lOMoARcPSD|37208555 OB PREP U 20 - Lecture Notes Network Design and Management (Nueva Vizcaya State University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 1 See full question 4m 8s A nurse is providing education to a woman at 28 weeks' gestation who has tested positive for gestational diabetes mellitus (GDM). What would be important for the nurse to include in the client teaching? You Selected: She is at increased risk for type 2 diabetes mellitus after her baby is born. Correct response: She is at increased risk for type 2 diabetes mellitus after her baby is born. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 513. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 513 Add a Note Question 2 See full question 25s Between her regularly scheduled visits, a woman in her first trimester of pregnancy who is taking iron supplements for anemia calls the nurse at her obstetrician's office reporting constipation. She reports that she has never had this problem before and asks for some advice about how to get relief. What is the best advice the nurse can give her? You Selected: Continue taking iron supplements but increase fluids and high-fiber foods; exercise more. Correct response: Continue taking iron supplements but increase fluids and high-fiber foods; exercise more. Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 499. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499 Add a Note Question 3 See full question 22s When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source? You Selected: complex carbohydrates Correct response: complex carbohydrates Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 515. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 515 Add a Note Question 4 See full question 1m 22s Which changes in pregnancy would the nurse identify as a contributing factor for arterial thrombosis, especially for the woman with atrial fibrillation? You Selected: hypercoagulable state Correct response: hypercoagulable state Explanation: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 498. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 498 Add a Note Question 5 See full question 56s During a routine prenatal check up, the nurse interviews a pregnant client to identify possible risk factors for developing gestational diabetes. Which factor would the nurse identify as increasing the woman's risk? Select all that apply. You Selected: previous history of spontaneous abortion client of African-American lineage maternal obesity with body mass index more than 35 Correct response: previous history of spontaneous abortion maternal obesity with body mass index more than 35 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 6 See full question 8m 45s A client is diagnosed with peripartum cardiomyopathy (PPCM). Which therapy would the nurse expect to administer to the client? You Selected: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 restricted sodium intake Correct response: restricted sodium intake Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 7 See full question 19s A pregnant woman with a history of mitral stenosis is to be prescribed medication as treatment. Which of the following medication classes would the nurse expect the patient to begin taking? You Selected: antihypertensive Correct response: anticoagulant Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 8 See full question 21s A woman who is 8 months' pregnant comes to the clinic with urinary frequency and pain on urination. The client is diagnosed with a urinary tract Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 infection (UTI). Which medication would the nurse anticipate the physician will prescribe? You Selected: bactrim Correct response: amoxicillin Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 502. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 502 Add a Note Question 9 See full question 22s A nurse is assessing a client in her seventh month of pregnancy who has an artificial valve prosthesis. The client is taking an oral anticoagulant to prevent the formation of clots at the valve site. Which of the following nursing interventions is most appropriate in this situation? You Selected: Instruct the client to avoid wearing constrictive knee-high stockings Correct response: Observe the client for signs of petechiae and premature separation of the placenta Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Add a Note Question 10 See full question 14s The nurse reviews the medication therapy regimen of a pregnant woman with chronic hypertension. Which medication would the nurse most likely expect to find? You Selected: metoprolol Correct response: labetalol Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Add a Note Question 11 See full question 29s The nurse is leading a discussion with a group of pregnant women who have diabetes. The nurse should point out which situation can potentially occur during their pregnancy? You Selected: Polyhydramnios Correct response: Polyhydramnios Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 12 See full question 24s The nurse is preparing information for a client who has just been diagnosed with gestational diabetes. Which instruction should the nurse prioritize in this information? You Selected: Maintain a daily blood glucose log Correct response: Maintain a daily blood glucose log Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 13 See full question 12s A mother is talking to the nurse and is concerned about managing her asthma while she is pregnant. Which response to the nurse’s teaching indicates that the woman needs further instruction? You Selected: “I need to begin taking allergy shots like my friend to prevent me from having an allergic reaction this spring.” Correct response: “I need to begin taking allergy shots like my friend to prevent me from having an allergic reaction this spring.” Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 504. