Kaplan Maternity Test B

The nurse prepares a client for an emergency cesarean delivery . The client asks how the anesthesia is going to affect the baby . Which answer by the nurse is best ?

1.The overall dosage of anesthesia is lower for a client undergoing a cesarean delivery .

2.The dosages of sedatives and hypnotics are lower for a client undergoing a cesarean delivery .

3.The anesthesia is not administered until immediately prior to the cesarean incision .

4.All preoperative medications are routinely withheld prior to the cesarean delivery .

3.The anesthesia is not administered until immediately prior to the cesarean incision .

The nurse instructs a group of expectant parents about the advantages of breastfeeding . The nurse intervenes if an expectant parent makes which statement ?

1" My baby will grow faster and sleep more with breast milk .

2. " My baby will receive protective immune factors from the breast milk . "

3. " My baby will not eat any other foods until four to six months . "

4. " At first , I may feed my baby about 10 times per day . "

1" My baby will grow faster and sleep more with breast milk .

The client arrives at the hospital in active labor . The client asks the nurse what is the purpose of the fetal monitor . Which response by the nurse is best ?

1. " The purpose of the fetal monitor is to evaluate the progress of labor .

" 2. " The purpose of the fetal monitor is to assess the strength and duration of contractions .

" 3. " The purpose of the fetal monitor is to determine if the fetus is receiving adequate amounts of oxygen .

" 4. " The purpose of the fetal monitor is to allow the health care provider to decide if an oxytocin drip should be started .

" 3. " The purpose of the fetal monitor is to determine if the fetus is receiving adequate amounts of oxygen .

The parents of a preterm infant visit the infant in the newborn nursery . When they see the infant resting comfortably in the isolette , the parents express concern about disturbing the baby to hold it . Which response by the nurse is best ?

1. " Preterm infants have immature immune systems and handling them increases the risk of infection .

" 2. " Preterm infants need to conserve their strength , so it is best if you do not pick the infant up .

3. " Preterm infants need to develop a sense of trust and security and holding the infant promotes this . "

4. " Preterm infants can become irritable if handled while sleeping , so first wake the infant up . "

3. " Preterm infants need to develop a sense of trust and security and holding the infant promotes this . "

A client delivers a baby . In order to monitor for maternal complications , the nurse is most alert for which finding ?

1. Reports of pain .

2. Changes in blood pressure and pulse .

3. Ambivalent feelings about being a mother .

4. The presence of hemorrhoids .

2. Changes in blood pressure and pulse .

A client calls the clinic and reports a fever , fatigue and has a hard , reddened area in one breast . The client is breastfeeding . Which condition does the nurse understand that this client is most likely experiencing ?

1. Adjustment reaction .

2 . Primary engorgement

3. A blocked duct .

4. Mastitis .

4. Mastitis .

The nurse palpates the fundus of a client after the third stage of labor . The nurse expects the fundus to have which characteristics ?

1. Soft and discoid .

2. Firm and discoid .

3. Soft and globular .

4. Firm and globular .

4. Firm and globular

A client is in active labor with external monitoring in use . The nurse notes abrupt and rapid fluctuations in the fetal heart rate ( FHR ) from baseline to 90 beats per minute and back to baseline on the monitoring device . The fluctuations in fetal heart rate occur with no relationship to the contraction pattern . The client watches the monitor and asks , Is something wrong with the baby ? " Which response by the nurse is best ?

1. " This FHR pattern is still within normal range . "

2. " An emergency cesarean section is indicated . "

3. " There is interference with the fetal monitor . "

4. " This is a potential problem that requires a position change . "

4. " This is a potential problem that requires a position change . "

A fetal heart rate ( FHR ) tracing shows an early deceleration pattern . The nurse is aware that this indicates which interpretation ?

1. The FHR slows early in the contraction , which is a normal finding .

2. The FHR slows early in the contraction , which indicates fetal hypoxia .

3. The FHR slows at the peak of the contraction , which is a normal finding .

4. The FHR slows at the peak of the contraction , which indicates maternal hypoxia .

1. The FHR slows early in the contraction , which is a normal finding .

The nurse obtains a health history for a client in the clinic . The client lists fibrocystic breast disease under gynecological conditions . Which characteristics of this condition does the nurse expect the client to report ?

1. A small painless lump in the breast .

2 . Retracted nipples with discharge .

3. Soft masses which become tender during menstruation .

4. Constant pain in one breast .

3. Soft masses become tender during menstruation .

Tetralogy of Fallot

Decreased pulmonary blood flow blood

Patent ductus arteriosus

Increased pulmonary blood flow

Atrial septal defect

Increased pulmonary blood flow

A new parent asks the nurse if it is safe to drink wine while breastfeeding . Which is the best response by the nurse ?

