NursGuru

    Exam Review

    1. The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:
      A)
      Powers.
      B)
      Passenger.
      C)
      Pressure.
      D)
      Passageway.
    2. The slight overlapping of cranial bones or shaping of the fetal head during labor is called:
      A)
      Valsalva maneuver.
      B)
      Ferguson’s reflex.
      C)
      Lightening.
      D)
      Molding.
    3. The slight overlapping of cranial bones or shaping of the fetal head during labor is called:
      A)
      Valsalva maneuver.
      B)
      Ferguson’s reflex.
      C)
      Lightening.
      D)
      Molding.
    4. Which occurrence is related to cervical dilation and effacement?
      A)
      Bladder distention.
      B)
      False labor.
      C)
      The cervical mucus plug coming out.
      D)
      Lightening.

    Exam Review

    1. Congenital disorders refer to conditions that are present at birth. These disorders may be inherited and caused by environmental factors or maternal malnutrition. Toxic exposures have the greatest effect on development between 15 and 60 days of gestation. For the nurse to be able to conduct a complete assessment of the newly pregnant patient, she should understand the significance of exposure to known human teratogens. These include (Select all that apply.)
      (SATA)
      A)
      Drugs.
      B)
      Infections.
      C)
      Radiation.
      D)
      Maternal genetic conditions.
    2. A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:
      A)
      Within the next month, you should start to feel fluttering sensations.
      B)
      You should have felt the baby move by now.
      C)
      Some babies are quiet and you don’t feel them move.
      D)
      The baby is moving; however, you can’t feel it yet.
    3. The nurse caring for the laboring woman should know that meconium is produced by:
      A)
      Fetal intestines.
      B)
      The placenta.
      C)
      Amniotic fluid.
      D)
      Fetal kidneys.
    4. The nurse caring for the laboring woman should know that meconium is produced by:
      A)
      Fetal intestines.
      B)
      The placenta.
      C)
      Amniotic fluid.
      D)
      Fetal kidneys.

    Exam Review

    1. After the nurse completes nutritional counseling for a pregnant woman, she asks the client to repeat the instructions to assess the client’s understanding. Which statement indicates that the client understands the role of protein in her pregnancy?
      A)
      Eating protein will prevent me from becoming anemic.
      B)
      Protein will help my baby grow.
      C)
      Eating protein will prevent me from being diabetic.
      D)
      Eating protein will make my baby have strong teeth after he is born.
    2. A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?
      A)
      This ointment prevents the infant’s eyelids from sticking together and helps the infant see.
      B)
      This ophthalmic ointment prevents gonorrheal infection of the infant’s eyes, potentially acquired from the birth canal.
      C)
      Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes.
      D)
      Erythromycin ophthalmic ointment destroys an infectious exudate caused by Staphylococcus that could make the infant blind.
    3. A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2019. What is the client’s expected date of birth (EDB)?
      A)
      September 17, 2019.
      B)
      November 21, 2019.
      C)
      December 17, 2019.
      D)
      November 7, 2019.
    4. With regard to weight gain during pregnancy, the nurse should be aware of which important information?
      A)
      Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR).
      B)
      Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating.
      C)
      In pregnancy, the woman’s height is not a factor in determining her target weight.
      D)
      Obese women may have health concerns, but the risk of delivering a child with major congenital defects is the same as with women of normal weight.

    Exam Review

    1. A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?
      A)
      Call and notify the provider the patient would like to push.
      B)
      Perform a sterile vaginal exam (SVE).
      C)
      Give supportive words and care to comfort the patient during labor.
      D)
      Monitor the fetal heart rate tracing for signs of fetal intolerance to labor.
    2. Jana purchased an over-the-counter pregnancy test. The results were positive. The hormone responsible for a positive pregnancy test is:
      A)
      Testosterone.
      B)
      Progesterone.
      C)
      Human Chorionic Gonadotropin (HCG).
      D)
      Estrogen.
    3. After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?
      A)
      Continue these methods until they work again.
      B)
      Choose an alternate method of comfort promotion.
      C)
      Ask the support person to leave the room temporarily.
      D)
      Tell the client she needs to relax more.
    4. When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.
      A)
      True
      B)
      False

    Exam Review

    1. This procedure allows us to identify fetal lie, presentation, and engagement:
      A)
      X-ray.
      B)
      Robert’s Procedure.
      C)
      McRobert’s Maneuvers.
      D)
      Leopold’s Maneuvers.
    2. The nurse places a Toco (tocodynamometer) on a client admitted in early labor. The nurse explains to the client that this device provides an accurate assessment of which of the following:
      A)
      Frequency and intensity of contractions.
      B)
      Frequency and intensity of contractions.
      C)
      Uterine resting tone and hypertonus.
      D)
      Duration of contractions only.
    3. Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)
      A)
      Augmentation of labor.
      B)
      To increase prolactin receptor sites.
      C)
      Induction of labor.
      D)
      To decrease bleeding after delivery.
    4. Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply):
      A)
      Human chorionic gonadotropin (hCG).
      B)
      Testosterone.
      C)
      Insulin.
      D)
      Estrogen.
      E)
      Progesterone.

    Exam Review

    1. A pregnant woman initiated prenatal care at 12 weeks’ gestation. At that time, her hemoglobin and hematocrit were 13 gm/dL and 36%, respectively. Review her following prenatal labs at 28 weeks’ gestation: Hgb: 10.5 gm/dL Hct: 32% Blood type: B GBS: Positive Based on this data, what is the appropriate nursing action?
      A)
      Administer a Rhogam injection.
      B)
      Teach about iron-rich foods in her diet.
      C)
      Notify the midwife to start PO antibiotics to treat the GBS.
      D)
      Teach about avoiding exposure to rubella.
    2. The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?
      A)
      Perform a vaginal exam.
      B)
      Encourage the patient to push.
      C)
      Notify the MD.
      D)
      Offer the patient the bedpan.
    3. Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)
      A)
      Human chorionic gonadotropin (hCG).
      B)
      Testosterone.
      C)
      Insulin.
      D)
      Estrogen.
      E)
      Progesterone.
    4. A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?
      A)
      The bacteria cause perineal sepsis.
      B)
      The client is at risk for chorioamnionitis.
      C)
      The bacteria are sexually transmitted.
      D)
      The baby is at high risk for neonatal sepsis.