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 14 See full question 12s A woman’s obstetrician prescribes vitamin K supplements for a client who is on antiepileptic medications beginning at 36 weeks' gestation. The mother asks the nurse why she is taking this medication. The nurse's best response would be: You Selected: antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn. Correct response: antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 510. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 510 Add a Note Question 15 See full question 10s A 38-year-old woman comes into the obstetrician’s office for prenatal care, stating that she is about 12 weeks pregnant with her first child. What questions would the nurse ask this client, considering her age and potential sensitivity to being labeled an “older” primipara? You Selected: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Be non-judgmental in your history gathering and offer her pregnancy resources to read and explore. Correct response: Be non-judgmental in your history gathering and offer her pregnancy resources to read and explore. Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 520 Add a Note Question 16 See full question 11s A pregnant client with a history of asthma since childhood presents for a prenatal visit. What statement by the client would the nurse prioritize? You Selected: "I sometimes get a bit wheezy." Correct response: "I sometimes get a bit wheezy." Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia: Wolters Kluwer, Chapter 20, Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly-Acquired Illness, p. 504. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 17 See full question 23s The nurse is assessing a pregnant client with a known history of congestive heart failure who is in her third trimester. Which assessment findings should the nurse prioritize? Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 You Selected: dyspnea, crackles, and irregular weak pulse Correct response: dyspnea, crackles, and irregular weak pulse Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Add a Note Question 18 See full question 30s The maternal health nurse cares for a homeless pregnant woman who presented to the emergency room in precipitous labor. The woman has not had prenatal care. Upon delivery, her infant weighs 4.6 kg and notes the infant appears to be jittery. Which nursing action will the nurse perform first? You Selected: Check the infant's axillary temperature Correct response: Check the infant's blood glucose level Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 512. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 512 Add a Note Question 19 See full question 15s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 The maternal health nurse is caring for a group of pregnant clients with heart disease. Which client will the nurse see first? You Selected: 16-week pregnant client with an unrepaired ventricular septal defect Correct response: 6-week pregnant client with pulmonary hypertension Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 20 See full question 20s The maternal health nurse is caring for a group of high-risk pregnant clients. Which client condition will the nurse identify as being the highest risk for pregnancy? You Selected: Secondary hypertension Correct response: Pulmonary hypertension Question 1 See full question 34s You have just admitted a 32-year-old female in active labor to the delivery suite. During the admission assessment she says, "I am so afraid that my asthma will get out of control during labor and my baby will be harmed." Which response by the nurse would be most appropriate? You Selected: "Actually, asthma symptoms tend to diminish during labor." Correct response: "Actually, asthma symptoms tend to diminish during labor." Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 504. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 2 See full question 20s A pregnant client with deep vein thrombosis has been diagnosed as having systemic lupus erythematosus (SLE). The nurse would monitor the client closely for the development of which complication? You Selected: Fetal macrosomia Correct response: Fetal malnutrition Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 507. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 507 Add a Note Question 3 See full question 2m 33s A pregnant woman diagnosed with cardiac disease 4 years ago is told that her pregnancy is a high-risk pregnancy. The nurse then explains that the danger occurs primarily because of the increase in circulatory volume. The nurse informs the client that the most dangerous time for her is when? You Selected: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 in weeks 8 to 12 Correct response: in weeks 28 to 32 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Add a Note Question 4 See full question 35s A nursing instructor is teaching students about anemia during pregnancy. Which type of anemia does the instructor teach students is most prevalent during pregnancy? You Selected: iron-deficiency anemia Correct response: iron-deficiency anemia Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 498. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 498 Add a Note Question 5 See full question 38s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 During a prenatal visit, the physician determines that the fetal heart beat is too fast. What drug would the nurse expect the physician to order for the mother to treat the fetal tachycardia? You Selected: nitroglycerine Correct response: digoxin Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 6 See full question 22s A nurse precepting a student in labor and delivery informs the student that the incidence of venous thromboembolic disease increases during pregnancy. What does the nurse tell the student contributes to this increased risk? (Select all that apply.) You Selected: Decrease in estrogen The placenta nourishing the fetus Decrease in blood glucose Correct response: Stasis of blood in lower extremities Hypercoagulability Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Add a Note Question 7 See full question 30s A pregnant client with cystic fibrosis (CF) comes to the office for a prenatal visit. She asks the nurse for information on breast-feeding. The best response by the nurse is: You Selected: “Breast-feeding is not a good idea. Because your breast milk is high in sodium due to CF, there is a risk of the infant receiving too much sodium.” Correct response: “Breast-feeding is not a good idea. Because your breast milk is high in sodium due to CF, there is a risk of the infant receiving too much sodium.” Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 506. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 506 Add a Note Question 8 See full question 26s The clinic nurse teaches a pregestational type 1 diabetic client that constant insulin levels are very important during pregnancy. The nurse tells the client that the best way to maintain a constant insulin level is to use: You Selected: an insulin pen. Correct response: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 an insulin pump. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 518. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 518 Add a Note Question 9 See full question 31s A woman with cardiac disease at 32 weeks' gestation reports she has been having spells of light-headedness and dizziness every few days. Which instruction should the nurse prioritize? You Selected: Increase fluids and take more vitamins. Correct response: Decrease activity and rest more often. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 10 See full question 22s A 17-year-old primigravida at 37 weeks' gestation has been unable to maintain adequate control of her blood glucose throughout her pregnancy. The nurse should prioritize which action after the health care provider suspects the infant has macrosomia based on the recent ultrasound? Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 You Selected: Prepare for assessment of fetal lung maturity. Correct response: Prepare for assessment of fetal lung maturity. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 11 See full question 18s A 38-year-old client, G4P3, at 10 weeks' gestation with an unplanned pregnancy, has concerns the fetus may have a genetic defect. The nurse should point out which test would be the best current choice to investigate the possibility of a chromosomal abnormality? You Selected: Amniocentesis Correct response: Chorionic villus sampling Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 505. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 505 Add a Note Question 12 See full question 14s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 The nurse is educating a client with type 1 diabetes about the complications associated with diabetes and pregnancy. Which problems would the nurse include in her teaching? Select all that apply. You Selected: Hypertension Increased risk of spontaneous abortion Polyhydramnios Correct response: Increased risk of spontaneous abortion Polyhydramnios Hypertension Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 513. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 513 Add a Note Question 13 See full question 5m 28s The nurse is teaching a pregnant woman about how to prevent contracting cytomegalovirus (CMV) during pregnancy. What tips would the nurse share with this client? Select all that apply. You Selected: Wash your hands thoroughly with soap and water after touching saliva or urine. If you develop any flu-like symptoms, notify your physician immediately to be evaluated for CMV. If you contract CMV, your doctor will give you some oral medicine to treat it. Correct response: Wash your hands thoroughly with soap and water after touching saliva or urine. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Do not share food or drinks with young children, especially if they are in daycare. If you develop any flu-like symptoms, notify your physician immediately to be evaluated for CMV. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 12: Nursing Care to Promote Fetal and Maternal Health, p. 272. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 272 Add a Note Question 14 See full question 10s The nurse is assessing a pregnant client who has a long history of asthma. She states, "I'm trying not to use my asthma medications because I certainly don't want my baby exposed to them." What is the nurse's best response? You Selected: "Actually, having uncontrolled asthma is much riskier for your baby than the medication." Correct response: "Actually, having uncontrolled asthma is much riskier for your baby than the medication." Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 504. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 15 See full question 2s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 The nursing instructor is pointing out the various complcations which can occur during pregnancy in women with diabetes mellitus. The instructor determines the session is successful after the students correctly choose which complication that can occur if the diabetes is not kept under control? You Selected: hydramnios Correct response: hydramnios Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 513. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 513 Add a Note Question 16 See full question 4s The nurse is assessing a pregnant client in the client who has a history of heart disease. The nurse will prioritize assessments focusing on the heart during which time frame? You Selected: 16 to 20 weeks' gestation Correct response: 28 to 32 weeks' gestation Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Add a Note Question 17 See full question 3s The nurse is caring for a pregnant woman with diabetes mellitus. Which potential fetal complications should the nurse monitor the client for as she presents for her scheduled visits? Select all that apply. You Selected: congenital malformations fetus with juvenile diabetes macrosomia Correct response: congenital malformations macrosomia respiratory disorder Explanation: Reference: Msp 73, Diabetes During Pregnancy Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 18 See full question 3s The nurse is caring for a pregnant client with pregestational diabetes. Which goal does the nurse identify as priority during the client’s pregnancy? You Selected: Encourage minimal weight gain Correct response: Maintain glycemic control Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 512. