NUR 195 P1
The clinical instructor is having a discussion with her students on fetal circulation. Which of the following statements indicate understanding of the umbilical cord? * "The umbilical cord is composed of one artery and one vein." "The umbilical cord is composed of one artery and two veins." "The umbilical cord is composed of two arteries and one vein." "The umbilical cord is composed of two veins."
"The umbilical cord is composed of two arteries and one vein."
In starting a focused group discussion, Nurse Bimby wants to stress out the confidentiality of the topics that they will be discussing. Which of the following instruction convey confidentiality? * "This discussion should not only be confined within this group of people. Any information discussed should be told publicly." "This discussion should only be confined within this group of people. Any information discussed should not be told publicly." "This discussion should not be confined within this group of people. Any information discussed should not be told publicly." "This discussion should only be confined within this group of people. Any information discussed should be told publicly."
"This discussion should only be confined within this group of people. Any information discussed should not be told publicly."
When scheduling an annual pelvic examination and Pap test, the client asks if she should abstain from intercourse before the test. Which is the nurse's best response? * "No. Intercourse does not interfere with this test." "No. Intercourse can actually enhance the test results." "Yes. Avoid having intercourse for 2 hours before the test." "Yes. Avoid having intercourse for 24 hours before the test."
"Yes. Avoid having intercourse for 24 hours before the test."
The doctor ordered 1 liter of NSS to be infused over 24 hours using a a drop factor of 60 gtts/mL. You will set the flow rate at how many drops per minute to accomplish this order? * 42.66 gtts/min 40.66 gtts/min 41.66 gtts/min 42 gtts/min
42 gtts/min
The Clinical Instructor explains certain obstetrical terms to the junior students in the OB ward. Which of the following statements are correct? 1. Nidation happens in the upper third of the uterus. 2. The union of the ovum and the sperm is conception which happens in the ampulla of the fallopian tube. 3. Gametogenesis is the development of mature male gamete called egg cell. 4. Oogenesis is the development of the mature female gamete. * 1,2,3 & 4 2,3 & 4 1,3 & 4 1,2,& 4
1,2,& 4
The doctor ordered an IV of 1,000 ml of Normal Saline over 8 hours. How many ml in an hour will it consume? * 125 ml/hr 12 ml/hr 110 ml/hr 120 ml/hr
125 ml/hr
A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions? Every 5 minutes Every 30 minutes 15 minutes Every 60 minutes
15 minutes
A pregnant client will start to feel the fetus move at what age of gestation? * 6 to 8 weeks 16 to 20 weeks 10 to12 weeks 8 to 10 weeks
16 to 20 weeks
In your shift, you need to infuse 1000 mL of normal saline IV over 6 hours. How many ml per hour will it consume? * 167.66 ml/hr. 165 ml/hr. 166 ml/hr. 167 ml/hr.
167 ml/hr.
A pregnant woman asks a nurse, who is teaching a prepared childbirth class, when she should expect to feel fetal movement. The nurse responds that fetal movement. The nurse responds that fetal movement usually can be felt between which time frame? * 8 and 12 weeks of pregnancy 2 and 16 weeks of pregnancy 18 and 20 weeks of pregnancy 22 and 26 weeks of pregnancy
18 and 20 weeks of pregnancy
After endorsement you made your nurses rounds and you noticed that there's only 200 ml left to count in your patient's IV bag. The IV is infusing at 80 ml/hr. How much longer in hours will the IV run? * 1 hr an 40 mins 2 hrs and 30 mins 4o mins 2 hrs
2 hrs and 30 mins
FHR can be auscultated with a fetoscope as early as which of the following? * 5 weeks gestation 20 weeks gestation 15 weeks gestation 10 weeks gestation
20 weeks gestation
A nurse is caring for a woman with decreased fetal movement at 35 weeks gestation. Interventions have been ordered by the physician. Prioritize the prescribed interventions in the order in which they should be performed. 1.Prepare for nonstress test 2. Prepare for biophysical profile 3. Palpate for fetal movement 4. Apply and explain the external fetal monitor * 3, 4 ,1, 2. 2, 1, 4, 3. 1, 2, 3, 4. 4, 3, 2, 1.
