NCM 109

MIDTERM

Is a test used to examine chromosomes in a sample of cells.

Karyotyping

Which gender does Turner's syndrome affect?

Female

Another term for cordocentesis.

percutaneous umbilical blood sampling

In order for someone to have Cri-du-Chat Syndrome, which chromosome has to be mutat

5th chromosome

A child born with the karyotype showing XXY is a candidate for which of the following?

Klinefelter syndrome

The nurse is providing genetic counselling for an expectant couple who already have a child with trisomy 18. The nurse should

Discuss options with the couple, including amniocentesis to determine whether the fetus is affected.

The genetic testing of a child with Down syndrome showed that the disorder was caused by chromosomal translocation. The parents ask about further genetic testing. Based on the nurse's knowledge of genetics, the most appropriate

The parents can be tested, since it might be hereditary

The nurse is providing care for a 45-year-old patient who has just learned she is in the second trimester of pregnancy. The patient thought she was experiencing manifestations of menopause until she recognized fetal movement. Which diagnostic test does the nurse expect to be prescribed for this patient?

Chorionic villi sampling

Is the withdrawal of amniotic fluid through the abdominal wall for analysis at the 14th to 16th week if pregnancy

Amniocentesis

According to data from the Philippines Department of Health, the top 4 causes of maternal mortality are the following e

cephalic pelvic disproportion

Everyday in 2017, approximately 810 women died from preventable causes related to pregnancy and childbirth.

True or False

True

Is a glycoprotein produced by the fetal liver that reaches a peak in maternal serum between the 13th and 3rd week of pregnancy.

Alpha-fetoprotein

Is an X-linked disorder in which one long arm of an X chromosome is defective resulting in adequate protein synaptic responses

Fragile X Syndrome

A couple has been counselled for genetic anomalies. They ask you, what is karyotyping? Your best response is:

Karyotyping will provide information about the gender of the baby and the number and structure of the chromosomes

You are a maternal-newborn nurse caring for a mother who just delivered a baby born with Down syndrome. What nursing diagnosis would be the most essential in caring for the mother of this infant?

Anxiety

The physician orders Maternal Serum for Alphafeto Protein (MSAFP) screening for the client. In planning instruction for the client about the test, the nurse should stress that MSAFP studies:

with elevated levels is associated with neural tube defects

Fetal imaging is the insertion of a fibre-optic fetoscope through a small incision in the mother's abdomen into the uterus and membranes to visually inspect the fetus for gross abnormalities.

True or False

False

In this condition, the child has only one functional X chromosome, short in stature and has only small and non-functional ovaries

Turner Syndrome

The major complication that account for nearly 75% of all maternal deaths are the following except:

Anemia

In practical terms regarding genetic health care, nurses should be aware that:

The most important of all nursing functions is providing emotional support to the family during counselling

A newly diagnosed Class I cardiac patient is 6 weeks pregnant. The patient asks the nurse to explain what this means. The nurse's best response would be:

This means that although there has been a cardiac problem identified you will be able to continue with ordinary physical

When positioning the gravidocardiac client for delivery the nurse:

raises the head of the delivery table to facilitate breathing

Which of the following findings in a pregnant woman's history would identify a need for the woman to receive RhoGAM at 28 weeks of pregnancy?

Rh negative, Coombs negative

The best time(s) to administer the standard dose of RH immune globulin D is:

at 28 weeks gestation and again within 72 hours after deliv

The combination of the parents' blood Rh findings that MOST often leads to Rh factor problem is when the blood of:

The mother is Rh (-) and the father is Rh (+)

A nurse is reviewing a nutritional plan of care with a pregnant client and is identifying the food items highest in folic acid. The nurse determines that the client understands the foods that supply the highest amounts of folic acid if the client states that she will include which of the following in the daily diet?

leafy, green vegetables

A 40-year-old woman with a class III cardiac condition is pregnant. Which of the following nursing diagnoses would receive top priority?

