REVIEW OF QUIZZES

A patient who has just received confirmation that she is pregnant is distressed because she has a seizure disorder that she manages with Carbamazepine. Which is the nurse's greatest concern? A) Carbamazepine is teratogenic & causes neural & facial defects B) The pregnancy is likely to end with fetal demise C) The Carbamazepine may be discontinued D) The fetus will experience loss of vision & hearing

A) Carbamazepine is teratogenic & causes neural & facial defects

A patient who is pregnant does not remember the date of her last menstrual period. In which manner does the nurse expect the estimated due date (EDD) to be determined for this patient? A) Having an ultrasound exam B) Using the gestational wheel C) Asking when previous babies were born D) Obtaining a history of gestational length

A) Having an ultrasound exam

A patient is scheduled for a contract stress test (CST) at 36 weeks gestation. The nurse is aware that a successful testing is dependent upon which factor? A) Whether Braxton-Hicks contractions are occurring B) Whether uterine contractions can be stimulated C) If the fetus is in an awake cycle & active D) If the mother is not overly tired or anxious

B) Whether uterine contractions can be stimulated

An Eastern European Jewish couple has two children who died from tay-sachs disease. The couple is currently pregnant and have asked from genetic confirmation about this fetus with the intention of early termination if the fetus tests positively. For which reason does the nurse expect chorionic villus sampling to be prescribed? A) This is the only testing that is disease specific B) A positive result allows termination during the test C) A test is performed as early as 10 weeks gestation D) Risks to the mother & fetus are less than other tests

C) A test is performed as early as 10 weeks gestation

The patient in her second trimester of pregnancy is scheduled for a doppler flow studies because the HCP is concerned about an assessment finding during a routine prenatal visit. Which finding of concern does the nurse suspect? A) Fetal movement count is less than 8 per hour B) Patient shows no weight gain in 2 weeks C) Fetal growth is below expectation for gestational age D) Patient exhibits mild lower extremity edema

C) Fetal growth is below expectation for gestational age

The nurse is discussing genetically linked diseases with a couple planning a pregnancy. The female states, "I am concerned because there is a history of sickle cell disease in my family." Which information from the nurse is correct? A) The couple should not become pregnant B) Any offspring will have the disease C) The male partner needs genetic testing D) Only male children will have the disease

C) The male partner needs genetic testing

The nurse is providing care for a 45 year old woman who has just learned she is in the second trimester of pregnancy. The patient thought she was experiencing manifestations of menopause until she recognized fetal movement. Which diagnostic test does the nurse expect to be prescribed for this patient? A) Chorionic villi sampling B) Daily fetal movement count C) Ultrasonography D) Amniocentesis

D) Amniocentesis

A patient is scheduled for a transvaginal ultrasound testing. Which preparation by the nurse is appropriate? A) Place the patient on her side with a pillow beneath her head B) Request that the patient's partner leave the room C) Explain that pain at 4 or less on a scale of 0-10 is expected D) Ascertain whether the patient has a latex or banana allergy

D) Ascertain whether the patient has a latex or banana allergy

The patient is in her first trimester of her second pregnancy. The patient's first child was born with Trisomy 21. The patient is requesting testing to determine whether the current fetus has the same condition. Which initial testing does the nurse expect the HCP to prescribe? A) Magnetic resonance imaging B) Amniocentesis C) Chorionic villi sampling D) Fetal ultrasound

D) Fetal ultrasound

A patient is confirmed to be pregnant. OB history includes two sets of twins born at 30 & 32 weeks gestation respectively, a singleton birth born at 39 weeks gestation, & two pregnancies lost in the first trimester. In which way will the nurse define the patient's OB history? A) G4, T3, P2, A2, L3 B) G5, T1, P2, A2, L5 C) G6, T4, P0, A4, L3 D) G6, T1, P4, A2, L5

D) G6, T1, P4, A2, L5

A patient at 13 weeks gestation asks the nurse how her baby is nourished during pregnancy. Which information does the nurse use to explain the process to the mother? A) A mother's blood & fetus' blood mix for an exchange of nutrients B) The placenta is a special organ developed to create nutrients & oxygen C) Fetal waste products & CO2 pass through the placenta to the mother D) Glucose, amino acids, & oxygen pass through the placenta from mother to baby

D) Glucose, amino acids, & oxygen pass through the placenta from mother to baby

A patient who is at 30 weeks gestation is involved in car crash. The nurse recognizes that which initial testing will be used to assess fetal well-being? A) Fetal movement counting B) Contraction stress test C) Ultrasonography D) Non-stress testing

D) Non-stress testing

A patient at 34 weeks gestation is undergoing an ultrasound. The nurse notes that the amniotic fluid is estimated between 500-600 mL. Which deduction does the nurse make from this finding? A) Fluid is normal for gestational age B) The fetus is likely to have a cardiac defect C) Polyhydramnios has formed D) Oligohydramnios is present

D) Oligohydramnios is present

The nurse is assisting a patient who is pregnant to prepare for an MRI scheduled to assess fetal brain development. Which situation causes the nurse to notify the radiology department personnel? A) The patient has breakfast prior to arriving for the test B) The patient reports having an iodine allergy C) The patient expresses concern about pain D) The patient has a permanent body piercing

D) The patient has a permanent body piercing

The L&D nursing staff is conducting research to determine the benefits of childbirth education (CBE). Which finding does evidence based practice support? A) Women of color, younger in age, & who are multipara respond best to CBE &/or a birth plan B) Women with a previous c-section delivery are more likely to have a vaginal delivery after CBE C) Women who are considered to be at high risk had fewer complications if CBE or a birth plan was used D) Women who participated in CBE and/or had a birth plan had higher odds of vaginal delivery

D) Women who participated in CBE and/or had a birth plan had higher odds of vaginal delivery

The nurse is teaching a class about embryonic & fetal development to couples in the early stage of pregnancy. For which reason does the nurse emphasize the first 8 weeks of gestation? A) All organ systems are developing during this period B) Factors that can interrupt the pregnancy are no longer a concern C) Lack of size & movement prevents confirmation of pregnancy D) Pregnancies often abort before or at this time of development

A) All organ systems are developing during this period

The patient expresses a desire to become pregnant with a second child. The nurse notes that the patient's first child was born with a serious neural tube defect (NTD) & died of complications at 18 months of age. Which recommendation does the nurse make this client? A) Folic acid 0.6 mg/day orally 1 month before conception & throughout pregnancy B) Folic acid 4 mg/day orally started when pregnant & continued throughout C) Folic acid 4 mg/day orally 1 month before conception & continued throughout the first trimester D) Folic acid 0.4 mg/day orally started when pregnant & continued throughout

C) Folic acid 4 mg/day orally 1 month before conception & continued throughout the first trimester

A patient who is pregnant shares details of being in a physically & psychologically abusive relationship with her baby's father. Which statement by the nurse is indicative of AWHONN's standing regarding intimate partner violence (IPV)? A) Lets explore ways to protect you & stop the abuse you have been enduring B) Your partner needs to come to the office so that we can confront his behavior C) I will call a woman's shelter to make arrangements for you to move immediately D) If you are all alone, you need to make arrangements for someone to stay with you

A) Lets explore ways to protect you & stop the abuse you have been enduring