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Maternity and Women’s Health Care 12th Edition Lowdermilk Test
Bank (All chapters Complete, Question and Answers) With Rationale,
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A nurse instructs a client who is taking oral contraceptives to increase her intake of dietary supplements. Which supplement should be increased? Calcium Vitamin C Vitamin E Potassium Vitamin C A nurse is providing dietary counseling to a client at 14 weeks' gestation. The client is a recent immigrant from Asia, and the nurse explores the foods that the client usually eats. Which foods should the nurse counsel the client to avoid during pregnancy? (Select all that apply.) 1.Yogurt 2.Oily fish 3.Apricots 4.Raw shellfish 5.Herbal supplements 6.Soft-scrambled eggs 4.Raw shellfish 5.Herbal supplements 6.Soft-scrambled eggs A nurse is caring for an adolescent in labor an hour after she was admitted to the birthing unit. The adolescent is anxious and tense. She cries during contractions and asks the nurse for epidural anesthesia. The nurse obtains the adolescent's current vital signs and reviews her history and admission information. What nursing interventions are essential before epidural anesthesia is administered? (Select all that apply.)
1.Performing a baseline vaginal examination 2.Telling the adolescent what to expect with each procedure 3.Identifying risk factors that contraindicate epidural anesthesia 4.Having the parents sign a consent form for the epidural anesthesia 5.Explaining the need to stay in one position while the epidural catheter is in place 1.Performing a baseline vaginal examination 2.Telling the adolescent what to expect with each procedure 3.Identifying risk factors that contraindicate epidural anesthesia Methods of relieving back pain are explained during a childbirth class. What activities identified by the client permit the nurse to conclude that the teaching has been understood? (Select all that apply.) 1.Tailor sitting 2.Pelvic rocking 3.Forward tilting 4 .Sacral pressure 5.Kegel exercises 2.Pelvic rocking 3.Forward tilting 4 .Sacral pressure Contraceptives that contain estrogen-like and/or progesterone-like compounds are prepared in a variety of forms. Which contraceptives should the nurse tell clients have a hormonal component? (Select all that apply.) 1.Oral drugs 2.Diaphragm 3.Cervical cap 4.Female condoms 5.Foam spermicide. 6.Transdermal agents 1.Oral drugs 6.Transdermal agents
2.Furosemide (Lasix) 3.Ritodrine (Yutopar) 4.Propranolol (Inderal) 4.Propranolol (Inderal) We have an expert-written solution to this problem! A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which adverse side effect alerts the nurse to notify the health care provider? 1.Respiratory rate of 18 breaths/min 2.2+ patellar reflex response 3.Magnesium blood level of 5 mEq/L 4.Urine output of less than 100 mL in 4 hours 4.Urine output of less than 100 mL in 4 hours We have an expert-written solution to this problem! A couple expresses a desire to use the rhythm method of birth control. The woman tells the nurse that she menstruates every 32 days. What should the nurse teach the couple about when the client's ovulation probably occurs? 1.On the 14th day of the cycle 2.10 days after the first day of bleeding 3.14 days before the start of the next menses 4.2 to 3 days after the last day of menstrual bleeding 3.14 days before the start of the next menses The nurse is caring for a client who is in the taking-in phase of the postpartum period. The area of health teaching that the client will be most responsive to is: 1.Perineal care 2.Infant feeding 3.Infant hygiene 4.Family planning 1.Perineal care
Which statements by a client with hyperemesis gravidarum would confirm that the client needs further teaching? (Select all that apply.) 1."I'll start drinking protein shakes." 2."I'll start drinking plenty of fluids." 3."I'll start limiting my carbohydrates." 4."I'll lie down for at least 2 hours after I eat." 5."I'll be sure to schedule rest periods throughout the day so I won't get tired." 3."I'll start limiting my carbohydrates." 4."I'll lie down for at least 2 hours after I eat." We have an expert-written solution to this problem! A primigravida at 12 weeks' gestation complains of nausea and vomiting during a visit to the prenatal clinic. Which pregnancy hormone should the nurse explain is thought to be responsible for nausea and vomiting during the first trimester? 1.Estrogen 2.Progesterone 3.Human placental lactogen (hPL) 4.Human chorionic gonadotropin (hCG) 4.Human chorionic gonadotropin (hCG) The nurse discusses the recommended weight gain during pregnancy with a newly pregnant client who is 5 feet 3 inches tall and weighs 125 lb. The nurse explains that with the recommended weight gain, at term the client should weigh about: 1.150 lb 2.140 lb 3.135 lb 4.130 lb 1.150 lb The nurse is caring for a group of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage?
