NCLEX-PN

These be signs of maternalism. Presumptive Which are classified as probable signs of maternal quality? Uterine enlargement Hegiras sign, electropositive motherhood test A long-suffering prat be told that she is definitely great(predicate) when she has foetal heart sounds A charr calls the clinic to report that she had a positive home pregnancy test and asks hobby relax these are. The cherishs nearly appropriate reception Is Accuracy Is genuinely high if the test commissions are followed exactly The laboratory test used to confirm pregnancy measures HAG The mothers first recognition of fetal movements is referred to as QuickeningWhich change Is related to Increased progester hotshot levels? compound of the voice Which of the by-line is the lawsuit of Loriss in pregnancy? As the uterus enlarges the center of gravity shifts, do the women to lean back Which finding In a expectant patient would require further judgement by the restrain? Blood pressure of 150/92 A pat ient in her third base trimester of pregnancy complains of dizziness and faintness when she lies on her back. Which statement by the adjudge is most appropriate? To correct the symptoms, lie on your left side abide been very careful to find iron tablets and to give a balanced diet.The maintains most appropriate response is During pregnancy, the fluid portion of your kindred increases, which dilutes your red breed cellphones Changes in the gastrointestinal system during pregnancy let in Increased saliva production One cause of shit urination during pregnancy is pressure of the gravid uterus on the bl summateer Melancholy-stimulating hormone (MS) is answerable for which of the following signs of pregnancy? Lineal Niagara A muliebrity in her second trimester of pregnancy smiles and pats her abdomen when she feels the foul up move.She expresses a wish for a beautiful little girl and much alas about the deflower in positive terms. These behaviors illust browse which move upmental task of pregnancy? Fetal Distinction A cleaning charrhood who is 36 weeks pregnant tells the clinic curb that she is considering taking ibuprofen for her back smart and muscle cramps. The nurses best response is Taking that medication could cause your baby to experience distress BC of premature changes in its cardiovascular system Which hormone stimulates uterine contractions and the milk ejection reflex in breastfeeding?Extinction A patient tells the nurse that she is worried because her partner does not seem interested in the pregnancy. Which response by the nurse would be the most appropriate? Your partner go forth go through stages of adjustment to fatherhood The nurse is interviewing a charwoman in the clinic who thinks she might be pregnant. Which are presumptive signs of pregnancy? Amenorrhea wear down Breast tenderness A pregnant woman has three living children, one single and one twin birth, one preterm birth, and no abortions.According to CATALPA, the nur se would record her pregnancy history as . 421031 A nurse is discussing preconception care with a group of women. She tells them that en purpose of preconception care is to encourage red- product lineed lifestyles The nurse is interviewing a woman during her first prenatal clinic visit. When the Blood samples lead not be interpreted to test for conditions that could affect your pregnancy On her fourth prenatal visit, a patient asks why water supply tests are done on every visit.The most appropriate response is We are testing for diabetes, which sometimes develops during pregnancy The purpose of Loopholes maneuvers is to determine The presentation and position of the fetus One purpose of ultrasound vision during pregnancy is to Rule out fetal abnormalities Compared with amniocentesis, chronic villous sampling Can be done ahead in A diagnostic test of the amniotic fluid to determine whether the fetus is likely to develop respiratory distress is Lecithin/spellbinding ratio (LIST ratio) An elevated alpha-footprint (APP) level is consistent with Neural tube defects The bio fleshly write (BP) uses five observations, including Gross body movements During a nonstarters test (NEST), a monitor records fetal heart rate when the mother senses fetal movement.This test is used to assess Fetal oxygenation and autonomic function Which statement mighty describes the contraction stress test (COST)? Uterine contractions must be induced. To prepare a woman for a contraction stress test using nipple stimulation, an appropriate instruction would be to Brush your thread across the nipple of one breast for 2 to 3 minutes. A common discomfort in the first trimester of pregnancy is Lakehurst On her second prenatal visit, a woman states that she feels like she needs to progress to all the time, even during the night. She says she has reduced her fluid intake to control this problem. The nurse should tell her to Drink to a greater extent fluids during the day ND less in the ev ening. A teaching externalize for self-care during pregnancy should overwhelm that desirous tubs should be avoided because increased body temperature decreases placental stock To minimize heartburn, the pregnant patient should Sit up for 30 minutes later on eating. A woman in her third trimester is troubled by frequent leg cramps. Which measure would the nurse suggest to relieve the cramps? Stand with the feet flat on the floor when cramps occur. Self-care instruction for a pregnant woman to lessen backache should hold Wearing low-heeled shoes Wearing low-heeled shoes For a healthy pregnancy outcome, the recommended eight gain during pregnancy is 1. 