HESI PN MATERNAL NEWBORN PROCTORED EXAM
VERSION 10
The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant?
A client’s emotional and physical condition (unwanted pregnancy, adolescent pregnancy, history of depression, difficult pregnancy and birth) The newborn’s physical condition (prematurity, congenital anomalies) after birth can affect the family’s bonding process. Culture, age, and socioeconomic level are factors that can influence the bonding process. Bonding can be delayed secondary to maternal or neonatal factors A nurse is providing community education regarding risk factors for ovarian cancer. Identify five (5) risk factors associated with the development of ovarian cancer. (Review the Med Surg
RM) 1 / 2
Age greater than 40 years Nulliparity or first pregnancy after 30 years of age Family history of ovarian, breast, or genetic mutation for hereditary nonpolyposis colon cancer (HNPCC) BRCA1 or BRCA2 gene mutations Diabetes mellitus Early menarche/late menopause History of dysmenorrhea or heavy bleeding Endometriosis High‑fat diet (possible risk) Hormone replacement therapy Use of infertility medications Older adult clients following surgery for cancer
What are risks/possible complications/contraindications for the use of intrauterine contraceptive devices?
Best used by women in a monogamous relationship due to the risks of STIs Can cause irregular menstrual bleeding Risk of bacterial vaginosis, uterine perforation, or uterine expulsion Must be removed in the event of pregnancy Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper IUD also Wilson’s diseases and copper allergy
A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early spontaneous abortions. What is her gravida and para?
G P = TPAL G5, P1123
What are five (5) risk factors that affect female fertility?
AGE greater than 35 years can affect fertility.
DURATION OF INFERTILITY:More than 1 year of coitus without contraceptives. For women over the age 35 or who have a known risk factor, the recommendation is for 6 months.
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