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    Exam Review

    1. A nurse is caring for a newborn client.The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.What condition does the nurse suspect?
      A)
      Hyperbilirubinemia.
      B)
      Neonatal abstinence syndrome.
      C)
      Respiratory distress syndrome.
      D)
      Necrotizing enterocolitis.
    2. A nurse is caring for a client with irregular uterine contractions that are mild to palpation.FHR is 130/min with moderate variability and accelerations noted.The client has been ambulating in the hallway, took a warm shower, and is now resting in bed.The client rates pain of contractions at 3 on a 0 to 10 scale.What potential condition does the nurse suspect?
      A)
      Umbilical cord compression.
      B)
      Dysfunctional labor.
      C)
      Chorioamnionitis.
      D)
      Iron deficiency anemia.
    3. A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?
      A)
      Monitor the newborn's blood pressure.
      B)
      Obtain blood glucose by heel stick.
      C)
      Place the newborn in a radiant warmer.
      D)
      Initiate phototherapy.
    4. A nurse is caring for four newborns in a special care nursery.Which of the following newborn assessment findings requires immediate intervention?
      A)
      Blue coloring of the hands and feet in an 8-hour-old newborn.
      B)
      Small raised pearly spots on the newborn's nose.
      C)
      Apical heart rate of 140 bpm.
      D)
      Nasal flaring and grunting.
    Page 1 of 18

    Exam Review

    1. The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment.The client is currently 9 weeks pregnant.She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate.Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks.What is her GTPAL?
      A)
      G4T1 P1 A1 L2.
      B)
      G5T2 P0 A2 L2.
      C)
      G5T1 P1 A2 L2.
      D)
      G5T1 P1 A1 L3. .
    2. You admitted a client who experienced a precipitous labor.What is the highest concern for maternal complication related to this type of labor?
      A)
      Increased risk for an operative delivery.
      B)
      Increased risk for postpartum hemorrhage (PPH).
      C)
      Decreased risk for vaginal laceration.
      D)
      Increased risk for neonatal sepsis.
    3. A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation.Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
      A)
      Severe nausea and vomiting.
      B)
      Large amount of vaginal bleeding.
      C)
      Uterine enlargement greater than expected for gestational age.
      D)
      Unilateral, cramp-like abdominal pain.
    4. A nurse is caring for a client who is on the electronic fetal monitor and the nurse notices that the client is experiencing tachysystole.Which of the following describes tachysystole?
      A)
      A reaction from an epidural.
      B)
      When the fetus's heart rate drops below baseline.
      C)
      More than five contractions in 10 minutes.
      D)
      Initiating the use of Pitocin.
    Page 2 of 18

    Exam Review

    1. A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor.The client states that she is disappointed that she did not have natural childbirth.Which of the following responses should the nurse make?
      A)
      "It sounds like you are feeling sad that things didn't go as planned.”.
      B)
      "Maybe next time you can have a vaginal delivery.”.
      C)
      "At least you know you have a healthy baby.”.
      D)
      "You can resume sexual relations sooner than if you had delivered vaginally.”.
    2. A nurse is caring for a client who is receiving intravenous magnesium sulfate for preeclampsia.Which assessment finding would alert the nurse to suspect magnesium toxicity?
      A)
      Rapid pulse.
      B)
      Tingling in toes.
      C)
      Cool skin temperature.
      D)
      Absent deep tendon reflexes.
    3. A nurse is assessing a newborn immediately following a scheduled cesarean delivery.Which of the following assessments is the nurse's priority?
      A)
      Accidental lacerations.
      B)
      Respiratory distress.
      C)
      Hypothermia.
      D)
      Acrocyanosis.
    4. A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
      A)
      "The best way to determine if your baby can hear is to clap your hands loudly and see if she startles.”
      B)
      "Look at how she looks at you when you speak. That's a good sign.”
      C)
      "We do routine hearing screenings on newborns. You'll know before you leave the hospital if additional evaluation is recommended.”.
      D)
      "There is no need to worry about that. Most forms of hearing loss are not inherited.”
    Page 3 of 18

