Kaplan Maternaity B 模擬2

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Questions and Answers

What initiates changes in the neonate’s circulatory system after birth?

The mother's hormonal changes

Breathing air and lung expansion (correct)

Increased pressure in the abdomen

Closure of the umbilical cord

Infertility is defined as which of the following criteria?

Inability to conceive after two years of unprotected sex

Regular menstrual cycles with no pregnancies

Failure to become pregnant after one year of regular, unprotected sex (correct)

Conception after one year with no live births

Which statement indicates a need for further teaching for an antepartum client?

Morning sickness can occur in early pregnancy.

It is normal to experience fatigue in pregnancy.

Frequent urination may happen during pregnancy.

Hot flashes and chills are common during a healthy pregnancy. (correct)

What is the best answer regarding anesthesia's effect on the baby during a cesarean section?

Anesthesia is administered to minimize fetal exposure. Signup and view all the answers

To monitor for maternal complications, which finding should a nurse be most alert to?

Sudden changes in blood pressure and pulse Signup and view all the answers

How long should a diaphragm remain in place after intercourse?

At least 6 hours Signup and view all the answers

What is the primary purpose of fetal monitoring during pregnancy?

To evaluate the fetus's health and well-being Signup and view all the answers

What typically prompts the closure of the foramen ovale in a newborn?

Increase in oxygen levels after taking the first breath Signup and view all the answers

What is a potential risk associated with meconium-stained amniotic fluid?

Fetal distress leading to meconium aspiration syndrome Signup and view all the answers

Which diet choice is most appropriate for a client with gestational diabetes?

Fresh fruit and whole grains Signup and view all the answers

What intervention is optimal for a client with cervical cancer experiencing poor appetite?

Small, frequent meals throughout the day Signup and view all the answers

What is the most common reason for increased urination in a client 24 hours post-delivery?

Body eliminating excess fluids from pregnancy Signup and view all the answers

Which warning sign of pregnancy indicates a need for immediate medical attention?

Swelling in the face or fingers Signup and view all the answers

What intervention is crucial for a multipara client on bedrest due to premature labor?

Positioning on the left side and staying hydrated Signup and view all the answers

Which condition is most likely diagnosed when a breastfeeding client presents with fever, fatigue, and breast redness?

Mastitis Signup and view all the answers

What should the nurse advise a client experiencing variable decelerations in fetal heart rate during labor?

Reposition to relieve cord compression Signup and view all the answers

What is the most effective way for clients with gestational diabetes to manage their condition?

Maintain a balanced diet with fiber-rich foods Signup and view all the answers

What is a key concern when meconium is present in amniotic fluid during delivery?

Potential for neonatal respiratory complications Signup and view all the answers

What does a deceleration in the baby’s heart rate during contractions usually indicate?

Normal response to contractions Signup and view all the answers

Which method is correct for palpating uterine contractions?

Pressing gently on the fundus with fingertips Signup and view all the answers

What is a major risk for preterm infants due to underdeveloped lungs?

Respiratory distress syndrome (RDS) Signup and view all the answers

How does alcohol consumption affect breastfeeding?

It can lead to sedation and developmental issues in the baby Signup and view all the answers

How might a 17-year-old new mother's age impact her parenting?

Emotional development may affect her caregiving abilities Signup and view all the answers

What is the appropriate nurse response to a patient worried about body image after a mastectomy?

Acknowledge her feelings and encourage discussion Signup and view all the answers

What is the next step after circumcising a newborn with a Gomco clamp?

Place petroleum gauze on the penis Signup and view all the answers

What does an early deceleration pattern in fetal heart rate signify?

Head compression during contractions Signup and view all the answers

What is expected of the fundus immediately after the third stage of labor?

It should be firm and globular Signup and view all the answers

When observing decreased deep tendon reflexes (DTR) in a client receiving magnesium sulfate, what is the first action?

Stop the infusion of magnesium sulfate Signup and view all the answers

What should a nurse do when she sees a pregnant woman choking?

Perform chest thrusts to clear the airway Signup and view all the answers

Which statement by an expectant mother indicates a need for nurse intervention?

Breastfeeding helps my baby sleep longer Signup and view all the answers

What is the best suggestion for a pregnant woman experiencing breast tenderness?

Cold compresses and a supportive bra Signup and view all the answers

What condition might be indicated by movable breast masses that enlarge during menstruation?

Fibrocystic breast disease Signup and view all the answers

What is a common reassurance response when parents are concerned about a preterm infant’s well-being?

Encourage bonding and interaction Signup and view all the answers

What is the nurse's appropriate response to a parent worried about a newborn losing 8 oz in weight?

