MATERNAL/NEWBORN NURSING Exams, Exams of Family psychology

Download MATERNAL/NEWBORN NURSING Exams and more Exams Family psychology in PDF only on Docsity! MATERNAL/NEWBORN NURSING Exams Review Test Submission: VNSG 1330 Maternal Newborn Exam 1 A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman? Response Feedback: When a Y-bearing sperm fertilizes an ovum, a male child is produced. Question 2 A woman’s prepregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy? Response Feedback : The recommended weight gain for a woman of normal weight before pregnancy is 25 to 35 pounds. Question 3 What organ does the ductus venosus shunt blood away from in fetal circulation? Response Feedback : Fetal blood bypasses the liver through the ductus venosus by carrying blood directly to the inferior vena cava. Question 4 How long does sperm remain viable in the female reproductive tract? Response Feedback: Sperm can remain viable in the reproductive tract of the female for as long as 4 to 5 days. Question 5 The nurse is educating a pregnant patient who expects to breastfeed. The nurse knows that when a patient breastfeeds, which portions of the breast secrete milk? Response Feedback: The alveoli secrete milk. Question 6 A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Response Feedback: After ovulation, the egg lives for only 24 hours. Sperm must be available during that time if fertilization is to occur. Question 7 The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information? Response Feedback: The pregnant woman breathes more deeply, and her respiratory rate may increase slightly. Question 8 During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. What is Chadwick’s sign? Response Feedback: Chadwick’s sign is the purplish or bluish discoloration of the cervix and vagina. Question 9 What government program was implemented to increase the educational exposure of preschool children? Response Feedback: Head Start programs were established to increase educational exposure of preschool children. Question 10 What is the focus of current maternity practice? Response Feedback: Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise . Question 11 What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision? Response Feedback: Clinical pathways , also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified. Question 12 Where are the secretions responsible for nourishing sperm excreted from? Response Feedback: The Cowper’s gland secretions nourish the sperm. Question 13 What statement indicates a woman has correct information about oogenesis? Response Feedback: Oogenesis (formation of immature ova) does not occur after fetal development. Females are born with about 2 million immature ova, which rapidly reduce by adulthood. Question 14 At what point in prenatal development do the lungs begin to produce surfactant? Response Feedback: During week 25, the alveoli begin to produce surfactant, which enables the alveoli to stay open for adequate lung oxygenation to occur. Question 15 A pregnant woman asks the nurse, “Will I be able to have a vaginal delivery?” The nurse knows that which is the most favorable pelvic type for vaginal birth? Response Feedback: The gynecoid pelvis is the typical female pelvis and is most favorable for vaginal birth. Response Feedback: The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses. Question 30 What signifies the end of puberty for a male? Response Feedback: Puberty ends for a male when mature sperm are formed by the testes. Question 31 A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student? Response Feedback: The scope of practice of the LVN/LPN is published by the state’s board of nursing . Question 32 The nurse encourages the members of a prenatal class to seriously consider breastfeeding. What does breast milk provide in addition to nourishment for the infant? Response Feedback: Breast milk provides maternal antibodies to the infant that give the child acquired immunity from some diseases for several months. Question 33 What was recommended by Karl Credé in 1884? Response Feedback: In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of blindness. Question 34 A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom? Response Feedback: Supine hypotension syndrome, also called aortocaval compression or vena cava syndrome, may occur if the woman lies on her back. Symptoms of supine hypotension syndrome include faintness, lightheadedness, dizziness, and agitation. Question 35 A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNM’s scope of practice include? Response Feedback: The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems. Question 36 A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments? Response Feedback: Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36 weeks. From 36 weeks until delivery, visits are weekly. Question 37 During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. How early might fetal heart tones be detected with an electronic Doppler device? Response Feedback: The fetal heartbeat can be detected as early as 10 weeks of pregnancy using a Doppler device. Question 38 A mother asks the nurse, “When will I know my child has entered puberty?” What will the nurse state based on an understanding of changes associated with puberty? Response Feedback: Puberty begins when the secondary sex characteristics appear. Puberty ends when mature sperm are formed in the male and when regular menstrual cycles occur in the female. Question 39 The nurse has explained menstruation to a 13-year-old girl. What statement indicates the girl needs additional education? Response Feedback: Clots are not normally seen in menstrual discharge. A normal menstrual flow is 30 to 40 mL blood and 30 to 50 mL serous fluid. Question 40 A 10-year-old girl asks the nurse, “What is the first sign of puberty?” What is the correct nursing response? Response Feedback: The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age. Question 41 Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? Response Feedback: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students. Question 42 What is the most common site for fertilization? Response Feedback: Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary. Question 43 Which hormone is responsible for converting the endometrium into decidual cells for implantation? Response Feedback: At high levels, progesterone maintains the endometrial lining for implantation of the zygote. Question 44 A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman? Response Feedback: In general, moderate exercise several times a week, from the 8th week through delivery, is advised during pregnancy. Question 45 A woman missed her menstrual period 1 week ago and has come to the doctor’s office for a pregnancy test. Which placental hormone is measured in pregnancy tests? Response Feedback: Human chorionic gonadotropin is the basis for most pregnancy tests. It is detectable in maternal blood as soon as implantation occurs, usually 7 to 9 days after fertilization. Question 46 Who advocated the establishment of the Children’s Bureau? Response Feedback: Lillian Wald is credited with suggesting the establishment of a federal Children’s Bureau. Question 47 The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy. What is the appropriate term for this sign? Response Feedback: Goodell’s sign is one of the probable signs of pregnancy and describes a softened cervix and vagina. Question 48 The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development? Response Feedback:Folic acid can reduce the incidence of neural tube defects such as spina bifida and anencephaly. Question 49