Exam Review
- Which maternal laboratory test needs to be addressed in a client having an amniocentesis?A)Rubella titerB)Rh factorC)Н&НD)Blood type
- The nurse is teaching a group of pregnant clients about antenatal care. Which comment by one of the clients indicates a need for further teaching?A)“I never liked milk, but I have started adding more cheese and other dairy products to my diet.”B)“I have been walking 2 miles every day for the last 3 years, and I plan to maintain my walking during pregnancy.”C)“My husband and I used to have wine every night for dinner, now we have wine once a week.”D)“I used to douche once a week prior to pregnancy, but now I have stopped.”
- A pregnant client is 6 weeks gestation and is complaining of nausea and occasional vomiting. What would be the most helpful nursing recommendation?A)Eat smaller and more frequent mealsB)Take an antacid tablet before each mealC)Rest after each mealD)Avoid fruits and vegetables high in acid content
- The nurse is teaching a group of student nurses about labor and asks the students to choose the correct order of the cardinal movements. Select the correct order below that indicates understanding of the sequence.A)engagement, flexion, internal rotation, restitution, descent, extension, external rotation, expulsionB)engagement, flexion, descent, internal rotation, extension, restitution, external rotation, expulsionC)engagement, descent, flexion, internal rotation, extension, restitution, external rotation, expulsionD)flexion, engagement, internal rotation, external rotation, restitution, descent, extension
Exam Review
- The nurse is assessing a pregnant client and palpates the fundus at the umbilicus. In what range will her gestational age be estimated?A)12 to 14 weeksB)28 to 30 weeksC)20 to 22 weeksD)38 to 40 weeks
- The increased blood volume in pregnancy is responsible for which of the following?A)Pregnancy induced HTNB)Rise in BPC)Increase risk of DVTD)Physiologic anemia of pregnancy
- A client who is 36 weeks gestation tells the nurse that she felt dizzy while laying down for her by the doctor. The nurse recognizes that this client was probably experiencing which of the following?A)HypoglycemiaB)Vena cava syndromeC)Arise in BP due to positionD)A cardiac arrhythmia
- The nurse is assessing a pregnant client in the antepartum clinic. Which screening test to detect certain birth defect and genetic conditions would the client be scheduled for at 14-15 weeks gestation?A)Glucose challenge testB)AmniocentesisC)Alpha Fetal Protein (AFP)D)Group beta streptococcus
Exam Review
- A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse determines this sign indicates:A)A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterusB)Softening of the lower segment of the uterusC)Bluish discoloration of the cervixD)Softening of the vaginal segment of the cervix
- The nurse examines the client during the second prenatal visit. Which sign would indicate a positive pregnancy?A)An enlarged uterusB)QuickeningC)Positive pregnancy testD)Fetal heart tones
- The nurse is teaching a group of students about the function of the amniotic fluid. The nurse knows that the student needs further teaching when the student makes which of the following statements?A)It keeps the fetus at a uniform temperatureB)It cushions the movement of the fetusC)It provides important nutrients for the fetusD)It prevents fetal adherence to the amnion
- A client presents to L & D for evaluation. Upon placing her on the electronic fetal monitor (EFM), the nurse finds the fetal heart rate (FHR) to be consistently 170 to 180 bpm. What should the nurse do first?A)Apply oxygen at 10 L/min by face maskB)Prepare for cesarean deliveryC)Take the mother’s temperatureD)Apply a FSE
Exam Review
- The nurse auscultates the FHR and determine a rate of 152. Which action by the nurse is appropriate?A)Reassess the FHR in 5 minutesB)Take the client's temperatureC)Inform client that the rate is normalD)Immediately report FHR to the physician
- The nurse is admitting a client to labor and delivery who states that her membranes have ruptured. What approach would be best for the nurse to use when assessing for ruptured membranes in a patient?A)Obtain a slide sample of vaginal fluid and look for fluidB)Test the vaginal fluid with DextrostixC)Perform a VE during a contractionD)Test the vaginal fluid with Nitrizine paper
- The nurse is teaching a group of pregnant women about iron deficiency anemia. Which meal would the nurse recommend to a client who is iron deficient?A)3 ounces chicken, 1 cup com, 1 cup lettuce salad, 1 small bananaB)1 cup spaghetti with tomato sauce, 2 ounces of cheese, 1 slice French breadC)2 scrambled eggs. 1 English muffin, 1 cup orange juiceD)4 ounces roast beef, 1 slice whole grain bread, 1 cup spinach greens, 1 cup milk
- The nurse is speaking with a client who states that she has "felt the baby move". This nurse knows that this is calledA)QuickeningB)BallottementC)LighteningD)Hegars’ sign
Exam Review
- The nurse in the antepartum clinic is reviewing a client's history that states the client is a gravida 2 para 0. Which statement is the best interpretation about this client?A)She has had a spontaneous or induced abortionB)She has never been pregnant beforeC)She has had an induced abortionD)She has one living child
- A pregnant client who is due in 3 weeks tells the nurse she has shortness of breath occasionally. The nurse explains that this will decrease after the occurrence of which phenomena?A)LactationB)ContractionsC)QuickeningD)Lightening
- The nurse understands that variability in the FHR is indicative of which of the following?A)Decreased oxygenation of the placentaB)A working fetal nervous systemC)Pressure on the umbilical cordD)Fetal distress due to head compression
- The nurse working in the delivery room is asked by the client how frequent her contractions are coming. You explain the frequency of uterine contractions is determined by which of the following statements?A)Beginning of one contraction to the beginning of the next oneB)End of one contraction to the beginning of the next oneC)Peak of one contraction to the peak of the next oneD)Beginning of one contraction to the end of the next one
Exam Review
- The nurse prepares prescribed oxytocin, which is to be added to the client's IV fluid when the placenta has been delivered. The nurse determines the placenta has separated and is about to be delivered when which of the following happens?A)Abdominal wall relaxes noticeably and the cord shortensB)Uterus falls below the level of the symphysis pubis and becomes globularC)Cord lengthens outside the vagina with a gush of bloodD)Client complains of the urge to push and you see the uterus shrink
- In developing a plan of care for a client who has ruptured membranes for 24 hours, the nurse recognizes that it is essential to consider her increased risk for which of the following?A)Precipitous laborB)Supine hypotensionC)HemorrhageD)Infection
- A laboring client is to be given an epidural for pain management in labor. Prior to the procedure, the physician orders a rapid intravenous infusion of 1000 cc of Lactated Ringer's solution. Which of the following statements best describes the purpose of this treatment regimen?A)Restore fluid and electrolyte imbalance that has occurred during the labor processB)Prevent dehydration, which may result from side effects of nausea and vomitingC)Increase fetal heart rate variability prior to administering an anesthesiaD)Increase maternal blood volume to prevent hypotension
- The nurse teaches a client how to determine the duration of a contraction. Which is the correct explanation:" time the contraction from"?A)The beginning of one contraction to the end of the same contractionB)Its peak to the end of same contractionC)The end of the contraction to the end of the next contractionD)The beginning of the contraction to the peak of the next contraction