Maternal Midterm PDF

1. What is the purpose of the EINC practices RULE IN RELATION TO FUNDAL HEIGHT recommended by the DOH, PhilHealth, and MEASUREMENT? WHO in newborn care? We need to calculate the estimated to ensure the safe and qualit...

1. What is the purpose of the EINC practices RULE IN RELATION TO FUNDAL HEIGHT recommended by the DOH, PhilHealth, and MEASUREMENT? WHO in newborn care? We need to calculate the estimated to ensure the safe and quality care for age of gestation the mother and newborn 9. WHAT IS THE FIRST ACTION 2. WHAT IS THE RECOMMENDED ACTION IF RECOMMENDED BEFORE MEASURING THE FETAL HEART RATE IS CONSISTENTLY FUNDAL HEIGHT DURING PREGNANCY? ABOVE 160 BPM DURING MONITORING? To empty her bladder We need to further assessment and monitoring ( 120-160 normal heart 10. WHAT IS THE PRIMARY TOOL USED FOR rate ) PALPATION TECHNIQUE IN DETERMINING FETAL POSITION, PRESENTATION, LIE, AND 3. What is the primary method used to ATTITUDE DURING PREGNANCY? confirm pregnancy and establish Leopold's maneuvers technique gestational age? LMP rule 11. CHILDREN ARE TAUGHT THE VALUES OF THEIR CULTURE THROUGH OBSERVATION 4. WHAT IS THE SIGNIFICANCE OF AND FEEDBACK RELATIVE TO THEIR OWN ACCELERATIONS IN FETAL HEART RATE BEHAVIOR. IN TEACHING A CLASS ON MONITORING DURING PREGNANCY? CULTURAL COMPETENCE, THE NURSE it will indicate as the fetal well being SHOULD BE AWARE THAT WHICH FACTOR(S) MAY BE CULTURALLY 5. WHAT IS THE PRIMARY PURPOSE OF USING DETERMINED (SELECT ALL THAT APPLY)? THE DOPPLER AMPLIFIER OR FETOSCOPE Factors for cultural behavior- degree IN FETAL MONITORING DURING of competition PREGNANCY? determination of status to hear/listen the fetal heart tone. geographic boundaries 12. WHICH TERM BEST DESCRIBES A GROUP 6. WHAT IS THE RECOMMENDED POSITION OF PEOPLE WHO SHARE A SET OF VALUES, FOR A WOMAN DURING FUNDAL HEIGHT BELIEFS, PRACTICES, SOCIAL MEASUREMENT IN PREGNANCY? RELATIONSHIPS, LAW, POLITICS, supine position or the pregnant ECONOMICS, AND NORMS OF BEHAVIOR? mother lies on her back with knee Culture slightly flexed 13. What type of family is one in which all 7. WHAT IS THE SIGNIFICANCE OF members are related by blood? MEASURING FUNDAL HEIGHT BETWEEN 18 consanguineous family AND 32 WEEKS OF GESTATION? approximate gestational age 14. WHICH ACTION BY THE NURSE DEMONSTRATES USE OF EVIDENCE-BASED PRACTICE (EBP)? 8. WHAT IS THE PURPOSE OF ESTIMATING questioning the use of daily central FETAL GROWTH USING BARTHOLOMEW'S line dressing changes  CATEGORIES. WHICH IS CATEGORY IS NOT 15. Which is now referred to as the "new ASSOCIATED WITH A DIAGNOSIS OF FAS? morbidity"? Respiratory condition (is not Behavior, social, education problem associated) that alter health CNS abnormalities, impairment growth (associated) 16. THE NURSE IS PREPARING STAFF IN- SERVICE EDUCATION ABOUT ATRAUMATIC 23. THE MOST DANGEROUS EFFECT ON THE CARE FOR PEDIATRIC PATIENTS. WHICH FETUS OF A MOTHER WHO SMOKES INTERVENTION SHOULD THE NURSE CIGARETTES WHILE PREGNANT IS: INCLUDE? Intrauterine growth restriction Prepare the child before any unfamiliar treatment or procedure by 24. WHICH STATEMENT BY THE PATIENT demonstrating on a stuffed animal. INDICATES THAT SHE UNDERSTANDS BREAST SELF-EXAMINATION? 