Final Exam-Quiz Answers

In order for conception to take place, which scenario is most common? a) a woman gets pregnant two weeks after her normal menstrual period b) a woman who gets pregnant two weeks before her normal menstrual period c) a woman gets pregnant immediately after a normal menstrual period d) a woman gets pregnant during her menstrual period

A or B

When the nurse is alone with a client, the client says, "It was all my fault. The house was so messy when he got home, and I know he hates that." Which response would be most appropriate? a)"It was not your fault. No one deserves to be hurt." b) "What else did you do to make him so angry with you?" c) "You need to start to clean the house early in the day." d) "Remember, he works hard and you need to meet his needs."

A) "It is not your fault. No one deserves to be hurt."

The nurse is discussing the insulin needs of a primiparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces: A) hCG, which increases maternal glucose levels B) hPL, which deceases the effectiveness of insulin C) Estriol, which interferes with insulin crossing the placenta D) Relaxin, which decreases the amount of insulin produced

B) hPL, which deceases the effectiveness of insulin

During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client? A) Ineffective tissue perfusion related to supine hypotensive syndrome B) Impaired gas exchange related to pulmonary congestion C) Activity intolerance related to increased metabolic requirements D) Anxiety related to fear of pregnancy outcome

B) Impaired gas exchange related to pulmonary congestion

A client's last menstrual period was April 11. Using Nagele's rule, her expected date of birth (EDB) would be: A) January 4 B) January 18 C) January 25 D) February 24

B) Jan 18th

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which of the following? A) Excess folic acid, which could increase the risk for neural tube defects B) Mercury, which could harm the developing fetus if eaten in large amounts C) Lactose, which leads to abdominal discomfort, gas, and diarrhea D) Low-quality protein that does not meet the woman's requirements

B) Mercury, which could harm the developing fetus if eaten in large amounts

A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description? a) somehow triggered by the victim's behavior? b) characterized by tension-building and minor battery c) associated with loss of physical and emotional control d) like a honeymoon that lulls the victim

B) characterized by tension building and minor battery

A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make? A) "Having to urinate so often is annoying. I suggest that you watch how much fluid you are drinking and limit it." B) "You shouldn't be urinating this frequently now; it usually stops by the time you're eight weeks pregnant. Is there anything else bothering you?" C) "By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy." D) "Women having their second child generally don't have frequent urination. Are you experiencing any burning sensations?"

C) "By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy."

Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which situation? a) -2 b) -1 c) 0 d) +1

C) 0

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate? a) "All you need is a dose of penicillin and the infection will be gone." b) "There is a new vaccine available that prevents the infection from returning." c) "Once you have the infection, you develop an immunity to it." d) "There is no cure, but drug therapy helps to reduce symptoms and recurrences."

D) "There is no cure, but drug therapy helps to reduce symptoms and recurrences"

Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? a) offer her a pamphlet about the local battered women's shelter b) call her at home to ask her some questions about her marriage c) wait until she comes in a few more times to make a better assessment d) Ask, "Have you ever been physically

D) Ask, "Have you ever been physically hurt by your partner?"

After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about her condition, which of the following statements indicates that the nurse's teaching was successful? a) "I will be sure to avoid getting pregnant for at least 1 year" b) "My intake of iron will have to be closely monitored for 6 months c) "My blood pressure will continue to be increased for about 6 more months d) "I won't use my birth control pills for at least a year or two"

a) "I will be sure to avoid getting pregnant for at least 1 year"

During a woman's physical examination, the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as: A. Hegar's sign. B. McDonald's sign. C. Chadwick's sign. D. Goodell's sign

a) Hegar's sign

When a nurse suspects that a client may have been abused, the first action should be to: a)ask the client about the injuries and if they are related to abuse b) encourage the client to leave the batterer immediately c) set up an appointment with a domestic abuse counselor d) ask the suspected abuser about the victim's injuries

a) ask the client about the injuries and if they are related to abuse

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia? a) calcium gluconate b) potassium chloride c) ferrous sulfate d) calcium carbonate

a) calcium gluconate

An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for what? a) chlamydia b) syphilis c) genital herpes d) trichomoniasis

a) chlamydia

The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next? A) Continue to monitor the FHR because this pattern is benign. B) Perform a vaginal exam to assess cervical dilation and effacement. C) Stay with the client while reporting the finding to the physician. D) Administer oxygen after turning the client on her left side.

a) continue to monitor the FHR because this pattern is benign.

