MCN Exam 1 ***
Fetal movement that is noted by the mother is a very important assessment factor to determine fetal well-being. If the nurse is to ask the client the client if she has felt her baby move when is the best time for a primigravida client to note the first fetal activity? A: 18-20 weeks B: 16-18 weeks C: 10-12 weeks D: 8 - 10 weeks
A: 18-20 weeks
A nurse is instructing a client who is taking an oral contraceptive about danger sign to report to her provider the nurse determines the client understands the teaching when the clients the need to report which of the following? A: Headaches B: Shortness of breath C: Breast tenderness D: Reduced menstrual flow
B: Shortness of breath
The nurse is planning an educational session for community members to address the issue of school- age child mortality. Which topic should the nurse identify as the highest priority for this population? A: Cancer B: Assault C: Suicide D: Accidents
D: Accidents
An Rh-negative woman at 6 weeks' gestation is scheduled for a medically induced termination. Which outcome should the nurse identify as appropriate for this patient? A: Received Rh o (D) immune globulin B: Denied need for contraceptive counseling C: Avoided strenuous activity for 3 weeks D: Experienced a menstrual cycle in 2 months
A: Received Rh o (D) immune globulin
The labor nurse assesses the fetal heart rate pattern below immediately following an epidural procedure. In response to her assessment, which of the following actions would be appropriate? Select all that apply. A: Turn the client to her left side B: Administer Oxytocin C: Administer Oxygen D: Administer an IV fluid bolus
A: Turn the client to her left side B: Administer Oxygen C: Administer an IV fluid bolus
A nurse is measuring the fundal height of a client who is at 21 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: 3 cm below the umbilicus D: Half way between the symphysis pubis and umbilicus
B: Slightly above the umbilicus
The nurse determines that a fetal nonstress test is nonreactive for over 20 minutes. The nurse interprets this result as suggesting which situation? A: The patient may be sleeping. B: The patient may be is hypoglycemic. C: The patient may be working too much. D: The patient may be is exercising too much.
B: The patient may be is hypoglycemic.
34-week pregnant woman is experiencing preterm labor. The nurse will provide the following interventions for her client? (Select all that apply)? A: Position the patient in the supine position to facilitate accurate fetal monitoring B: place on a fetal monitor C: Obtain a urine specimen D: IV therapy of Lactated Ringers with a 500 ml bolus of fluid E: order to ambulate as desired for comfort
B: place on a fetal monitor D: IV therapy of Lactated Ringers with a 500 ml bolus of fluid
A Nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which of the following findings is the fetus at risk for developing? A: Intrauterine growth restriction B: Hyperglycemia C: Meconium aspiration D: Polyhydramnios
C: Meconium aspiration
Management of primary dysmenorrhea often requires a multifaceted approach. What is the optimal pharmacological therapy for pain relief when caring for a client with this condition? A: Oral Contraceptive B: Aspirin C: Non-steroidal anti- inflammatory drugs (NSAIDS) D: Acetaminophen
C: Non-steroidal anti- inflammatory drugs (NSAIDS)
A client with a gestational age of 32 weeks arrives at the clinic for a routine prenatal visit. When measuring fundal height and listening to fetal heart tones, the nurse finds fundal height to be 28 cm and fetal heart tones at 115 bpm, and mother states fetal movements have slowed. What may the nurse conclude with this finding? A: Fetus has stopped growing due to the limited uterine growth. B: The client should return in two weeks to reevaluate the fetal well-being. C: Possible IUGR and the nurse should identify risk factors and notify the physician. D: Possible macrosomia, the nurse should check blood glucose and notify the physician.
C: Possible IUGR and the nurse should identify risk factors and notify the physician.
