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    Exam Review

    1. A nurse is caring for an antepartum client whose laboratory findings indicate a rubella titer of 1:15. Which of the following is the correct interpretation of this data?
      A)
      The client is not experiencing a rubella infection at this time.
      B)
      The client requires a rubella vaccination at this time.
      C)
      The client is immune to the rubella virus.
      D)
      The client has a mild rubella infection that doesn't require treatment.
    2. A pregnant client, at 16 weeks' gestation, has a hematocrit of 34%. Her pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?
      A)
      Because of your pregnancy, you're not making enough red blood cells.
      B)
      You're not eating enough iron-rich foods like meat.
      C)
      This change may indicate a serious problem that might harm your baby.
      D)
      Because your blood plasma volume has increased, your hematocrit count is lower.
    3. A pregnant client tells the nurse that she only eats a plant-based diet.How should the nurse counsel this client?
      A)
      It is important that we refer you to a nutritionist to discuss your eating disorder.
      B)
      Let's discuss how we can ensure adequate caloric intake and proper nutrients during your pregnancy.
      C)
      Your newborn is at high risk for developing complications.
      D)
      It is important that you incorporate meat products into your diet for protein during your pregnancy.
    4. A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.The nurse's best reply would be:
      A)
      A soft lanugo hair protects the skin from exposure to the amniotic fluid.
      B)
      We will apply cream to the baby's skin after delivery to make it smooth and soft.
      C)
      The baby's skin is covered with a protective fatty substance called vernix caseosa.
      D)
      There is a thick layer of subcutaneous fat on the baby so the water doesn't harm the skin.
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a client who is coming in for her first prenatal visit and it is estimated to be 9 weeks gestation.An ultrasound is scheduled.The nurse should explain to the client that the ultrasound is being done today to assess for which of the following?
      A)
      Chromosomal defect.
      B)
      Fetal lung maturity.
      C)
      Fetal heartbeat.
      D)
      Fetal position in utero.
    2. A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?
      A)
      During labor, I will get Zidovudine (ZVD) through my IV.
      B)
      I am planning to breast and bottle feed my baby.
      C)
      My baby will get Zidovudine (ZVD) orally right after birth for 6 weeks.
      D)
      During pregnancy, I will take my Zidovudine (ZVD) tablet at the same time every day.
    3. A nurse is caring for a client who is coming in for her first prenatal visit and it is estimated to be 9 weeks gestation.An ultrasound is scheduled.The nurse should explain to the client that the ultrasound is being done today to assess for which of the following?
      A)
      Fetal heartbeat.
      B)
      Chromosomal defect.
      C)
      Fetal lung maturity.
      D)
      Fetal position in utero.
    4. A primigravida is 18 weeks gestation and asks the nurse how long it will be until she feels the baby move.The best response by the nurse is:
      A)
      "Within the next week or so you should feel a fluttering sensation.”.
      B)
      "Some babies don't move until the sixth month of pregnancy.”.
      C)
      "The baby is moving but you can't feel it.”.
      D)
      "You should have felt the baby move by now.”. .
    Page 2 of 13

    Exam Review

    1. A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?
      A)
      Obtain the client's personal and family medical history.
      B)
      Obtain information about prior pregnancies.
      C)
      Check the client's urine with a reagent strip.
      D)
      Schedule the client for prenatal laboratory testing.
      E)
      Discuss chorionic villus sampling with the client.
    2. A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:
      A)
      Intrauterine growth restriction.
      B)
      Gestational diabetes.
      C)
      Congenital heart defects.
      D)
      Vision loss.
    3. During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking or heavy alcohol intake has on the ability to conceive.What is the nurse's best response?
      A)
      "Smoking and a large alcohol intake can affect the quantity of sperm.”.
      B)
      "Smoking or heavy alcohol use has no effect.”.
      C)
      "After your first semen analysis, we will see if there will be any difficulty.”.
      D)
      "Only if you smoke more than one pack a day will you have difficulty.”.
    4. The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?
      A)
      16 weeks.
      B)
      20 weeks.
      C)
      24 weeks.
      D)
      28 weeks.
    Page 3 of 13

