NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can "feel the baby moving." The client should undergo an ultrasound to determine which of the following findings
      A)
      Frequency and duration of contractions
      B)
      Fetal lung maturity
      C)
      Rh incompatibility
      D)
      Location of the placenta
    2. A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?
      A)
      Gender of the fetus
      B)
      Weeks of gestation
      C)
      Anatomic abnormalities
      D)
      Maturity of lungs
    3. A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?
      A)
      Maternal fever
      B)
      Fetal head compression
      C)
      Polyhydramnios
      D)
      Umbilical cord compression
    4. A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
      A)
      "Given too soon, epidural anesthesia can cause maternal hypertension."
      B)
      “Given too soon, epidural anesthesia can prolong labor."
      C)
      "Given too soon, epidural anesthesia will delay rupture of fetal membranes.”
      D)
      “Given too soon, epidural anesthesia can cause fetal depression.”
    Page 1 of 11

    Exam Review

    1. A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
      A)
      Amniotic fluid in the vaginal vault
      B)
      Pain just above the navel
      C)
      Contractions every 3 to 4 min
      D)
      Cervical dilation
    2. 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)
      The nurse will initiate any prior to this test.
      B)
      The test predicts fetal well-being in the third trimester.
      C)
      The client will need to be NPD for prior to the test
      D)
      This test determines the estimated date of birth.
    3. A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?
      A)
      Caput succedaneum
      B)
      Molding
      C)
      Cephalohematoma
      D)
      Nevus flammeus
    4. A nurse is assisting with the care of a client who is multigravida and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following is the appropriate nursing response?
      A)
      Help the client to the bathroom to empty the bladder
      B)
      Assist the client to a comfortable position
      C)
      Assess the perineum for signs of crowning
      D)
      Have the client pant during the next few contractions
    Page 2 of 11

    Exam Review

    1. A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?
      A)
      Contraction resting period 35 seconds
      B)
      Four contractions in a 10-min period
      C)
      Contraction lasting 85 seconds
      D)
      Fetal heart rate 100/min for a 10-min period
    2. A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
      A)
      An external fetal monitor will be used to monitor the FHR
      B)
      The client will receive an ultrasound prior to the test.
      C)
      An IV will be initiated prior to the test.
      D)
      The client will be asked to stimulate her nipples for 5 min during the test.
    3. A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
      A)
      It can cause medication given at later stages to be ineffective.
      B)
      It will have no complications for the mother or infant.
      C)
      It may result in respiratory depression to the newborn.
      D)
      It will speed up the dilation and effacement.
    4. A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
      A)
      “A repeat cesarean section would be safer for both you and your day.”
      B)
      “The primary consideration is what type of incision you had.”
      C)
      “There are so many variables that you'll have to ask your provider.”
      D)
      “It's too soon for you to be worrying about that now.”
    Page 3 of 11

    Exam Review

    1. A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?
      A)
      Place the client in a lateral position.
      B)
      Notify the provider.
      C)
      Increase IV fluid rate.
      D)
      Elevate the legs.
    2. The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?
      A)
      Cramping and backache with light spotting
      B)
      Cervix is dilated
      C)
      Passage of all products of conception has occurred
      D)
      Fetus died in utero but is not expelled
    3. A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
      A)
      Assure the client that the score is within the expected range.
      B)
      Offer the client orange juice and repeat the assessment in 1 hour.
      C)
      Administer oxygen and notify the provider.
      D)
      Assist the client into a side-lying position.
    4. A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
      A)
      The cervix is dilated 5 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines
      B)
      The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines.
      C)
      The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is cm above the ischial spines
      D)
      The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines.
    Page 4 of 11

    Exam Review

    1. A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?
      A)
      Promoting delivery of the placenta
      B)
      Preventing the perineum from tearing
      C)
      cutting the umbilical cord
      D)
      Supporting the infant during the birth
    2. A nurse is teaching a childbirth preparation class. The group is discussing individual expressions of labor pain. What statement is accurate about a patient's expression of pain?
      A)
      It reduces the patient’s perception of pain.
      B)
      It is intensified by the vertex position of the fetus.
      C)
      It can be completely controlled by non-pharmacological techniques.
      D)
      It is influenced by culture.
    3. A nurse is assisting with the care of a client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction. Which of the following actions should the nurse take first?
      A)
      Administer oxygen using a non-rebreather mask
      B)
      Elevate the client’s legs
      C)
      Place the client in the lateral position
      D)
      Increase the rate of the maintenance IV infusion.
    4. A nurse in a provider's office is reinforcing teaching about home care with a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching?
      A)
      Limit sodium intake to 2,000 mg/day.
      B)
      Limit fluid intake to 1,000 mL/day.
      C)
      Rest in bed in the supine position.
      D)
      Perform daily fetal movement counts.
    Page 5 of 11

    Exam Review

    1. What is the least amount of sensation that one perceives as pain?
      A)
      Endurance
      B)
      Level
      C)
      Tolerance
      D)
      Threshold
    2. A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult prolonged labor?
      A)
      Maternal pelvis is gynecoid
      B)
      Fetal lie is longitudinal
      C)
      Fetal position is persistent occiput posterior
      D)
      Fetal attitude is in general flexion
    3. A nurse is caring for a client who is reporting severe pain during labor and is no longer wanting to follow their natural birth plan. Which of the following interventions should the nurse recognize as being supportive and appropriate for the partner at the bedside to take? Select all that Apply.
      A)
      Playing soothing music
      B)
      Helping with breathing techniques
      C)
      Telling the client not to take any medication.
      D)
      Giving a back massage
      E)
      Helping the client concentrate on their focal point.
      F)
      Helping the client concentrate on their focal point.
    4. A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse make?
      A)
      “We have a neonatal unit here equipped to handle emergencies.”
      B)
      “You must be feeling very scared.”
      C)
      “You are far enough along that your baby will be just fine.2
      D)
      “Everyone worries about their baby while they are in labour.”
    Page 6 of 11