4 to 1. 8 keg(3 to 4 lbs) each month in the first trimester, then 0. keg(l lb) per week for a total of 11 to 16 keg(25 to 35 lbs) Fetal weight increases most during the Third trimester To prevent supine hypertensive syndrome and to promote fetal perfusion during pregnancy, the teaching plan should include Lying on the left side Se lf-care instruction for a pregnant woman often includes the pelvic rocking exercise, which helps Relieve lower back pain Self-care instructions for a pregnant woman should include Not wearing knee-high stockings Which factor is likely to contribute to the formation of varicose veins during pregnancy? unregularity In a prenatal class, one woman tells the nurse that she is a vegetarian and asks whether this poses a problem in relation to her pregnancy.The nurses most appropriate response is minor care provider may order auxiliary vitamins and calcium. The nurse explains to a pregnant woman who does not like milk that other foods are hot sources of calcium, such as Green, leafy vegetables and tofu Pregnant women need increased vitamin A for fetal cell development, bone growth, ND tooth formation. One food that is high in vitamin A is Carrots A pregnant woman should be instructed that good sources of iron are broccoli and liver substituted for nutritious foods. Which statement by th e nurse reflects the current philosophy of childbirth education? l will tell you about your options for pain charge so you can make a choice. Relaxation exercises, focusing, imagery, and flagrance are taught in childbirth education because they atomic number 18 helpful in pain management during labor. The basic breathing patterns recommended during the first stage of labor include reheating. Modified-paced An exercise that strengthens perinea muscle tone and elasticity is the Keel exercise Which sign should a pregnant woman report to her health care provider immediately? Angina Pain Which individual is at great guess for a high-risk pregnancy? A 15-year-old who is a vegetarian The assumption that all people of a particular culture think and behave in the same way is known as ethnical stereotyping The pregnant woman asks why she should not receive a rubella virus immunization until after delivery.Which response would be the most appropriate? Live virus canines have a high risk of iatrogenic effects. A nurse is explaining nonstarters testing to expectant parents. Which statement indicates that further teaching is necessary? A reactive nonstarters test means that further judgement will be required. At a prenatal visit, the patient discusses her vegetarian diet with the nurse and states that she does not feel her diet includes enough protein. Which food(s) should the nurse suggest she add to her diet? Peanut butter Cottage cheese Eggs Amniocentesis is one diagnostic shaft used to assess fetal health and well-being, and it is used for what reason(s)?Assessment of a genetic disorder ascertain alpha-footprint levels Assessment of fetal lung maturity Chapter 13 One of the frequent causes of bleeding during the first trimester of pregnancy is involuntary abortion Causes of spontaneous abortion can include Acute maternal infection A woman in her first trimester of pregnancy comes to the emergency department with moderate vaginal bleeding. She reports having had cramps earlier but has no(prenominal) now. This description is typical of a(n) abortion. Threatened Which statement is true of octopi pregnancy? The fertilized ovum is implanted outside of the uterus. subsequently surgery for a transparency mole, the woman should be advised that She must have periodic blood studies and ultrasounds to monitor for coordination.A woman in the third trimester of pregnancy presents to the emergency department with complaints of bright red vaginal bleeding. The nurse immediately distrusts Placenta Preview The nurse recognizes that digital vaginal examinations are contraindicated in pregnant women who are bleeding because The examination may cause severe hemorrhage Which pregnant woman would the nurse suspect of having placenta preview? A Arvada 3, Para 2 in her twenty-eighth week of gestation who reports painless vaginal bleeding and whose blood pressure is 116/78 mm Hag Which scenario suggests abrupt placental? Tender, rigid uterus in the last trime ster What complication should be suspected in the patient who has experienced abrupt placental, hydrofoil mole, or a retained dead fetus?Disseminated intramuscular coagulation A woman with Re-negative blood is administered Aerogram following an abortion to prevent Summarization in the mother The most typical signs and symptoms of gestational high blood pressure include Proteins and hypertension The teaching plan for a woman with mild gestational hypertension who is being managed at home should include Resting frequently and lying on the left side beforehand administering magnesium sulfate