    Exam Review

    1. The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:
      A)
      Increased fibrinogen and decreased fibrinolysis.
      B)
      Increased blood volume and increased cardiac output.
      C)
      Decreased hematocrit and increased red blood cell level (RBC).
      D)
      Decreased blood pressure and decreased hemoglobin.
    2. For each potential prescription from the provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
      A)
      Administer azithromycin 1 g PO one time.
      B)
      Administer ibuprofen 600 mg PO twice a day PRN pain.
      C)
      Notify all sexual partners within prior 30 days of the need for STI screening.
      D)
      Administer ceftriaxone 250 mg IM now.
      E)
      Repeat STI screening at the next prenatal visit in 1 month.
    3. A nurse is caring for a client who is in preterm labor with a current L/S ratio of 1:1. Which of the following actions should the nurse take?
      A)
      Administer betamethasone 12 mg IM.
      B)
      Prepare the client for immediate delivery.
      C)
      Administer hydralazine 25 mg IV.
      D)
      Infuse a bolus of IV fluid.
    4. The nurse is assessing a woman in early labor.While positioning her for a vaginal exam, she complains of dizziness and nausea and appears pale.Her blood pressure has dropped slightly.What is the appropriate initial nursing action?
      A)
      Call the healthcare provider.
      B)
      Elevate the head of the bed.
      C)
      Encourage deep breathing.
      D)
      Turn her to her side.
    Page 4 of 13

    Exam Review

    1. A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?
      A)
      Administer azithromycin 1 g PO one time.
      B)
      Administer ibuprofen 600 mg PO twice a day PRN pain.
      C)
      Notify all sexual partners within the prior 30 days of the need for STI screening.
      D)
      Administer ceftriaxone 250 mg IM now.
      E)
      Notify the appropriate public health agency of the positive diagnostic test results.
      F)
      Administer acyclovir 400 mg PO three times per day.
    2. A nurse is providing education to a client during her first prenatal visit.Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?
      A)
      Maintain folic acid intake of 4 mcg per day.
      B)
      Increase fluids to 8-10 (8 oz) glasses per day.
      C)
      Consume the recommended daily allowance of vitamin C (85 mg).
      D)
      Increase caloric intake by 500 calories per day.
    3. During the third trimester of pregnancy, the nurse knows that the client may be experiencing which of the following common symptoms?
      A)
      Heartburn and quickening.
      B)
      Nausea and vomiting.
      C)
      Stuffy nose and bleeding gums.
      D)
      Constipation and hemorrhoids.
    4. The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for:
      A)
      Identifying the sex of the fetus.
      B)
      Detection of metabolic disorders.
      C)
      Determining fetal lung maturity.
      D)
      Identification of abnormal fetal cells.
    Page 5 of 13

    Exam Review

    1. A nurse in a prenatal clinic is completing a skin assessment of a client who is in the third trimester.Which of the following findings should the nurse expect?
      A)
      Psoriasis.
      B)
      Jaundice.
      C)
      Erythema toxicum.
      D)
      Linea negra.
    2. A client reports that she and her husband are considering starting a family within the next year.The nurse should advise the client to increase her intake of folic acid:
      A)
      Immediately.
      B)
      One week before her period.
      C)
      When pregnancy is confirmed.
      D)
      If she misses her period.
    3. A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format E.g. "October 20"
    4. A 32 year-old G3P2 client is returning for her prenatal visit at 28 weeks.Her prenatal labs on record thus far are as follows: Type & Rh =A negative.Antibody screen normal.RPR = negative.HIV = negative.Rubella titer 1:16. Cervical smears negative for Gonorrhea & Chlamydia.Hemoglobin/hematocrit = 11.0 mg/dl and 35%. Gestational diabetes glucose challenge test (GCT) Screen 26 wks = 120.Urine analysis positive for leukocytes.Today her plan of care should include which of the following: (Select all that apply)
      A)
      Administer Rubella vaccine IM.
      B)
      Instruct client on signs and symptoms of preterm labor.
      C)
      Administer Rhogam IM.
      D)
      Obtain a clean catch urine culture.
      E)
      Order a 3-hour diagnostic glucose tolerance test.
      F)
      Administer a blood transfusion.
    Page 6 of 13