3.Palpating each breast with the palmar surface of her extended fingers 4.Checking her breasts for symmetry while holding her arms above her head 1.Palpating each breast while in the sitting position During the postpartum period a client with heart disease and type 2 diabetes asks a nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near future?" How should the nurse respond? 1."You may use oral contraceptives — they're almost completely effective in preventing pregnancy." 2."You should use foam with a condom to prevent pregnancy — this is the safest method for women with your illnesses." 3."You'll find that the intrauterine device is best for you, because it prevents a fertilized ovum from implanting in the uterus." 4."You have little to worry about regarding becoming pregnant in the near future because women with your illnesses usually become infertile." 2."You should use foam with a condom to prevent pregnancy — this is the safest method for women with your illnesses." A left modified radical mastectomy is performed on a client with breast cancer. What is the most important measure to be included in the care plan for the first postoperative day? 1.Having someone from Reach to Recovery visit the client 2.Emptying the portable wound drainage system after each shift 3.Keeping the left arm and shoulder immobile until drainage ceases 4.Placing the client in the semi-Fowler position with the left arm and hand elevated 4.Placing the client in the semi-Fowler position with the left arm and hand elevated A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? 1.Resume usual activities after 12 hours. 2.Expect shoulder pain for 12 to 24 hours. 3.Douche with povidone-iodine twice a day. 4.Report vaginal spotting that occurs during the first 3 days after the surgery
2.Expect shoulder pain for 12 to 24 hours. We have an expert-written solution to this problem! The nurse is teaching a client who is scheduling a vasectomy. What information is essential that the nurse explain to the client? 1.Recanalization of the vas deferens is impossible. 2.Unprotected coitus is safe within 1 week to 10 days. 3.Some impotency is to be expected for several weeks after the procedure. 4.At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked. 4.At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked. A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information about the client's activities in the history indicates to the nurse that there is a need for this test? 1.The client takes care of a cat. 2.The client works as a dog trainer. 3.The client uses chemical cleaners. 4.The client consumes raw vegetables 1.The client takes care of a cat. On the first postpartum day, a client whose infant is rooming in asks the nurse to return her baby to the nursery and bring the baby to her only at feeding times. How should the nurse respond? 1."It seems that you've changed your mind about rooming in." 2."I think you're having difficulty caring for the baby." 3."All right. I'll inform the other nurses of your decision." 4."You must be tired. I'll bring the baby back at feeding time." 1."It seems that you've changed your mind about rooming in." A client who has had a mastectomy asks what the term ERP-positive means. How should the nurse explain this finding?
4.12th week 2.20th week A nurse teaches a client with asthma about her illness during pregnancy. Which statement by the client indicates that the nurse's teaching has been effective? 1."Prednisone is safe to use during pregnancy." 2."My asthma will get worse as my pregnancy progresses." 3."I can use my albuterol inhaler if it's absolutely necessary." 4."I'll have to have a cesarean to prevent a severe attack during labor." 3."I can use my albuterol inhaler if it's absolutely necessary." What is the priority nursing intervention during the 2 hours after a cesarean birth? 1.Evaluating fluid needs to maintain optimum hydration 2.Monitoring the incision to help prevent the onset of infection 3.Encouraging bonding to promote mother-infant interaction 4.Evaluating the lochia to identify the complication of hemorrhage 4.Evaluating the lochia to identify the complication of hemorrhage A nurse is teaching a breastfeeding mother about cleansing her nipples. What technique should the nurse emphasize? 1.Wash the breasts and nipples with water when bathing. 2.Wipe the nipples with sterile water before each feeding. 3.Swab the nipples with an alcohol sponge after each feeding. 4.Rub the breasts and nipples with soapy water when showering. 1.Wash the breasts and nipples with water when bathing. A breastfeeding mother asks the nurse what she can do to ease the discomfort caused by a cracked nipple. What should the nurse instruct the client to do? 1.Stop nursing for a few days and allow the nipple to heal
2.Manually express milk and feed it to the baby in a bottle 3.Start feedings on the unaffected breast until the affected breast heals 4.Use a breast shield to keep the baby from making direct contact with the nipple 3.Start feedings on the unaffected breast until the affected breast heals We have an expert-written solution to this problem! At a client's first prenatal visit, the healthcare provider performs a pelvic examination, stating that the client's cervix is bluish purple, which is known as the Chadwick sign. The client becomes concerned and asks whether something is wrong. The best response is "This is expected; it: 1.Helps confirm your pregnancy" 2.Is not unusual, even in women who are not pregnant" 3.Occurs because the blood is trapped by the pregnant uterus" 4.Is caused by increased blood flow to the uterus during pregnancy" 4.Is caused by increased blood flow to the uterus during pregnancy" What is the best nursing intervention to achieve the cooperation of an extremely anxious pregnant client during her first pelvic examination? 