On a follow up visit to the clinic, a nurse suspects that a postpartum client is experiencing postpartum psychosis. Which finding would most likely lead the nurse to suspect this condition? a) delusional beliefs b) feelings of anxiety c) sadness d) insomnia

a) delusional beliefs

Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and a localized bluish bulging area just under the skin of the perineum. The woman also is complaining of significant pelvic pain and is experiencing problems with voiding. The nurse suspects which condition? a) hematoma b) laceration c) bladder dsitention d) uterine atony

a) hematoma

A client experienced prolonged labor with prolonged premature rupture of membranes. The nurse would be alert for which condition in the mother and the newborn? a) infection b) hemorrhage c) trauma d) hypovolemia

a) infection

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that: A) It is safe to have intercourse at this time. B) Intercourse at this time is likely to cause rupture of membranes. C) There are other ways that the couple can satisfy their needs. D) Intercourse at this time is likely to result in premature labor.

a) it is safe to have intercourse at this time

Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which of the following? A) Linea nigra B) Striae gravidarum C) Melasma D) Vascular spiders

a) linea nigra

A pregnant client whose diabetes has been poorly controlled throughout her pregnancy is in labor. The nurse would assess the neonate closely at birth for which condition? a) macrosomia b) hyperglycemia c) low birth weight d) hypobilirubinemia

a) macrosomia

After teaching a group of adolescents about HIV, the nurse asks them to identify the major means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure? a) sexual intercourse b) sharing needles for IV drug use c)perinatal transmission d) blood transfusion

a) sexual intercourse

A female sex trade worker has been diagnosed with secondary syphilis. Which findings would most likely correlate with this diagnosis? a) sore throat and flu-like symptoms b) pain-free crusty genital lesions c) yellow vaginal discharge d) painful dysuria

a) sore throat and flu-like symptoms

After teaching a woman with postpartum infection about care after discharge, which client statement indicates the need for additional teaching? a) "I need to call my doctor if my temperature goes above 100.4 b) "When I put on a new pad, I'll start at the back and go forward" c) "If I have chills or my discharge has a strange odor, I'll call my doctor" d) "I'll point the spray of the peri-bottle so the flows front to back"

b) "When I put on a new pad, I'll start at the back and go forward"

A woman who have birth 24 hours ago tells the nurse, "I've been urinating so much over the past several hours." Which response by the nurse would be the most appropriate? a) "You must have an infection, so let me get a urine specimen." b) "Your body is undergoing many changes that cause your bladder to fill quickly" c) "Your uterus is not contracting as quickly as it should." d) "The anesthesia that you received is wearing off and your bladder is working again"

b) "Your bladder is undergoing many changes that cause your bladder to fill quickly"

When assessing a postpartum woman, the nurse suspects the woman is experiencing a problem based on which finding? a) elevated white blood cell count b) acute decrease in hematocrit c) increased levels of clotting factors d) pulse rate of 60 beats/minute

b) acute decrease in hematocrit

A primapara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus. Which finding would the nurse identify as expected? a) two fingerbreadths above the umnilicus b) at the level of the umbilicus c) two fingerbreadths below the umbilicus d) four fingerbreadths below the umbilicus

b) at the level of the umbiliucs

A nurse is making a home visit to a postpartum woman delivered a healthy newborn 4 days ago. The woman's breasts are swollen, hard, and tender to the touch. The nurse documents this finding as: a) involution b) engorgement c) mastitis d) engrossment

b) engorgement

Which finding would the nurse expect in a client with bacterial vaginosis? a) vaginal pH of 3 b) fish-like odor of discharge c) yellowish-green discharge d) cervical bleeding on contact

b) fish like odor of discharge

When obtaining the health history from a client, which factor would lead the nurse to suspect that the client has an increased risk for sexually transmitted infections (STIs)? a) hive-like rash for the past 2 days b) five different sexual partners c) weight gain of 5 pounds (2.3 kg) in one year d) clear vaginal discharge

b) five different sexual partners

A nurse is massaging a postpartum client's fundus and places the nondominant hand on the area above the symphysis pubis based on the understanding that this action: A) Determines that the procedure is effective B) Helps support the lower uterine segment C) Aids in expressing accumulated clots D) Prevents uterine muscle fatigue

b) helps support the lower uterine segment

After presenting an in-service presentation on measures to prevent postpartum hemorrhage, the nurse determines that the teaching was successful when the student identifies which measure to prevent postpartum hemorrhage due to retained placental fragments? a) administering broad-spectrum antibiotics b) inspecting the placenta after delivery for intactness c) manually removing the placenta at delivery d) applying pressure to the umbilical cord to remove the placenta

