Maternal Newborn Alternate Item Format Quiz (Answered) GRADED A
A nurse is educating a client on how to perform Kegel exercise therapy for urinary
... [Show More] incontinence. Which of the following points should be included in teaching? Select all that apply.
Select one or more:
a. While sitting on the toilet, strain down to help identify pelvic muscles.
b. Have a designated time and place for completing therapy.
c. Complete exercises in only a sitting position.
d. Improvement in incontinence may be seen after 6 weeks of exercise therapy.
e. During exercises, tighten pelvic muscles for a count of 10 and then relax for a count of 10. Correct Answer: b. Have a designated time and place for completing therapy.
d. Improvement in incontinence may be seen after 6 weeks of exercise therapy.
e. During exercises, tighten pelvic muscles for a count of 10 and then relax for a count of 10.
At first, it is helpful to have a designated time and place to do exercises because the client will need to concentrate to do them correctly.
Although improvement may take several months, most clients notice a positive change after 6 weeks of exercises.
The client should be educated to tighten pelvic muscles for a slow count of 10 and then relax for a slow count of 10. This exercise should be done 15 times while lying down, sitting up, and standing (a total of 45 exercises). The client should then repeat the exercises rapidly contracting and relaxing the pelvic muscles 10 times. This should take no longer than 10 to 12 minutes for all three positions, or 3 to 4 minutes for each set of 15 exercises.
A nurse is caring for a client immediately following an amniotomy. Which of the following interventions are appropriate? Select all that apply.
Select one or more:
a. Assess fetal heart for rate and variable decelerations. Correct
b. Observe for the presence of an odor in amniotic fluid.
c. Prepare for an intrauterine pressure catheter (IUCP) insertion.
d. Assess maternal intake and urinary output.
e. Document any unusual color in the amniotic fluid. Correct Correct Answer: a. Assess fetal heart for rate and variable decelerations. Correct
b. Observe for the presence of an odor in amniotic fluid.
e. Document any unusual color in the amniotic fluid. Correct
After an amniotomy everything shifts in the uterus and the cord may become compressed. The nurse should immediately assess the fetal heart following the procedure.
The presence of a foul odor in maternal fluid can be an important sign of infection.
Any color in particular any meconium stained fluid or blood can indicate fetal distress.
A nurse is educating a client who is scheduled for a nonstress test (NST). Which of the following statements are correct? Select all that apply.
Select one or more:
a. The NST is not useful after 38 weeks gestation.
b. The NST is a useful in calculating gestational age.
c. The NST can easily be performed in an outpatient setting.
d. The NST measures the relationship of the fetal heart rate to fetal movement.
e. The NST is a primary method of antenatal fetal assessment. Correct Answer: c. The NST can easily be performed in an outpatient setting.
d. The NST measures the relationship of the fetal heart rate to fetal movement.
e. The NST is a primary method of antenatal fetal assessment.
In most settings the NST has become an ideal screening test for fetal well being.
The NST is a noninvasive test which is easily performed in outpatient settings.
The basis of the NST is the principle that the normal fetus will produce characteristic HR patterns in relationship to fetal movement.
A nurse is teaching a new mother breastfeeding techniques. Which of the following teaching tips are appropriate to discuss with a new mother who is breastfeeding? Select all that apply.
Select one or more:
a. Avoid a specific length of time to breastfeed.
b. Dark, firm stools are the norm.
c. Two to three wet diapers per day are the norm.
d. Avoid use of a pacifier to prevent nipple confusion.
e. Burp the newborn between each breast. Correct Answer: a. Avoid a specific length of time to breastfeed.
d. Avoid use of a pacifier to prevent nipple confusion. [Show Less]