The nurse is teaching a patient in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the patient about this vitamin? A: Maintains energy throughout the pregnancy B: Controls the risk of hypertension while pregnant C: Prevents neural tube disorders in the developing fetus D: Sustains a slow and steady weight gain while pregnant
C: Prevents neural tube disorders in the developing fetus
A pregnant patient is concerned that the baby is going to drown in the uterus because of the fluid. How should the nurse respond about fetal respiration? A: "You are breathing for the baby." B: "The baby's breathing is very minor until delivery." C: "The baby's lungs can accommodate all of the fluid." D: "Oxygen is provided to the baby through the placenta."
D: "Oxygen is provided to the baby through the placenta."
The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal height. Identify where the nurse will find the uterine fundus? A: Uterus cannot be palpated at 20 weeks B: At or near the umbilicus C: At the sternum D: mAt the symphysis pubis
D: At or near the umbilicus
The nurse caring for a laboring woman notes a variable deceleration of the fetal heart rate on the electronic fetal monitor strip. What should the nurse's priority intervention be? A: Administer oxygen B: Notify the physician C: Start an IV fluid bolus D: Change the maternal position
D: Change the maternal position
If a woman is three months pregnant, which finding related to breast changes would the nurse expect to assess? A: Slack, soft breast tissue B: Deeply fissured nipples C: Enlarged lymph nodes D: Darkened breast areolae
D: Darkened breast areolae
The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient? A: Risk for injury related to fetal distress B: Imbalanced nutrition related to decreased sodium levels C: Ineffective tissue perfusion related to poor heart contraction D: Ineffective tissue perfusion related to vasoconstriction of blood vessels
D: Ineffective tissue perfusion related to vasoconstriction of blood vessels
A pregnant woman experiencing nausea and vomiting. What action can she take? A: limit fluid intake throughout the day B: drinks a glass of water with a fat-free carbohydrate before getting out of the bed in the morning C: increase her intake of high-fat foods to keep the stomach full and coated D: eat small, frequent meals (every 2 to 3 hours)
D: eat small, frequent meals (every 2 to 3 hours)
A 20-year-old client calls the clinic to report that she has found lump in her breast. The nurse's best response to her is which of the following? A: "Many women have benign lumps and bumps in their breasts. However, to make sure that it is benign, you should come in for an examination by your physician B: "Risk factors for Breast Cancer include genetic factors. If your family does not h. history or Breast Cancer, we will schedule you a visit in 1-2 months. C: "Risk factors for Breast Cancer include genetic factors. Check with your mom to see if she often felt lumps in her breasts. If so, they are probably benign cysts O D: "Many women have benign lumps and bumps in their breasts. Since you are so young, check it again in 1 month and we will be sure to call and follow at a time
A: "Many women have benign lumps and bumps in their breasts. However, to make sure that it is benign, you should come in for an examination by your physician
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as early as? A: 10-12 weeks' gestation B: 18 - 20 weeks' gestation C: 5 - 8 weeks gestation D: 20 - 24 weeks gestation
A: 10-12 weeks' gestation
A woman's obstetrical history indicates that she is pregnant for the 4th time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation. Born at 34 weeks of gestation, and another child born at 35 weeks of gestation. What is her gravidity and parity with GTPAL system? A: 4-1-2-0-4 B: 3-1-1-1-3 C: 3-0-3-0-3 D: 4-2-1-0-3
A: 4-1-2-0-4
A woman who is 32 week's gestation is experiencing preterm labor. The nurse will provide all except the following interventions for her client? A: Allow the client to ambulate for comfort B: IV fluid with a 500 ml bolus C: Initiate fetal monitoring D: Obtain a urine specimen
A: Allow the client to ambulate for comfort
Which trend is currently influencing maternal and child healthcare? A: An expansion of community-based services B: Closure of regionalized healthcare center C: The availability of additional family support D: A reduction in the number of latch key kids
A: An expansion of community-based services
Prenatal testing is done to identity health issues that may interfere with the developing fetus. Within the first trimester what lab tests are normally obtained? (Select all that apply) A: Blood type and RH factor B: Group Beta Strep vaginal culture C: Amniocentesis D: Complete blood count E: HIV
A: Blood type and RH factor D: Complete blood count E: HIV