17. WHICH STATEMENT REGARDING I will perform BSE 1 week after the CHILDHOOD MORBIDITY IS THE MOST menstrual period ACCURATE? Morbidity is not distributed randomly. 25. As a girl progresses through development, she may be at risk for a number of age- 18. IN ADDITION TO INJURIES, THE LEADING related conditions. While preparing a 21- CAUSES OF DEATH IN ADOLESCENTS AGES year-old client for her first adult physical 15 TO 19 YEARS ARE: examination and Papanicolaou (Pap) test, Accident, homicide and suicide the nurse is aware of excessiveness shyness. The young woman states that she 19. THE MAJOR CAUSE OF DEATH FOR will not remove her bra because, "There is CHILDREN OLDER THAN 1 YEAR IS: something wrong with my breasts; one is unintentional injuries way bigger." What is the best response by the nurse in this situation? 20. FROM A WORLDWIDE PERSPECTIVE, Maintain privacy, explain the growth INFANT MORTALITY IN THE UNITED STATES: and breast development Is the highest of the other developed nations. 26. AS A POWERFUL CENTRAL NERVOUS SYSTEM STIMULANT, WHICH OF THESE 21. A COMMON EFFECT OF BOTH SMOKING SUBSTANCES CAN LEAD TO MISCARRIAGE, AND COCAINE USE IN THE PREGNANT PRETERM LABOR, PLACENTAL SEPARATION WOMAN IS (ABRUPTION), AND STILLBIRTH? Vasoconstriction taking the cocaine 22. DESPITE WARNINGS, PRENATAL EXPOSURE 27. Certain fatty acids classified as hormones TO ALCOHOL CONTINUES TO EXCEED BY that are found in many body tissues and FAR EXPOSURE TO ILLICIT DRUGS. A that have roles in many reproductive DIAGNOSIS OF FETAL ALCOHOL functions are known as: SYNDROME (FAS) IS MADE WHEN THERE prostaglandins ARE VISIBLE MARKERS IN EACH OF THREE 28. THE STIMULATED RELEASE OF GONADOTROPIN-RELEASING HORMONE 35. PROSTAGLANDINS ARE PRODUCED IN AND FOLLICLE- STIMULATING HORMONE IS MOST ORGANS OF THE BODY, INCLUDING PART OF THE: THE UTERUS. OTHER SOURCE(S) OF Hypothalamus and pituitary cycle PROSTAGLANDINS IS/ARE: Menstrual blood 29. A FULLY MATURED ENDOMETRIUM THAT HAS REACHED THE THICKNESS OF HEAVY, 36. INDIVIDUAL IRREGULARITIES IN THE SOFT VELVET DESCRIBES THE _____ PHASE OVARIAN (MENSTRUAL) CYCLE ARE MOST OF THE ENDOMETRIAL CYCLE. OFTEN CAUSED BY: Secretory phase pre ovulatory phase 30. THE BODY PART THAT BOTH PROTECTS THE 37. Menstruation is periodic uterine bleeding: PELVIC STRUCTURES AND Regulated by the ovarian hormones ACCOMMODATES THE GROWING FETUS DURING PREGNANCY IS THE: 38. THE HORMONE RESPONSIBLE FOR Bony pelvis MATURATION OF MAMMARY GLAND TISSUE IS: 31. THE FEMALE REPRODUCTIVE ORGAN(S) progesterone RESPONSIBLE FOR CYCLIC MENSTRUATION IS/ARE THE: 39. The two primary functions of the ovary are: Uterus ovulation and hormone production 32. THE TRANSITION PHASE DURING WHICH 40. THE NURSE IS PREPARING FOR A HOME OVARIAN FUNCTION AND HORMONE VISIT TO COMPLETE A NEWBORN PRODUCTION DECLINE IS CALLED: WELLNESS CHECKUP. THE Climacteric NEIGHBORHOOD HAS A REPUTATION FOR BEING DANGEROUS. IDENTIFY WHICH 33. A WOMAN ARRIVES AT THE CLINIC FOR HER PRECAUTIONS THE NURSE SHOULD TAKE ANNUAL EXAMINATION. SHE TELLS THE TO ENSURE HER SAFETY (SELECT ALL THAT NURSE THAT SHE THINKS SHE HAS A APPLY). VAGINAL INFECTION AND SHE HAS BEEN Having access to a cell phone at all USING AN OVER-THE-COUNTER CREAM times. FOR