Activity intolerance related to compromised cardiac status

Heavy menstrual flow and unwise weight- reduction are the causes of:

iron-deficiency anemia

A nurse performs a prenatal assessment on a client in the first trimester of pregnancy and discovers that the client frequently consumes alcohol beverages. The nurse initiates to assist the client to avoid alcohol consumption in order to

reduces the risk of teratogenic effects to developing fetal organs, tissues and structures

A prenatal client is suspected of having iron- deficiency anemia. Which finding would the nurse expect to note regarding the client's status?

a low hemoglobin and hematocrit level

Classification of heart disease in which less than ordinary physical activity causes fatigue, palpitation, and dyspnea.

markedly compromised

A multigravida client has experienced hemolytic disease of the newborn in a previous pregnancy. The nurse would prepare the client for frequent antibody titer evaluation (Indirect Coomb's Test) obtained from which of the following?

maternal blood

What is the nurse's most appropriate response when explaining the nature of delivery of a gravidocardiac client?

A forceps delivery will reduce strain caused by pushing

RhoGAM is given to Rh-negative women to prevent maternal sensitization from occurring. The nurse is aware that in addition to pregnancy, Rh-negative women would also receive this medication after which of the following?

therapeutic or spontaneous abortion

What position will the cardiac client need to assume in labor to allow for maximum functioning of her heart?

Semi-fowler's

A pregnant client tells the nurse that she has been craving for "unusual foods". The nurse gathers additional assessment data from the client and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are performed on the client. The nurse reviews the laboratory results and determines that which of the following indicates a physiologic consequence of this client's practice?

hemoglobin, 9.3 g/d

A client is taking iron supplements to correct iron-deficiency anemia. The nurse teaches the client with special consideration while on iron therapy?

avoid taking iron with milk or antacids

A client is being admitted to the antepartum unit for hypovolemia secondary to hyperemesis gravidarum. Which of the following factors predisposes a client to the development of this

Gestational trophoblastic disease

The nurse can anticipate to a reasonable degree of certainty that microorganisms most likely responsible for cystitis/UTI is

Escherichia col

A primigravida client's baseline BP at her initial visit at 12 weeks gestation was 110/70 mm Hg. During an assessment at 38 weeks gestation, which of the ff data would indicate mild preeclampsia?

Weight gain of 2 lbs/week in the 2nd trimester

Weight gain of 2 lbs/week in the 2nd trimester

increases during the first trimester and decreases during the second and third

The nurse knows that the most important thing the client with lower UTI needs to learn to clear the infection is which of the following

To Drink Up To 3l Of Fluid Each Day

A teenage primigravida with severe preeclampsia is in active labor. Her mother is at the bedside. Which of the following would alert the nurse that the client may be about to experience a seizure?

Epigastric pain

A pregnant client at 26 week's gestation takes a 1-hour glucose tolerance test as a part of a recommended screening for gestational diabetes. A result of greater than or equal to what number of mg/dl indicates the need for

140

During a home visit to a teenage client at 34- weeks' gestation diagnosed with mild preeclampsia, assessment reveals that the client has gained 2 lbs in the past week and her current BP is 140/90. Which of the following assessment findings would provide further evidence to support the client's diagnosis?

mild edema in hands and face

A 21-year-old client, 6 weeks pregnant, is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following?

electrolyte imbalance

A pregnant client with lower UTI asks the nurse, "How did I get this infection?" The nurse should explain that in most instances, cystitis is caused by:

Stasis Of Urine In The Blad

A woman with severe preeclampsia is being treated with an IV infusion of magnesium sulfate. This treatment is considered successful i

Seizures do not occur

In Hyperemesis Gravidarum, there is severe nausea and vomiting. What would be the implication of this?

increased HCG level

The physician orders IV magnesium sulfate for a primigravida client with severe preeclampsia. Which of the following medications would the nurse has readily available at the client's beds?

Calcium gluconate

pregnant client with UTI is instructed on measures to prevent the infection. Which statement by the client indicates a need for further teaching?

