Tiêu đề 2. FC OB (Mr. Alviz) - SC ✅

2 | Page 10. A primigravid adolescent client at approximately 15 weeks’ gestation who is visiting the prenatal clinic with her mother is to undergo alphafetoprotein (AFP) screening. When developing the teaching plan for this client, the nurse should include which of the following pieces of information? a. ultrasonography usually accompanies AFP testing b. results are usually very accurate until 20 weeks’ gestation c. a clean-catch midstream urine specimen is needed d. increased levels of AFP are associated with neural tube defects 11. A woman who is 28 weeks’ pregnant presents to the clinic for her scheduled prenatal visit. The nurse midwife measures her fundal height at 32 centimeters. What action do you expect the midwife to take regarding this finding? The midwife will a. order a multiple marker screening test b. order a sonogram to confirm dates c. schedule more frequent prenatal visits to monitor the pregnancy closely d. take no action. This is normal finding for a pregnancy at 28 weeks’ gestation 12. A G1 at 20 weeks’ gestation is at the clinic for a prenatal visit. She tells the nurse that she has been reading about “group B strep disease” on the internet. She asks when she can expect to be checked for the bacteria. How does the nurse best reply? a. “I’m glad that you asked. You will be getting the culture done today.” b. “The obstetrician normally cultures for group B strep after 35 weeks and before delivery.” c. “You are only checked for group B strep if you have risk factors for the infection.” d. “You were checked during your first prenatal visit. Let me get those results for you.” 13. A woman near the end of pregnancy comments to the nurse, “I’m curios. What causes labor to begin?” Which reply by the nurse is best? a. “It is a mystery. No one knows.” b. “It is believed that several factors work together to stimulate labor to begin.” c. “The pituitary gland in the brain releases a special hormone that signals labor to begin.” d. “You don’t need to worry about that. The baby will come when he is ready.” 14. A woman asks the nurse during a doctor’s visit, “What pain relief method is best?” What answer by the nurse best answers the questions? a. “Epidurals are best because they provide complete pain relief.” b. “Most women need IV pain medications at some point during labor.” c. “It is best to learn and use several methods of pain relief to find the one that works best for you.” d. “There is no one best way. However, natural childbirth is best for the baby.” 15. A 34-year-old gravida 3 para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type with her other labors. What interventions are most likely to help in this situation? a. comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary b. counter-pressure with a fist or tennis ball to the lower back and intradermal water injections c. effleurage, ambulation, and frequent position changes d. hypnosis, imagery, and slow chest breathing 16. The nurse is preparing a woman for epidural anesthesia. The woman asks, “Why is my IV running so fast? It feels so cold!” What reply by the nurse is best? a. “Don’t worry. This is a routine procedure in preparation for an epidural.” b. “I’ll slow the IV down so you won’t feel so cold.” c. “IV fluids help prevent spinal headaches.” d. “IV hydration helps prevent the blood pressure from dropping to low.” 17. A woman presents to the labor suite and states, “I have water leaking down my legs.” What assessment is most appropriate in this situation? a. DTRs b. Fern test c. Blood pressure check d. Urine test for protein 18. In which situation is it most likely that the physician would consider performing an amnioinfusion? The EFM tracing shows a. consistent early decelerations, variability present and occasional accelerations b. flat line without variability and no decelerations c. occasional mild variable decelerations and moderate variability present d. deep variable decelerations with every contraction 19. A woman whose fetus is breech is scheduled for external version. She says to the nurse, “I’m really scared of the procedure, will it hurt badly?” What is the best reply by the nurse? a. “Don’t worry. An external version procedure is not painful.” b. “Sometimes the procedure is uncomfortable. If it becomes too painful, let the doctor know that she will stop the procedure.” c. “The procedure can be quiet uncomfortable, but it is best for your baby. You want to do what’s best for the baby, right? d. “You can’t do it. I’ll hold your hand throughout the procedure and you should be just fine.” 20. Which statement by a postpartum woman after cesarean delivery indicates that further discharge teaching is needed? a. “Being tired may increase the pain I feel.” b. “I need to hold my incision when I cough.” c. “My mother will come to help me when I get home.” d. “The incision needs to be covered with a bandage.” 21. What nursing intervention would be most helpful in providing emotional support to a woman and her family after a cesarean delivery? a. Encouraging the father to observe the infant’s first bath. b. Positioning the infant with pillows during feeding. c. Providing opportunities to discuss reaction to the birth experience. d. Recommending frequent rest periods for the new mother. 22. The nurse assesses a client after delivery. What data would suggest that this patient is at increased risk for hemorrhage? a. Gravida 7 Para 5. b. History of gestational diabetes. c. Infant birth weight of 7 lbs 11 oz (3487 g). d. Length of labor 8 hours.