THE PAST 2 22. FAS respiratory Carrying an extra set of car keys. condition (s DAYS TO TREAT IT. THE Avoiding groups of strangers hanging NURSE'S INITIAL RESPONSE SHOULD BE out in doorways. TO: Ask the patient to describe the 41. WHICH STATEMENT ABOUT CULTURAL symptoms why she think she has ACCURATE? COMPETENCE IS NOT: vaginal infection and check the Local health care workers and cream community advocates can help extend health care to underserved 34. PHYSIOLOGICALLY, SEXUAL RESPONSE populations. CAN BE CHARACTERIZED BY: Vasoconsgestion 42. WHEN ATTEMPTING TO COMMUNICATE The maternal grandmother WITH A PATIENT WHO SPEAKS A DIFFERENT participates in the care of the mother LANGUAGE, THE NURSE SHOULD: and her infant. we have to provide as much as privacy as possible 49. While working in the prenatal clinic, you care for a very diverse group of patients. 43. THE PROCESS BY WHICH PEOPLE RETAIN When planning interventions for these SOME OF THEIR OWN CULTURE WHILE families, you realize that acceptance of the ADOPTING THE PRACTICES OF THE interventions will be most influenced by: DOMINANT SOCIETY IS KNOWN AS: influence of the individual beliefs acculturation 50. USING THE FAMILY STRESS THEORY AS AN 44. A PICTORIAL TOOL THAT CAN ASSIST THE INTERVENTION APPROACH FOR WORKING NURSE IN ASSESSING ASPECTS OF FAMILY WITH FAMILIES EXPERIENCING LIFE RELATED TO HEALTH CARE IS THE: PARENTING, THE NURSE CAN HELP THE Genogram FAMILY CHANGE INTERNAL CONTEXT FACTORS. THESE INCLUDE: 45. WHICH STATEMENT ABOUT FAMILY The family's perception of the event. SYSTEMS THEORY IS INACCURATE? A family as a whole is equal to the 51. The nurse should be aware that the criteria sum of the individual members. used to make decisions and solve problems within families are based primarily on 46. TO PROVIDE COMPETENT CARE TO AN family: ASIAN-AMERICAN FAMILY, THE NURSE Values and beliefs SHOULD INCLUDE WHICH OF THE FOLLOWING QUESTIONS DURING THE 52. HEALTH CARE FUNCTIONS CARRIED OUT ASSESSMENT INTERVIEW? BY FAMILIES TO MEET THEIR MEMBERS' Do you want music playing while you NEEDS INCLUDE: are in labor? meeting the nutritional requirements of the patient 47. THE NURSE SHOULD BE AWARE THAT DURING THE CHILDBEARING EXPERIENCE 53. IN WHAT FORM DO FAMILIES TEND TO BE AN AFRICAN- AMERICAN WOMAN IS MOST MOST SOCIALLY VULNERABLE LIKELY TO: Single-parent family Arrive at the hospital in advanced labor. 54. A NURSE IS CARING FOR AN AFRICAN- AMERICAN CHILD RECENTLY ADMITTED TO 48. THE NURSE'S CARE OF A HISPANIC FAMILY THE HOSPITAL. THE NURSE SHOULD BE INCLUDES TEACHING ABOUT INFANT CARE. AWARE OF WHICH BROAD CULTURAL WHEN DEVELOPING A PLAN OF CARE, THE CHARACTERISTICS FOR THIS CHILD WHEN NURSE BASES INTERVENTIONS ON THE PLANNING CARE (SELECT ALL THAT KNOWLEDGE THAT IN TRADITIONAL APPLY)? HISPANIC FAMILIES: Silence may indicate a lack of trust. Maintaining constant eye contact may be viewed as aggressive.  Illness may be seen as the "will of God." 60. A NEWLY GRADUATED NURSE IS ATTEMPTING TO UNDERSTAND THE 55. WHILE OBTAINING A DETAILED HISTORY REASON FOR INCREASING HEALTH CARE FROM A WOMAN WHO HAS RECENTLY SPENDING IN THE UNITED STATES. HER EMIGRATED FROM SOMALIA, THE NURSE RESEARCH FINDS THAT THESE COSTS ARE REALIZES THAT THE CLIENT HAS MUCH HIGHER COMPARED WITH OTHER UNDERGONE FEMALE GENITAL DEVELOPED COUNTRIES AS A RESULT OF: MUTILATION (FGM). THE NURSE'S BEST Higher rate of obesity among RESPONSE TO THIS PATIENT IS: pregnant women The extent of your circumcision will affect the potential for complications. 