A nurse is providing discharge teaching to a client following tubal

ligation (occlusion). Which of the following statement by the client

indicates an understanding of the teaching?

A. "premenstrual tension will no longer be present."

B. "Ovulation will remain the same."

C. "Hormone replacements will be needed following this procedure."

D. "My monthly menstrual period will be shorter."

B. "Ovulation will remain the same."

Ovulation (egg release from the ovaries) will remain the same.

Tubal ligation also known as having your tubes tied or tubal

sterilization is a type of permanent birth control. During tubal

ligation, the fallopian tubes are cut, tied or blocked to permanently

prevent pregnancy. Tubal ligation prevents an egg from traveling

from the ovaries through the fallopian tubes and blocks sperm from

traveling up the fallopian tubes to the egg. The procedure doesn't

affect your menstrual cycle it just prevents fertilization.

A nurse is assessing a newborn following forceps-assisted birth.

Which of the following clinical manifestations should the nurse

identify as a complication of the birth method?

A. Hypoglycemia

B. Polycythemia

C. Facial Palsy

D. Bronchopulmonary dysplasia

C. Facial Palsy

Difficult delivery, with or without the use of an instrument called

forceps, may lead to facial palsy. Facial paralysis 15 minutes

after forceps birth or absence of movement on affected side is

especially noticeable when infant cries.

A nurse is providing teaching about terbutaline to a client who is

experiencing preterm labor. Which of the following statements by

the client indicates understanding of the teaching?

A. "This medication could cause me to experience heart palpitations."

B. "This medication could cause me to experience blurred vision."

C. "This medication could cause me to experience ringing in my

ears."

D. "This medication could cause me to experience frequent urination."

A. "This medication could cause me to experience heart palpitations."

Beta-adrenergic agents such as terbutaline (Brethine) are associated with various side effects, including tachycardia, irregular

pulse, myocardial ischemia, and pulmonary edema. Therefore,

these medications should not be used in women with known or

suspected heart disease

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing

actions promotes client comfort?

A. Assisting the client into squatting position

B. Having the client lie in a supine position

C. Applying fundal pressure during contractions

D. Encouraging the client to void every 6 hrs.

C. Applying fundal pressure during contractions

Applying fundal pressure by pushing on the mother's abdomen in

the direction of the birth canal is often used to assist spontaneous

vaginal birth, shorten the length of the second stage and reduce

the need for instrumental birth (forceps- or vacuum-assisted) or

caesarean section.

A nurse caring for a client who is at 20 weeks of gestation and has

trichomoniasis. Which of the following findings should the nurse

expect?

A. Thick, White Vaginal Discharge

B. Urinary Frequency

C. Vulva Lesions

D. Malodorous Discharge

D. Malodorous Discharge

Although trichomoniasis may be asymptomatic, women commonly experience characteristically yellowish-to-greenish, frothy,

mucopurulent, copious, malodorous discharge. Inflammation of

the vulva, vagina, or both may be present; and the woman may

complain of irritation and pruritus. Dysuria and dyspareunia are

often present.

A nurse is caring for a client who is at 14 weeks of gestation. At

which of the following locations should the nurse place the doppler

device when assessing the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

B. Left Upper Abdomen

C. Two fingerbreadths above the umbilicus

D. Lateral at the Xiphoid Process

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

Toward the end of the first trimester, before the uterus is an

abdominal organ, the fetal heart tones (FHTs) can be heard with

an ultrasound fetoscope or an ultrasound stethoscope (Fig. 8-8).

To hear the FHTs, place the instrument in the midline just above

the symphysis pubis and apply firm pressure. The woman and

her family should be offered the opportunity to listen to the FHTs.

The health status of the fetus is assessed at each visit for the

remainder of the pregnancy.

A nurse is assessing a client who is at 27 weeks of gestation and

has preeclampsia. Which of the following findings should the nurse

report to the provider?

A. Urine protein concentration 200 mg/24 hr.

D. Platelet Count 60,000/ mm3

Platelets < 100>

reference range, which can indicate DIC. The nurse should report