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be which of the following? A: Changes in the pattern of fetal activity B: constipation C: pedal edema at the end of the day D: urinary frequency
A: Changes in the pattern of fetal activity
A nurse prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3, T1, P0, L1. How should the nurse interpret this information regarding delivery history? (Select all that apply) A: Client has delivered one newborn at term B: Client has experienced no preterm labor C: Client has one living child D: Client has had two prior pregnancies E: Client has been through active labor
A: Client has delivered one newborn at term C: Client has one living child E: Client has been through active labor
During her annual gynecologic check 17-year-old woman states that recently she has been e experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as? A: Dysmenorrhea B: Amenorrhea C: Premenstrual syndrome (PMS) D: Dyspareunia
A: Dysmenorrhea
A clinical nurse is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2020. Which of the following is the appropriate response by the nurse? A: February 11, 2021 B: February 26, 2021 C: July 1, 2021 D: April 26, 2021
A: February 11, 2021
As a nurse working in a prenatal clinic, it is important to obtain both maternal and fetal assessment. While obtaining fetal assessments. Which of the following should the nurse completes for fetal well-being? A: Fetal heart tones, Fetal movement, and Fundal height B: Fetal position, Fetal heart tones, and Maternal weight C: fetal movement, Maternal vital signs, and Maternal weight D: Fetal movement, Fetal position, and Fetal weigh
A: Fetal heart tones, Fetal movement, and Fundal height
A 25-year-old single Female comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (pap) smear. The test revealed that the client has human papillomavirus (HPV). The client asks, "what is that? Can you her ride of it? What is your best response? A: HPV stands for 'human papillomavirus. It is a sexually transmitted infection (STI) that may lead to cervical cancer." B: "HPV is a type of early human immunodeficiency virus (HIV) you will die from this C: You probably caught this from your current boyfriend. He should get tested for this D: "It's just a little lump on your cervix. We can freeze it off.
A: HPV stands for 'human papillomavirus. It is a sexually transmitted infection (STI) that may lead to cervical cancer."
A student nurse asks the faculty about the importance of preconception counseling which of the faculty is best? A: It is the best time to find any conditions that could have a negative effect on a pregnancy B: "It's a good time to educate women about birth control options before they need them C: Reproductive care is an important part of any woman's health care D: The Centers for Disease Control mandates that all women get preconception care.
A: It is the best time to find any conditions that could have a negative effect on a pregnancy
A 30-week gestational age pregnant client present to the labor suite with complaints of contractions and pressure. What medication can the nurse expect the provider to order for administration? (SATA) A: Magnesium sulfate B: Terbutaline (Bretnine) C: Pitocin D: Betamethasone
A: Magnesium sulfate B: Terbutaline (Bretnine) D: Betamethasone
A pregnant patient is being admitted for severe preeclampsia. In which room location should the nurse place this patient? A: Near the nurser station in a quiet area B: Next to the elevator C: In the back private room D: Across from the noisy nurse's station
A: Near the nurser station in a quiet area
A woman arrives at the clinics for a pregnancy test the first day of her last menstrual period (LMP) was February 14. Her expected date of birth (EDB) would be? A: November 21 B: November 7 C: September 17 D: December 17
A: November 21
A nurse instructs a 20-year-old female college student about the oral contraceptives. After the teaching session, the nurse confirms that the client understands the inform when she makes which of the following statements? A: Oral contraceptives should be taken the same time each day B: People with a history of breast cancer can take oral contraceptives C: Oral contraceptives need to be used with spermicides for the first year D: oral contraceptives prevent sexually transmitted infections as well
A: Oral contraceptives should be taken the same time each day
A nurse on the labor and delivery floor admits a patient who is 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following? A: Placenta placement B: Fetal viability C: Fetal lung maturity D: Fetal measurement for dating
A: Placenta placement
A woman develops HELLP syndrome. During labor, which provider's order would the nurse question? A: Prepare her for epidural anesthesia. B: Assess her blood pressure every 15 minutes. C: Assess the urine output every hour. D: Urge her to lie on her left side during labor.