3, 4 ,1, 2.
The doctor ordered an IV of 1000 ml of Normal Saline over 8 hours. How many drops per minute would you set the gravity IV tubing with a drip factor of 15 drops/ml? * 32 gtts/min 35 gtts/min 30 gtts/min 31 gtts/min
31 gtts/min
A nurse is assessing the fundal height for multiple pregnant clients. For which client should the nurse conclude that a fundal height measurement is most accurate? * A pregnant client with uterine fibroids. A pregnant client who is obese. A pregnant client with polyhydramnios. A pregnant client experiencing fetal movement.
A pregnant client experiencing fetal movement.
Luna, a maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to: * Anticipate all of the needs of the newborn infant Avoid the newborn infant during the first 5 minutes of crying Attend to the newborn infant immediately when crying Allow the newborn infant to signal a need
Allow the newborn infant to signal a need
The nurse measures the fundal height of a client at 20 weeks' gestation. The nurse expects to note uterine height to be: * At the level of the umbilicus At the level of the xiphoid process Halfway between the symphysis pubis and the umbilicus Slightly below the xiphoid process
At the level of the umbilicus
If a pregnant woman is at 20 weeks gestation, at what level should a clinic nurse expect to palpate the woman's uterine height? * Two finger-breadths above the symphysis pubis. Halfway between the symphysis pubis and the umbilicus. At the umbilicus. Two finger-breadths above the umbilicus.
At the umbilicus.
The rebounding of fetus on the examiner's fingers on palpation is known as: * Braxton Hicks contractions Goodell's sign Hegar's Sign Ballottement
Ballottement
It is a contractions that is barely noticeable, aid in maintaining pressure in the intervillous spaces by closing off the veins during contraction. * Uterine Perfusion Villi Braxton Hicks FSH
Braxton Hicks
In doing the hair care for the baby, the best position should be: * Put the baby's body inside the tub Place baby in a side lying position Carry the infant in football hold, facing upright Carry in infant in prone position
Carry the infant in football hold, facing upright
Mrs. Lim has missed three periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. If Mrs. Lim's last menstrual period (LMP) began on April 10, 2009, what is her estimated date of confinement (EDC)/delivery (EDD) according to Naegele's Rule? * January 3 March 17 July 3 January 17
January 17
The senior head nursing student in the maternity unit was asked to calculate the EDD of Mrs. Juan, pregnant for the second time, whose LMP is April 10, 2009. What is Mrs. Juan's EDD/EDC? January 30 January 20 January 27 January 25
January 20
Nurse Amy is a newly registered nurse. She is very warmhearted and passionate towards the children. In what nursing field can Amy work in? * Specialist care: Pallative Day care center Nursing Home Hospice Care
Day care center
A nurse is teaching a woman who wishes to travel by airplane during the first 36 weeks of her pregnancy. Which is the primary risk of air travel for this woman that the nurse should address? * Pretem labor Deep vein thrombosis Spontaneous miscarriage Nausea and vomiting
Deep vein thrombosis
A nurse is taking the health of a new, pregnant client. Which medical conditions are most likely to be risk factors for complications during pregnancy? SELECT ALL THAT APPLY. * Diabetes Previous pregnancy Controlled chronic hypertension Anemia Hemorrhage with a previous pregnancy
Diabetes Controlled chronic hypertension Anemia Hemorrhage with a previous pregnancy
What best describes the pattern of genetic transmission known as autosomal recessive inheritance? * Disorders in which a single gene controls the particular trait Disorders in which both genes of a pair must be abnormal for the disorder to be expressed Disorders in which the abnormal gene for the trait is expressed even when the other member of the pair is normal
Disorders in which both genes of a pair must be abnormal for the disorder to be expressed
What instrument is used to detect clear sounds of fetal heart rate during 5 months gestation, in which we need to auscultate it in the midline suprapubic region? Doppler ultrasound transducer Stethoscope Cardiotachometer Tocotransducer
Doppler ultrasound transducer
