- "Preparing for Abdominal Hysterectomy: Addressing Patient - Course Sidekick (2024)

OB Kaplan Study online at https://quizlet.com/_a1adey 1.The nurse prepares the client for atotal abdominal hysterectomy with bi-lateral sapling-oophorectomy due to uterine cancer. The nurse observesthat the client is talking continuously and has difficulty maintaining eye con- tact. Which response by the nurse is best? "What are your concerns about the surgery?" allow pt to verbalize feelings 2.A woman is in active labor. As la-bor progresses, she bevomes irritableand complains of feeling increasing- ly uncomfortable. She is 8 cm dilat-ed. Which of these actions should thenurse take FIRST? Coach the patient in proper breath- ing and relaxation techniques. assist in coping, stay w/ them, pro- vide reassurance & comfort 3.The nurse admits a patient to the post-partum unit two hours after vagin*ldelivery. Three hours after admission the nurse ambulates the patient to thebathroom, and the patient states thereis a sudden gush of bleeding from her vagin*. The nurse understands that the increase in amount of bleeding is due to which of the following? The loch pooled in the patient's vagin* when she way lying in bed. flow of lochia increases during am- bulation and breastfeeding 4.The nurse cares for clients in the pre-natal clinic. The nurse identifies whichpregnant woman as most likely to havea problem with Rh incompatibility with the fetus?An Rh-negative client who con- ceived with a Rh-positive partner and who has Rh antibodies Rh+ is dominant, so child will be Rh+. This creates incompatibility with Rh- mother. 5.The nurse cares for a client in labor.The client suddenly shouts, "I have topush! I have to push!" The nurse de- termines that the client is 8 cm dilated. Encourage the client to pant with pursed lips 1 / 20

OB Kaplan Study online at https://quizlet.com/_a1adey Which action should the nurse take FIRST? 6.The nurse assesses an apical pulse ona 8 lb 4 oz newborn infant. The nursetakes which action?Places the bell of the stethoscope between the fourth and fifth in- tercostal spaces, the midclavicular line. Bell transmits low-pitched sounds like heart and vascular sounds 7.The nurse cares for the client imme-diately after a normal vagin*l delivery. Which action should the nurse takeFIRST?Observe the lochial flow Allows nurse to directly check for hemorrhage; inspection is first step of physical assessment 8.A nurse accidentally bumps intoa newborn's bassinet. The newborn jumps and pulls the extremities intothe trunk. The nurse identifies the new-born is demonstrating which reflex? Moro startle reflex; disappears at 3-4 months 9.A client comes to the prenatal clinic forthe first visit. The nursing history re-veals the client's last menstrual period was five months ago, and the client iscertain of pregnancy and reports feel-ing the baby move. Which response bythe nurse is BEST?"Lie down so that I can listen for fetal heart tones with the Doppler" Auscultating for FHtones, visual- ization of fetus by ultrasound or X-ray, or fetal movement palpated by examiner are all positive signs of pregnancy 10.The nurse instructs the woman howto prevent conception using the basal body temperature (BBT) method. Thenurse explains that during ovulation,the woman's basal body temperaturewill change in which direction?Rises slightly Just prior to ovulation, woman's body temp lowers about 1 degree; at time of ovulation, body temp in- creases about 1-2 degrees. Slight rise important for clients who rely on methods of childbirth planning 2 / 20

OB Kaplan Study online at https://quizlet.com/_a1adey that depend on knowledge of ovu- latory cycle 11.A primigravida diagnosed with type 1diabetes mellitus reviews the insulinregimen with the nurse. The nurse re-inforces the importance of regular pre- natal care and explains changes in in-sulin requirements will include whichchanges?Insulin requirements will increase during pregnancy and decrease af- ter delivery Due to hormonal interference in glucose metabolism, insulin re- quirements increase during preg- nancy; however immediately af- ter delivery, requirements decrease abruptly 12.The health care provider orders a col-poscopy for the client. The nurse ex- plains to the client that which is thepurpose of this procedure?Magnify the tissue for examination exam of vagin* & cervix using a col- poscope; identifies precancerous lesions of cervix by magnifying tis- sue; instruct client bleeding may oc- cur, they can use vagin*l tampons, but report heavy bleeding 13.The nurse prepares a client for anabdominal hysterectomy. The clientasks why a Foley catheter is required. Which statement by the nurse is mostappropriate?"This will allow you to heal by keep- ing your bladder decompressed" expanded bladder may interfere with wound healing by pressing on the wound; catheter is usually re- moved when client begins ambulat- ing 14.The nurse instructs a client in theprenatal clinic about nutrition dur- ing pregnancy. The nurse determinesteaching is successful if client selectswhich foods from a menu? Two eggs and 8 oz of milk Contains protein, calcium, and calories 15.The nurse instructs a client who re-cently had a modified radical mastec- Prevent lymphedema 3 / 20

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