Exam (elaborations)
Focus on Maternity Exam questions with answers.
- Course
- Institution
Focus on Maternity Exam questions with answers.
[Show more]
Seller
Follow
Content preview
Focus on Maternity Exam questions withanswers.
A home care nurse is instructing a client with hyperemesis gravidarum about measures to ease the
nausea and vomiting. The nurse tells the client to: ANS - Eat carbohydrates such as cereals, rice, and
pasta
Low-fat foods and easily digested carbohydrates such as fruit, breads, cereals, rice, and pasta provide
important nutrients and help prevent a low blood glucose level, which can cause nausea. Soups and
other liquids should be taken between meals to avoid distending the stomach and triggering nausea.
Sitting upright after meals reduces gastric reflux. Additionally, food portions should be small and foods
with strong odors should be eliminated from the diet, because food smells often incite nausea.
Test-Taking Strategy: Use the process of elimination and focus on the client's diagnosis and the subject,
ways to ease and prevent nausea and vomiting. Knowing that foods high in fat may be difficult to digest
will assist you in eliminating this option. Next eliminate the option that involves consuming primarily
soups and fluids at meals, recalling that liquids will cause distention of the stomach. To select from the
remaining options, recall that lying down after meals can cause gastric reflux; this will direct you to the
correct option. Review measures to ease and prevent nausea and vomiting if you had difficulty with this
question.
A nurse is caring for a client with preeclampsia who is receiving a magnesium sulfate infusion to prevent
eclampsia. Which finding indicates to the nurse that the medication is effective? ANS - The client
experiences diuresis within 24 to 48 hours.
Magnesium sulfate is effective in preventing seizures (eclampsia) if diuresis occurs within 24 to 48 hours
of the start of the infusion. As part of the therapeutic response, renal perfusion is increased and the
client is free of visual disturbances, headache, epigastric pain, clonus (the rapid rhythmic jerking motion
of the foot that occurs when the client's lower leg is supported and the foot is sharply dorsiflexed), and
seizure activity. Hyperreflexia indicates cerebral irritability. Clonus is normally not present. The
therapeutic magnesium level is 4 to 8 mg/dL (1.64 to 3.29 mmol/L). Reflexes range from 1+ to 2+ but
should not be absent.
,A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion exhibits signs
of magnesium toxicity. The nurse immediately prepares for the administration of: ANS - Calcium
gluconate
Calcium gluconate is the antidote to magnesium sulfate because it antagonizes the effects of
magnesium at the neuromuscular junction. It should be readily available whenever magnesium is
administered. Vitamin K is the antidote in cases of hemorrhage induced by the administration of oral
anticoagulants such as warfarin sodium (Coumadin). Protamine sulfate is the antidote in cases of
hemorrhage induced by the administration of heparin. Naloxone hydrochloride is administered to treat
opioid-induced respiratory depression.
A nurse instructs a pregnant client about foods that are high in folic acid. Which item does the nurse tell
the client is the best source of folic acid? ANS - Lima beans
The best sources of folic acid are liver; kidney, pinto, lima, and black beans; and fresh dark-green leafy
vegetables. Other good sources of folic acid are orange juice, peanuts, refried beans, and peas. Milk is
high in calcium. Chicken and steak are high in protein.
A nurse is providing instructions to a mother of an infant with seborrheic dermatitis (cradle cap) about
treatment of the condition. The nurse tells the mother to: ANS - Apply oil to the affected area on the
infant's scalp
Seborrheic dermatitis, a chronic inflammation of the scalp or other areas of the skin, is characterized by
yellow, scaly, oily lesions. It sometimes results when parents do not wash over the anterior fontanel
carefully for fear that they will hurt the infant. Treatment includes the application of oil (e.g., mineral oil)
to the area to help soften the lesions followed by gentle removal of the scaly lesions with a comb before
the head is shampooed. The nurse should teach the mother how to shampoo the scalp and explain that
she will not damage the fontanel with normal gentle shampooing. The scalp should be rinsed well to
remove all soap, which could cause irritation.
A nurse is monitoring a client who was given an epidural opioid for a cesarean birth. The nurse notes
that the client's oxygen saturation on pulse oximetry is 92%. The nurse first: ANS - Instructs the client
to take several deep breaths
If the client has been given an epidural opioid, the nurse should monitor the client's respiratory status
closely. If the oxygen saturation falls below 95%, the nurse instructs the client to take several deep
breaths to increase the level. Although the finding would be documented, action is required to increase
, the oxygen saturation level. It is not necessary to contact the health care provider. If the deep breaths
fail to increase the oxygen saturation level, the health care provider is notified and may prescribe
oxygen.
A client who delivered a healthy newborn 11 days ago calls the clinic and tells the nurse that she is
experiencing a white vaginal discharge. The nurse tells the client: ANS - That this is a normal
postpartum occurrence
For the first 3 days following childbirth, lochia consists almost entirely of blood, with small particles of
decidua and mucus, and is called lochia rubra because of its red color. The amount of blood decreases
by about the fourth day, and which time the lochia changes from red to pink or brown-tinged; this stage
is called lochia serosa. By about the 11th day, the erythrocyte component of lochia has decreased and
the discharge becomes white or cream-colored. This final stage is known as lochia alba. Lochia alba
contains leukocytes, decidual cells, epithelial cells, fat, cervical mucus, and bacteria. It is present in most
women until the third week after childbirth but may persist for as long as 6 weeks. Lochia alba is a
normal finding during the postpartum course, and no intervention is required, so the other options are
incorrect.
A rubella antibody screen is performed in a pregnant client, and the results indicate that the client is not
immune to rubella. The nurse tells the client that: ANS - A rubella vaccine must be administered after
childbirth
A prenatal rubella antibody screen is performed in every pregnant woman to determine whether she is
immune to rubella, which can cause serious fetal anomalies. If she is not immune, rubella vaccine is
offered after childbirth to keep her from contracting rubella during subsequent pregnancies. The vaccine
is a live virus, and defects might occur in the fetus if the vaccine were administered during pregnancy or
if the mother were to become pregnant soon after it was administered. Administering a rubella vaccine
immediately places the fetus at risk. Telling the client that she does not need to be concerned about
being exposed to rubella is incorrect, because the possibility of exposure, which could be harmful to the
fetus, does exist.
A nurse is monitoring a client who delivered a healthy newborn 12 hours ago. The nurse takes the
client's temperature and notes that it is 38° C (100.4° F). The most appropriate nursing action would be
to: ANS - Encourage the intake of oral fluids
A temperature of 38° C (100.4° F) is common during the 24 hours after childbirth. It may be the result of
dehydration or normal postpartum leukocytosis. If the increased temperature persists for longer than 24
hours or exceeds 38° C, infection is a possibility, and the fever is reported to the health care provider or
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Professorkaylee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82956 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now