At this point in time the fetal heart sounds is already audible with the use of an ordinary stethoscope. * End of the month End of 2oth gestation week End of pregnancy End of 16th gestational week
End of 16th gestational week
This time when lanugo begins to diminish. * End of time End of 4oth gestational week End of 36th gestational week End of 46th gestational week
End of 36th gestational week
It is when vernix caseosa is fully formed and fingernails extend over fingertips. * End of 42nd gestational week End of 36th gestational week End of 32nd gestational week End of 4oth gestational week
End of 4oth gestational week
The Reproductive Health Bill R.A.10354 allows the Filipino people right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs but does not include the demands of responsible parenthood. * True False Partly false Partly true
False
A new pregnant client (G1P0) presents at clinic and states that she is anxious regarding her pregnancy, her prenatal care, and her labor and birth. Which teaching need is priority during the first trimester? * Sexual relations with her spouse Fetal growth and development Labor and delivery options Completion of preparations for the baby
Fetal growth and development
What event occurring in the second trimester helps the expectant mother to accept the pregnancy? * Lightening Ballotment Psuedocyesis Quickening
Quickening
Nurse Mitch is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing? * Braxton Hicks contractions Consistent increase in fundal height Fetal heart rate of 180 BPM Quickening
Fetal heart rate of 180 BPM
Which of the following is a positive sign of pregnancy? * Fetal movement felt by mother Enlargement of the uterus (+) pregnancy test (+) ultrasound
Fetal movement felt by mother
A nurse should recommend which preconceptual supplement as a preventive measure to decrease the incidence of neural tube defects? * Folic acid supplementation. Iron supplementation. Vitamin C supplementation. Vitamin B6 supplementation
Folic acid supplementation.
The hormone responsible for the maturation of the Graafian follicle is: Follicle stimulating hormone Progesterone Estrogen Testosterone
Follicle stimulating hormone
What lunar month is considered the age of gestation when sex (gender) of the fetus can be determined? * Third Fifth Fourth Second
Fourth
Which of the following findings in a women would be consistent with a pregnancy of two months duration? * Weight gain of 6-10 lbs. And the presence of striae gravidarum. Fullness of the breast and urinary frequency. Braxton Hicks contraction and quickening. Increased respiratory rate and ballottement.
Fullness of the breast and urinary frequency.
Hilda, a pregnant client is making her first Antepartum visit. She has a two year old daughters born at 40 weeks, a 6 year old daughter born at 38 weeks, and 8 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is: * G4 T3 P1 A1 L4 G5 T2 P1 A1 L4 G4 T3 P2 A1 L4 G5 T2 P2 A1 L4
G4 T3 P1 A1 L4
A nurse is caring for a 24-year-old client whose pregnancy history is as follows: elective termination in 1988, spontaneous abortion in 2001, term vaginal delivery in 2003, and currently pregnant again. Which documentation by the nurse of the client's gravity and parity is correct? * G4P1 G4P2 G3P1 G2P1
G4P1
This is to determine the length of fetus in cm. * Rule of thumb Haase's Rule Hasae's Rule Ninth Rule
Hasae's Rule
A Filipino-American registered nurse tries to speak with a Indonesian pregnant client who cannot understand the English language. To effectively communicate to a client with a different language, which of the following should the nurse implement? * Speak very slow. Speak loudly and closely to the client. Speak to the client and family together. Have an interpreter to translate.
Have an interpreter to translate.
Nurse Roxy is child care health consultant and is working in different day care centers. Child care health consultants are professionals who: (Select all that apply) * Keep track of the records for children and young adults Know about child health, child development, and health and safety in child care settings Promote healthy and safe environments for the elderly Help create environments that best support the healthy growth and development of young children.
Help create environments that best support the healthy growth and development of young children.