b) inspecting the placenta after delivery for intactness

A nurse is assessing a client who gave birth vaginally about four hours ago. The client tells the nurse that she has changed her perineal pad about an hour ago. On inspection, the nurse notes that the pad is not saturated. The uterus is firm and approximately at the level of the umbilicus. Further inspection of the perineum reveals an area, bluish in color, and bulging under the skin surface. Which action would the nurse do next? a) apply warm soaks to the area. b) notify the health care provider c) massage the uterine fundus d) encourage the client to void

b) notify the health care provider

A woman with gestational hypertension experiences a seizure. Which of the following would be the priority? A) Fluid replacement B) Oxygenation C) Control of hypertension D) Delivery of the fetus

b) oxygenation

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as a) quickening b) pica c) ballottment d) linea nigra

b) pica

A nurse is visiting a postpartum woman who delivered a healthy newborn 5 days ago. Which finding would the nurse suspect? a) bright red discharge b) pinkish brown discharge c) deep red- mucus like discharge d) creamy white discharge

b) pinkish brown discharge

A nurse is reviewing the medical record of a pregnant woman and notes that she is gravid II. The nurse interprets this to indicate the number of: A) Deliveries B) Pregnancies C) Spontaneous abortions D) Pre-term births

b) pregnancies

A nurse is reviewing a journal article on the causes of postpartum hemorrhage. Which condition would the nurse most likely find as the most common cause? a) Labor augmentation b) uterine atony c) cervical or vaginal lacerations d) uterine inversion

b) uterine atony

A pregnant woman comes to the clinic and tells the nurse that she has been having a whitish vaginal discharge. The nurse suspects vulvovaginal candidiasis based on which assessment finding? a) fever b) vaginal itching c) urinary frequency d) incontinence

b) vaginal itching

A nurse is reviewing the fetal heart rate pattern and observes abrupt decreases in FHR below the baseline, appearing as a U shape. The nurse interprets these changes as reflecting which type of deceleration? a) early decelerations b) variable decelerations c) prolonged decelerations d) late decelerations

b) variable decelerations

When assessing cervical effacement of a client in labor, the nurse assesses which characteristic? a) extent of its opening to its widest diameter b) degree of thinning c) passage of the mucous plug d) fetal presenting part

b)degree of thinning

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which of the following responses by the nurse would be most appropriate? A) "Why are you crying?" B) "Will a pill help your pain?" C) "I'm sorry you lost your baby." D) "A baby still wasn't formed in your uterus."

c) "I'm sorry you lost your baby"

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she's not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor? a) "I'm feeling contractions mostly in my back." b) "My contractions are about 6 minutes apart and regular." c) "The contractions slow down when I walk around." d) "If I try to talk to my partner during a contraction, I can't."

c) "The contractions slow down when I walk around"

A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate which of the following? A) 14 weeks' gestation B) 20 weeks' gestation C) 28 weeks' gestation D) 36 weeks' gestation

c) 28 weeks gestation

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as: A) 3 2 1 0 3 B) 3 1 2 2 3 C) 4 1 1 1 3 D) 4 2 1 3 1

c) 4 1 1 1 3

During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include? a) "This fluid acts as transport mechanism for oxygen and nutrients" b) "The fluid is mostly protein to provide nourishment to your baby" c)"This fluid acts as a cushion to help to protect your baby from injury" d) "The amount of fluid remains fairly constant throughout the pregnancy"

c) This fluid acts as a cushion to help to protect your baby from injury

A nurse suspects that a client may be developing disseminated intravascular coagulation. The woman has a history of abruptio placenta during delivery. Which finding would help to support the nurse's suspicion? a) severe uterine pain b) board- like abdomen c) appearance of petechiae d) inversion of the uterus

c) appearance of petechiae

A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which of the following? A) Just above the symphysis pubis B) Mid-way between the pubis and umbilicus C) At the level of the umbilicus D) Mid-way between the umbilicus and xiphoid process

c) at the level of the umbilicus

When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief? a) birth is viewed as a medical event b) families are unable to make informed choices due to stress c) birth results in changes in relationships d) families require little information to make appropriate decisions for care

c) birth results in changes in relationships

When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation? a) deep red, fleshy-smelling lochia b) voiding of 350 cc c) blood pressure 90/50 mm Hg d)Profuse sweating

c) blood pressure 90/50 mmHg

The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part? a) occiput b) face c) buttocks d) shoulder

c) buttocks

Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has: A) Trichomoniasis B) Bacterial vaginosis C) Candidiasis D) Genital herpes simplex

