exam 4 practice questions

A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? A. "It is normal to have a white vaginal discharge." B. "I should recognize fetal movement by 12 weeks." C. "I will take fluid pills if my ankles begin to swell." D. "My nipples and areolae will become pale as my breasts enlarge."

A

WHEN MEASURING THE FUNDAL HEIGHT OF A CLIENT AT 20 WEEKS' GESTATION, THE NURSE WILL LOCATE THE FUNDAL HEIGHT AT WHICH OF THE FOLLOWING POINTS? A. Halfway between the client's symphysis pubis and umbilicus. B. At about the level of the client's umbilicus. C. Between the client's umbilicus and xiphoid process. D. Near the client's xiphoid process and compressing the diaphragm.

B

A 36-YEAR-OLD CLIENT AT 22 WEEKS' GESTATION WITHOUT ANY COMPLICATIONS TO DATE IS BEING SEEN IN THE CLINIC FOR A ROUTINE VISIT. THE NURSE SHOULD ASSESS THE CLIENT'S FUNDAL HEIGHT TO: A. Determine the level of uterine activity. B. Identify the need for increased weight gain. C. Assess the location of the placenta. D. Estimate the fetal growth.

D

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus? A. 3 cm above the umbilicus B. Slightly above the umbilicus C. Slightly below the umbilicus D. 3 cm below the umbilicus

B

The nurse is caring for a pregnant client who expresses concern about the older siblings adjusting to the baby. Which response by the nurse will help promote the older siblings' acceptance of the baby? A. "It is important you spend time with your older children before the baby is born." B. "You are welcome to bring your children to your prenatal appointment." C. "Make sure you give them extra attention after the baby is born." D. "They will most likely get used to the new baby after the birth."

B

A NEWLY DIAGNOSED PREGNANT CLIENT TELLS THE NURSE, "IF I'M GOING TO HAVE ALL THESE DISCOMFORTS, I'M NOT SURE I WANT TO BE PREGNANT!" THE NURSE INTERPRETS THE CLIENT'S STATEMENT AS AN INDICATION OF WHICH OF THE FOLLOWING? A. Fear of pregnancy. B. Rejection of the pregnancy. C. Normal ambivalence. D. Inability to care for the newborn.

C

A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse that she felt fluttering movementsin her abdomen 3 days ago. The nurse should interpret this finding as which of the following? A. Ballottement B. Lightening C. Quickening D. Chloasma

C

in a prenatal clinical is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply) A. Eczema B. Psoriasis C. Linea Nigra D. Chloasma E. Striae gravidarum

C, D, E

A nurse is caring for a client in active labor. Which priority action should the nurse perform to prevent fetal heart rate decelerations? A. Prepare the client of a cesarean delivery. B. Monitor the fetal heart rate every 30 minutes. C. Increase the rate of oxytocin (Pitocin) infusion. D. Encourage upright or side-lying maternal positions.

D

A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with minimal variability and no accelerations. There are 2 decelerations of 15/min in the fetal heart rate during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make? A. A negative test B. A nonreactive test C. A positive test D. A reactive test

B

A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods? A. Milk and cheese. B. Red meats and organ meat. C. Fresh fruits. D. Whole grain breads.

B

ASSESSMENT OF A CLIENT IN ACTIVE LABOR WHO HAS HAD NO ANALGESIA OR ANESTHESIA REVEALS COMPLETE CERVICAL EFFACEMENT, DILATION OF 8 CM AND THE FETUS AT 0 STATION. THE NURSE SHOULD EXPECT THE CLIENT TO EXHIBIT WHICH OF THE FOLLOWING BEHAVIORS DURING THIS PHASE OF LABOR? A. Excitement B. Loss of control C. Numbness of the legs D. Feelings of relief

B

The nurse working in a prenatal clinical provides care for clients of diverse cultures. Which action will foster the delivery of more effective, culturally competent care by the nurse? A. Sharing the nurse's cultural beliefs with the client. B. Identifying personal biases and prejudices. C. Identifying personal religious and cultural beliefs. D. Including the use of family members as language interpreters.

B

A CLIENT ASKS THE NURSE IF SHE CAN CONTINUE TO HAVE A GLASS OF WINE WITH DINNER DURING HER PREGNANCY. WHICH OF THE FOLLOWING WOULD BE THE NURSE'S BEST RESPONSE? A. "The effects of alcohol on a fetus during pregnancy are unknown." B. "You should limit consumption to beer and wine." C. "You should abstain from drinking alcoholic beverages." D. "You may have 1 drink of 2 oz of alcohol per day."

C

A CLIENT AT 16 WEEKS' GESTATION HAS HAD AN AMNIOCENTESIS AND HAS RECEIVED TEACHING CONCERNING SIGNS AND SYMPTOMS TO REPORT. WHICH STATEMENT INDICATES THAT THE CLIENT NEEDS FURTHER TEACHING? A. "I need to call if I start to leak fluid from my vagina." B. "If I start bleeding, I will need to call back." C. "If my baby does not move, I need to call my health care provider." D. "If I start running a fever, I should let the office know."

C

A CLIENT AT 28 WEEKS GESTATION TELLS THE NURSE THAT SHE AND HER HUSBAND WISH TO DRIVE TO VISIT RELATIVES WHO LIVE SEVERAL HUNDRED MILES AWAY. WHICH OF THE FOLLOWING RECOMMENDATIONS BY THE NURSE WOULD BE THE BEST? A. "Try to avoid traveling anywhere in the care during third trimester." B. "Limit the time you spend in the car to a maximum of 4 to 5 hours." C. "Taking a trip is ok if you stop every 1 to 2 hours and walk." D. "Avoid wearing your seat belt in the car to prevent injury to the fetus.

C

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification. A. "I should drink about 2 liters of fluid each day." B. "I should not drink alcoholic beverages during my pregnancy." C. "I can have a moderate amount of caffeine daily." D. "I should increase my calcium intake to over 1,500 milligrams per day."

C

DURING A PREPARATION FOR PARENTING CLASS, ONE OF THE PARTICIPANTS ASKS THE NURSE, "HOW WILL I KNOW IF I AM REALLY IN LABOR?" THE NURSE SHOULD TELL THE PARTICIPANT WHICH OF THE FOLLOWING ABOUT TRUE LABOR CONTRACTIONS? A. "Walking around helps to decrease true contractions." B. "True labor contractions may disappear with ambulation, rest or sleep." C. "The duration and frequency of true labor contractions remain the same." D. "True labor contractions are felt first in the lower back, then the abdomen."

D

The client asks the nurse how over-the-counter pregnancy tests work. Which hormone should the nurse identify as being recognized by the test to confirm a positive result? A. Follicle stimulating hormone (FSH) B. Relaxin C. Progesterone D. Human chorionic gonadotropin (hcg)

D

USING NAGELE'S RULE FOR A CLIENT WHOSE LAST NORMAL MENSTRUAL PERIOD BEGAN ON MAY 10, THE NURSE DETERMINES THAT THE CLIENT'S ESTIMATED DATE OF DELIVERY: A. January 13. B. January 17. C. February 13. D. February 17.

D

WHEN ASSESSING THE FREQUENCY OF CONTRACTIONS OF A MULTIPAROUS CLIENT IN ACTIVE LABOR ADMITTED TO THE BIRTHING AREA, THE NURSE SHOULD ASSESS THE INTERVAL BETWEEN WHICH OF THE FOLLOWING? A. Acme of one contraction to the beginning of the next contraction. B. Beginning of one contraction to the end of the next contraction. C. End of one contraction to the end of the next contraction. D. Beginning of one contraction to the beginning of the next contraction.

D