BEST NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Su, Exams of Management Fundamentals

Download BEST NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Su and more Exams Management Fundamentals in PDF only on Docsity! NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for further teaching in this area? Select all that apply. A. Luteal Phase B. Ovulatory Phase C. Secretory Phase D. Proliferative Phase E. Preovulatory Phase  Which should be included in the plan of care for a pregnant teenager to reinforce instructions regarding dental care? A. Tell the dental office staf f that she is pregnant. B. Avoid the use of local anesthetics during dental work. C. Use toothpaste with baking soda to decrease plaque NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ buildup. D. Expect to lose at least one tooth because of calcium and phosphorus leaving the teeth to nourish the fetus.  The nurse is providing information to a pregnant woman about food items high in folic acid. Which mid-afternoon snack should be recommended to supply folic acid? A. 1½ cups of yogurt B. One medium banana C. Nuts and green, leafy vegetables D. 1 cup milk with two graham crackers  A client beginning week 30 of gestation comes to the clinic for a routine visit. Which observation by the nurse indicates a need for further teaching? A. The client is wearing pantyhose. B. The client is wearing nonslip shoes. C. The client is wearing knee-high hose. D. The client is wearing shoes with arch supports.  A second-day postpartum client diagnosed with a stable NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ previa. Which complication is the client most at risk for developing? A. Coagulopathy B. Postpartum infection C. Chronic hypertension D. Postpartum hemorrhage  The nurse is assisting in planning care for a client with a diagnosis of placenta previa. The nurse identifies which as the priority goal for the client? A. The client exhibits no signs of fetal distress. B. The client expresses an understanding of her condition. C. The client identifies and uses available support systems. D. The client demonstrates compliance with activity limitations.  An elective cesarean delivery is being planned for a pregnant client. The nurse is reviewing the plans for the surgery with the client. A low transverse uterine NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ incision will be used. The client asks the nurse to explain why this approach is being used. The nurse's response is based on which premise? A. This approach requires that a vertical skin incision be made. B. This type of incision allows for extension if a larger incision is needed. C. This approach is the best choice with a placenta previa on the lower anterior uterine wall. D. This incision allows a vaginal birth after cesarean (VBAC) to be possible in a subsequent pregnancy.  A client arrives at the birthing center in active labor. Her membranes are still intact, and the nurse-midwife performs an amniotomy. The nurse explains to the client that this procedure will most likely have which effect? A. Less pressure on her cervix B. Increased efficiency of contractions C. Decreased number of contractions D. The need for increased blood pressure (BP) monitoring NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  A client tells the nurse her contractions are getting stronger and that she is getting tired. She appears restless, asks the nurse not to leave her alone, and states, "I can't take it anymore." Based on the client's behavior, the nurse should suspect the client is how far dilated? A. 1 to 2 cm NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ A. "It softens the muscles and joints of the pelvis." B. "It is the primary hormone of milk production." C. "It maintains the uterine lining for implantation." D. "It may play a role in the neural development of the fetus." E. "It increases during pregnancy to stimulate basal metabolic rate."  The nurse is reading the primary health care provider's (PHCP) documentation regarding a pregnant client and notes that the PHCP has documented that the client has an android pelvic shape. The nurse understands that which characteristics are included with this pelvic shape? Select all that apply. A. Oval shaped B. Heart shaped C. Straight sidewalls D. NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ Convergent sidewalls E. Wide suprapubic arch F. Narrow interspinous diameter  The nurse is measuring the fundal height of a client who is at 30 weeks of gestation. In preparing to perform the procedure the nurse should take which action? A. Have the client stand for the procedure. B. Assist the client from a sitting to a right lateral position. C. Place the client in a prone position with the head of the bed elevated. D. Place the client in a supine position and place a wedge under the right hip. NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  A term client is being seen for a final prenatal appointment. The clinic nurse is making arrangements for the client to be admitted to the labor and delivery unit for an oxytocin induction. The nurse reviews the client's chart and should contact the primary health care provider regarding which documented finding to verify the oxytocin induction? A. L/S ratio 2:1 B. Gestational diabetes C. Hemoglobin level of 11.6 g/Dl D. Previous classical vertical uterine incision  A woman diagnosed previously with gestational hypertension is returning to the clinic for her scheduled prenatal appointment. During the assessment, the nurse is concerned that she is developing signs/symptoms that indicate that her mild gestational hypertension is progressing. What assessment findings indicate to the nurse that the mild gestational hypertension is NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ C. On the right side D. In a sitting position  The nurse is collecting data from a pregnant client with a history of cardiac disease and is checking the client for venous congestion. The nurse inspects which body areas, knowing that venous congestion is commonly noted in which areas? Select all that apply. A. Legs NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ B. Vulva C. Fingers D. Around the Eyes E. Around the abdomen  A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions, and the nurse determines that the client is experiencing Braxton Hicks contractions. Which nursing action should be appropriate? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Instruct the client that these are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a prelabor condition.  Which statements made by the nursing student NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ accurately reflect correct information about the hormone oxytocin? Select all that apply. A. "Production of oxytocin occurs in the ovaries." B. "It is produced by the anterior pituitary gland." C. "It can cause contractions of the uterus during and after birth." D. "Release of oxytocin stimulates the pancreas to produce insulin." E. "Oxytocin is used primarily for labor induction and augmentation."  The nurse is reading the primary health care provider's (PHCP) documentation regarding a pregnant client and notes that the PHCP has documented that the client has a platypelloid pelvic shape. The nurse recognizes which characteristics to be present in the platypelloid pelvis? Select all that apply. A. Shallow depth B. Wide suprapubic arch NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ the client makes which statement? A. "Stop and start the stream of urine several times during a voiding." B. "Tighten perineal muscles for up to 10 seconds several times a day." C. "Tighten perineal muscles for up to 5 minutes three or four times a day." D. "Begin voiding and then stop the stream, holding residual urine for an hour."  The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likely day for ovulation in a 30- day menstrual cycle is which day? A. Day 14 B. Day 16 C. Day 18 D. Day 28 NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  The maternity nursing instructor asks a nursing student to identify the hormones that are produced by the ovaries. Which hormones identified by the student indicate an understanding of the hormones produced by this endocrine gland? Select all that apply. A. Oxytocin B. Estrogen C. Progesteron e D. Luteinizing Hormone E. Follicle-Stimulating Hormone F. Thyroid-Stimulating Hormone  The nurse-midwife is conducting a session on the process of conception with a group of nursing students. Which statements reflect that the nursing students NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ understand the process of conception? Select all that apply. A. "Fertilization occurs in the outer third of the fallopian tube." B. "Only 1 sperm will penetrate the ovum to produce fertilization." C. "The pre-embryonic period is defined as the first 8 weeks of gestation." D. "Implantation occurs in the anterior or posterior fundal region of the uterus." E. "The ovary produces hormones to maintain the pregnancy before placental development."  The nursing student is conducting a clinical conference regarding the hormones that are related to pregnancy, and the instructor asks the student about the function of progesterone. Which response made by the student indicates an understanding of the function of this hormone? Select all that apply. NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ B. "I feel very anxious about my childbirth experience." C. "I am experiencing a lot of pain and feel the need to push." D. "I am very tired from the physical exertion I experienced during labor."  The nurse is teaching a pregnant client how to perform Kegel exercises. The nurse should tell the client that these exercises are for which purpose? A. Reduce a backache. B. Prevent ankle edema. C. Prevent urinary tract infections. D. Strengthen the pelvic floor in preparation for delivery.  The nurse assists a pregnant client with cardiac disease in identifying resources to help her care for her 18-month- old child during the last trimester of pregnancy. The nurse encourages the pregnant client to use these resources primarily to accomplish which tasks? A. Help the mother prepare for labor NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ and delivery. B. Reduce excessive maternal stress and fatigue. NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ C. Avoid exposure to potential pathogens and resulting infections. D. Prepare the 18-month-old child for maternal separation during hospitalization.  The clinic nurse is reviewing the records of the pregnant clients who will be seen in the clinic. Which client profile presents the greatest risk for human immunodeficiency virus (HIV) infection? A. A 33-year-old gravida III B. An adolescent with multiple heterosexual contacts C. A multigravida with a history of repeat cesarean deliveries D. A 25-year-old client with a history of spontaneous abortions  The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Which statement made by the client demonstrates understanding of the rationale for administration? NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ the placenta has separated from the uterine wall and is ready for delivery? Select all that apply. A. A soft and boggy uterus B. The umbilical cord lengthens C. Changes in the shape of the uterus D. Maternal complaints of severe uterine cramping E. A trickle or gush of blood escapes from the introitus NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  The nurse is checking the lochia discharge on a 1-day postpartum woman. The nurse notes that the lochia is red and has a foul odor. The nurse determines that this finding indicates which? A. A normal finding B. The presence of infection C. The need for increasing oral fluids D. The need for increasing ambulation  The nurse is collecting data on a client who is 6 hours postpartum following delivery of a full-term healthy newborn. The client tells the nurse that she feels faint and dizzy. Which nursing action is appropriate? A. Elevate the head of the bed. B. Obtain a hemoglobin and hematocrit level. C. Instruct the mother to request help when getting out of bed. D. Inform the nursery room nurse to avoid bringing the newborn to the mother until the feelings of NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ lightheadedness and dizziness have subsided. E. A postpartum client asks the nurse when she may resume sexual activity. Which response should the nurse give to the client?  A postpartum client asks the nurse when she may resume sexual activity. Which response should the nurse give to the client? A. Sexual activity may be resumed at any time. B. Sexual activity may be resumed after a normal menstrual period begins. C. Sexual activity should not be resumed until the 8- week checkup with the primary health care provider. D. Sexual activity may be resumed in about 3 weeks when the episiotomy has healed and the lochia has stopped.  