61. Alternative and complementary therapies: recognize the value of client input 56. DURING A PRENATAL INTAKE INTERVIEW, into their health care. THE CLIENT INFORMS THE NURSE THAT SHE WOULD PREFER A MIDWIFE TO 62. FROM THE NURSE'S PERSPECTIVE, WHAT PROVIDE HER CARE DURING PREGNANCY MEASURE SHOULD BE THE FOCUS OF THE AND DELIVER HER INFANT. WHAT HEALTH CARE SYSTEM TO REDUCE THE INFORMATION WOULD BE MOST RATE OF INFANT MORTALITY FURTHER? APPROPRIATE FOR THE NURSE TO SHARE Implementing programs to ensure WITH THIS PATIENT? women's early participation in The client will receive fewer ongoing prenatal care interventions during the birth process. 63. When the nurse is unsure about how to agree with the patient perform a patient care procedure, the best action would be to: 57. THE NURSE CARING FOR A PREGNANT Consult the agency procedure CLIENT SHOULD BE AWARE THAT THE U.S. manual and follow the guidelines for BIRTH RATE SHOWS WHICH TREND? the procedure. Births to unmarried women are more likely to have less favorable 64. WHAT IS THE PRIMARY ROLE OF outcomes. PRACTICING NURSES IN THE RESEARCH PROCESS? 58. RECENT TRENDS IN CHILDBIRTH Identifying researchable problems PRACTICES IN THE UNITED STATES INDICATE THAT: 65. WHEN MANAGING HEALTH CARE FOR Births occurring in the hospital PREGNANT WOMEN AT A PRENATAL CLINIC, accounted for 99% of births. THE NURSE SHOULD RECOGNIZE THAT THE MOST SIGNIFICANT BARRIER TO ACCESS 59. AN IMPORTANT DEVELOPMENT THAT TO CARE IS THE PREGNANT WOMAN'S: AFFECTS MATERNITY NURSING IS Inability to pay. INTEGRATIVE HEALTH CARE, WHICH: Blends complementary and 66. DURING A PRENATAL INTAKE INTERVIEW, alternative therapies with THE NURSE IS IN THE PROCESS OF conventional Western treatment. OBTAINING AN INITIAL ASSESSMENT OF A  21-YEAR-OLD HISPANIC PATIENT WITH Diabetes mellitus. LIMITED ENGLISH PROFICIENCY. IT IS IMPORTANT FOR THE NURSE TO: Assess whether the patient understands the discussion. 67. A 23-YEAR-OLD AFRICAN-AMERICAN WOMAN IS PREGNANT WITH HER FIRST CHILD. BASED ON THE STATISTICS FOR INFANT MORTALITY, WHICH PLAN IS MOST IMPORTANT FOR THE NURSE TO IMPLEMENT? Explain to the woman the importance of keeping her prenatal care appointments. 68. THE ROLE OF THE PROFESSIONAL NURSE CARING FOR CHILDBEARING FAMILIES HAS EVOLVED TO EMPHASIZE: Practice using an evidence-based approach. 69. A COMMON EFFECT OF BOTH SMOKING AND COCAINE USE IN THE PREGNANT WOMAN IS: vasoconstrictions 70. TO ENSURE OPTIMAL OUTCOMES FOR THE PATIENT, THE CONTEMPORARY MATERNITY NURSE MUST INCORPORATE BOTH TEAMWORK AND COMMUNICATION WITH CLINICIANS INTO HER CARE DELIVERY, THE SBAR TECHNIQUE OF COMMUNICATION IS AN EASY-TO-REMEMBER MECHANISM FOR COMMUNICATION. WHICH OF THE FOLLOWING CORRECTLY DEFINES THIS ACRONYM? Situation, background, assessment, recommendation 71. WHEN PROVIDING CARE FOR A PREGNANT WOMAN, THE NURSE SHOULD BE AWARE THAT ONE OF THE MOST FREQUENTLY REPORTED MATERNAL MEDICAL RISK FACTORS IS: