A pregnant client presents with appetite loss, weight loss, and fatigue. Tests reveal tuberculosis. The nurse informs the client that isoniazid and rifampin treatment is required and that she will need to stay home until treatment is complete (sentence 1).
A pregnant client has been craving and eating clay dirt, and lab results indicate anemia with a hematocrit of 38% (sentence 2).
In Leopold's maneuver, feeling a soft, broad mass that moves with the rest of the abdomen suggests the presentation is not breech and that the mass felt is not the buttocks (sentence 3).
A pregnant client presents with appetite loss, weight loss, and fatigue. Tests reveal tuberculosis. The nurse informs the client that isoniazid and rifampin treatment is required and that she will need to stay home until treatment is complete (sentence 1).
A pregnant client has been craving and eating clay dirt, and lab results indicate anemia with a hematocrit of 38% (sentence 2).
In Leopold's maneuver, feeling a soft, broad mass that moves with the rest of the abdomen suggests the presentation is not breech and that the mass felt is not the buttocks (sentence 3).
A pregnant client presents with appetite loss, weight loss, and fatigue. Tests reveal tuberculosis. The nurse informs the client that isoniazid and rifampin treatment is required and that she will need to stay home until treatment is complete (sentence 1).
A pregnant client has been craving and eating clay dirt, and lab results indicate anemia with a hematocrit of 38% (sentence 2).
In Leopold's maneuver, feeling a soft, broad mass that moves with the rest of the abdomen suggests the presentation is not breech and that the mass felt is not the buttocks (sentence 3).
A pregnant client presents with appetite loss, weight loss, and fatigue. Tests reveal tuberculosis. The nurse informs the client that isoniazid and rifampin treatment is required and that she will need to stay home until treatment is complete (sentence 1).
A pregnant client has been craving and eating clay dirt, and lab results indicate anemia with a hematocrit of 38% (sentence 2).
In Leopold's maneuver, feeling a soft, broad mass that moves with the rest of the abdomen suggests the presentation is not breech and that the mass felt is not the buttocks (sentence 3).
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MATERNAL AND CHILD NURSING
MATERNAL AND CHILD NURSING
1. A pregnant client reports to a health care clinic complaining loss of appetite, weight loss, and fatigue. Following the assessment of the client, tuberculosis is suspected. A sputum culture is obtained and identifies Mycobacterium tuberculosis. The nurse provides instructions to the client regarding therapeutic management of the tuberculosis and the nurse tells the client that A. Therapeutic abortion is required B. She will have to stay at home until treatment is completed C. Medication will not be started until after delivery of fetus D. Isoniazid plus rifampin will be required 2. A pregnant client tells a nurse that she has been craving unusual foods. The nurse gathers additional data and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are performed on the client. The nurse reviews the laboratory results and determines that which of the following indicates a physiological consequence of this clients practice A. Hematocrit 38% B. Glucose 86 mg/dl C. Hemoglobin 9.1 g/dl D. WBC 8,000/mm3 3. In Leopolds maneuver step #1, you palpated a soft broad mass that moves with the rest of the mass. The correct interpretation of this finding is A. The mass palpated at the fundal part is the head part. B. The presentation is breech. C. The mass palpated is the back D. The mass palpated is the buttocks. 4. Which of the following is a positive sign of pregnancy? A. Fetal movement felt by mother B. Enlargement of the uterus C. (+) pregnancy test D. (+) ultrasound 5. What event occurring in the second trimester helps the expectant mother to accept the pregnancy? A. Lightening B. Ballotment C. Pseudocyesis D. Quickening 6. Which of the following signs will require a mother to seek immediate medical attention? A. When the first fetal movement is felt B. No fetal movement is felt on the 6th month C. Mild uterine contraction D. Slight dyspnea on the last month of gestation 7. A home care nurse visits a pregnant client who has a diagnosis of mild pre-eclampsia and is being monitored for gestational hypertension. Which assessment finding indicates a worsening of the pre-eclampsia and the need to notify the physician Prepared by: Archie D. Alviz, R.N., R.M. | manofsteel_archie@yahoo.com| facebook fan page: Sir
Archie D. Alviz
MATERNAL AND CHILD NURSING
A. Urinary output has increased
B. Dependent edema has resolved C. Blood pressure reading is at the pre-natal baseline D. The clients complains of headache and blurred vision 8. The preferred manner of delivering the baby in a gravido-cardiac is vaginal delivery assisted by forceps under epidural anesthesia. The main rationale for this is A. To allow atraumatic delivery of the baby B. To allow a gradual shifting of the blood into the maternal circulation C. To make the delivery effort free and the mother does not need to push with contractions D. To prevent perineal laceration with the expulsion of the fetal head 9. To monitor the frequency of the uterine contraction during labor, the right technique is to time the contraction A. From the beginning of one contraction to the end of the same contraction B. From the beginning of one contraction to the beginning of the next contraction C. From the end of one contraction to the beginning of the next contraction D. From the deceleration of one contraction to the acme of the next contraction 10. When the bag of waters ruptures spontaneously, the nurse should inspect the vaginal introitus for possible cord prolapse. If there is part of the cord that has prolapsed into the vaginal opening, the correct nursing intervention is: A. Push back the prolapse cord into the vaginal canal B. Place the mother on semifowlers position to improve circulation C. Cover the prolapse cord with sterile gauze wet with sterile NSS and place the woman on trendellenberg position D. Push back the cord into the vagina and place the woman on Sims position
Prepared by: Archie D. Alviz, R.N., R.M. | manofsteel_archie@yahoo.com| facebook fan page: Sir