A term infant is born with a swelling over the parietal bones and suture lines. What would you document in the infant's notes?
A. Molding
B.
... [Show More] Cephalohematoma
C. Caput succedaneum
D. Congenital tumor
C. Caput succedaneum
What is a complication of cephalohematoma?
A. Jaundice
B. Seizures
C. Poor feeding
D. Tremors
A. Jaundice
The newborn has a cephalohematoma. What are the characteristics of this swelling?
A. Crosses the suture line
B. Resolves in a couple days
C. Localized to parietal bone
D. Always present at birth
C. Localized to parietal bone
A G3P2 client at 27 weeks of gestation comes to the maternity triage unit with complaints of headaches. On assessment, the client's vital signs are: BP 152/110 P92 R20. What should you perform next?
A. Draw blood for investigations
B. Assess for clonus
C. Prepare for ultrasound
D. Assess for weight gain
B. Assess for clonus
A client who seems to be in the second to third trimester comes to the clinic for care. Her last menstrual period is unknown. What procedure would the provider order to evaluate gestational age?
A. Lab test for hCG
B. Abdominal ultrasound
C. Ballard scoring
D. Measuring fundal height
B. Abdominal ultrasound
What is the purpose of a routine ultrasound during pregnancy?
A. To confirm the gender
B. To assess vital organs
C. To confirm last menstrual period
D. To measure fetal growth
D. To measure fetal growth
A woman comes to the clinic in a state of panic. What would the nurse do?
A. Talk to the patient in a calm manner
B. Obtain assistance from the team
C. Offer her to sit near the standing fan
D. Obtain an order for Xanax STAT
A. Talk to the patient in a calm manner
During labor, the woman's membranes rupture spontaneously. The nurse notices the water to be green in color. What is her next action?
A. Check fetal heart rate
B. Assess cervical dilation
C. Perform maternal temperature
D. Prepare for emergency cesarean section
A. Check fetal heart rate
A G6P5 client has been in active labor for 4 hours. She tells you that she wants to have a bowel movement. What should you do?
A. Cautiously assist the client to the bathroom
B. Encourage the client to lie on her left side
C. Perform a vaginal examination
D. Offer the patient a bedpan
C. Perform a vaginal examination
What instructions would you provide to the mother of a newborn who had a circumcision where the Gomco clamp was used?
A. Clean the are with warm saline daily
B. Apply petroleum jelly on a gauze after diaper change
C. Bathe the baby daily to prevent infection
D. Administer baby Tylenol every 4 hours and prn
B. Apply petroleum jelly on a gauze after diaper change
What would the nurse use to clean the baby's buttock following diaper change?
A. Clear water
B. Soapy water
C. Wet wipes
D. Baby wipes
A. Clear wipes
A mother who is positive for herpes simplex virus delivers outside the hospital setting. How do you care for the baby?
A. Provide care to newborn in an isolette
B. Place newborn on droplet precaution
C. Promote couplet care
D. Keep newborn in emergency room
A. Provide care to newborn in an isolette
A client delivered her second baby three days ago. What findings would the nurse obtain on a postpartum assessment?
A. Uterus at the level of umbilicus
B. Uterus at 3-4cm below level of umbilicus
C. Uterus at 6cm below level of umbilicus
D. Uterus 1cm above level of umbilicus
B. Uterus at 3-4cm below level of umbilicus
A client is admitted to the ER department following a fall at home. She states that she delivered a baby five days ago. What assessment findings are consistent with a postpartum patient at five days post delivery?
A. Uterus at 5cm below umbilicus, lochia rubra
B. Uterus at 3cm below umbilicus, lochia serosa
C. Uterus at 4-5cm below umbilicus, lochia serosa
D. Uterus at 4cm below umbilicus, lochia rubra
C. Uterus at 4-5cm below umbilicus, lochia serosa
The nurse is going to assess a patient who delivered 12 hours ago. What should the nurse ask the pt to do prior to the assessment?
A. Lie supine on the bed
B. Breastfeed baby
C. Drink 8oz of water
D. Empty bladder
E. Empty your bladder
The plasma glucose of a 32-week infant is 29mg/dL. What is the nurse's action?
A. Give recommended dose of dextrose
B. Feed 10mL of colostrum orally
C. Feed with formula via nasogastric tube
D. Administer IV Lactated ringers
c. Feed w formula via NG tube
You receive the lab report on your pt who has moderate pre-eclampsia. Which laboratory result would you consider critical?
A. Magnesium sulfate level of 6.5mEq/L
B. Hgb and Hct 10.0/30.5
C. BUN 18mg/dL
D. Platelet count 95,000
D. Platelet count 95,000
Which of the following postpartum patients would you administer Rhogam to?
A. Rh negative mother with baby Rh negative
B. Rh positive mother with baby Rh positive
C. Rh negative mother with baby Rh negative
D. A mother with baby slightly jaundice
A. Rh negative mother with baby Rh positive
A patient who has lost several family members due to Covid-19 pandemic has been admitted in active labor. What would you assess the patient for during her hospitalization stay?
A. Intimate partner violence
B. Postpartum depression
C. Signs of suicidal ideation
D. Drug withdrawal symptoms
B. Postpartum depression
You are collecting data from a client who is 6 weeks pregnant. She is a known diabetic with a history of teenage twin girls born at 37 weeks, a 7-year old born at 32 weeks and two spontaneous abortions at 12 and 18 weeks, respectively. What is her GTPAL?
