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    Exam Review

    1. Which of the following statements are correct regarding protein intake in pregnancy? Select two.
      (SATA)
      A)
      Clients should consume calcium to aid in protein absorption.
      B)
      Vegan clients can obtain protein from nuts, seeds, beans, lentils, and soy milk.
      C)
      Protein assists with bone and teeth formation.
      D)
      Protein deficiency can lead to neural tube defects.
      E)
      Protein is essential for basic growth of the fetus.
    2. Which of the following are potential signs or indicators of human trafficking that a client may exhibit? Select three that apply.
      (SATA)
      A)
      There is no opportunity to speak to the client alone without someone present.
      B)
      The client has tattoos, piercings, and uses marijuana.
      C)
      The client lives with their employer and does not possess their license or passport.
      D)
      The client is alone and has no support system present.
      E)
      The client lives alone and outside of the city area.
      F)
      The client supplies answers to Questions that appear scripted or rehearsed.
    3. The nurse is caring for a term client in labor receiving oxytocin to induce contractions and notes 6 contractions in a 10-minute period. The nurse palpates the resting tone and notes it to be non-relaxed. What is the next intervention the nurse could perform?
      A)
      Notify the provider stat for a bedside consult.
      B)
      Decrease the oxytocin rate on the pump by half.
      C)
      Prepare the room for impending delivery of the fetus.
      D)
      Place oxygen via a non-rebreather at 10L/min.
    4. A client presents in the second trimester with polyhydramnios. Which of the following is a cause of polyhydramnios?
      A)
      Intrauterine growth restriction.
      B)
      Maternal diabetes mellitus.
      C)
      Dehydration.
      D)
      Chronic hypertension.
    Page 1 of 13

    Exam Review

    1. The nurse's assessment of a positive Goodell's sign and a positive urine pregnancy test are examples of what type of sign?
      A)
      Probable.
      B)
      Positive.
      C)
      Presumptive.
      D)
      Indeterminate.
    2. A nurse is providing teaching regarding the expected physiological and psychosocial changes to a client in the first trimester. Select the appropriate nursing interventions for a client experiencing body image concerns related to pregnancy. Select two options.
      (SATA)
      A)
      Dismiss the concern as a normal finding.
      B)
      Explain that most women return to normal by 6 months.
      C)
      Advise her that applying lotion will prevent her from getting stretch marks.
      D)
      Acknowledge the concern and encourage sharing.
      E)
      Refer the client for counseling resources.
    3. A nurse is providing prenatal education to a client in the first trimester regarding the prevention of neural tube defects. The client expresses difficulty taking pills and vitamins and currently takes only a chewable multivitamin. Which supplement is the most important for the client to take?
      A)
      Calcium.
      B)
      Iron.
      C)
      Folic Acid.
      D)
      Magnesium.
    4. A provider orders intravenous pain medication for a pregnant client who is now requesting pain medication due to kidney stones. Order: Hydromorphone 1.5 mg IV push every 4 hours as needed for pain. The only available concentration in the pyxis is 4 mg per 1 ml. How many milliliters should the nurse administer? Round to the tenths place. Enter numeric value only.
      Correct Answer:0.4 m
    Page 2 of 13

    Exam Review

    1. Swelling of the lower extremities, vulva, and rectum during pregnancy is caused by changes in Calcium and Potassium levels.
      (SATA)
      A)
      True.
      B)
      False.
      C)
      The swelling is caused by increased fluid retention and pressure on veins.
      D)
      The swelling is caused by a decrease in blood volume.
    2. A pescatarian client presents to the clinic at her 12 week appointment and asks regarding fish consumption during pregnancy. Which education is correct? Select two that apply.
      (SATA)
      A)
      Raw sushi is considered high mercury and should be avoided.
      B)
      Avoid moderate to high mercury fish, such as shark or swordfish.
      C)
      Canned tuna is considered a high mercury fish and should be avoided.
      D)
      12 oz of fish (salmon, canned tuna) per week is fine during pregnancy.
    3. Which of the following statements about the placenta, umbilical cord, and amniotic fluid is correct?
      A)
      Amniotic fluid is produced by the umbilical cord and surrounds the fetus, providing cushioning and facilitating movement.
      B)
      The umbilical cord contains one artery and two veins that connect the fetus to the placenta.
      C)
      The placenta provides oxygen and nutrients to the fetus and removes waste products from the fetus's blood.
      D)
      The placental bed is where maternal blood and fetal blood mix to provide oxygenated blood to the fetus and get rid of fetal waste.
    4. During pregnancy, what is the expected change in white blood cell count?
      A)
      There is no change in the white blood cell count.
      B)
      The white blood cell count changes throughout pregnancy.
      C)
      There is a slight decrease in the white blood cell count.
      D)
      There is a slight increase in the white blood cell count.
    Page 3 of 13

