Practice questions Exam 1
A woman is to undergo quad screening testing. The nurse would anticipate that this test would be done at which time?
16 weeks gestation
A pregnant client has tested positive for HIV using an enzyme-linked immunoassay test. When talking with the client about the results, she asks, " So what happens next?" Which response by the nurse would be appropriate as the next step?
"You will need to have another test to confirm the diagnosis"
A nurse is conducting a class for a local community that has a large adolescent and young adult pregnant woman population. The nurse is focusing on the effects of various substances of the fetus. The nurse determines that the class was successful when the group identifies which conditions as associated with cigarette smoking?
-ADHD -cleft lip -cerebral palsy -sudden infant death syndrome (SIDS)
A woman who immigrated from a third world country presents to the clinic to find out if she is pregnant. Which signs/symptoms would the nurse assess as possible indicators that she might have an active case of tuberculosis as well?
-anorexia, hemoptysis, night sweats and fatigue
A new young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity?
-breastfeeding
A woman with systemic lupus erythematosus is interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if she is symptom-free or in remission for how long before getting pregnant?
6 months
A pregnant woman with diabetes has a HbA1C level drawn. Which result would require the nurse to revise the patient's POC?
8.50%
Which hormone would the nurse explain as being primarily responsible for maturation of the ovarian follicle?
FSH
A nurse is describing the use of Rho(D) immune globulin as the therapy of choice for the isoimmunization in Rh-negative women and fro other conditions to a group of nurses working at the women's health clinic. The nurse determines that additional teaching is needed when the group identifies which situation as an indication for Rho(D) immune globulin?
STI's
During pregnancy a woman's blood volume increases to accommodate the growing fetus to the point that vital signs may remain within normal range without showing signs of shock until the woman has lost what percentage of her blood volume?
about 40%
A high-risk pregnant client is determined to have gestational hypertension. The nurse suspects that the client has developed preeclampsia with severe features based on which finding?
blurred vision
The nurse is teaching a pregnant client with iron-deficiency anemia about her prescribed iron supplement. The nurse determines that the teaching was successful when the client states that she will take the supplement with?
citrus juice
When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source?
complex carbohydrates
A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydraminos based on which preexisting condition?
diabetes
A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of mag toxicity in this client?
diminished/absent reflexes
A newly pregnant 41 year old woman is requesting genetic testing of the baby. She is concerned that due to her age, the baby has an increased risk for which condition?
down syndrome
hyperemisis gravidarum is n/v in
early pregnancy that prevents the woman from ingesting adequate nutrition. IV fluids may be required for rehydration, but the priority is to stop all intake of food and fluid until vomiting stops
A client has come to the office for a prenatal visit during her 24th week of gestation. On examination, it is noted that her BP has increased to 146/94 mm Hg. Her urine is negative for proteinuria. BP assessment at 20 weeks gestation was 142/92 mm Hg and urine was negative for protein. BP readings at previous visits ranged from 120/76 mm Hg to 126/80 mm Hg. The nurse suspects which condition?
gestational hypertension
The nurse is explaining the process of conception and implantation to a group of women attending a preconception planning education program. When describing hormones involved in these events, the nurse would identify which hormone as being responsible for ensuring implantation of the embryo at the beginning of conception?
hCG
The nurse, while teaching a group of pregnant woman about the production of breastmilk, describes colostrum and compares it with mature breast milk. Which information about colostrum would the nurse include in the description?
high maternal antibody content
A nurse is providing care to a client who has been dx with a common benign form of gestational trophoblastic disease. The nurse identifies this as?
hydatatidiform mole
A nurse is conducting an assessment of a pregnant woman on a routine follow-up prenatal visit. Assessment findings suggest that the client may have a substance use disorder. Which action by the nurse would be most appropriate to ensure proper care of the client and unborn fetus?
initiate a referral to available community resources
A nurse is reviewing the medical record of a pregnant client. The physical exam reveals that the placenta is implanted near the internal os but doesn't reach it. The nurse interprets this as which condition?
low-lying placenta
Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy?