A: Prepare her for epidural anesthesia.
By the second trimester of pregnancy, frequent urination results mainly from which cause? A: Pressure on the bladder from the uterus B: Increased concentration of urine C: Addition of fetal urine to maternal urine D: Decreased glomerular selectivity
A: Pressure on the bladder from the uterus
Assessment for surfactant level is a primary estimation of fetal maturity. When asked, which statement by the nurse indicates understanding? A: Prevents alveoli from collapsing on expiration B: Increase lung resistance on inspiration C: Encourages immunologic competence of lung tissue D: Promotes the maturation of lung alveoli
A: Prevents alveoli from collapsing on expiration
Which of the following signs and symptoms should a woman report immediately to her healthcare provider? (SATA) A: Rupture of membranes B: Vaginal bleeding C: Swelling in feet D: Headaches that do not respond to usual therapy. E: Decreased libido
A: Rupture of membranes B: Vaginal bleeding D: Headaches that do not respond to usual therapy.
The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? Select all that apply. A: Smaller families B: Less domestic violence C: More employed mothers D: Stable home environments E: More single-parent families
A: Smaller families C: More employed mothers E: More single-parent families
A newly wed young adult patient tells the nurse that she hopes to become pregnant soon. What should the nurse recommend to this patient to support the 2020 National Health Goals for pregnancy? Select all that apply. A: Stop smoking B: Limit recreational drug use C: Eat a healthy diet D: Reduce work hours E: Avoid alcohol intake
A: Stop smoking C: Eat a healthy diet E: Avoid alcohol intake
During a routine prenatal examination, a pregnant patient's urine is found to contain glucose. What does this finding indicate to the nurse? A: The patient should have further testing for gestational diabetes. B: The patient should have a liver enzyme panel completed C: The patient is eating excessive calories. D: It is because of a decrease in glomerular filtration rate.
A: The patient should have further testing for gestational diabetes.
The student nurse is learning that is recommended to screen for domestic violence in the first prenatal visit for all client. The instructor has explained how to communicate and as questions that are personal, so which question would be best stated for the student to ask? A: This is something that we ask everyone. Do you feel safe in your current living environment and relationship? B: This is something we ask everyone do you have any abuse in your life right now? C: Is your partner threatening or harming you in any way right now? D: I need to ask you do you feel same from abuse right now?
A: This is something that we ask everyone. Do you feel safe in your current living environment and relationship?
A nurse is caring for a client who has a possible ectopic pregnancy at 8 weeks gestation. Which of the following manifestations should the nurse expect to identify as consistent with this diagnosis? A: Unilateral abdominal pain B: Severe nausea and vomiting C: Fundal height greater than expected for gestational age D: Large amount of vaginal bleeding
A: Unilateral abdominal pain
Activity is an important component of prenatal teaching. Activity that is considered safe for a client that states she does not participate in any activity or exercise program at this time would be? A: Walking B: Aerobic exercise C: Biking D: Hiking
A: Walking
A common discomfort of pregnancy can be managed by changing Nutritional intake and some OTC medication. In reviewing information with the patient after her first prenatal visit the nurse if confident that this worn understand the management of constipation when she makes which of the following statements? A: "If I decrease the calories, I eat there will be no problem with constipation B: "In addition to increasing my dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have to restriction C: "I know constipation is normal, so I will use a small enema occasionally as a quick fix to the problem. D: I am going to use laxative whenever I feel constipated
B: "In addition to increasing my dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have to restriction
Which picture depicts the ideal presentation for a vaginal delivery? A: 1 B: 2 C: 3 D: 4
B: 2
The nurse is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; a live/healthy delivery at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status? A: 3-0-2-0-2 B: 4-0-1-2-1 C: 2-0-0-2-0 D: 4-2-0-2-2
B: 4-0-1-2-1
A nurse is caring for several clients on a busy floor. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following client? A: A client that is experiencing fetal death at 34 weeks' gestation B: A client who is experiencing preterm labor at 29 weeks' gestation C: A client who is experiencing Braxton-Hicks contractions at 37 weeks' gestation D: A client who has a post term pregnancy at 41-week gestation