"After vowel movement, I will wipe from back to front."

A woman has been diagnosed as having pregnancy-induced hypertension. Which of the following is the most typical symptom of this

Protein in urine

A client is admitted to the L & D suite at 36 weeks' gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?

Uterine rupture

A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?

An increase in the pulse from 88 to 102 BPM

A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of slowing labor. The nurse is reviewing the physician's orders and would expect to note which of the following prescribed treatments for this condition?

Oxytocin (Pitocin) infus

A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued?

Three contractions occurring within a 10-minute period

Perineal care is an important infection control measure. When evaluating a postpartum woman's perineal care technique, the nurse would recognize the need for further instruction if the woman:

Uses the peri bottle to rinse upward into her vagina

A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements, if made by the mother, indicates a need for further teaching?

"I need to stop breastfeeding until this condition resolves."

After the expulsion of the placenta in a client who has six living children, an infusion of lactated ringer's solution with 10 units of Pitocin is ordered. The nurse understands that this is indicated for this indicated for this client because:

Multigravida are at increased risk for uterine atony

A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of

Occiput posterior

A nurse in a labor room is assisting with the vaginal delivery of a newborn infant. The nurse would monitor the client closely for the risk of uterine rupture if which of the following occurred?

Forceps delivery

Which assessment would least likely associated with breech presentation?

Post term gestation

A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action?

Place the client in Trendelenburg's position.

Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications, the priority nursing assessment is

Blood pressure

A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention would be to:

Provide pain relief measures

After doing Leopold's maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:

Below the umbilicus on the right side

A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which of the following risks associated with placenta previa?

Hemorrhage

Which measure would be least effective in preventing postpartum hemorrhage?

Massage the fundus every hour for the first 24

A nurse is developing a plan of care for a PP woman with a small vulvar hematoma. The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client?

Prepare an ice pack for application to the area.

The nurse is caring for a 34-year-old G1P0 patient in her 30th week of gestation. The patient is having an episode of painless vaginal bleeding and is hemodynamically stable. Which assessment does the nurse anticipate for the physician to order?

Abdominal ultrasound

When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which of the following nursing actions is most appropriate?

Notify the physician.

A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which of the following is noted on the external monitor tracing

Variable decelerations

Atonic bleeding is due to a lack of tone in the uterus

True or False

True

In HELLP

Hemolysis

Which measure would be least effective in preventing postpartum hemorrhage?

Massage the fundus every hour for the first 24 hours following birth

Is a condition wherein the chorionic villi invade the uterine myometrium

Increta

To prevent infection, the nurse teaches the postpartum client to perform which of the following tasks

Void at least every two hour

Is the leading cause

Postpartum Hemorhage

Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?

Uterine subinvolution

With which conditions has the lower risk of postpartum hemorrhage?

Advanced maternal age

A nurse is performing a postpartum assessment on a newly delivered client. Which of the following actions is not appropriate in terms of postpartum care?

Auscultate the carotid artery

To be considered a postpartal hemorrhage what would the estimated blood loss have to be for a C-section?

\> 1000 M

Which of the following is not a management of Uterine Inversion?

No administration of antibiotic after

replacing the inversion

Methergine or Pitocin is prescribed for a woman to treat postpartal hemorrhage. Before administration of these medications, the priority nursing assessment is to check th

Blood pressure

It refers to the injury to blood vessels during delivery or during repair of episiotomy, resulting in blood escaping into connective tissues under the skin with overlying skin intact

Perineal Hematoma

Causes of late postpartum hemorrhage are the following, except:

Subinvoluted uterus

To be considered a postpartal hemorrhage what would the estimated blood loss have to be for a C-section?

\> 1000 M

Atonic bleeding is due to a lack of tone in the uterus

True or False

True

In HELLP

A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention would be to:

Provide pain relief measures

After doing Leopold's maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:

Below the umbilicus on the right side