
2. Feb 26, 2021
3. July 1, 2021
4. April 26, 2021 ------CORRECT ANSWER----------------Feb 11, 2021
A father is preparing a 4-year-old son for the arrival of a new baby. which
statement should the nurse suggest the father use to explain this to the
child?
1. mother will need to spend a lot of time with the new baby
2. it will be fun to have a sister or brother to give your old toys to
3. the new baby will need your bed se we're buying you a new one
4. a new baby will make our family bigger but not change our love for you --
----CORRECT ANSWER----------------a new baby will make our family
bigger but not change our love for you
A health care provider has recommended that a pregnant client have an
amniocentesis. for which genetic condition should the nurse teach the client
this diagnostic test will detect?
1. Rh sensitization
2. Trisomy 21 (down syndrome)
3. diabetes mellitus
4. breast cancer ------CORRECT ANSWER----------------trisomy 21 (down
syndrome)
, A nurse is in labor and delivery unit is caring for a client in labor and applies
an external fetal monitor. the fetal heart rate is 140 beats/min. Contractions
are occurring every 8 min and lasting 30-40 secs in durations. the nurse
performs a vaginal exam and finds the cervix is 2 cm dilated. 50% effaced
and the fetus is at a -2 station. which of the following stages and phases of
labor is this client experiences?
1. first stage, latent phase
2. first stage, active phase
3. first stage, transition phase
4. first stage, emergent phase ------CORRECT ANSWER----------------first
stage, latent phase
A nurse is caring for a client at 42 weeks gestation who is in active labor.
after assessing the client, which of the following findings is the fetus at risk
for developing?
1. intrauterine growth restriction
2. hyperglycemia
3. meconium aspiration
4. polyhydramnios ------CORRECT ANSWER----------------meconium
aspiration
A nursing is caring for a client who is in labor and observes the tracing
pictured. the nurse interprets this pattern as indication which of the
following?
1. maternal bradycardia
2. umbilical cord compression
3. uteroplacental insufficiency
4. fetal head compression ------CORRECT ANSWER---------------
Uteroplacental insufficiency
A woman who is 4 months pregnant has pyrosis (heartburn). Which of the
following suggestion would the nurse provide the client?
1. Take 30 mL of milk of magnesia after every meal.
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