B: A client who is experiencing preterm labor at 29 weeks' gestation
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation the provider order which of the following order required clarification? A: Obtain a daily weight B: Ambulate twice daily C: Assess the deep tendon reflexes every hour D: Continuous fetal monitoring
B: Ambulate twice daily
A patient makes an appointment at the prenatal clinic because she thinks she might be pregnant. Which assessment is a positive sign of pregnancy? A: Amenorrhea B: Audible fetal heart tones with a doppler C: Nausea and vomiting D: A positive pregnancy tests
B: Audible fetal heart tones with a doppler
A pregnant client at 32 weeks' gestation has mild pre-eclampsia. She is discharged home with instruction to remain on bed rest. She should also be instructed to call the provider if she experiences which of the following symptoms? (SATA A: Difficulty sleeping B: Blurred vision C: headache not relived with over-the-counter medication D: Epigastric pain E: Increased urine output
B: Blurred vision C: headache not relived with over-the-counter medication D: Epigastric pain
The nurse encourages a woman with gestational diabetes to maintain an active exercise plan during pregnancy. Prior to exercising the nurse would advise her to take which action? A: Inject a bolus of insulin. B: Eat a high-carbohydrate snack. C: Eat a sustaining-carbohydrate snack. D: Add a bolus of long-acting insulin.
B: Eat a sustaining-carbohydrate snack.
A woman who is 4 months pregnant has pyrosis (heartburn). Which suggestion would the nurse give her? A: Take 30 mL of milk of magnesia after every meal. B: Eat small meals and do not lie down after meals. C: Try to include complex carbohydrates in meals. D: Increase vitamin intake by adding more citrus fruit.
B: Eat small meals and do not lie down after meals.
The nurse is planning to instruct a patient who is 12 weeks pregnant on interventions to stop smoking. What should the nurse include in these instructions? Select all that apply. A: Purchase nicotine chewing gum B: Follow a smoking cessation plan C: Ask a friend to help with smoking cessation actions D: Apply a nicotine patch when the cravings become sever E: Ask the physician if a smoking cessation medication can be used
B: Follow a smoking cessation plan C: Ask a friend to help with smoking cessation actions E: Ask the physician if a smoking cessation medication can be used
A perinatal nurse is caring for a woman that desires an unmedicated birth. Which of the following are options for non-pharmacologic methods of pain control in labor? Select all that apply. A: Epidural B: Hydrotherapy C: Massage D: Birth ball E: Pudendal block F: Breathing patterns
B: Hydrotherapy C: Massage D: Birth ball F: Breathing patterns
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? A: Less audible heart sounds (S1, S2) B: Increased pulse rate C: Decreased platelets D: Cardiac output remains the same
B: Increased pulse rate
A nurse is completing a health history for client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse advises the client that smoking places the client newborn at risk for which of the following complication? A: Type 1 diabetes mellitus B: Intrauterine grown restriction C: Hearing loss D: Congenital heart defects
B: Intrauterine grown restriction
A screening at 24 weeks gestation reveals that a pregnant woman has gestational diabetes mellitus. In planning her care the nurse and the woman mutually agree that an expected outcome is to prevent fetal injury as a result of GDM. What does the nurse identify as the greatest risk for the fetus? A: reterm birth B: Macrosomia C: Low birth weight D: Congenital anomalies
B: Macrosomia
A client who is 32 weeks pregnant is being monitored in the antepartum units for pregnancy induced hypertension (gestational hypertension) she suddenly complains of continuous abdominal pain and vaginal bleeding. which of the following nursing interventions should be include in the care of this client? (Select all that apply) A: Reassure the client that she will be able to continue the pregnancy B: Monitor the amount of vaginal bleeding C: Evaluate vital signs D: Evaluate fetal heart tones
B: Monitor the amount of vaginal bleeding C: Evaluate vital signs D: Evaluate fetal heart tones
A nurse is carrying for a client who is at 36 weeks of gestation and who has suspected placenta previa. Which of the following findings support this diagnosis? A: Increasing abdominal pain with a non-relaxed uterus B: Painless red vaginal bleeding C: Abdominal pain with scant red vaginal bleeding D: Intermittent abdominal pain following passage of body mucus
B: Painless red vaginal bleeding
A pregnant client has a Rh-negative blood type. Following the birth of the client's B-positive blood type infant, the nurse administers her Rho(D) immune globulin. The purpose of this is to: A: Promote maternal D antibody formation. B: Prevent maternal D antibody formation. C: Stimulate maternal D immune antigens. D: Prevent fetal Rh blood formation.
