A client makes a routine visit to the prenatal clinic. Although she is 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Charles diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal: A. An empty gestational sac. B. Grapelike clusters. … Read More »
Which of the following factors would the nurse suspect as predisposing a client to placenta previa? A. Multiple gestation B. Uterine anomalies C. Abdominal trauma D. Renal or vascular disease Correct Answer: A. Multiple gestation Multiple gestation is one of the predisposing factors that may cause placenta… Read More »
When teaching parents about typical toddler eating patterns, which of the following should be included? A . Food “jags.” B. Preference to eat alone C. Consistent table manners D. Increase in appetite Correct Answer: A. Food “jags.” Toddlers become picky eaters, experiencing food jags, and eating large… Read More »
Upon assessment, the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heartbeat (FHB) not appreciated. Which of the following is the most possible diagnosis of this condition? A. Hydatidiform mole B. Missed abortion C. Pelvic inflammatory disease D. Ectopic pregnancy … Read More »
The nurse should anticipate that hemorrhage related to uterine atony may occur postnatally if this condition was present during the delivery: A. Excessive analgesia was given to the mother. B. Placental delivery occurred within thirty minutes after the baby was born. C. An episiotomy had to be done to facilitate delivery of… Read More »
After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (–1) station. Based on these findings, the nurse-midwife knows that the fetal presenting part is: A. 1 cm below the ischial spines. B. Directly in line with… Read More »
Which of the following would the nurse assess in a client experiencing abruptio placenta? A. Bright red, painless vaginal bleeding B. Concealed or external dark red bleeding C. Palpable fetal outline D. Soft and nontender abdomen Correct Answer: B. Concealed or external dark red bleeding A client… Read More »
Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night? A. “Allow him to fall asleep in your room, then move him to his own bed.” B. “Tell him that you will lock him in his room if he gets out… Read More »
When a pregnant woman goes into a convulsive seizure, the MOST immediate action of the nurse to ensure the safety of the patient is: A. Apply restraint so that the patient will not fall out of bed. B. Put a mouth gag so that the patient will not bite her tongue and the tongue will… Read More »
According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the postpartum period. These stages are: A. Going through, adjustment period, adaptation period B. Taking-in, taking hold and letting-go C. Attachment phase, adjustment phase, adaptation phase D. Taking-hold, letting-go, attachment phase … Read More »