1. " The wine you drink will not be present in the breast milk . "

2. " A moderate amount of wine will help you relax . "

3. " Alcohol has a depressant effect on the baby . "

4." Drink beer rather than wine while you are breastfeeding . "

3. " Alcohol has a depressant effect on the baby . "

The nurse provides care for a client 24 hours after delivery , and the client states , " I have been urinating so much ! " Which response by the nurse is best ?

1. " You probably have a urinary tract infection . "

2. " Your body is getting rid of the increased fluid . "

3. " You must be drinking large amounts of fluid . "

4. " Your blood glucose is probably elevated . "

2. " Your body is getting rid of the increased fluid . "

The nurse understands a preterm infant is at greatest risk for developing which disorder ?

1. Hypoglycemia .

2. Respiratory distress syndrome .

3. Hydrocephalus .

4. Scoliosis .

2. Respiratory distress syndrome .

On the evening before a modified radical mastectomy , a client states , " I am afraid my spouse will not find me sexually attractive after my breast is removed " . Which response by the nurse is best ?

1. " You shouldn't think about that tonight . You have plenty to worry about . "

2. " If your spouse really loves you , it won't bother your spouse . "

3. " You're worried about how your spouse will react to the change in your body . "

4. " Reconstructive surgery can be done so that your breast will look the same . "

3. " You're worried about how your spouse will react to the change in your body . "

The nurse instructs a pregnant client diagnosed with gestational diabetes about the appropriate diet . The nurse determines the teaching is effective if the client selects which dessert ?

1. Apple pie .

2. Ice cream .

3. Fresh fruit .

4. Granola bar .

3. Fresh fruit .

The school nurse attends a soccer game at the local high school . The nurse sees a visibly pregnant woman grab her throat , indicating she is choking , and is unable to speak . Which action is best for the nurse to take ?

1. The nurse stands behind the woman and performs chest thrusts .

2. The nurse inspects the client's mouth and throat for an obstruction .

3. The nurse embraces the client from behind and performs abdominal thrusts .

4. The nurse stays with the client and calls for help .

1. The nurse stands behind the woman and performs chest thrusts .

The nurse provides care for a neonate born two hours ago . Which occurrence initiates the changes that take place in the neonate's circulatory system after birth ?

1. The space constraints of the uterus are removed .

2. The newborn begins pulmonary ventilation .

3. The newborn is exposed to excessive sensory stimuli .

4. The ambient temperature of the newborn is reduced .

2. The newborn begins pulmonary ventilation .

The nurse counsels a couple in their early thirties who have had difficulty conceiving a child . The couple states that they are worried they are infertile . The nurse teaches the couple that infertility testing is usually done when ?

1. After 3 months of unprotected intercourse and the inability to conceive .

2. After at least six months of unprotected intercourse and the inability to conceive .

3. After one year of unprotected intercourse and the inability to conceive .

4. After two years of unprotected intercourse and the inability to conceive .

3. After one year of unprotected intercourse and the inability to conceive .

The nurse makes a home care visit to a client who delivered an 8 lb 5 oz ( 3770.5 g ) baby three days ago . The client expresses alarm when hearing the baby has lost 8 oz ( 226.8 g ) . Which response by the nurse is most appropriate ?

1. " Perhaps you don't have enough milk for the baby and need to supplement the diet with formula . "

2. " That is a normal weight loss . Sometimes babies lose as much as 10 % of the birth weight . "

3. " Babies usually lose some weight , but that's more than usual . Your baby may need an intravenous infusion . "

4. " Most babies immediately lose their intrauterine water deposits and 20 % of their birth weight . "

2. " That is a normal weight loss . Sometimes babies lose as much as 10 % of the birth weight . "

The nurse teaches a client about birth control methods . How long does the nurse advise the client to leave a diaphragm in place after intercourse ?

1. 6 hours . 2 . 2 hours .

3. 24 hours .

4. 12 hours .

1. 6 hours .

The nurse assists the health care provider with a newborn circumcision . Which action does the nurse take immediately after the procedure ?

1. Leaves the area open to air .

2. Diapers the baby with a cloth diaper .

3. Applies petroleum gauze and observes carefully for bleeding .

4. Administers prophylactic antibiotics .

3. Applies petroleum gauze and observes carefully for bleeding .

The nurse provides care for a client diagnosed with cervical cancer . The nurse notes the client appears to have a poor appetite . Which intervention by the nurse is best ?

1. Provide high - fat snacks .

2. Provide small , frequent feedings .

3. Provide additional fluid at meals .

4. Provide food when the client requests it .

2. Provide small , frequent feedings .