B: Prevent maternal D antibody formation.
A woman is at 14 weeks gestation. The nurse would expect to palpate the funds at which level? A: At the level of the umbilicus B: Slightly above the symphysis pubis C: Slightly above the umbilicus D: Not palpable above the symphysis at this time
B: Slightly above the symphysis pubis
The nurse caring for a pregnant client knows that her health teaching regarding fetal circulation has been effective when the client reports that she has been sleeping in what position? A: On her back with pillow under knee B: In a side lying position left C: With the head on the bed elevated D: On her abdomen
B: Slightly above the symphysis pubis
The nurse is planning a prenatal educational program for a community health center. What information should the nurse include that supports the 2020 National Health Goals for nutrition in pregnancy? Select all that apply. A: Avoid foods high in fats and calories. B: Take prenatal vitamins as prescribed. C: Ensure a daily intake of foods with folic acid. D: Limit the intake of foods high in simple carbohydrates. E: Maintain adequate nutrition before becoming pregnant.
B: Take prenatal vitamins as prescribed. C: Ensure a daily intake of foods with folic acid. E: Maintain adequate nutrition before becoming pregnant.
A woman who professes to be a strict vegan voice concerns about her ability to meet the nutritional needs of her fetus. Which concerns should be addressed in this session? A: Her diet will need to have an increase in fruits and vegetables to meet the nutritional requirements of her baby. B: The supplementation of Vitamin B 12 should be addressed. C: There are not special concerns for vegans as they can easily meet the dietary requirements without violating their "no meat" rules. D: She should be advised to forgo her beliefs during the pregnancy to adequately provide the nutritional requirements for her pregnancy.
B: The supplementation of Vitamin B 12 should be addressed.
A nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make? A: This will occur in the last trimester of pregnancy B: This will occur between the sixteenth to twenty weeks of pregnancy C: This will occur at the end of the first trimester of pregnancy D: This will occur when the uterus begins to rise out of the pelvis
B: This will occur between the sixteenth to twenty weeks of pregnancy
A pregnant patient has been counseled by her physician to have an amniocentesis. For which genetic condition should the nurse instruct the patient that this diagnostic test will detect? A: Impetigo B: Trisomy 21 (Down syndrome) C: Diabetes mellitus D: Breast cancer
B: Trisomy 21 (Down syndrome)
The amniotic fluid has many functions and we know that amniotic fluid necessary for fetal well- being. Please select the purpose of the fluid for fetal well-being. SATA A: provides oxygen to the lungs B: cushioning of the baby from minor trauma C: temperature control D: nutrition for the baby E: Permits free movement of the baby
B: cushioning of the baby from minor trauma C: temperature control E: Permits free movement of the baby
A nurse Is caring for a client who is prescribed Rho immune globulin standard dose IM (Rhogam). The nurse should understand the action of this medication as which of the following? A: Rhogam destroys Rh antibodies in newborns who are Rh positive B: Rhogam destroys Rh antibodies in mothers who are Rh negative C : Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative D: Rhogam prevents the formation of Rh antibodies in newborns who are Rh positive
C : Rhogam prevents the formation of Rh antibodies in mothers who are Rh negative
After assessing a client, a nurse determines that an IUD as a method of contraceptive would be contraindicated based on a history of which finding? A: Smoking B: Hypertension C: Abnormal uterine shape D: Thromboembolic disease
C: Abnormal uterine shape
