MATERNAL & CHILD HEALTH NURSING an der Samar State University | Karteikarten & Zusammenfassungen

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TESTE DEIN WISSEN
Which is the most accurate and reliable outcome measure for evaluating an intervention?

A) A fasting glucose level of 85 mg/dl
B) oral intake measurement of 720 ml of fluids within 8h
C) exercise diary indicating the pregnant woman walked 30 minutes every day for a week
D) statement by a pregnant woman, “I understand why folic acid is important for red blood cell formation.”
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TESTE DEIN WISSEN
A
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TESTE DEIN WISSEN
Pt hasn't had pelvic exam since high school. Consequently, the nurse-midwife has asked you to help make her more at ease during her first prenatal pelvic examination. What nursing action should you take?

A) Have her take a deep breath and hold it as long as she can during the examination.
B) Tell her to bear down slightly as the speculum is inserted.
C) Encourage her to moan in a low-pitched tone because this will push down the diaphragm.
D) Teach her to breathe slowly and evenly while being examined.
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TESTE DEIN WISSEN
D
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TESTE DEIN WISSEN
Which statement by a W who is 8 weeks pregnant and has cardiac disease would you most likely follow up closely?

A) “I have been really constipated for the last few weeks.”
B) “I have gained 4 lb during the last week, but I’m not eating more than before.”
C) “I have not felt any fetal movement as yet.”
D) “I have had episodes in the morning when I have almost thrown up.”
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TESTE DEIN WISSEN
B
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TESTE DEIN WISSEN
What is the most accurate statement regarding exercise and nutrition during pregnancy for a woman with diabetes?

A) Extreme exercise may cause hypoglycemia; therefore, it should be avoided.
B) During the last trimester, caloric intake should be decreased to <1,800 calories to control fetal weight gain.
C) Exercise reduces need for insulin; therefore, beginning an exercise regimen during pregnancy is recommended.
D) Ideally, dietary calorie intake should be approximately 20% from protein, 40% to 50% from carbohydrates, and up to 30% from fats.
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TESTE DEIN WISSEN
D
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TESTE DEIN WISSEN
removal of blood from the umbilical cord at 17 weeks
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TESTE DEIN WISSEN
PERICUTANEOUS UMBILLICAL BLOOD SAMPLING (PUBS)
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TESTE DEIN WISSEN
A woman with hx of fetal loss r/t genetic disorders is seeking info about amniocentesis and chorionic villi sampling (CVS) during next pregnancy. The nurse understands which to best advise?

A) There are no differences in the risk of miscarriage between these tests.
B) The loss of pregnancy is reduced in the CVS test because it is done earlier in the gestational period.
C) The amniocentesis can safely be done anytime after the 8th week of pregnancy.
D) CVS has a higher risk of both miscarriage & fetal damage.
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TESTE DEIN WISSEN
D
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TESTE DEIN WISSEN
it is recommended that pregnant women receive ___ mg folic acid a day. What two disorders does folic acid help protect against?
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TESTE DEIN WISSEN
0.4 mg; spina bifida and anencephaly
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TESTE DEIN WISSEN
Sara’s doctor told her she had a positive Chadwick’s sign. When she ask you what this means, your best answer would be which of the following?

A. “Your abdomen feels soft and tender, a normal finding”
B. “Your uterus has tipped forward, a potential complication”
C. Your cervical mucus feels sticky, just as it should feel”
D. Your vagina looks dark in color, a typical pregnancy sign”
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TESTE DEIN WISSEN
D
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TESTE DEIN WISSEN
fundal height measurement. Should correspond to gestational weeks. So if you are 20 weeks then you should measure 20 cm or at the umbilicus.
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TESTE DEIN WISSEN
MCDONALD'S RULE
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TESTE DEIN WISSEN
Floating infant
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TESTE DEIN WISSEN
BALLOMENT
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TESTE DEIN WISSEN
First fetal movement felt by the mother (usually around 18-20 weeks)
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TESTE DEIN WISSEN
QUICKENING
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TESTE DEIN WISSEN
A pregnant woman at 37w’ comes into the ER w/heavy bleeding and begins to show signs of hypovolemic shock. As an intervention, you would:  

A) Place the woman flat in bed on her back
B) Perform a vaginal exam to determine the extent  
C) Gain intravenous access using a 27-gauge needle  
D) Withhold oral fluid
Lösung anzeigen
TESTE DEIN WISSEN
D
Lösung ausblenden
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Q:
Which is the most accurate and reliable outcome measure for evaluating an intervention?

