When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes? A. At 16 weeks of gestation. B. At 20 weeks of gestation. C. At 24 weeks of gestation.… Read More »
The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Which of the following would be the best response by the nurse? A. “The breast tissue is inflamed from the trauma experienced with birth.” B. “A decrease in material hormones present before birth causes enlargement,” C. “You should… Read More »
Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? A. Notify the physician immediately. B. Administer antidiarrheal medications. C. Monitor child every 30 minutes. D. Nothing, this is characteristic of Hirschsprung disease. Correct Answer:… Read More »
To ensure that the baby will breathe as soon as the head is delivered, the nurse’s priority action is to A. Slap the baby’s buttocks to make the baby cry. B. Suction the nose and mouth to remove mucous secretions. C. Clamp the cord about 6 inches from the base. D. Check the… Read More »
Normal lochial findings in the first 24 hours post-delivery include: A. Bright red blood B. Large clots or tissue fragments C. A foul odor D. The complete absence of lochia Correct Answer: A. Bright red blood Lochia should never contain large clots, tissue fragments, or membranes. A… Read More »
Immediately before expulsion, which of the following cardinal movements occur? A. Descent B. Flexion C. Extension D. External rotation Correct Answer: D. External rotation Immediately before expulsion or birth of the rest of the body, the cardinal movement of external rotation occurs. During this pause, the baby… Read More »
When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells? A. Follicle-stimulating hormone B. Testosterone C. Luteinizing hormone D. Gonadotropin-releasing hormone Correct Answer: B. Testosterone Testosterone is produced by the Leydig cells… Read More »
The nursing intervention to relieve “morning sickness” in a pregnant woman is by giving: A. Dry carbohydrate food like crackers B. Low sodium diet C. Intravenous infusion D. Antacid Correct Answer: A. Dry carbohydrate food like crackers Morning sickness may be caused by hypoglycemia early in the… Read More »
When shaving a woman in preparation for cesarean section, the area to be shaved should be from: A. Under breast to mid-thigh including the pubic area. B. The umbilicus to the mid-thigh. C. Xiphoid process to the pubic area. D. Above the umbilicus to the pubic area. … Read More »
Accompanied by her husband, a patient seeks admission to the labor and delivery area. The client states that she is in labor and says she attended the hospital clinic for prenatal care. Which question should the nurse ask her first? A. “Do you have any chronic illness?” B. “Do you have any allergies?”… Read More »