NursGuru

    Exam Review

    1. A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?
      A)
      Prolapsed cord.
      B)
      Premature rupture of membranes.
      C)
      Abruptio placentae.
      D)
      Placenta previa
    2. A nurse should include which of the following information?
      A)
      Quickening starts soon after implantation.
      B)
      Quickening occurs between the fourth and fifth months of pregnancy.
      C)
      Quickening starts during the last trimester of pregnancy.
      D)
      Quickening occurs between the second and third month of pregnancy
    3. A nurse is caring for a client who is pregnant in a provider’s office. Relevant vital signs to help answer the questions are as follows: Medical History: 0830 Gravida 3 Para 2, 32 weeks of gestation, Allergies: Penicillin, Height: 163 cm, Weight: 78 kg, BMI: 30.6, 6 lb weight gain over the last 2 weeks. The client reports “I have had a headache for 5 days, blurred vision, and dizziness. Tylenol does not relieve it.” The client reports swelling of their feet and fingers. 2+ pitting edema of the lower extremities noted bilaterally. Swelling of the fingers and hands noted. Deep tendon reflexes 3+, absent clonus. Fetal heart tones (FHT) 1. Which of the following findings should the nurse report to the provider? Select all that apply.
      (SATA)
      A)
      Visual disturbances.
      B)
      Fetal heart rate.
      C)
      Blood pressure.
      D)
      Deep tendon reflexes.
    4. A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?
      A)
      “I can have 4 oz of white wine daily.”
      B)
      “I should switch to drinking whole milk.”
      C)
      “I want to lose 18 lbs.”
      D)
      “I can consume 1000 mg of caffeine daily.”

    Exam Review

    1. A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?
      A)
      “You are so young. Are you sure you are ready for the responsibilities of a sexual relationship?”
      B)
      “Because of your age, we need your parent’s consent for an examination and then we’ll talk.”
      C)
      “The doctor can best help you with that after your physical examination.”
      D)
      “Before I can help you with that question, I need to know more about your sexual activity.” .
    2. A nurse is caring for a 22-year-old female client who is experiencing lower abdominal pelvic pain. The client is at risk of developing a condition due to a finding.
      A)
      Condition: Ovarian cysts, Finding: Ultrasound shows a fluid-filled sac in the ovary.
      B)
      Condition: Appendicitis, Finding: Pain localized in the lower right quadrant.
      C)
      Condition: Endometriosis, Finding: Patient reports cyclical pain.
      D)
      Condition: Pelvic inflammatory disease, Finding: Elevated white blood cell count.
    3. A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:
      A)
      Threatened abortion.
      B)
      Placenta previa.
      C)
      Preterm labor.
      D)
      Abruptio placentae.
    4. A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:
      A)
      An IV will be initiated prior to the test.
      B)
      The client will be asked to stimulate her nipples for 5 minutes during the test.
      C)
      The client will receive an ultrasound prior to the test.
      D)
      An external fetal monitor will be used to monitor the fetus.

    Exam Review

    1. A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:
      A)
      Perform daily fetal movement counts.
      B)
      Limit fluid intake to 1,000 ml/day.
      C)
      Limit sodium intake to 2,000 mg/day.
      D)
      Rest in bed in the supine position.
    2. The nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings? Choice Options:
      A)
      Whitish vaginal discharge.
      B)
      Excessive uterine enlargement.
      C)
      Fetal heart rate irregularities.
      D)
      Rapidly changing human chorionic gonadotropin levels.
    3. A nurse is reinforcing teaching with a newly licensed nurse. Which of the following complications should the nurse include?
      A)
      Pacenta Previa
      B)
      Newborn Hypoglycemia
      C)
      Oligohydramnios
      D)
      Small for gestational age newborn
      E)
      Maternal gestational diabetes
    4. A nurse is caring for a client who is pregnant and has suspected placenta previa. Which of the following should the nurse monitor the client for?
      A)
      Large amount of bright red vaginal bleeding
      B)
      Severe pain with no bleeding
      C)
      High-grade fever
      D)
      Sudden sharp pain in the lower abdomen