A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? A: Performing a vaginal examination to assess the extent of bleeding B: Helping the woman remain ambulatory to reduce bleeding C: Assessing fetal heart tones by use of an external monitor D: Assessing uterine contractions by an internal pressure gauge
C: Assessing fetal heart tones by use of an external monitor
At 32 weeks' gestation a woman experiences preterm labor. The nurse administered tocolytics and the client is placed on bedrest. The client continues to experience regular contractions, her cervix is beginning to dilate and efface. What additional medication should be considered to assist the development of the fetus? A: Pitocin B: Cytotec C: Betamethasone D: Brethine (terbutaline)
C: Betamethasone
A nurse is carrying for a client who is receiving IV magnesium sulfate. Which of the following medication should the nurse anticipate administering if magnesium sulfate toxicity is suspected? A: Pyridoxine B: Ferrous sulfate C: Calcium Gluconate D: Nifedipine
C: Calcium Gluconate
Intrauterine growth restriction is the result of poor placental perfusion. What pregnancy risk factor to intrauterine growth restriction? (Select all that apply) A: Polyhydramnios B: Premature rupture of membranes C: Drug abuse D: Hypertension E: Smoking
C: Drug abuse D: Hypertension E: Smoking
The prenatal clinic nurse meets with 30 years old women who is experiencing her first pregnancy the patient quadruple marker screen result is positive or abnormal at 17 weeks of gestion and her provider recommends an amniocentesis. The nurse explains that the patients' needs a referral to one of the following? A: Social worker B: Obstetrician C: Genetic counselor/specialist D: Gynecologist
C: Genetic counselor/specialist
The nurse is teaching a pregnant client about fetal circulation. Which of the following responses shows that the teaching on fetal circulation has been effective? A: Supine with knees bent to prevent strain on lower back B: Prone, supported with pillows to decrease muscle rigidity of mother C: Left side lying to promote placental perfusion D: High fowlers to improve respiratory status of fetus and mother
C: Left side lying to promote placental perfusion
A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information? A: Sickle cell anemia is recessively inherited. B: Sickle cell anemia has more than one polygenic inheritance pattern. C: Sickle cell anemia is dominantly inherited. D: Sickle cell anemia is not inherited; it occurs following a malaria infection.
C: Sickle cell anemia is recessively inherited.
The nurse is evaluating the fetal heart rate rhythm strip and determines that the heart rate amplitude varies with a rate 15 to 20 beats/min. What does this assessment finding indicate to the nurse about variability? A: Variability is absent B: Variability is minimal C: Variability is normal D: Variability is marked
C: Variability is normal
A father is preparing a 4-year-old son for the arrival of a new baby. Which statement should the nurse suggest the father use to explain this to the child? A: "Mother will need to spend a lot of time with the new baby." B: "It will be fun to have a sister or brother to give your old toys to." C: "The new baby will need your bed so we're buying you a new one." D: "A new baby will make our family bigger but not change our love for you."
D: "A new baby will make our family bigger but not change our love for you."
A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been "eating for two" so the baby is healthy. How should the nurse respond to the patient? A: "Elevated blood glucose levels cause low birth weights in infants." B: "Elevated blood glucose levels ensure the baby has mature lungs at birth." C: "Elevated blood glucose levels hasten the development of the fetus in utero." D: "Elevated blood glucose levels in the first trimester have been linked to congenital anomalies."
D: "Elevated blood glucose levels in the first trimester have been linked to congenital anomalies."