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 512 Add a Note Question 19 See full question 1s The nurse preceptor is working with a novice maternal health nurse. The novice nurse is caring for a pregnant client with an insulin pump due to pregestational type 1 diabetes. Which action by the novice nurse requires the preceptor to intervene? You Selected: Cleansing the insertion site daily Correct response: Changing the insertion site every 12 hours Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 518. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 518 Add a Note Question 20 See full question 10s The maternal health nurse is caring for a pregnant client with a history of asthma who requires maintenance medication for the management of the disease. Which action by the nurse bestreinforces information provided to the client regarding maintenance of her health? You Selected: Teach the client how to use a spacer with an inhaler. Correct response: Observe the client taking her inhaler. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 1 See full question 51s A pregnant client with a history of heart disease has been admitted to a health care center reporting breathlessness. The client also reports shortness of breath and easy fatigue when doing ordinary activity. The client’s condition is markedly compromised. The nurse would document the client’s condition using the New York Heart Association (NYHA) classification system as which class? You Selected: class III Correct response: class III Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 2 See full question 58s A nurse studying high-risk pregnancies correctly identifies which of the following as causes for such a label? (Select all that apply.) You Selected: history of multiple pregnancies concurrent disorder external factor that jeopardizes both the health of the woman and fetus Correct response: concurrent disorder pregnancy-related complication external factor that jeopardizes both the health of the woman and fetus external factor that jeopardizes the health of the woman or the fetus Explanation: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 16: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Add a Note Question 3 See full question 16s A young patient with heart disease asks the physician if it would be safe for her to have a baby. The physician responds that it is possible but she would have to maintain almost complete bed rest. Which classification of heart disease is this woman? You Selected: class IV Correct response: class III Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 4 See full question 52s A pregnant woman with cardiac disease tells the nurse that she wants to have a healthy baby and likes babies who have some extra weight. What would be the nurse's best response to this patient? You Selected: "It should not be a problem to gain a few extra pounds." Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Correct response: "Too much weight gain could overburden your heart and circulatory system." Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 5 See full question 20s A client in her eighth month of pregnancy who has cardiac disease is experiencing profound shortness of breath and a cough that produces bloodspeckled sputum, in addition to systemic hypotension. The nurse recognizes that this patient most likely is experiencing which condition? You Selected: Left-sided heart failure Correct response: Left-sided heart failure Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 6 See full question 28s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 A client with rheumatoid arthritis (RA) is in week 38 of her pregnancy. Which intervention should the nurse make with this client? You Selected: Advise the client to continue her normal dosage of methotrexate. Correct response: Ask the client to decrease her intake of salicylates. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 506. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 506 Add a Note Question 7 See full question 20s A woman with class II heart disease is experiencing an uneventful pregnancy and is now prescribed bed rest at 36 weeks' gestation by her health care provider. The nurse should point out that this is best accomplished with which position? You Selected: Lie in a semi-recumbent position. Correct response: Lie in a semi-recumbent position. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 8 See full question 19s A 32-year-old woman with epilepsy mentions to the nurse during a routine well-visit that she would like to have children and asks the nurse for advice. Which response is most appropriate from the nurse? You Selected: "I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet." Correct response: "I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet." Explanation: Reference: Msp 62, Therapeutic Management Add a Note Question 9 See full question 19s A G2P1 woman with type 1 diabetes is determined to be at 8 weeks' gestation by her health care provider. The nurse should point out which factor will help the client maintain glycemic control? You Selected: Exercise Correct response: Exercise Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 516. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 516 Add a Note Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 10 See full question 14s An infant is born to a mother with gestational diabetes. Which long-term maternal complication is associated with this diagnosis? You Selected: Increased risk of development of type 2 diabetes Correct response: Increased risk of development of type 2 diabetes Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 11 See full question 22s A woman with known cardiac disease from childhood presents at the obstetrician’s office 6 weeks' pregnant. What recommendations would the nurse make to the client to address the known cardiac problems for this pregnancy? Select all that apply. You Selected: Plan periods of rest into the workday. Increase the amount of sodium in your diet to compensate for the expanding fluid needs of the fetus. Let the physician know if you become short of breath or have a nighttime cough. Correct response: Plan periods of rest into the workday. Receive pneumococcal and influenza vaccines. Let the physician know if you become short of breath or have a nighttime cough. Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 12 See full question 42s A woman with known cardiac disease is in labor. In what position would the nurse place the client? You Selected: Semi-recumbent with a pillow under one hip Correct response: Semi-recumbent with a pillow under one hip Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 13 See full question 34s Many women develop iron-deficient anemia during pregnancy. What diagnostic criteria would the nurse monitor for to determine anemia in the pregnant woman? You Selected: Blood pressure of 100/68 Correct response: Hematocrit of 32% or less Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 498. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 498 Add a Note Question 14 See full question 11s A woman in her 20s has a long history of sickle cell anemia and is 18 weeks' pregnant. What precautions would the nurse recommend the woman take to minimize the chance of experiencing a sickle cell crisis? You Selected: Keep the home temperature around 70°F (21°C) to lessen the heart's workload. Correct response: Get at least 8 hours sleep each night. Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 499. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499 Add a Note Question 15 See full question 13s A pregnant client with diabetes in the hospital reports waking up with shakiness and diaphoresis. Which action should the nurse prioritize after discovering the client's fasting blood sugar is 60 mg/dL? You Selected: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Withhold her insulin, and notify the health care provider. Correct response: Provide the client some milk to drink. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 513. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 513 Add a Note Question 16 See full question 6m 40s A 17-year-old primigravida with type 1 diabetes is at 37 weeks gestation comes to the clinic for an evaluation. The nurse notes her blood sugar has been poorly controlled and the health care provider is suspecting the fetus has macrosomia. The nurse predicts which step will be completed next? You Selected: Allowing her to continue without plans for delivery. Correct response: Preparing for amniocentesis and fetal lung maturity assessment Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 17 See full question 4s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 A nurse is assisting a client in active labor whose diabetes has been poorly controlled. Which assessment of the neonate should be prioritize after its birth? You Selected: low birthweight Correct response: macrosomia Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 514. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 514 Add a Note Question 18 See full question 3s The health care provider has diagnosed a pregnant client with megaloblastic anemia and has prescribed treatment. When questioned by the client as to what this means, which is the bestresponse from the nurse? You Selected: thalassemia Correct response: folic acid deficiency anemia Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 499. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499 Add a Note Question 19 See full question 2s A woman with epilepsy who is taking phenytoin sodium has just learned that she is pregnant. When planning this woman's care, which intervention would the nurse most likely include? You Selected: Teaching about vitamin K during the last 4 weeks of pregnancy Correct response: Teaching about vitamin K during the last 4 weeks of pregnancy Explanation: Reference: Msp 63, Therapeutic Management, Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 510. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 510 Add a Note Question 20 See full question 5s A pregnant client with sickle cell disease presents to the outpatient clinic for a prenatal wellness exam. The client asks the nurse, "What should I be doing to make sure my disease does not get worse while pregnant?" Which response(s) will the nurse include? Select all that apply. You Selected: "Be sure to maintain adequate rest to avoid complications from your condition." "Avoid extremes in environmental temperature in order to prevent venous constriction." "Make sure and continue your previous medications for your condition." Correct response: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 "Make sure you are drinking 8-10 glasses of water daily." "Avoid extremes in environmental temperature in order to prevent venous constriction." "Be sure to maintain adequate rest to avoid complications from your condit Question 1 See full question 1m 57s A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome? You Selected: incompetent cervix Correct response: congenital anomalies Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 490. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 490 Add a Note Question 2 See full question 21s Which condition is the most common cause of anemia in pregnancy? You Selected: iron-deficiency anemia Correct response: iron-deficiency anemia Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 498. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 498 Add a Note Question 3 See full question 38s A woman who is 8 months' pregnant comes to the clinic with urinary frequency and pain on urination. The client is diagnosed with a urinary tract infection (UTI). Which medication would the nurse anticipate the physician will prescribe? You Selected: amoxicillin Correct response: amoxicillin Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 502. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 502 Add a Note Question 4 See full question 23s A pregnant woman with type 2 diabetes is scheduled for a laboratory test of glycosylated hemoglobin (HbA1C). What does the nurse tell the client is a normal level for this test? You Selected: 12% Correct response: 6% Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 515. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 515 Add a Note Question 5 See full question 35s A nurse is assessing a client in her seventh month of pregnancy who has an artificial valve prosthesis. The client is taking an oral anticoagulant to prevent the formation of clots at the valve site. Which of the following nursing interventions is most appropriate in this situation? You Selected: Observe the client for signs of petechiae and premature separation of the placenta Correct response: Observe the client for signs of petechiae and premature separation of the placenta Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Add a Note Question 6 See full question 29s A young woman with scoliosis has just learned that she is pregnant. Several years ago, she had stainless-steel rods surgically implanted on both sides of her vertebrae to strengthen and straighten her spine. However, her pelvis is Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 unaffected by the condition. Which of the following does the nurse anticipate in this woman's pregnancy? You Selected: Potential for greater than usual back pain Correct response: Potential for greater than usual back pain Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 511. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 511 Add a Note Question 7 See full question 46s A woman in week 40 of her pregnancy has developed a urinary tract infection (UTI). The nurse anticipates that medication would be safe and appropriate to use with this client? Select all that apply. You Selected: Sulfonamides Correct response: Amoxicillin Ampicillin Cephalosporins Explanation: Reference: Msp 37, Therapeutic Management, Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 502. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 502 Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Add a Note Question 8 See full question 1m 32s A 25-year-old pregnant client comes to the office for the first prenatal visit. During the history, the client tells the nurse she had tuberculosis 5 years ago. What is the nurse’s best response? You Selected: “You will have to maintain an adequate level of calcium during your pregnancy.” Correct response: “You will have to maintain an adequate level of calcium during your pregnancy.” Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 505. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 505 Add a Note Question 9 See full question 10s The nurse reviews the medication therapy regimen of a pregnant woman with chronic hypertension. Which medication would the nurse most likely expect to find? You Selected: labetalol Correct response: labetalol Explanation: Reference: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Add a Note Question 10 See full question 12s The nurse is preparing to teach a pregnant client with iron deficiency anemia about the various iron-rich foods to include in her diet. Which food should the nurse point out will help increase the absorption of her iron supplement? You Selected: Orange juice Correct response: Orange juice Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p.499. Add a Note Question 11 See full question 1m 11s A nurse working at the local health district clinic assists numerous adolescents who become pregnant. Which factor will the nurse point out to each teen is crucial for a positive pregnancy outcome? You Selected: Support network Correct response: Support network Explanation: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 520. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 520 Add a Note Question 12 See full question 1m 16s What criteria would the physician base his decision on to begin insulin therapy for a gestational diabetic mother? You Selected: A 2-hour postprandial glucose level cannot be kept below 120 mg/dL. Correct response: A 2-hour postprandial glucose level cannot be kept below 120 mg/dL. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 13 See full question 1m 27s The nurse is teaching a client with gestational diabetes about complications that can occur either following birth or at delivery for her baby. Which statement by the mother indicates that further teaching is needed by the nurse? You Selected: “If my blood sugars are elevated, my baby’s lungs will mature faster, which is good.” Correct response: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 “If my blood sugars are elevated, my baby’s lungs will mature faster, which is good.” Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 513. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 513 Add a Note Question 14 See full question 29s The nurse is doing meal planning with a pregnant woman with irondeficiency anemia. What dietary recommendations would the nurse make to enhance the woman’s intake of iron? Select all that apply. You Selected: Drink orange juice with the iron supplement. Cook food in an iron skillet, if possible. Increase intake of dried beans and green leafy vegetables. Correct response: Drink orange juice with the iron supplement. Increase intake of dried beans and green leafy vegetables. Cook food in an iron skillet, if possible. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 499. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499 Add a Note Question 15 See full question 15s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 The nurse is caring for a pregnant woman is determined to be at high risk for gestational diabetes. The nurse prepares to rescreen this client at which time frame? You Selected: 24 to 28 weeks Correct response: 24 to 28 weeks Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia: Wolters Kluwer, Chapter 20, Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly-Acquired Illness, p. 514. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 514 Add a Note Question 16 See full question 26s The health care provider of a newly pregnant client determines the woman also has mitral stenosis and will need appropriate therapy. Which medication should the nurse prepare to teach this client to provide her with the best possible care? You Selected: aspirin Correct response: heparin Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 17 See full question 13s The maternal health nurse cares for a homeless pregnant woman who presented to the emergency room in precipitous labor. The woman has not had prenatal care. Upon delivery, her infant weighs 4.6 kg and notes the infant appears to be jittery. Which nursing action will the nurse perform first? You Selected: Check the infant's blood glucose level Correct response: Check the infant's blood glucose level Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 512. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 512 Add a Note Question 18 See full question 11s The maternal health nurse is caring for a group of pregnant clients with heart disease. Which client will the nurse see first? You Selected: 6-week pregnant client with pulmonary hypertension Correct response: 6-week pregnant client with pulmonary hypertension Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 19 See full question 11s The maternal health nurse is caring for a group of high-risk pregnant clients. Which client condition will the nurse identify as being the highest risk for pregnancy? You Selected: Pulmonary hypertension Correct response: Pulmonary hypertension Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Add a Note Question 20 See full question 32s The maternal health nurse is caring for a pregnant client with preexisting heart disease. Which concept will the nurse identify as priority? You Selected: Supplementing potassium intake Correct response: Balancing weight gain Explanation: Question 1 See full question 59s When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source? You Selected: complex carbohydrates Correct response: complex carbohydrates Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 515. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 515 Add a Note Question 2 See full question 12s A pregnant client with deep vein thrombosis has been diagnosed as having systemic lupus erythematosus (SLE). The nurse would monitor the client closely for the development of which complication? You Selected: Fetal malnutrition Correct response: Fetal malnutrition Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 507. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 507 Add a Note Question 3 See full question 11s A client is diagnosed with peripartum cardiomyopathy (PPCM). Which therapy would the nurse expect to administer to the client? You Selected: restricted sodium intake Correct response: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 restricted sodium intake Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 4 See full question 12s A pregnant woman with a history of mitral stenosis is to be prescribed medication as treatment. Which of the following medication classes would the nurse expect the patient to begin taking? You Selected: anticoagulant Correct response: anticoagulant Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 493. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 493 Add a Note Question 5 See full question 11s During a prenatal visit, the physician determines that the fetal heart beat is too fast. What drug would the nurse expect the physician to order for the mother to treat the fetal tachycardia? You Selected: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 digoxin Correct response: digoxin Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 6 See full question 17s A nurse precepting a student in labor and delivery informs the student that the incidence of venous thromboembolic disease increases during pregnancy. What does the nurse tell the student contributes to this increased risk? (Select all that apply.) You Selected: Stasis of blood in lower extremities Hypercoagulability Correct response: Stasis of blood in lower extremities Hypercoagulability Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 497. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 497 Add a Note Question 7 See full question 28s Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 A pregnant woman comes to the clinic and reports redness and swelling in her right calf as well as pain, even when resting. The nurse suspects a deep vein thrombosis (DVT). Which of the following does the nurse diagnose as the biggest danger for this patient? You Selected: pulmonary embolism Correct response: pulmonary embolism Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 498. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 498 Add a Note Question 8 See full question 13s The clinic nurse teaches a pregestational type 1 diabetic client that constant insulin levels are very important during pregnancy. The nurse tells the client that the best way to maintain a constant insulin level is to use: You Selected: an insulin pump. Correct response: an insulin pump. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness , p. 518. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 518 Add a Note Question 9 See full question 14s The nurse is leading a discussion with a group of pregnant women who have diabetes. The nurse should point out which situation can potentially occur during their pregnancy? You Selected: Polyhydramnios Correct response: Polyhydramnios Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 10 See full question 20s The nurse is preparing information for a client who has just been diagnosed with gestational diabetes. Which instruction should the nurse prioritize in this information? You Selected: Maintain a daily blood glucose log Correct response: Maintain a daily blood glucose log Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 519. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 519 Add a Note Question 11 See full question 25s A woman with a positive history of genital herpes is in active labor. Assessment reveals vesicles in the perineum area, membranes are ruptured, dilated 5 cm, and effaced 70%. The nurse should prepare the client for which type of birth? You Selected: Cesarean Correct response: Cesarean Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 509. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 509 Add a Note Question 12 See full question 13s A woman with cardiac disease at 32 weeks' gestation reports she has been having spells of light-headedness and dizziness every few days. Which instruction should the nurse prioritize? You Selected: Decrease activity and rest more often. Correct response: Decrease activity and rest more often. Explanation: Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 495. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 495 Add a Note Question 13 See full question 11s The nurse is caring for a pregnant client who has a class II heart disease. The nurse is prepared to intensify monitoring during which period of the pregnancy? You Selected: All are at equal risk Correct response: Second trimester Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 499. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499 Add a Note Question 14 See full question 15s A mother is talking to the nurse and is concerned about managing her asthma while she is pregnant. Which response to the nurse’s teaching indicates that the woman needs further instruction? You Selected: “I need to begin taking allergy shots like my friend to prevent me from having an allergic reaction this spring.” Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Correct response: “I need to begin taking allergy shots like my friend to prevent me from having an allergic reaction this spring.” Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 504. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 15 See full question 13s A woman’s obstetrician prescribes vitamin K supplements for a client who is on antiepileptic medications beginning at 36 weeks' gestation. The mother asks the nurse why she is taking this medication. The nurse's best response would be: You Selected: antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn. Correct response: antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn. Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 510. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 510 Add a Note Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Question 16 See full question 21s A nurse is client teaching with a 30-year-old gravida 1 who has sickle cell anemia. Providing education on which topic is the highest nursing priority? You Selected: constipation prevention Correct response: avoidance of infection Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, pp. 499-500. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 499500 Add a Note Question 17 See full question 12s A pregnant client with a history of asthma since childhood presents for a prenatal visit. What statement by the client would the nurse prioritize? You Selected: "I sometimes get a bit wheezy." Correct response: "I sometimes get a bit wheezy." Explanation: Reference: Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia: Wolters Kluwer, Chapter 20, Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly-Acquired Illness, p. 504. Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 504 Add a Note Question 18 See full question 16s The nurse is assessing a pregnant client in the client who has a history of heart disease. The nurse will prioritize assessments focusing on the heart during which time frame? You Selected: 28 to 32 weeks' gestation Correct response: 28 to 32 weeks' gestation Explanation: Reference: Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 492. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 492 Add a Note Question 19 See full question 17s The nurse is caring for a pregnant client with pregestational diabetes. Which goal does the nurse identify as priority during the client’s pregnancy? You Selected: Maintain glycemic control Correct response: Maintain glycemic control Explanation: Reference: Silbert-Flagg, J., & Pillitteri, A., Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 8th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 20: Nursing Care of a Family Experiencing a Downloaded by Nike lalu (nikns1ejad@yahoo.com) lOMoARcPSD|37208555 Pregnancy Complication From a Preexisting or Newly Acquired Illness, p. 512. Chapter 20: Nursing Care of a Family Experiencing a Pregnancy Complication From a Preexisting or Newly Acquired Illness - Page 512 Add a Note Question 20 See full question 17s The maternal health nurse is caring for a pregnant client with a history of asthma who requires maintenance medication for the management of the disease. Which action by the nurse bestreinforces information provided to the client regarding maintenance of her health? You Selected: Teach the client how to use a spacer with an inhaler. Correct response: Observe the client taking her inhaler. Downloaded by Nike lalu (nikns1ejad@yahoo.com)