Which action, if noted in the new mother, indicates the need for further data collection by the nurse for signs NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+  The nurse prepares to explain the purpose of effleurage to a client in early labor. Which explanation by the nurse describes effleurage? A. Effleurage is the application of pressure to the sacrum to relieve a backache. B. Effleurage is light stroking of the abdomen to facilitate relaxation during labor. C. Effleurage is a form of biofeedback to enhance bearing- down efforts during delivery. D. Effleurage is a contracting of a specific muscle group while other parts of the body rest.  The nurse assisting with monitoring a client in labor is told that the client's cervix is 3 cm dilated with contractions occurring every 2 to 3 minutes. When monitoring the client's psychological status, the nurse anticipates the client will reflect which attitudes? Select all that apply. A. Alertness B. Irritabili ty C. NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ Excitemen t D. Seriousness E. Helplessness The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a firm, uterine fundus 2 cm above the umbilicus and displaced to the right. The nurse recognizes that this finding indicates which condition? A. Uterine atony B. Bladder distention C. Endometrial infection D. Retained placental fragments While a client is holding and talking to her newborn immediately following delivery, she begins to cry. How does the nurse interpret the client's behavior? E. The client is likely to demonstrate malattachment. F. The client is disappointed with the baby's gender. G. The client is grieving over the loss of the pregnancy. D. The client is NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ experiencing a normal response to birth. The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is most important for the nurse to take at this time? H. Assist the client with breastfeeding. I. Encourage food and fluid intake. J. Check the uterine fundus and lochia. K. Provide privacy for the parents and their newborn. The nurse is teaching an adolescent female about menstruation. Which statements if made by the adolescent female demonstrate a need for further teaching? Select all that apply. L. "The average duration of menstruation is 3 days." M. "Menstruation typically begins 14 days after ovulation." N. "The menstrual cycle prepares the uterus for pregnancy." O. "I will lose about 40 mL of blood during my menstrual period." P. "The day of ovulation is counted as the first day of the NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ B. "Surfactant is necessary to enhance clotting in the newborn." C. "Surfactant, which is needed for lung expansion, is present beginning at 28 weeks." D. "With decreased surfactant, more pressure must be generated to produce inspiration." E. "Surfactant lowers surface tension, reducing the pressure required to keep the alveoli expanded." A maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that successful learning has occurred if the nursing students correctly identify which statements as true? Select all that apply. A. The stage of the embryo lasts for 12 weeks. B. Uterine implantation occurs 21 days following fertilization. C. The blastocyst usually implants in the anterior or posterior fundal region. D. Fertilization of the mature ovum occurs in the distal third NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ of the fallopian tube. E. Human chorionic gonadotropin is the hormone needed for a positive pregnancy test. A nursing student is asked to identify the layers of tissue found within the uterus. Which student responses are correct with regard to the tissue layers of the uterus? Select all that apply. A. Ectometri um B. Myometriu m C. Perimetriu m D. Endometriu m E. Transmetrium A woman at 20 weeks of gestation calls the primary health NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ care provider's office and speaks to the nurse. The client states that she is having subtle but persistent changes in her vaginal discharge, menstrual-like cramps, and diarrhea. Which is the least helpful response to the client? A. "Drink three glasses of water and lie on your left side for 1 hour." B. "This is an emergency; you should come to the clinic within the hour." C. "Tell me about your activity, food, fluid, and medication intake for the past 24 hours." D. "Palpate for contractions and if four or more are felt within 1 hour, you need to be seen by the primary health care provider." NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ reached at term." B. "Human chorionic gonadotropin is the hormone responsible for a positive pregnancy test." C. "Human chorionic gonadotropin may be present as early as 8 to 10 days following conception." D. "Human chorionic gonadotropin is produced by the trophoblastic cells that surround the developing embryo." E. "Human chorionic gonadotropin preserves the function of the ovarian corpus luteum so that estrogen and progesterone are produced before placental functioning." A pregnant client is seen in the health care clinic and asks the nurse what causes the breasts to change in size and appearance during pregnancy. Which response is appropriate for the nurse to make? A. "The breasts become stretched because of weight gain." B. "The increased metabolic rate causes the breasts to become larger." NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ C. "The breast changes are a result of the secretion of estrogen and progesterone." D. "Cortisol secreted by the adrenals plays a factor in increasing the size and appearance of the breasts." NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ NURSING FUNDAMENTAL Module 5 NCLEX Saunder’s Questions and Answers best guaranteed Success Latest update 2023 Graded A+ A client in labor has been pushing effectively for 1 hour and the presenting part is at a +2 station. The nurse determines which physiological need is primary to the client at this time? A. Change in position B. Oral food and fluids C. Intravenous analgesia D. Rest between contractions The nurse tells a client she is now beginning the second stage of labor. The nurse realizes the client understands the occurrences of this stage when the client makes which statement? Q. "I'm having bloody show." R. "The contractions are intense." C. "My cervix is completely dilated." D. "My membranes are now ruptured."