Various biological and psychosocial theories have been proposed regarding homosexuality. Which etiological factor has emerged consistently? * Homosexual behavior has no definitive etiological evidence supporting either biologic or psychosocial Homosexual behavior is the result of negative Oedipal position. Homosexual behavior is based on the orientation of the individual. Homosexual behavior is an individual preference
Homosexual behavior has no definitive etiological evidence
The hormone responsible for a positive pregnancy test is: * Estrogen Progesterone Human Chorionic Gonadotropin Follicle Stimulating Hormone
Human Chorionic Gonadotropin
What are some theories about the initiation of labor? Select that all apply: An increase in uterine sensitivity to prostaglandin Decrease in progesterone Increased synthesis of prostaglandin An increase in cervical sensitivity to oxytocin An Increase in pituitary output of oxytocin An increase in uterine sensitivity to oxytocin
Increased synthesis of prostaglandin
There is an increase in frequency of urination or sciatic pain(pain across her buttock radiating down her leg) from the lowered fetal position. * Rupture of Membranes Lightening Show Uterine contractions
Lightening
Mrs. Wright at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates: * Meconium is present in the amniotic fluid. Lung maturity. The fetus is at risk for Down syndrome. The woman is at high risk for developing preterm labor.
Lung maturity.
A nurse is caring for a 32-week-pregnant client. The client asks how the nurse will monitor the baby's growth and determine if the baby is "really okay." Based on current evidence, during the third trimester, which assessment should the nurse perform to evaluate the fetus for adequate growth and viability? * Auscultate maternal heart tones. Measure fundal height. Measure the woman's abdominal girth. Complete a third-trimester ultrasound
Measure fundal height.
A woman presents with vaginal bleeding at 7 weeks. What is the primary nursing intervention for a woman who is bleeding during the first trimester? * Monitor vital signs. Prepare equipment for examination. Have oxygen available. Assess family's response to the situation.
Monitor vital signs.
A nurse is assessing a prenatal client. Which findings should be most concerning to the nurse? Prioritize the nurse's assessment findings at the first prenatal visit from the most significant finding to the least significant finding. * 2, 4, 3, 1. 1, 3, 4, 2. 1, 2, 3, 4. 4, 2, 3, 4.
NS
This used to measure the response of the FHR to fetal movement * Fetal heart rate Cardiff method Non-stress test Sandovsky method
Non-stress test
The Clinical Instructor is discussing with the nursing students the differences between the male and female reproductive organs, emphasizing the organs / parts that are analogous; which is INCORRECT? * Spermatocytogenesis-oogenesis Penis-vagina Scrotum - labia majora Glans penis-clitoris
Penis-vagina
You performed Leopold's maneuver and found the following: breech presentation. Fetal back at the right side of the mother. Based on these findings. You can hear the fetal heart beat (PMI) BEST in which location? * Left lower quadrant Right lower quadrant Left upper quadrant Right upper vertex
Right lower quadrant
All are vertex fetal presentation except: * Right occipitoanterior Left occipitoanterior Right mentoanterior Right occipitoposterior Right occipitotransvere
Right mentoanterior
During which of the following stages of labor would the nurse assess "crowning"? * Second stage First stage Third stage Fourth stage
Second stage
A first-trimester pregnant woman asks a nurse if the activities in which she participates are safe in the first trimester. Which activity should the nurse verify as a safe activity during the client's first trimester? * Hair coloring Hot tub use Sauna use Sexual activity
Sexual activity
A woman could only give birth in an alternative birthing center if: * She does not have any complications with her pregnancy. She has a complicated pregnancy. She does not have the funds to give birth at a hospital. Her location is far from a hospital.
She does not have any complications with her pregnancy.
his consists of a mucous, often blood-streaked vaginal discharge & indicates the beginning of cervical dilatation * Uterine contractions Lightening Rupture of membranes Show
Show
Which universal screenings should a nurse complete during the initial prenatal visit? SELECT ALL THAT APPLY. * Taking the blood pressure. Testing the urine for protein. Testing the urine for glucose. Screening for domestic violence. Screening for smoking.
Taking the blood pressure Screening for domestic violence. Screening for smoking.