The nurse is teaching a patient on the use of a diaphragm for contraception. Which patient statement indicates that the client needs further teaching? A: "I need to use my finger to remove the diaphragm." B: "I should remove the diaphragm 6 hours after intercourse." C: "I should stop using a diaphragm if I get an infection of my cervix." D: "I need to have the diaphragm checked if my weight changes by 30 lb."
D: "I need to have the diaphragm checked if my weight changes by 30 lb."
A nurse is reviewing a prescription for ferrous sulfate (iron supplementation) with a client who is at 12 weeks' gestation. Which of the following statements by the client indicates understanding of the teaching? A: " I plan to add more calcium rich foods to my diet while talking this medication B: "I will take this pill with my breakfast C: "I will take this medication with a glass of milk D: "I plan to drink more orange juice while taking this pill.
D: "I plan to drink more orange juice while taking this pill.
A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods. (Natural family planning, FAM's) What is the nurse most appropriate response? A: They are never effective, and it is very likely you will get pregnant B: These methods have a few advantages and several health risk C: You would be much safer going on the pill and not having to worry D: "They can be effective for many couples, but they require motivation
D: "They can be effective for many couples, but they require motivation
A client at her prenatal visit complains of episodes of dizziness when sitting up after lying in a supine position. Which response by the nurse explains this change during pregnancy? A: "This is due to an increase of blood volume." B: "This is due to fluctuations in cardiac output." C: "This is due to pressure from the uterus on the diaphragm." D: "This due to the weight of the uterus on the vena cava."
D: "This due to the weight of the uterus on the vena cava."
A woman asks the nurse: "What protects my baby's umbilical cord from being pinched while the baby's inside. The nurse's best response Is? A: "You do not need to worry about things like that." B: "The umbilical cord is a group of blood vessels that are very well protected by the placenta C: "Your baby's umbilical cord floats around in blood anyway D: "Your baby's umbilical cord is surrounded by connective tissues called Wharton's jelly which prevent compression of the blood vessels and ensues continued nourishment and oxygen to your baby
D: "Your baby's umbilical cord is surrounded by connective tissues called Wharton's jelly which prevent compression of the blood vessels and ensues continued nourishment and oxygen to your baby
What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy? A: Assess a list she makes describing a good diet. B: Ask her to describe her total intake for a week. C: Assess her skin for hydration and color. D: Ask her to describe her intake for the last 24 hours.
D: Ask her to describe her intake for the last 24 hours.
A nurse is reviewing a journal article about fetal development and the formation of various body systems. When reading about the development of the digestive system, the nurse finds information related to the developmental abnormality of omphalocele. The nurse demonstrates understanding of this information by identifying which situation as the reason for an omphalocele? A: Fetus suffered a bowel obstruction at an early point in life B: Fetal abdomen formed with a smaller internal cavity than normal C: Intestines formed without sufficient nerve innervation for contraction D: Intestines failed to return to the abdominal cavity during intrauterine development
D: Intestines failed to return to the abdominal cavity during intrauterine development
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as result of folic acid deficiency? A: Iron deficiency anemia B: Macrocosmic fetus C: Poor bone formation D: Neural tube defects
D: Neural tube defects
The clinic nurse reviews the complete blood count result of 30 years old women who is now 33 weeks gestation. The patient's hemoglobin value is 11.2 g/ dl and her hematocrit is 38%. How does the clinic interpret these findings? A: Increase adult values B: Increase values for 33 weeks' gestation C: Normal adult values D: Normal pregnancy values for the third trimester
D: Normal pregnancy values for the third trimester
The nurse provides instructions to a patient with hyperemesis gravidarum. Which outcome indicates that teaching has been effective? A: Patient has vomiting episodes only in the morning B: Patient is able to tolerate soft foods after episodes of vomiting. C: Patient is able to ingest clear liquids between episodes of vomiting. D: Patient is able to ingest a regular diet after progressing through clear liquids and soft foods.
D: Patient is able to ingest a regular diet after progressing through clear liquids and soft foods