Tiêu đề 2. FC OB (Mr. Alviz) - SC ✅

3 | Page 23. When caring for a postpartum woman who exhibits a large amount of bleeding, which areas would the nurse need to assess before the woman ambulates? a. attachment, lochia color, complete blood cell count b. blood pressure, pulse, complaints of dizziness c. degree of responsiveness, respiratory rate, fundus location d. height, level of orientation, support systems 24. When assessing a client who gave birth 4 hours earlier, the nurse finds the uterus to be firm, 2 fingerbreadths above the umbilicus, and displaced to the right. Lochia rubra is moderate. What would be the first nursing action? a. Encourage the woman to urinate. b. Gently massage the fundus. c. Insert a Foley catheter. d. Record these normal findings. 25. When assessing the client 14 hours after birth, the following data are collected: Temperature 38.1°C (100.6°F), pulse 104, respirations 19, blood pressure 118/72. What would be the best nursing action? a. Assess for uterine tenderness and odor to lochia. b. Encourage the client to increase her fluid intake. c. Massage the uterus and express clots. d. Report these findings to the health care provider. Situation: Knowledge and understanding of the process of pregnancy from several perspectives allow nurses to give anticipatory health education and provide care specific to the client’s and family’s actual needs. (Items 1- 7) 26. During a health assessment of a woman who is pregnant for the fourth time, she indicates that she has 5- year-old twin boys who were born at 32 weeks and a 3-year- old daughter born at 41 weeks. She relates that she miscarried last year. All her children are currently healthy. What is the appropriate way to record her GTPAL status? a. 4-2-1-1-3 b. 4-1-2-1-3 c. 4-1-1-1-3 d. 3-1-1-1-3 27. A young woman attends the prenatal clinic for her first visit. She indicates that the first day of her last normal menstrual period was December 2. Using Naegele’s rule, her expected date of delivery (EDD) is September a. 2 b. 5 c. 9 d. 12 28. A client, G2P1001, who is 33 weeks pregnant, comes to the nurse-midwifery office for a routine visit. She shares with the nurse that she has been experiencing difficulty getting to sleep, backaches, swelling of her ankles, and shortness of breath. Which of these statements would it be best for the nurse to make? a. “Tell me more about each of these” b. “These are normal changes of pregnancy” c. “They will go away in another few weeks” d. “These are normal, you don’t need to worry about them” 29. A client, admitted to the hospital with hyperemesis gravidarum resulting in dehydration and electrolyte imbalance, is NPO. When should the nurse expect that the client will be allowed to start taking oral fluids again? a. when the client’s bowel sounds return b. after 4 hours of receiving intravenous fluids c. when the client reports that she feels hungry d. after the client has not vomited for 48 hours 30. A client with pre-eclampsia is receiving magnesium sulfate intravenously. Which assessment finding would lead the nurse to suspect that the client is experiencing magnesium toxicity? a. muscle weakness b. absent patellar reflex c. seizures d. respiratory rate of 18 breaths/minute 31. A client is interested in attending childbirth education classes focusing on labour and delivery, and is seeking information about what will most likely be included. Which of the following would the nurse be most likely to exclude from her teaching? a. stages of labour b. breathing exercises c. pain control techniques d. prevention of birth defects 32. When presenting a program to a group of women of childbearing age about the benefits of perinatal education, what should the nurse state as to when perinatal education should ideally begin? a. on the first prenatal visit after pregnancy is confirmed b. during the late first trimester or early second trimester c. at a preconception visit to the woman’s health care provider d. when the woman and partner consciously decide to become parents 33. During a sterile vaginal examination of a woman in labour, the nurse identifies the buttocks as lying over the pelvic inlet. The nurse should document this presentation as: a. cephalic b. breech c. shoulder d. transverse 34. Examination reveals that the presenting part of the fetus in the cephalic presentation has passed the pelvic inlet is at the level of the ischial spines. The nurse interprets this to mean that the presenting part is a. engaged b. floating c. at – 1 station d. crowning 35. Which method would be most effective for the nurse to use when assessing the intensity of a client’s uterine contractions? a. auscultating with a Doppler ultrasound b. observing the woman’s facial expression c. asking the woman to rate the intensity d. palpating the uterine fundus 36. When assessing contractions by the recording from an EFM, the nurse measures from the beginning of the contraction to the end of that contraction to determine a. frequency b. duration c. acme d. intensity Situation: A fundamental component of quality perinatal care is the identification of pregnancies at increased risk for complications, whether maternal, fetal, or both. (Items 11-13). 37. A woman who is at 41 weeks’ gestation is being evaluated for possible labour induction. The nurse assesses the client’s cervical readiness using the Bishop scoring method. Which score would indicate that the cervix is favorable for labour induction?