In the later part of the 3rd trimester. The mother may experience shortness of breath. This compliant maybe explained as: * A normal occurrence in pregnancy because the fetus is using more oxygen. The fundus of the uterus is high pushing the diaphragm upwards. The woman is having allergic reaction to the pregnancy and its hormones. The woman maybe experiencing complication of pregnancy.
The fundus of the uterus is high pushing the diaphragm upwards
In Leopold's maneuver step #1. You palpated a soft. Broad mass that moves with the rest of the mass. The correct interpretation of this finding is: * The mass palpated at the fundal part is the head part. The presentation is breech. The mass palpated is the back. The mass palpated is the buttocks.
The mass palpated is the buttocks.
In Leopold's maneuver step # 3 you palpated a hard round mass at the supra pubic area. The correct interpretation is that the mass palpated is: * The buttocks because the presentation is breech. The mass palpated is the head. The mass is the fetal back. The mass palpated is the small fetal part.
The mass palpated is the head.
Why should a couple plan their birth setting in advance? * To give the couple a sense of control over the experience. To determine if the woman is allowed to give birth at any birth setting provided that she has no complications. To avoid cramming over last minute decisions. To provide more choices on the birth setting.
To determine if the woman is allowed to give birth at any birth setting provided that she has no complications.
This refers to a disease that results from infection with the toxoplasma gondii parasite. * Toxoplasmosis Cytomegalovirus Rubella HIV
Toxoplasmosis
The most common normal position of the fetus in utero is: * Transverse position Vertical position Oblique position None of the above
Transverse position
A laboring client is experiencing dyspnea, diaphoresis, tachycardia, and hypotension. A nurse suspects aortocaval compression. Which intervention should the nurse implement immediately? * 0/1 Turning the client onto her left side Turning the client onto her right side Positioning the bed in reverse Trendelenburg's Positioning the client in a supine position
Turning the client onto her left side
A nurse is assessing a laboring client who is morbidly obese. The nurse is unable to determine the fetal position. Which is the most accurate method of determining fetal position in this client? * Inspection of the fetal abdomen Palpation of the abdomen Vaginal examination Ultrasound
Ultrasound
It is when true labor starts in the back & sweep forward across the abdomen like the tightening of a band * Show Uterine contractions Rupture of membranes Lightening
Uterine contractions
The nurse is conducting a reproductive assessment of a postmenopausal woman. Which assessment finding reported by the client requires immediate intervention by the nurse? * Urinary incontinence Painful intercourse Vaginal dryness Returning periods
Vaginal dryness
Nurse Mimi is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to: Wash the nipples and areola area daily with soap, and massage the breasts with lotion. Wear tight-fitting blouses or dresses to provide support Wash the breasts with warm water and keep them dry Avoid wearing a bra
Wash the breasts with warm water and keep them dry
It is a gelatinous mucopolysaccharide which gives the cord body & prevents pressure on the Blood volume. * Bartholin's gland Whaleton's Jelly Amniotic fluid Wharton's Jelly
Wharton's Jelly
In giving an infant bath, the water must be pleasantly warm this means that water temperature is * approximately 37 to 38 degree Celsius approximately 30 degree Celsius approximately 35 to 36 degree Celsius approximately 36 to 37 degree Celsius
approximately 37 to 38 degree Celsius
In performing perineal preparation the best position for your patient will be? * prone position Trendelenburg position lithotomy position fowler's position
lithotomy position
Which of the following statements best describes the relationship between biologic sex and gender identity? * biologic sex and gender identity are considered synonyms in nursing practice biologic sex and gender identity are both modifiable by surgery and medical interventions sex is chromosomally determined, while gender is a psychosocial construct biologic sex is genetically determined but gender identity is chosen during adolescence
sex is chromosomally determined, while gender is a psychosocial construct
In performing Leopold's maneuver, how will you ensure that your hand are not cold? * warm hands by rubbing together use candle light to warm hands drink hot coffee submerge your hands into a hot water
warm hands by rubbing together
In checking for the water temperature, what part of your body will you use? (select all that apply) * index finger wrist elbow thumb
wrist elbow