to a woman with severe gestational withhold the medicate? Urinary output signal 20 murmur The pregnant patient is given magnesium sulfate. The drug has been effective if Seizure performance is absent. What is the difference between proclaims and clamps?The central nervous system is involved with clamps but not with proclaims. Which factor places the pregnant woman at risk for thermoelectric d isease? Even VA compression A pregnant woman who has been hospitalized for unintelligible vein thrombosis (DTV) suddenly complains of difficulty breathing and chest pain. Her heart rate is 120 get the better of/minute. The nurse should suspect what complication? Pulmonary embolism The nurse recognizes that the primary effect of pregnancy on a woman with a preexisting heart disease is The workload of the heart is greatly increased. When a woman with heart disease becomes pregnant, what precautions will the nurse advise her to take? Immediately report dyspepsia, fatigue, or edema. The nurse is counseling a prenatal patient on nutrition. He notes that her health care provider has ordered 300 MGM of ferrous sulfate each day. What patient teaching is indicated? Inform stools will be dark and sticky when you are taking iron. Hyperemia gravitated is Persistent, severe vomiting during pregnancy The effect of pregnancy on glucose metabolism is to Antagonize insulin, which causes serum glu cose to rise. During the first trimester of pregnancy, the patient with presentational diabetes usually requires Less insulin than before her pregnancy A pregnant woman has been diagnosed with gestational diabetes. She asks the nurse whether that means she will have to take insulin.The nurses best response is Some women need insulin, but you may be able to control your diabetes with diet. A maternal complication that can result from diabetes mellitus is Hydrations A woman asks the nurse why she should take precautions against acquire rubella if she thinks she might be pregnant. The nurse explains that the occurrence of maternal rubella during the first 4 weeks of pregnancy could lead to which fetal malformations? Cataracts, cardiac defects, and deafness of alcohol, tobacco, marijuana, and cocaine can cause fetal growth retardation. During an assessment of an infant born to an intravenous drug abuser, the nurse should recognize which sign(s) and/or symptom(s) as indicative of drug withdrawal?Tremor and hyperactive reflexes What information will the nurse give to a pregnant woman with heart disease regarding her second stage of labor? She will not be able to have any anesthesia. A woman with heart disease has delivered and is now in the postpartum unit. When caring for this woman, the nurse recognizes that Major circulatory readjustment in the postpartum period may cause heart blow even 4 or 5 days postpartum The nurse has been teaching a pregnant woman at 32 weeks gestation about signs and symptoms of gestational hypertension and potential warning signs of affirmable complications. The nurse recognizes the need for further teaching when the woman If I have a headache, I will take some acetaminophen. States A woman with severe gestational hypertension is receiving a continuous intravenous infusion of magnesium sulfate. Which assessment finding would indicate the need for further intervention? Absent deep tendon reflexes A nurse is caring for a woman who has been hypertensive since her thirty-fourth eek of gestation. Assessment findings include urine protein +3, platelet count 95,000 mm, and elevated EAST and ALT levels. The nurse should suspect the development of which of the following? HELP syndrome A newly delivered woman who was treated for proclaims during labor says to the nurse, Why are you still checking my blood pressure, reflexes, respirations, and urine so often?I thought delivery of my baby would take care of the problem. The most appropriate response would be Mimi are still at risk for seizures for the first forty- eight hours after birth. The patient asks why she has been having urinary tract infections (Its) more frequently since becoming pregnant. The nurse explains that which of the following factor(s) predispose(s) the pregnant patient to Its? Compression of the Reuters Decreased urine flow to the bladder Relaxation of the bladder muscle gloriously favoring bacterial growth birth because of abrupt placental. The nur se recognizes that she must be alert for which sign(s) and/or symptom(s)? release gums Bleeding from injection sites Apostasies Dry skin The nurse recognizes that parents who suffer a perennial loss will often exhibit which f the following behaviors? Denial Anger Acceptance Euphoria Chapter 20 The pain associated with endometriosis is caused by Monthly bleeding of extraction endometrial tissue Which statement is true of poisonous shock syndrome? Rash fever and flu-like symptoms are typical Women who experience premenstrual syndrome (MS), also known as ovarian cycle syndrome, should be advised that Strategies that help manage stress may reduce symptoms. The physical changes of menopause are the result of Lowered estrogen level A class for older women focuses on prevention and treatment of osteoporosis. One Oman asks how to tell if she is at risk for osteoporosis.