HIII

A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months. She can expect the following advice: a. "Discontinue all contraception now." b. "Lose weight so that you can gain more during pregnancy." c. "You may take any medications you have been taking regularly." d. "Make sure you include adequate folic acid in your diet."

"Make sure you include adequate folic acid in your diet."

a woman has a history of 28 day menstrual cycle. on what day of the cycle would ovulation be expected to occur a. day 8 or 9 b. day 11 or 12 c. day 14 or 15 d. day 20 or 21

14

a woman is undergoing a breast exam during her well woman visit. her care provider palpates a firm, rubbery, non tender, well delineated 2cm lump in her left breast. the care provider believes it to be a fibroadenoma. which of the following ages is a fibroadenoma found more commonly? a. 48 b. 62 c. 57 d. 24

24

Jennifer is currently 39 weeks when she arrives to your LND unit for evaluation of labor. You take an obstacle history using the GTPAL format. She tells you her following history: her first pregnancy ended in miscarriage at 10 weeks, her second baby was still born at 21 weeks, her third pregnancy resulted in twins at 36+1 weeks born alive. And now she is exhibiting signs of labor in this current pregnancy. Given that history how would you record her GTPAL a. 4,1,1,1,1 b. 2,0,2,1,1 c. 3,0,2,1,2 d. 4,0,2,1,2

4,1,1,1,1

Diane is currently pregnant, she has a five-year-old daughter who is born at 38 weeks and a three-year-old daughter born six weeks early. She had a spontaneous abortion at eight weeks. Using the GTPAL format, record her obsterical history a. 31113 b. 41112 c. 41202 d. 31202

41112

infections of the female reproductive tract such as chlamydia are dangerous primarily because these infections:

Are asymptomatic or silent

With regard to the structure and function of the placenta, the maternity nurse should be aware that: a. As the placenta widens, it gradually thins to allow easier passage of air and nutrients b. As one of its early functions, the placenta acts as an endocrine gland c. The placenta is able to keep out most potentially toxic substances, such as cigarette smoke, to which the mother is exposed d. Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing

As one of its early functions, the placenta acts as an endocrine gland.

A pictorial tool that can assist the nurse in assessing aspects of family life related to healthcare is the a. human development wheel b. lifecycle model c. Genogram d. Family values construct

Genogram

A patients last menstrual period Was August 22. Calculate her estimated due date a. May 15th b. November 15th c. May 29th D. November 28th

May 29th add 7 days + 9 months

A patient is undergoing percutaneous umbilical blood sampling (PUBS). what is the best intervention for the nurse to perform after conducting the test a. elevate the patient's head of the bed to a 60° angle b. Monitor the fetal heart rate. c. check the patient's blood glucose levels d. Get fluids to the patient frequently

Monitor the fetal heart rate.

why is appendicitis more difficult to diagnose during pregnancy? a. The appendix is displaced high and to the right. b. The appendix is displaced upward and laterally, high and to the left. c. The appendix is deep at the McBurney's point. d. The appendix is displaced downward and laterally, low and to the right.

The appendix is displaced high and to the right.

The nurse suspects that a client who comes to the maternity clinic for a pregnancy test is in an abusive relationship. The nurse includes the abuse assessment screen as part of the assessment. Although the woman was very emotional and hesitant in responding to the questions, verbally she denied abuse as being a problem. While waiting for the results of the pregnancy test, the nurse decides to teach the client about partner abuse anyway. The rationale for the nurses decision is that all women should be informed about a. women's legal right not to be controlled by men b. The nurses ethical responsibility to protect clients c. the masochistic nature of women who stay in abusive relationships d. The cycle of violence, which continues and escalates over time once it begins

The cycle of violence, which continues and escalates over time once it begins

The nurse understands that a client is demonstrating probable signs of pregnancy one which of the following signs are observed by a primary care provider a. goodell's sign b. hegars sign c. all the above d. chadwhick sign

all the above

both members of an expectant couple are carriers for cystic fibrosis. In counseling them about the rest to their newborn children, you should tell them that with each pregnancy there is a 25% chance of having a child affected with the disease. This is what kind of inherited disorder a. x linked recessive b. x linked dominant c. an autosomal recessive d. an autosomal dominant

an autosomal recessive

a 33 week pregnant patient arrives to your clinical for her scheduled visit. You take her vitals and find that her temp is 98.9, pulse is 87, RR is 16, and blood pressure is 133/90. she does not have any documented history of previously elevated blood pressure. what is the next action? a. assess for any other symptoms and tell her to schedule follow up in 4 weeks b. assure the patient this is normal. with all of the extra blood volume you may expect a slightly elevated BP c. reassess the blood pressure in 5-10 minutes and alert the provider d. assess further for an infectious process

assure the patient this is normal. with all of the extra blood volume you may expect a slightly elevated BP or reassess the blood pressure in 5-10 minutes and alert the provider??