    Exam Review

    1. A nurse is caring for a client who was just diagnosed with an ectopic pregnancy and does not require surgery.Which of the following medications can the nurse expect to administer?
      A)
      Dexamethasone.
      B)
      Clomid.
      C)
      Methotrexate.
      D)
      Progesterone.
    2. A nurse is caring for a client with a new diagnosis of a vaginal fistula.The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?
      A)
      Open heart surgery.
      B)
      Tissue trauma from childbirth.
      C)
      Diabetes mellitus.
      D)
      Preeclampsia.
    3. A nurse is assessing a client's risk of breast cancer.Which of the following would not be included in the education about risks?
      A)
      Client's sister had breast cancer.
      B)
      History of radiation exposure.
      C)
      Currently taking oral contraceptives.
      D)
      Age less than 25 years old.
    4. A nurse is assessing a newborn who was born at 42 weeks of gestation.Which of the following findings should the nurse expect?
      A)
      Copious vernix.
      B)
      Dry, cracked skin.
      C)
      Increased subcutaneous fat.
      D)
      Scant scalp hair.
    Page 4 of 18

    Exam Review

    1. A nurse is assisting a teenage client with breastfeeding.The client asks, "How will I know when to feed my baby?" The nurse educates the client on infant feeding cues.Which of the following is a newborn feeding cue?
      A)
      The baby will sneeze.
      B)
      The baby will move their legs in a bicycle motion.
      C)
      The baby will put their hand to their mouth.
      D)
      The baby will extend both arms to the side of their body.
    2. Which of the following statements about Group B Streptococcus (GBS) in pregnancy is true?
      A)
      GBS can only be transmitted to the baby during cesarean delivery.
      B)
      GBS is a common bacterium found in the vaginal flora of women and is harmless in all cases.
      C)
      Screening for GBS is typically performed at the first prenatal visit.
      D)
      Intravenous antibiotics during labor are recommended for GBS-positive mothers to prevent neonatal infection.
    3. A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.Which of the following findings should the nurse identify as the priority?
      A)
      Brisk patellar deep tendon reflexes.
      B)
      Moderate amount of lochia on the perineal pad over 2 hours.
      C)
      Fundus at level of umbilicus.
      D)
      Approximated edges of episiotomy.
    4. A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia.Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding.The nurse should suspect which of the following complications?
      A)
      Prolapsed cord.
      B)
      Abruptio placentae.
      C)
      Placenta previa.
      D)
      Incompetent cervix.
    Page 5 of 18

    Exam Review

    1. A nurse is caring for a newborn 4 hours after birth.Which of the following actions should the nurse include in the plan of care to prevent jaundice?
      A)
      Begin phototherapy.
      B)
      Suction excess mucus with a bulb syringe.
      C)
      Prepare for an exchange blood transfusion.
      D)
      Initiate early feeding.
    2. A nurse in the newborn nursery is caring for a group of newborns.Which of the following assessments requires the nurse to notify the provider?
      A)
      A newborn who is 26 hours post-delivery and has had no urine output.
      B)
      A newborn who is 18 hours post-delivery and has acrocyanosis.
      C)
      A newborn who is 24 hours post-delivery and has not passed meconium.
      D)
      A newborn who is 24 hours post-delivery and has a blood glucose of 50.
    3. A nurse is caring for a client in labor at 39 weeks of gestation.Which of the following assessment findings requires follow-up?
      A)
      Maternal blood pressure of 128/88.
      B)
      Fetal heart rate baseline of 115 bpm.
      C)
      Maternal heart rate of 128 bpm.
      D)
      Maternal respiratory rate of 18 breaths per minute.
    4. The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.
      A)
      Major differences occur within the first two weeks postpartum.
      B)
      Symptoms disappear without medical intervention.
      C)
      Unable to safely care for self and/or baby.
      D)
      May require antidepressants.
      E)
      Occurs within the first 12 months postpartum.
    Page 6 of 18