A) A fasting glucose level of 85 mg/dl
B) oral intake measurement of 720 ml of fluids within 8h
C) exercise diary indicating the pregnant woman walked 30 minutes every day for a week
D) statement by a pregnant woman, “I understand why folic acid is important for red blood cell formation.”
A:
A
Q:
Pt hasn't had pelvic exam since high school. Consequently, the nurse-midwife has asked you to help make her more at ease during her first prenatal pelvic examination. What nursing action should you take?

A) Have her take a deep breath and hold it as long as she can during the examination.
B) Tell her to bear down slightly as the speculum is inserted.
C) Encourage her to moan in a low-pitched tone because this will push down the diaphragm.
D) Teach her to breathe slowly and evenly while being examined.
A:
D
Q:
Which statement by a W who is 8 weeks pregnant and has cardiac disease would you most likely follow up closely?

A) “I have been really constipated for the last few weeks.”
B) “I have gained 4 lb during the last week, but I’m not eating more than before.”
C) “I have not felt any fetal movement as yet.”
D) “I have had episodes in the morning when I have almost thrown up.”
A:
B
Q:
What is the most accurate statement regarding exercise and nutrition during pregnancy for a woman with diabetes?

A) Extreme exercise may cause hypoglycemia; therefore, it should be avoided.
B) During the last trimester, caloric intake should be decreased to <1,800 calories to control fetal weight gain.
C) Exercise reduces need for insulin; therefore, beginning an exercise regimen during pregnancy is recommended.
D) Ideally, dietary calorie intake should be approximately 20% from protein, 40% to 50% from carbohydrates, and up to 30% from fats.
A:
D
Q:
removal of blood from the umbilical cord at 17 weeks
A:
PERICUTANEOUS UMBILLICAL BLOOD SAMPLING (PUBS)
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Q:
A woman with hx of fetal loss r/t genetic disorders is seeking info about amniocentesis and chorionic villi sampling (CVS) during next pregnancy. The nurse understands which to best advise?

A) There are no differences in the risk of miscarriage between these tests.
B) The loss of pregnancy is reduced in the CVS test because it is done earlier in the gestational period.
C) The amniocentesis can safely be done anytime after the 8th week of pregnancy.
D) CVS has a higher risk of both miscarriage & fetal damage.
A:
D
Q:
it is recommended that pregnant women receive ___ mg folic acid a day. What two disorders does folic acid help protect against?
A:
0.4 mg; spina bifida and anencephaly
Q:
Sara’s doctor told her she had a positive Chadwick’s sign. When she ask you what this means, your best answer would be which of the following?

A. “Your abdomen feels soft and tender, a normal finding”
B. “Your uterus has tipped forward, a potential complication”
C. Your cervical mucus feels sticky, just as it should feel”
D. Your vagina looks dark in color, a typical pregnancy sign”
A:
D
Q:
fundal height measurement. Should correspond to gestational weeks. So if you are 20 weeks then you should measure 20 cm or at the umbilicus.
A:
MCDONALD'S RULE
Q:
Floating infant
A:
BALLOMENT
Q:
First fetal movement felt by the mother (usually around 18-20 weeks)
A:
QUICKENING
Q:
A pregnant woman at 37w’ comes into the ER w/heavy bleeding and begins to show signs of hypovolemic shock. As an intervention, you would:  

A) Place the woman flat in bed on her back
B) Perform a vaginal exam to determine the extent  
C) Gain intravenous access using a 27-gauge needle  
D) Withhold oral fluid
A:
D
MATERNAL & CHILD HEALTH NURSING

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