A pregnant clients mother is worried that her daughter is not "big enough" for the number of weeks of gestation. The nurse measures the fundal height. Where should the top of the fundus be located for this patient if she is actually 20 weeks pregnant a. above the symphysis pubis b. at the midpoint between the symphysis pubis and umbilicus c. at the umbilicus d. at the midpoint between the umbilicus and the xiphoid process

at the umbilicus

in working with expectant fathers, it is important for the nurse to remember a. the fathers relationship with his own mother may influence his ability to parent b. father-to-be need as much advice and reassurance as mothers do c. reality boosters are a way to prepare the father for the delivery process d. the most fathers-to-be are not interested in the pregnancy

b or c??

on vaginal examination of a 30 year old woman, the nurse documents the following findings: profuse, thin, grayish, white vaginal discharge with a "fish" odor, no complaints of itching. on the basis of these findings, the nurse suspects this woman has: a. trichomonas b. gonorrhea c. candida d. bacterial vaginosis

bacterial vaginosis

which of the following findings in an 8-week gestation client, should the nurse highlight for the provider as a concern a. blood pressure of 100/60 b. hematocrit of 36 c. hemoglobin of 13.1 d. body mass index of 17

body mass index of 17 The BMI of 17 is of concern. This client is entering her pregnancy underweight

The body part that those protects the pelvic structures and accommodates the growing fetus during pregnancy is called the a. four here b. bony pelvis c. vagunal bestibule d. perineum

bony pelvis

Mutations in the BRCA1 or BRCA2 genes are thought to be responsible for a. breast cancer b. cystic fibrosis c. endometriosis d. cystocele

breast cancer

a 31-year-old woman has been diagnosed with endometriosis. in teaching the woman about clinical manifestations of endometriosis, it a. can cause painful sexual intercourse and menses b. can cause N & V c. can cause amenorrhea d. can cause epigastric pain

can cause painful sexual intercourse and menses

in teaching a client to deal with symptoms of PMS, the nurse should stress that the client should a. decrease her fluid intake to prevent fluid retention b. drink a small glass of wine with her evening meal c. decrease her consumption of caffeine d. eat three large meals a day to maintain glucose levels

decrease her consumption of caffeine

In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the: a. Mother's age. b. Number of years since diabetes was diagnosed. c. Amount of insulin required prenatally. d. Degree of glycemic control during pregnancy.

degree of glycemic control during pregnancy.

physiologic anemia often occurs late in the second trimester of pregnancy as a result of a. in adequate iron intake b. dilution of hemoglobin concentration c. The fetus establishing iron stores d. decrease production of erythrocytes

dilution of hemoglobin concentration

which two main hormones are responsible for repairing the endometrium to receive a fertilized ovum for implantation and sustaining the pregnancy a. follicle-stimulating hormone and luteinizing hormone secreted by there grafian follicles b. estrogen and progesterone secreted by the corpus luteum c. follicle-stimulating hormone and gonadotropin releasing hormone secreted by the hypothalamus d. chorionic gonadotropin secreted by the fertilized ovum

estrogen and progesterone secreted by the corpus luteum

in the first trimester, ultrasonography can be used to gain information on: a. Amniotic fluid volume. b. gestational age of fetus c. Placental location and maturity. d. Cervical length

gestational age of fetus

While the vital signs of a supine pregnant woman in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated.Well the vital signs of a supine pregnant woman in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? A. apply oxygen, monitor fetal heart rate and right retake blood pressure in five minutes B. assist patient to stand up and hold her arm in a dependent position to recheck her blood pressure C. Have the patient lie supine for five more minutes then recheck her blood pressure on both arms D. have the patient turned or left side and recheck her blood pressure in five minutes

have the patient turned or left side and recheck her blood pressure in five minutes

a nurse is working in a prenatal clinical. which of the following finding seen in a 3rd trimester pregnant patient is not considered a normal finding and would warrant further assessment/intervention: a. headache b. hyper-pigmentation on face c. lordosis d. hemorrhoids

lordosis??

A prenatal nurse recommends folic acid supplements to a client who is of child bearing age. which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency a. Poor bone formation b. Macrosomic fetus c. neural tube defect's d. Iron deficiency anemia

neural tube defect's

a recommended medication effective in the treatment of syphilis is which of the following? a. metronidazole b. azithromycin c. penicillin d. acyclovir

penicillin

a woman at 32 weeks of gestation comes to the emergency department because she has begun to experience painless bright red vaginal bleeding. the admitting nurses suspects: a. placenta previa b. uterine rupture c. disseminated intravascular coagulation d. preterm labor

placenta previa

what condition is the pregnant patient in the third trimester of the pregnancy at risk for if having severe vomiting, headaches, epigastric pain, muscular irritability, and swelling of the fingers a. hyperemesis gravidarum b. fetal Jeopardy c. preeclampsia d. placenta previa

preeclampsia

M.J. is experiencing nausea and amenorrhea for the past 6 weeks. These symptoms represent which of the following a. presumptive indications of pregnancy b. positive indications of pregnancy c. possible indications of pregnancy d. probable indications of pregnancy

presumptive indications of pregnancy

a finding associated with HSV infection includes which of the following a. yellow to green frothy malodorous discharge b. vesicles progressing to pustules and then to ulcers c. soft papillary swelling occurring singly or in a cluster d. white curlicue adherent discharge

vesicles progressing to pustules and then to ulcers

if female carries the gene for hemophilia. Hemophilia is an example of which genetic disorder? a. autosomal dominant disorder b. x linked dominant disorder c. autosomal recessive disorder d. x linked recessive disorder

x linked recessive disorder

a woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about combined birth control pills as a contraceptive choice. the nurses most appropriate response would be:

your current medications will reduce the effectiveness of the pill