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OB PREP U 20 - Lecture Notes
Network Design and Management (Nueva Vizcaya State University)
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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:
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
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:
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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:
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
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
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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
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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.
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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:
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
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:
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
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?
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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
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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."
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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:
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
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
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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
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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:
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
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?
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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
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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.
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
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
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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
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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:
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
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.
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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:
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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."
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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
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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
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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
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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:
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
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
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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:
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
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
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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.
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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:
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
"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:
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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%
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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
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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
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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:
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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:
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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:
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
“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
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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
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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
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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
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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:
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
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:
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
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
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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.
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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
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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:
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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.”
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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
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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.
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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
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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.
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