methotrexate
A pregnant client has a hx of asthma. After reviewing the possible medications that may be prescribed during her pregnancy to control her asthma, the nurse determines additional teaching is needed when the client identifies which drug is being used?
misoprostol Rationale: it is contraindicated with asthma patients due to the risk of bronchial spasm and bronchoconstriction
A young mother is expressing frustration of not being able to breastfeed her infant. A potential cause could be the lack of the hormone?
prolactin
A nurse is providing care to a pregnant client hospitalized with preeclampsia. The nurse immediately notifies the HCP that the client has developed eclampsia based on which finding?
seizure activity
A nurse is conducting a presentation at the community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite?
spina bifida
A pregnant client at 14 weeks gestation calls the clinic. When talking with the nurse, the client reports continued, frequent n/v. She states "This has been happening since I got pregnant and now I cannot keep anything down". Which intervention would be the priority for this client?
stopping all intake of food and drink
A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion?
strong abdominal cramping
A pregnant client has tested positive for hep B virus. When discussing the situation with the client, the nurse explains that her newborn will be vaccinated with an initial HBV vaccine dose at which time?
within 12 hours of birth
A nurse is conducting a class for a group of pregnant women about ways to minimize the risk of infection during pregnancy. One of the infections that the nurse is discussing is toxoplasmosis. The nurse determines that the class was successful when the group identifies which action as helpful in preventing this infection?
-any cutting surface used for raw meats should be washed afterwards with hot soapy water -peeling any raw vegetable is a good idea before eating them -it is important to wear gardening gloves when digging in the soil
The nurse is teaching a woman with iron-deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program?
-broccoli, raisins and peanut butter
A client is in her second trimester, and the HCP has recommended she undergo an amniocentesis. The nurse explains that the procedure is used to dx which conditions?
-chromosomal abnormailites -inborn errors of metabolism -neural tube defects
A home health care nurse is visiting a pregnant client with preeclampsia who is being managed at home. The nurse is reviewing the situations for which the client should contact the nurse. The nurse determines that the client demonstrates understanding when identifying which situation(s) as needing to be reported?
-excessive heartburn -dizziness -blurred vision
A 58 year-old woman comes to the clinic for routine evaluation. When reviewing the woman's health history, which findings would lead the nurse to suspect that the woman is at risk for heart disease?
-history of PCOS -menopause at 50 years old -history of gestational hypertension
cytomegalovirus infection can result in different congenital abnormalities. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur in which type of transmission of CMV?
-in utero transmission
A pregnant woman with gestational diabetes is prescribed 10 units of an intermediate-acting insulin and 5 units of a short-acting insulin each day. The total dose is to be divided into two injections, a morning and an evening dose. To provide the client with the most effective control of the woman's blood glucose levels, the nurse anticipates that the client is likely to be prescribed how many total units for the morning dose?
10 units
After conducting a refresher class on possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common?
CMV
After teaching a class on the various structures formed by the embryonic membranes, the nurse determines that the teaching was successful when the class identifies which structure as being formed by the ectoderm?
CNS, special senses, skin and glands
A pregnant woman who is HIV positive comes to the labor and birth unit in labor. When developing the POC for the client, which intervention would be most important for the nurse to include?
adhering to standard precautions
A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which location?
at the umbilicus
Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth. The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?
between 24 and 28 weeks of gestation
A nurse is reading a journal article about the use of real-time ultrasonography, which allows the HCP to obtain information about the fetus. The nurse would expect the article to describe which type of information?
biophysical profile
A nurse is conducting a presentation for a group of pregnant women about appropriate health promotion strategies to address issues related to infant mortality. Which strategy would the nurse encourage to reduce the infant's risk for infection after birth?
breastfeeding
A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the US?
fetal alcohol spectrum disorder
A nurse is conducting a class on gestational diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is needed when the class identifies which complication as affecting the neonate?
hyperglycemia
When teaching a group of adolescents about the menstrual cycle, the nurse describes the ovarian and endometrial cycles. Which phases would the nurse explain as part of the ovarian cycle?
follicular and luteal phases
When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would point out which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain?
foramen ovale
A nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for?
genetic conditions and disorders
A pregnant woman has been admitted to the hospital due to preeclampsia with severe features. Which measure will be important for the nurse to include in the POC?
institute and maintain seizure precautions
A pregnant woman with chronic hypertension comes to the clinic for evaluation. The last several BP readings have been graduating increasing. On today's visit, her BP was 160/100 mm Hg. The HCP prescribes an anithypertensive agent. The nurse anticipates which agents as likely to be prescribed?
labetalol
Which measure would the nurse include in the POC for a woman with prelabor rupture of membranes if the fetus' lungs are mature?
labor induction
Some women experience a rupture of their membranes before going into true labor. A nurse recognizes that a woman who presents with premature prelabor rupture of membrane (PPROM) has completed how many weeks of gestation?
less tha 37 weeks
Part of the initial prenatal assessment should include the clients immunization hx. The nurse informs the client to avoid which type of vaccines while she is pregnant?
live virus vaccines
A pregnant client dx with hyperemesis gravidarum is prescribed IV fluids for rehydration. When preparing to administer this therapy which solution would the nurse anticipate being prescribed initially?
normal saline
A nurse is teaching a client about the reproductive system and the hormones involved. The nurse would include which structures as the source of these hormones?
pituitary, ovaries and hypothalamus
A client at 33 weeks gestation comes to the ED with vaginal bleeding. Assessment reveals: onset of slight vaginal bleeding at 29 weeks with spontaneous cessation, recent onset of bright red bleeding, more than with previous episode. No uterine contractions, FHR WNL, uterus soft and nontender. Based on the assessment findings, which condition would the nurse likely suspect?
placenta previa
A nurse is conducting a class for a group of women who are planning to become pregnancy. As part of the class, the nurse describes how teratogens can affect a pregnancy. The nurse determines that the teaching was successful when the class identifies which effects that may result with the use of cocaine?
premature birth, abruptio placentae and microcephaly
A woman has presented to the ED with symptoms that suggest an ectopic pregnancy. Which finding would lead the nurse to suspect that the fallopian tube has ruptured?
referred shoulder pain rationale: this indicates bleeding into the abdomen caused by phrenic nerve irritation when a tubal pregnancy occurs
After teaching a class on the female reproductive system the nurse determines that teaching was successful when the class identifies which action as the primary function of the ovaries?
secreting estrogen and progesterone
A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs?
the fallopian tubes
When describing birth during the 18th century, which description would be most accurate regarding maternal care during pregnancy and birth?
the majority of births occurred in the home with female midwives in attendance
A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection?
toxoplasmosis
A pregnant woman at 36 weeks gestation comes to the care center for a follow-up visit. The woman is to be screened for group B streptococcus infection. When describing this screening to a woman, the nurse would explain that a specimen will be taken from?
vagina and rectum
A pregnant 36 year old woman has presented to the ED with vaginal bleeding. While reviewing the ciients history, the nurse suspects placenta previa when which risk factors are found in her record?
-infertility treatments -previous induced surgical abortion -smoking -advanced maternal age
The nurse is preparing the POC for a woman hospitalized for hyperemesis gravidarum. Which interventions would the nurse most likely include?
-monitor I/O's -maintaining NPO status for the first fay or two -administering antiemetic agents -obtaining baseline blood electrolyte levels
The nurse is preparing a teaching plan for a pregnant woman about the s/s to be reported immediately to her HCP. Which s/s would the nurse include?
-sudden leakage of fluid during second trimester -headache with visual changes in the third trimester -lower abdominal pain with shoulder pain in the first trimester
A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect?
ensure passage of all the products of conception
When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which trait?
self-identity
A woman at 12 weeks gestation comes to the clinic with vaginal bleeding. When assessing the woman further, the nurse would suspect a threatened abortion based on which finding?
slight vaginal bleeding
When describing characteristics of the amniotic fluid to a pregnant woman, the nurse would include which information?
the amount gradually fluctuates during pregnancy