Nokea
During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?
- A. Braxton-Hicks sign
- B. Chadwick's sign
- C. Goodell's sign
- D. McDonald's sign
Correct Answer: B
Rationale: Chadwick's sign refers to the purple-blue tinge of the cervix due to increased vascularity during pregnancy. Braxton-Hicks contractions are painless uterine contractions, Goodell's sign indicates softening of the cervix, and McDonald's sign refers to the flexibility of the uterus at the junction with the cervix.
You may also like to solve these questions
In the late 1950s, consumers and healthcare professionals began challenging the routine use of analgesics and anesthetics during childbirth. Which of the following was an outgrowth of this concept?
- A. Labor, delivery, recovery, postpartum (LDRP)
- B. Nurse-midwifery
- C. Clinical nurse specialist
- D. Prepared childbirth
Correct Answer: D
Rationale: Prepared childbirth was a direct result of challenging routine use of analgesics and anesthetics in the 1950s. It emphasized natural childbirth and education to empower women, reducing reliance on medications. LDRP, nurse-midwifery, and clinical nurse specialists were not direct outcomes of this movement.
A PP client is being treated for DVT. The nurse understands that the client's response to treatment will be evaluated by regularly assessing the client for:
- A. Dysuria, ecchymosis, and vertigo
- B. Epistaxis, hematuria, and dysuria
- C. Hematuria, ecchymosis, and epistaxis
- D. Hematuria, ecchymosis, and vertigo
Correct Answer: C
Rationale: The treatment for DVT is anticoagulant therapy. The nurse assesses for bleeding, which is an adverse effect of anticoagulants. This includes hematuria, ecchymosis, and epistaxis.
A nurse is caring for a client in labor. The nurse-midwife is performing an amniotomy. The nurse explains to the client that after this procedure, she will most likely have:
- A. Less pressure on her cervix
- B. Increased efficiency of contractions
- C. Decreased number of contractions
- D. The need for increased maternal blood pressure monitoring
Correct Answer: B
Rationale: Amniotomy can be used to induce labor when the condition of the cervix is favorable (ripe) or to augment labor if the process begins to slow. Rupturing of membranes allows the fetal head to contact the cervix more directly and may increase the efficiency of contractions.
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
- A. Thrombophlebitis
- B. Pregnancy-induced hypertension
- C. Pressure on blood vessels from the enlarging uterus
- D. The force of gravity pulling down on the uterus
Correct Answer: C
Rationale: Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in the lower extremities. Subsequently, edema and varicose vein formation may occur. Thrombophlebitis is an inflammation of the veins due to thrombus formation. Pregnancy-induced hypertension is not associated with these symptoms. Gravity plays only a minor role with these symptoms.
While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?
- A. A strong Moro reflex
- B. A strong parachute reflex
- C. Rolling from front to back
- D. Lifting of head and chest when prone
Correct Answer: D
Rationale: A 3-month-old is expected to lift the head and chest when prone, reflecting motor development. The Moro reflex diminishes by 3 months, the parachute reflex appears at 9 months, and rolling typically occurs at 5 months.