1.Distracting the client by asking her preference regarding the infant's sex 2.Assisting the practitioner so the client's examination can be completed quickly 3.Explaining the procedure and maintaining eye contact while touching the client gently 4.Encouraging the client to squeeze the nurse's hand, close her eyes, and hold her breath 3.Explaining the procedure and maintaining eye contact while touching the client gently A 30-year-old client with a 35-day menstrual cycle is trying to become pregnant. The nurse counsels the client and her partner about the optimal timing of intercourse during the cycle. The nurse determines that the counseling has been effective when the couple state that they should have intercourse on the: 1.12th day of the cycle 2.14th day of the cycle 3.21st day of the cycle 4.25th day of the cycle 3.21st day of the cycle
1.When quickening is felt 2.During the last trimester 3.At the 10th week of gestation 4.After the 14th week of pregnancy 4.After the 14th week of pregnancy What is the focus of the nurse's anticipatory guidance during the first trimester of pregnancy? 1.Birthing process 2.Signs of complications 3.Physical changes of pregnancy 4.Role transition into parenthood 3.Physical changes of pregnancy Rho(D) immune globulin (RhoGAM) is prescribed for an Rh-negative client who has just given birth. Before giving the medication, the nurse verifies the newborn's Rh factor and reaction to the Coombs test. Which combination of newborn Rh factor and Coombs test result confirms the need to give Rho(D) immune globulin? 1.Rh positive with a positive Coombs result 2.Rh positive with a negative Coombs result 3.Rh negative with a positive Coombs result 4.Rh negative with a negative Coombs result 2.Rh positive with a negative Coombs result A multipara who is admitted to the hospital for repair of a rectocele and cystocele asks a nurse why these problems happened to her. How should the nurse respond? 1."Did you have a bladder infection?" 2."You probably have a malformation of your uterus." 3."You have relaxation of the muscles in your lower pelvis." 4."Did you have problems when your episiotomy was healing?" 3."You have relaxation of the muscles in your lower pelvis."
On her second visit to the fertility clinic, a client whose temperature charts demonstrate an ovulatory pattern and a regular menstrual cycle requests fertility drugs. What is the nurse's best intervention? 1.Scheduling an endometrial biopsy 2.Making arrangements for a culdoscopy 3.Asking the client to have her partner's semen examined 4.Calling the health care provider to prescribe the fertility drug 3.Asking the client to have her partner's semen examined A female client with Hodgkin disease is to start total nodal irradiation. She and her partner, who are planning a family, become concerned when they learn that the radiation therapy includes the pelvic area. Before responding what must the nurse consider? 1.Irradiation of the area will result in permanent sterilization. 2.The eggs in the ovaries can be removed and frozen for future use. 3.The radiation may be intense enough to cause sterilization of one ovary. 4.Ovarian function will be destroyed temporarily, but function will return after therapy 2.The eggs in the ovaries can be removed and frozen for future use. As the nurse helps a postpartum client change her perineal pad, the client comments, "I wish you didn't have to look at the pad it's embarrassing for me." What is the best nursing response? 1."This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems." 2."There can be more blood loss than you might realize. We can determine how much you've lost with a formula." 3."Examining the pad is a common practice that helps us keep you safe. It's a necessary part of the job, and I don't mind." 4."Looking at your pad is a procedure we follow to determine the extent of your bleeding so we can give you the necessary care." 1."This seems to be uncomfortable for you, but I have to estimate the amount of blood loss to prevent any problems."
1.Having four children is tiring and assistance may be needed. 2.His wife probably has the postpartum blues, but it will soon pass. 3.This behavior is common after birth, and he should not be too concerned. 4.Women often express themselves by crying, and he should allow her to continue. 1.Having four children is tiring and assistance may be needed. A client with a benign ovarian tumor undergoes laparoscopic surgery. What should the nurse include in the postoperative teaching? 1.Resume usual activities after 12 hours. 2.Expect shoulder pain for 12 to 24 hours. 3.Douche with povidone-iodine twice a day. 4.Report vaginal spotting that occurs during the first 3 days after the surgery. 2.Expect shoulder pain for 12 to 24 hours. We have an expert-written solution to this problem! A nurse is planning a childbirth education class about maternal psychological and physiological changes as pregnancy nears term. Which problems and concerns should the nurse include in the presentation? (Select all that apply.) 1.Food cravings increase. 2.Nesting needs increase. 3.Dependency needs decrease. 4.Anxiety about childbirth increases. 5.Gastrointestinal motility decreases 2.Nesting needs increase. 4.Anxiety about childbirth increases. 5.Gastrointestinal motility decreases A client asks the nurse what she should do if she forgets to take the pill one day. How should the nurse respond? 1."Take your pills as instructed."