This is typical and part of normal fluid loss Signup and view all the answers

Study Notes

Neonate Circulatory Changes After Birth

Breathing air expands the lungs, increasing oxygen levels.
Closure of fetal circulatory shunts occurs: foramen ovale, ductus arteriosus, and ductus venosus become obsolete.
After birth, the foramen ovale closure directs blood to lungs for oxygen exchange.

Definition and Causes of Infertility

Infertility is diagnosed after one year of unprotected sex with no conception.
Factors can be male or female, as evident through fertility clinic evaluations.

Antepartum Client Teaching

Hot flashes and chills are not normal during a healthy pregnancy; may indicate an infection or hormonal changes.

Anesthesia and Its Effects During Cesarean Section

Administer anesthesia just before incision to minimize fetal exposure and reduce respiratory depression risk.

Maternal Complications Monitoring

Sudden changes in blood pressure and pulse indicate potential hemorrhage, a leading maternal mortality cause.

Diaphragm Use Post-Intercourse

Diaphragm must stay in place for at least 6 hours post-intercourse to prevent sperm entry into the uterus.

Fetal Monitoring Purpose

Assesses baby's heart rate and oxygen levels during labor to detect signs of fetal distress.

Palpating Uterine Contractions

Place hand on the fundus and use fingertips for assessing contraction strength and frequency during labor.

Preterm Infant Health Risks

Preterm infants are at high risk for respiratory distress syndrome (RDS) due to underdeveloped lungs and lack of surfactant.

Alcohol Consumption While Nursing

Alcohol can pass into breast milk, affecting the baby's nervous system and potentially causing sedation or developmental issues.

Young Mothering Challenges

Emotional and developmental immaturity in adolescents can hinder consistent caregiving abilities.

Body Image Concerns Pre-Surgery

Acknowledging body image concerns lets clients express fears about partner reactions post-surgery.

Care Post-Circumcision

Apply petroleum gauze to prevent the wound from sticking to the diaper post-Gomco clamp circumcision.

Understanding Early Decelerations

Early decelerations in fetal heart rate relate to head compression during contractions and are expected in labor.

Fundal Assessment After Delivery

A firm, globular uterus post-delivery indicates effective contraction to prevent postpartum hemorrhage.

Magnesium Sulfate and Reflexes

Decreased deep tendon reflexes (DTR) indicate potential magnesium toxicity; stopping the infusion is essential.

Choking Intervention in Pregnant Women

Use chest thrusts instead of abdominal thrusts for choking pregnant women to avoid putting pressure on the abdomen.

Breastfeeding Misconceptions

Breastfeeding does not inherently lead to faster growth or more sleep compared to formula feeding.

Breast Sensitivity in Pregnancy

Cold compresses and a supportive bra can alleviate breast tenderness commonly experienced in pregnancy.

Fibrocystic Breast Disease

Non-cancerous lumps in the breast that vary with the menstrual cycle, often causing pain and discomfort.

Parent Bonding and Preterm Infants

Encouraging bonding activities helps develop trust and emotional security in preterm infants.

Newborn Weight Loss Reassurance

Weight loss in newborns during the first few days post-birth is normal due to fluid loss; reassurance to parents is necessary.

Meconium-Stained Amniotic Fluid Concerns

Indicates fetal distress and potential meconium aspiration syndrome; immediate respiratory support preparations needed.

Gestational Diabetes Diet

Fresh fruit, vegetables, and whole grains are beneficial for managing blood glucose levels during gestational diabetes.

Appetite Management in Cancer Patients

Recommend small, frequent meals to help clients with a poor appetite tolerate food better and maintain nutrition.

Post-Delivery Urination

Increased urination post-delivery is normal as the body sheds excess fluids accumulated during pregnancy.

Warning Signs of Pregnancy Education

Swelling in the face or fingers may signal preeclampsia, requiring prompt medical attention.

Bedrest Guidelines for Premature Labor

Left-side positioning improves placental blood flow; adequate hydration and nutrition are essential.

Breastfeeding Complications

Mastitis can occur in breastfeeding women, characterized by redness, pain, fever; antibiotics and continued breastfeeding recommended.

Variable Decelerations in FHR

Caused by cord compression; changing the mother’s position may alleviate pressure and stabilize the fetal heart rate.

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Description

This quiz covers critical aspects of maternal and neonatal health changes, including circulatory adjustments in neonates post-birth and definitions of infertility. It also addresses monitoring maternal complications and the effects of anesthesia during cesarean sections. Test your understanding of these essential topics in obstetrics and neonatal care.