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    Exam Review

    1. A client expresses concern about teratogen exposure on fetal development. Which factor does the nurse emphasize as a priority related to the effects of teratogen exposure?
      A)
      The mother’s size.
      B)
      The timing and duration of exposure.
      C)
      The type of teratogen.
      D)
      The father’s health.
    2. A nurse is teaching a group of first-time parents. When reviewing the facts of intimate partner violence (IPV), which of the following should the nurse include in the teaching presentation?
      A)
      Intimate partner violence decreases during pregnancy.
      B)
      Intimate partner violence consists of only physical abuse.
      C)
      Intimate partner violence can include emotional, physical, and sexual abuse.
      D)
      Intimate partner violence is rare and not a common issue.
    3. The nurse is caring for a client newly diagnosed with anemia. The client has been prescribed iron supplements by their provider. What should the nurse include in education about iron supplementation?
      A)
      Take iron with milk to enhance absorption.
      B)
      Iron supplements can cause loose stools.
      C)
      Take iron with vitamin C to enhance absorption.
      D)
      Iron supplements should be taken on an empty stomach.
    4. A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?
      A)
      You will first feel your baby move in week 24 of pregnancy.
      B)
      The baby’s heartbeat can be detected by 10-12 weeks of pregnancy.
      C)
      Very fine hairs, called lanugo, cover your baby’s body by week 35 of pregnancy.
      D)
      The sex of the baby is determined by week 8 of pregnancy.
    Page 1 of 9

    Exam Review

    1. The nurse is counseling a couple who just learned their 16-week fetus tested positive for a serious genetic disorder. The couple has decided to continue the pregnancy. Which of the following actions by the nurse would be inappropriate?
      A)
      Provide additional information about the disorder.
      B)
      Refer them to a disorder-specific support group.
      C)
      Determine whether termination has been considered.
      D)
      Explain they may experience grief, which is normal.
    2. A nurse is teaching a client in her second trimester about measures to relieve heartburn during pregnancy. Which of the following measures does the nurse include in the teaching? (Select all that apply)
      (SATA)
      A)
      Lie down after meals.
      B)
      Remain upright after meals.
      C)
      Eat small, frequent meals.
      D)
      Drink 2 large glasses of water before each meal.
      E)
      Discuss antacid recommendations with the provider.
    3. A client at 34 weeks gestation is undergoing an ultrasound. The report shows the amniotic fluid volume is estimated at 1900 mL. Which deduction does the nurse make from this finding?
      A)
      Oligohydramnios is present.
      B)
      Polyhydramnios is present.
      C)
      Follow-up glucose test is warranted.
      D)
      Fluid is normal for gestational age.
    4. A nurse is caring for an antepartum client who has an infection and is receiving Vancomycin 2g in 100 mL dextrose 5% over 40 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Enter only numeric value).
      Correct Answer:150 mL/hr
    Page 2 of 9

    Exam Review

    1. A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client indicates she understood the education?
      A)
      I can have 400 mg or less of caffeine daily.
      B)
      I can have one alcoholic beverage a week.
      C)
      I should drink at least 8-10 cups of fluid each day.
      D)
      I should decrease my calcium, magnesium, iron, and vitamin D intake daily.
    2. You are reviewing medications with a client who is planning pregnancy. The client states she was diagnosed with hypertension three years ago and is taking Lisinopril daily and wants to know if it is safe to continue during pregnancy. What is the best response by the nurse?
      A)
      This is a beta blocker and is safe to continue during pregnancy.
      B)
      This is an ACE inhibitor and we will need to discuss other options that are safer in pregnancy.
      C)
      This is an ACE inhibitor and is safe to continue during pregnancy.
      D)
      This is an angiotensin II receptor blocker and is safe to continue during pregnancy.
    3. A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period began on November 15th. Which of the following is the appropriate response by the nurse?
      A)
      July 12.
      B)
      August 12.
      C)
      August 22.
      D)
      July 22.
    4. A client in the first trimester of pregnancy states, “I don’t understand how my uterus will be able to stretch to hold a full-term baby.”. Which of the following statements specifically addresses the client’s concern for the uterus?
      A)
      The uterus can increase in size by 20 times the non-pregnant uterus.
      B)
      The weight of the uterus increases from 100 g to 2,000 g during pregnancy.
      C)
      About 25% of the increased capacity of the uterus is related to uteroplacental content.
      D)
      The increase in uterus size during pregnancy is only related to amniotic fluid volume.
    Page 3 of 9

    Exam Review

    1. The nurse is reviewing the OB history of a multigravida client at her seven-week prenatal appointment. Which of the following statements would indicate that the client would benefit from genetic testing?
      A)
      My first child has blue eyes.
      B)
      My kids that were born preterm have reactive airway disease.
      C)
      My two oldest children had neonatal jaundice.
      D)
      My youngest child has Tay-Sachs Disease.
    2. A nurse is reviewing a client’s prenatal record while scheduling an induction of labor. The records indicate that the client is currently 37 weeks gestation. She has had a previous 39-week vaginal delivery of a male infant and a 35-week vaginal delivery of a male infant. What does the nurse document as the client’s GTPAL?
      A)
      G3-T1-P0-A1-L2.
      B)
      G3-T2-P0-A0-L2.
      C)
      G3-T1-P1-A0-L2.
      D)
      G2-T1-P1-A0-L2.
    3. A client is being seen at an OB clinic after a positive home pregnancy test. After completion of an intake assessment and provider physical assessment, the following findings were noted. For each sign of pregnancy below, specify if the sign is consistent with a presumptive, probable, or positive sign of pregnancy.
      A)
      Fetal cardiac activity seen on ultrasound.
      B)
      Urinary frequency.
      C)
      Chadwick’s sign.
      D)
      Breast tenderness.
      E)
      Positive pregnancy test.
    4. A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is feeling confused lately because, although she and her husband planned this pregnancy, she is not sure that she is happy about being pregnant. Which of the following is an appropriate response by the nurse?
      A)
      “Don’t worry. You will be fine once the baby is born.”.
      B)
      “Ambivalent feelings are common for women early in pregnancy.”.
      C)
      “You should be feeling happy to be bringing a new baby into your life.”.
      D)
      “Have you spoken to your mother about these feelings?”
    Page 4 of 9

    Exam Review

    1. A nurse is teaching a group of students about the ovarian cycle. Complete the following sentence using the list of options. The follicular phase is when the follicle is maturing under the influence of the _______.
      A)
      Adrenocorticotropic hormone.
      B)
      Follicle-stimulating hormone.
      C)
      Oxytocin.
      D)
      Luteinizing hormone.
      E)
      Prolactin.
    2. A nurse in labor and delivery is caring for a client who has just delivered a healthy baby boy. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
      A)
      One artery and one vein.
      B)
      Two veins and one artery.
      C)
      Two arteries and one vein.
      D)
      Two arteries and two veins.
    3. A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching?
      A)
      “If I develop striae gravidarum, I need to call my provider immediately.”.
      B)
      “My nipples and areola will become pale as my breasts enlarge.”.
      C)
      “I should begin to recognize fetal movement by 10 weeks gestation.”.
      D)
      “Some nausea and vomiting is normal, but I should call my provider if I am unable to keep food or water down.”. .
    4. A nurse is caring for a patient in the obstetric clinic that has made the difficult decision to terminate the pregnancy due to a confirmed genetic abnormality that is incompatible with life. Which of the following would be an appropriate nursing action?
      A)
      Do not provide resources right now, as it may be too overwhelming.
      B)
      Discuss the stages of grief they may experience.
      C)
      Encourage them to rethink their decision.
      D)
      Encourage the couple to not share their individual emotions with each other.
    Page 5 of 9

    Exam Review

    1. A nurse is caring for a client who is 9 weeks pregnant at her first prenatal visit. Vital signs Medical History 0900: Medical history Gravida 3 Para weeks of gestation Allergies: Penicillin Height 5 feet 4 inches, 163 cm Weight 178 lb, 80.7 kg BMI 30.6 Client reports two previous children were born vaginally and at term. Client reports, “I have had a vaginal spotting and mild abdominal cramping the last couple days”. Diagnostic tests Client reports dysuria and urinary frequency. Client reports mild nausea in the morning for the last 2-3 weeks. Abdominal enlargement is noted. Chadwick’s sign is present. (Select All that Apply.) Blood pressure Gastrointestinal complaints Lower abdominal cramping Hcg result Vaginal spotting Heart rate Time What priority information should the nurse report to the provider?
      A)
      Blood pressure.
      B)
      Gastrointestinal complaints.
      C)
      Lower abdominal cramping.
      D)
      Hcg result.
      E)
      Vaginal spotting.
      F)
      Heart rate.
      G)
      Dysuria.
    2. A nurse is caring for a client who is 9 weeks pregnant at her first prenatal visit. 0900 HR 78 bpm BP 149/91 mmHg RR 16/min Temp 98.6°F 0915 HR 80 bpm BP 140/81 mmHg RR 16/min Medical history Diagnostic tests (Select All that Apply.) Blood pressure Gastrointestinal complaints Lower abdominal cramping What priority information should the nurse report to the provider?
      A)
      Blood pressure.
      B)
      Gastrointestinal complaints.
      C)
      Lower abdominal cramping.
      D)
      Hcg result.
      E)
      Vaginal spotting.
      F)
      Heart rate.
      G)
      Dysuria.
    3. A nurse is caring for a client who is 9 weeks pregnant at her first prenatal visit. Vital signs Medical history Diagnostic tests Ultrasound report notes fetal cardiac activity at 155 bpm HcG+ Blood type A+ Hepatitis B: Non-reactive RPR: Non-reactive HIV: negative Rubella: Immune/Positive (Select All that Apply.) Blood pressure Gastrointestinal complaints Lower abdominal cramping What priority information should the nurse report to the provider?
      A)
      Blood pressure.
      B)
      Gastrointestinal complaints.
      C)
      Lower abdominal cramping.
      D)
      Hcg result.
      E)
      Vaginal spotting.
      F)
      Heart rate.
      G)
      Dysuria.
    4. A nurse is caring for a client who is 9 weeks pregnant at her first prenatal visit. Medical history Gravida 3 Para weeks of gestation Allergies: Penicillin Height 5 feet 4 inches, 163 cm Weight 178 lb, 80.7 kg BMI 30.6 Client reports two previous children were born vaginally and at term. Client reports, “I have had a vaginal spotting and mild abdominal cramping the last couple days”. Diagnostic tests Client reports dysuria and urinary frequency. Client reports mild nausea in the morning for the last 2-3 weeks. Abdominal enlargement is noted. Chadwick’s sign is present. (Select All that Apply.) Blood pressure Gastrointestinal complaints Lower abdominal cramping What priority information should the nurse report to the provider?
      A)
      Blood pressure.
      B)
      Gastrointestinal complaints.
      C)
      Lower abdominal cramping.
      D)
      Hcg result.
      E)
      Vaginal spotting.
      F)
      Heart rate.
    Page 6 of 9