2."Call your practitioner immediately." 3."Continue as usual, and there shouldn't be a problem." 4."On the next day take one pill in the morning and one before bedtime." 4."On the next day take one pill in the morning and one before bedtime." A client underwent a mastectomy 24 hours ago. Which information will the nurse include in the plan of care? 1.The drainage container will be kept level with the affected arm. 2.The affected arm will be abducted at the shoulder with the elbow extended. 3.The hand and elbow of the affected arm will be elevated above the shoulder. 4.The elbow and shoulder of the affected arm will be elevated, with the hand resting on the abdomen 3.The hand and elbow of the affected arm will be elevated above the shoulder. A nurse is obtaining a health history from a client with newly diagnosed cervical cancer. What aspect of the client's life is most important for the nurse to explore at this time? 1.Sexual history 2.Support system 3.Obstetrical history 4.Elimination patterns 2.Support system A client who is scheduled to have an abdominal panhysterectomy asks how the surgery will affect her periods. How should the nurse respond? 1."You won't have any more periods." 2."Your periods will become more regular." 3."Your periods will become lighter and then disappear." 4."You'll notice that the time between periods will be longer." 1."You won't have any more periods."
1.Further teaching on skin care is necessary. 2.No other intervention is needed at this time. 3.The radiation team should be notified of this problem. 4.Health teaching on the side effects of radiation is needed. 1.Further teaching on skin care is necessary. A nurse is teaching a woman how to perform breast self-examination. Which statement indicates that the client needs further education? 1."I examine my breasts about a week after my period starts." 2."I've been looking for dimpling and checking for lumps." 3."My breasts are so tender right before my period that I hate doing it." 4."My grandmother examines her breasts on the first Monday of each month." 3."My breasts are so tender right before my period that I hate doing it." A couple, married for 5 years, want to start a family. When talking with the nurse the husband says, "Well, I guess we're going to have to jump into bed three or four times a day, every day, until it works." What is the nurse's best response? 1.Telling them to continue intercourse as usual until conception occurs 2.Instructing them in the frequency and timing of intercourse to promote conception 3.Discouraging this because sperm production decreases with frequent sexual intercourse 4.Agreeing that the frequency of intercourse must increase but twice daily is sufficient to promote conception 2.Instructing them in the frequency and timing of intercourse to promote conception After a mastectomy, a client returns from surgery with a closed suction drainage system in place and a dry sterile dressing covering the incision. What should the nurse do when observing this client for signs of bleeding? 1.Empty the output in the portable suction unit hourly 2.Inspect the bedclothes under the client's axillary area for signs of drainage 3.Turn the client on the affected side to look for blood that may flow backward 4.Reinforce the operative site with a pressure dressing if drainage appears on the dressing
2.Inspect the bedclothes under the client's axillary area for signs of drainage What client behavior indicates to the nurse that a woman needs further teaching about breastfeeding her newborn? 1.When she leans forward to place her breast in the infant's mouth 2.If she holds the infant level with her breast while in a side-lying position 3.If she touches her nipple to the infant's cheek at the beginning of the feeding 4.When she puts her finger in the infant's mouth to break the suction after the feeding 1.When she leans forward to place her breast in the infant's mouth We have an expert-written solution to this problem! A 28-year-old woman is scheduled to undergo a laparoscopic bilateral salpingo-oophorectomy. What does a nurse expect to be the client's priority concern? 1.Acute pain 2.Risk for hemorrhage 3.Fear of chronic illness 4.Loss of childbearing potential 4.Loss of childbearing potential What instruction should a nurse include when teaching about the correct use of a female condom 1."Remove the condom before standing up." 2."Insert the condom within 1 hour before intercourse." 3."Have your partner wear a male condom at the same time." 4."Cleanse the condom with warm water when preparing it for future use." 1."Remove the condom before standing up." A nurse is discussing immunizations needed to confer active immunity with a pregnant client during her first visit to the prenatal clinic. What information should the nurse consider including that the client will understand with regard to active immunity?