A. G5 T2 P1 A2 L2
B. G5 T1 P1 A2 L3
C. G4 T1 P1 A2 L3
D. G4 T1 P1 A2 L2
B. B. G5 T1 P1 A2 L3
A woman is in her car in the mall parking lot seeking your help as she unexpectedly delivered her baby who is heard crying. As you call the emergency number, what would you instruct her to do in the meantime?
A. Take deep breaths and relax
B. Call her family to inform them
C. Ask her to breastfeed the newborn
D. Ask her to push to expel placenta
C. Ask her to breastfeed the newborn
A pregnant client at 26 weeks of gestation is admitted to the antepartum unit with a diagnosis of preeclampsia. What tests will the provider order? SATA
A. 24hr urine collection
B. CBC and blood culture
C. Urine culture
D. Comprehensive metabolic panel
E. PT/PTT, CBC
F. Urinalysis
A. 24hr urine collection
D. Comprehensive metabolic panel
E. PT/PTT, CBC
F. Urinalysis
Which is a probable sign of pregnancy?
A. Nausea and vomiting
B. Pelvic/vaginal ultrasound
C. Hegar sign
D. Urinary frequency
C. Hegar sign (Softening of the lower uterine segment)
What instructions would the nurse provide to a client who has hyperemesis gravidarum?
A. Maintain a liquid diet only
B. Have dry snacks at bedtime
C. Have dry crackers on rising from bed
D. Inhale ginger and peppermint oils daily
C. Have dry crackers on rising from bed
What dietary instructions would the nurse tell the pregnant pt who is on iron therapy? SATA
A. Daily intake of fruits and vegetables
B. Avoid dark green vegetables
C. Take the medication with milk
D. Take your iron with fruit juices
A. Daily intake of fruits and vegetables
D. Take your iron with fruit juices
You are assessing a pregnant client at 35 weeks of gestation. What would you see on abdominal inspection?
A. Linea nigra, fetal movements, striae gravidarum
B. Fetal lie, linea nigra, mask of pregnancy
C. Large fetus, fetal position, fetal movements
D. Edema, striae gravidarum, number fetuses
A. Linea nigra, fetal movements, striae gravidarum
The midwife sees a client in the clinic who is unsure of her last menstrual period. On assessment, the uterus is midway between the symphysis pubis and the umbilicus. What is the estimated gestational age of the client.
A. 18 weeks
B. 24 weeks
C. 16 weeks
D. 22 weeks
C. 16 weeks
A client's last menstrual period was March 10, 2020. When will be her expected date of delivery?
A. December 17, 2020
B. August 17, 2020
C. December 3, 2020
D. January 1, 2021
A. December 17, 2020
What do you ensure when the baby is under the radiant warmer?
A. Apply the probe in line at the abdomen
B. Cover the eyes with protective shield
C. Have a t-shirt and hat one
D. Monitor temperature hourly
A. Apply the probe in line at the abdomen
What is the normal weight gain throughout a pregnancy?
A. 25-28lbs
B. 30-35lbs
C. 25-35lbs
D. More than 30lbs
C. 25-35lbs
During the third stage of labor, what is the priority action of the provider immediately following the delivery of the placenta?
A. Examine the placenta
B. Massage the uterus
C. Assess for lacerations
D. Suture episiotomy
B. Massage the uterus
A client at term reports to the obstetric triage department with a history of uterine contractions. On assessment the uterus is contracting 1:20 minutes lasting 30-35 seconds, cervix is fully effaced, 2cm dilated. What is her diagnosis?
A. Placental abruption
B. Latent phase, first stage of labor
C. Active phase, first stage of labor
D. Client is not in labor
B. Latent phase, first stage of labor
A client at 35 weeks of gestation comes to the clinic with contractions from overnight. On assessment, contractions are 3:10 lasting 45-50 seconds, cervix is 70% effaced, 4-5cm dilated, membranes are intact. What is the nurse's conclusion?
A. Active phase, first stage of labor
B. Latent phase, first stage of labor
C. Early, preterm labor
D. First stage of labor, good progress
A. Active phase, first stage of labor
How would you administer erythromycin eye ointment to the newborn?
A. One ribbon to lower eyelid
B. One drop to each eye
C. One ribbon to each eye 5 mins apart
D. One drop to corner of each eye
A. One ribbon to lower eye lid
What teaching would you give to a Rh negative mother who needs Rhogam?
A. Rhogam protects the fetus from acquiring jaundice
B. Rhogam improves the mother's immune system
C. Rhogam protects against most infections
D. Rhogam protects the fetus from the mother's immune system
D. Rhogam protects the fetus from the mother's immune system
A client had a spontaneous abortion last night and was discharged home a few hours later. She returns to the emergency room 3 days later with bleeding and abdominal pain. An ultrasound confirmed retained products of conception. How would you describe this abortion?
A. Threatened
B. Incomplete
C. Complete
D. Missed
B. Incomplete
How is vitamin K administered to the newborn?
A. Subcutaneous on the deltoid
B. Intramuscularly on the lateral thigh
C. Intramuscularly gluteal muscle
D. Subcutaneously abdomen
B. Intramuscularly on the lateral thigh
A newborn has overriding skull bones at birth. What is the appropriate description of the newborn's head?
A. Cone head
B. Caput
C. Molding
D. Swelling
C. Molding
How often should a mother breastfeed her well newborn?
A. 8-12x/day
B. Only when awake
C. 6 feedings/day
D. 10-13x/day
A. 8-12x/day
A client who delivered one week ago is complaining of chills, fever, and a tender uterus on palpation. What are these symptoms consistent with?
A. Amniochorionitis
B. Endometriosis
C. Endometritis
D. Subinvolution
C. Endometritis [Show Less]