    Exam Review

    1. A nurse is reinforcing teaching with a client who is at weeks of gestation and scheduled for a non-stress test (NST). Which of the following statements by the client indicates a need for further teaching?
      A)
      I need to schedule the test when the baby is usually active
      B)
      I have to lie on my back during the test
      C)
      The baby’s heart rate will be monitored during the test
      D)
      I will be able to go to the bathroom during the test if necessary
    2. A nurse is caring for a female client scheduled to have a pelvic exam. The client tells the nurse, “I’m really nervous. I’ve never had a pelvic exam before.” Which of the following is an appropriate therapeutic response by the nurse?
      A)
      A pelvic exam is required if you want birth control pills
      B)
      Don't worry, I will stay in there with you for the exam
      C)
      All you need to do is relax during the exam
      D)
      Tell me more about your concerns
    3. A nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching?
      A)
      You will start to feel the baby move at 24 weeks
      B)
      Sex of the baby is determined by week 8
      C)
      The baby’s heartbeat is audible by a Doppler stethoscope at 12 weeks
      D)
      Very fine hairs called lanugo cover your baby’s entire body by 36 weeks
    4. A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?
      A)
      Apply ice to the perineal area.
      B)
      Apply an external fetal monitor.
      C)
      Complete a vaginal exam.
      D)
      Perform a rectal exam.

    Exam Review

    1. A nurse is caring for a client who has consented to an amniocentesis for genetic cell analysis. The client asks why she can’t have the test before 14 weeks of gestation. Which of the following responses should the nurse make?
      A)
      The fetus is not mature enough until this time.
      B)
      This is when the heartbeat is first audible.
      C)
      There is not enough amniotic fluid until this time.
      D)
      The genetic results will not be accurate until this time.
      E)
      The genetic results will not be accurate until this time.
    2. A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?
      A)
      Tachycardia.
      B)
      Hypotension.
      C)
      Polyuria.
      D)
      Headache.
    3. A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client’s plan of care?
      A)
      Administer oxygen via facemask.
      B)
      Keep the client on bed rest.
      C)
      Instruct the client in appropriate birth control methods.
      D)
      Determine the amount and type of vaginal bleeding.
    4. A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
      A)
      Facial edema
      B)
      Urinary frequency
      C)
      Mood swings
      D)
      Decreased energy

    Exam Review

    1. A nurse is reinforcing teaching with a client who is 15 weeks pregnant about to undergo amniocentesis. This test can identify which traits or problems? Select all that apply.
      A)
      Rh incompatibility.
      B)
      Neural tube defects.
      C)
      Fetal gender.
      D)
      Cephalopelvic disproportion.
      E)
      Chromosomal defects.
    2. A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?
      A)
      Blurred vision
      B)
      Leg cramps
      C)
      Urinary frequency
      D)
      Gingivitis
    3. A nurse is caring for a client at 34 weeks gestation. Medical History: The client has a history of gestational diabetes and mild hypertension. Diagnostic Results: The latest ultrasound shows normal fetal growth and development. Blood sugar levels have been slightly elevated in the past week. Vital Signs: Blood pressure has been steadily increasing over the past few hours. Heart rate and temperature remain within normal limits. Complete the diagram by selecting the condition the client is most likely experiencing? Two actions the nurse should take to address that condition and two parameters the nurse should monitor to assess the client’s progress
    4. A nurse is reinforcing teaching with a newly licensed nurse about a biophysical profile. Which of the following information should the nurse include in the teaching?
      A)
      This test determines the estimated date of birth.
      B)
      The client will need to be NPO for 8 hr prior to the test.
      C)
      The nurse will initiate an IV prior to this test.
      D)
      The test predicts fetal well-being in the third trimester.