    Exam Review

    1. The nurse understands that 1 in 10 women experience abuse during pregnancy and could have coexisting symptoms, such as:
      A)
      Excessive weight gain.
      B)
      Regular prenatal care.
      C)
      Depression.
      D)
      Lack of prenatal care.
    2. A nurse is providing teaching regarding the expected physiological and psychosocial changes to a client in the first trimester. Select the appropriate nursing interventions for a client experiencing body image concerns related to pregnancy.
      A)
      Dismiss the concern as a normal finding.
      B)
      Explain that most women return to normal by 6 months.
      C)
      Advise her that applying lotion will prevent her from getting stretch marks.
      D)
      Acknowledge the concern and encourage sharing.
      E)
      Refer the client for counseling resources.
    3. A provider orders IV pain medication for your pregnant client, who is now requesting pain medication due to kidney stones. The order is Hydromorphone 1.5 mg IV push every 4 hours as needed for pain. The only available concentration in the pyxis is 4 mg per 1 mL. How many milliliters should the nurse administer? Round to the tenths place.
    4. A nurse is ordered to administer 750 mL of IV fluid over 6 hours. The IV tubing has a drop factor of 20 drops per mL. How many drops per minute should the nurse set the IV flow rate to deliver the correct amount? Round to the nearest whole number. Enter numeric value only.
    Page 4 of 13

    Exam Review

    1. Which of the following are appropriate instructions for a pregnant client on how to perform fetal kick counts?
      A)
      Count the number of fetal movements for 2 hours, preferably after a meal or when the baby is most active.
      B)
      Count fetal movements for a total of 5 minutes at a time, ensuring that the count is completed within a single session.
      C)
      Record the kicks in a daily log and report any significant decrease in movements to the healthcare provider.
      D)
      Begin counting movements at the same time each day to maintain consistency in tracking.
      E)
      Perform the kick count in a standing position to maximize the chance of feeling movements.
      F)
      Begin fetal kick counts at 15 weeks.
    2. What does a reactive Non-Stress Test (NST) of a 34-week fetus indicate?
      A)
      The fetal heart rate has demonstrated at least two accelerations of 15 beats per minute above the baseline, each lasting 15 seconds, within a 20-minute timeframe.
      B)
      The fetal heart rate demonstrates that the fetus is receiving insufficient oxygen and is in distress.
      C)
      The fetal heart rate has demonstrated at least two accelerations of 10 beats per minute above the baseline, each lasting 10 seconds, within a 20-minute timeframe.
      D)
      The fetal heart rate shows a significant decrease in response to uterine contractions.
    3. Which of the following is the most effective intervention to reduce the risk of neonatal HSV transmission if Lucille has active genital lesions at the time of labor?
      A)
      Cesarean section.
      B)
      Early induction of labor.
      C)
      Delaying delivery until the lesions resolve.
      D)
      Vaginal delivery with antiviral medication.
    4. Which of the following are appropriate instructions for a pregnant client on how to perform fetal kick counts?
      A)
      Count the number of fetal movements for 2 hours, preferably after a meal or when the baby is most active.
      B)
      Count fetal movements for a total of 5 minutes at a time, ensuring that the count is completed within a single session.
      C)
      Record the kicks in a daily log and report any significant decrease in movements to the healthcare provider.
      D)
      Begin counting movements at the same time each day to maintain consistency in tracking.
      E)
      Perform the kick count in a standing position to maximize the chance of feeling movements.
      F)
      Begin fetal kick counts at 15 weeks.
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a client and has suspicions of intimate partner violence based on her observations. Which of the following is the most appropriate nursing intervention?
      A)
      Ask direct Questions, while providing empathy, respect, and privacy.
      B)
      Document what you think is going on in great detail in the EHR.
      C)
      Ensure that all unit personnel are informed of your suspicions.
      D)
      Avoid assessing for suicide risk to prevent upsetting the client.
    2. A client at 37 weeks is scheduled to undergo a contraction stress test (CST) after receiving a 6/8 on the biophysical profile (BPP). The nurse notes the client has a history of which is a contraindication for the CST.
      A)
      Decreased fetal movement.
      B)
      Gestational diabetes.
      C)
      Oligohydramnios.
      D)
      Previous C-section with classical incision.
    3. A nurse is providing education regarding abnormal signs and symptoms of pregnancy at the client's 20 week appointment. Which of the following education topics should the nurse include in their teaching?
      A)
      Report weight gain of 1 pound per week.
      B)
      Urinary frequency is normal and should only be reported if you have burning.
      C)
      Report any increase in vaginal discharge or leaking of fluid.
      D)
      Only report severe nausea and vomiting if it lasts longer than 7 days.
    4. Which statement about Rubella in pregnancy is true?
      A)
      If a mom is Rubella equivocal or non-immune, she should be vaccinated during pregnancy.
      B)
      Rubella does not pass through the placenta, so there are no fetal concerns of transmission.
      C)
      Rubella is known as German measles and affects fetal brain and heart development if contracted during pregnancy.
      D)
      Rubella is part of the Tdap vaccine and most women have been vaccinated during pregnancy.
    Page 6 of 13