c) candidiasis

The nurse encourages a female client with human papillomavirus (HIV) to receive continued follow-up care because she is at risk for: a) infertility b) dyspareunia c) cervical cancer d) dysmenorrhea

c) cervical cancer

On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse records this finding as: A) Hegar's sign B) Goodell's sign C) Chadwick's sign D) Homans' sign

c) chadwick's sign

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret and indicating a therapeutic level of medication? a) urinary output of 20 mL per hour b) respiratory rate of 10 breaths/minute c) deep tendon reflexes 2+ d) difficulty in arousing

c) deep tendon reflexes 2+

A nurse is working with a group of women who are victims of intimate partner violence. The nurse focuses interventions on which area as the primary goal? a) convincing them to leave their abuser soon b) helping them cope with their life as it is c) empowering them to regain control of their life d) arresting the abuser so he or she cannot abuse again

c) empowering them to regain control of their life

A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional rollercoaster." Which response by the nurse would be most appropriate? a) "How often has this been happening to you?" b) "Maybe you need some medication to level things out" c) "Mood swings are completely normal during pregnancy" d) "Have you been experiencing any thoughts of harming yourself?"

c) mood swings are completely normal during pregnancy

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered? a) butorphanol b) fetanyl c) naloxone d) promethazine

c) naloxone

Which information on a client's health history would the nurse identify as contributing to the client's risk of an ectopic pregnancy? a) use of oral contraceptives for 5 years b) ovarian cyst 2 years ago c) recurrent pelvic infections d) heavy, irregular menses

c) recurrent pelvic infections

During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, "I pretty much stay to myself at work and at home." The nurse interprets these findings to indicate that the client is in which phase of rape recovery? a) disorganization b)denial c) reorganization d) integration

c) reorganization

A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse that the placenta is separating? a) boggy, soft uterus b) uterus becoming discoid shape c) sudden gush of dark blood from the vagina d) shortening of the umbilical cord

c) sudden gush of dark blood from the vagina

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating a) latent phase of the first stage of labor b) active phase of the first stage of labor c) transition stage of the first stage of labor d) pelvic phase of the second stage of labor

c) transition phase of the first stage of labor

A client who is breast feeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction like-pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate? a) "Your uterus is still shrinking in size; that's why you're feeling this pain" b) "Let me check your vaginal discharge just to make sure everything is fine" c) "Your body is responding to the events of labor, just like after a tough workout" d) "The baby's sucking releases a hormone that causes the uterus to contract"

d) "The baby's sucking releases a hormone that causes the uterus to contract"

The nurse is teaching a pregnant woman about recommended weight gain. The woman has a prepregnancy body mass index of 26. The nurse determines that the teaching was successful when the woman states that she should gain no more than which amount during pregnancy? A) 35 to 40 pounds B) 25 to 35 pounds C) 28 to 40 pounds D) 15 to 25 pounds

d) 15 to 25 pounds

The nurse is developing a teaching plan for a client who has decided to bottle feed her newborn. Which information would the nurse include in the teaching plan to facilitate suppression of lactation? a) encouraging the woman to manually express milk b) suggesting that she take frequent warm showers to soothe her breasts c) telling her to limit the amount of fluids that she drinks d) instructing her apply ice packs to both breasts ever other hour

d) Instructing her to apply ice packs to both breasts every other hour

Which mother is in the fetal stage of development? a) a pregnant mother who is one week pregnant b) a pregnant mother who is five weeks' pregnant c) a pregnant mother who is seven weeks' pregant d) a pregnant mother who is thirty weeks' pregnant

d) a pregnant mother who is thirty weeks' pregnant

It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, when should the client receive RhoGAM? A) At 32 weeks' gestation and immediately before discharge B) 24 before delivery and 24 hours after delivery C) In the first trimester and within 2 hours of delivery D) At 28 weeks' gestation and again within 72 hours after delivery

d) at 28 weeks' gestation and again within 72 hours after delivery

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding? a) hyperglycemia b) elevated platelet count c) disseminated intravascular coagulopathy (DIC) d) elevated liver enzymes

d) elevated liver enzymes

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed? A) Hemoglobin and hematocrit B) Urine for culture C) Fetal ultrasound D) Fundal height measurement

d) fundal height measurement

A woman at 10 weeks gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize? a) report of frequent mild nausea b) blood pressure of 120/84 c) history of bright red spotting 6 weeks ago d) fundal height measurement of 18 cm

d) fundal height measurement of 18 cm

A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? a) genital herpes b) hepatitis B c)syphilis d) gonorrhea

d) gonorrhea

After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? a) human placental lactogen (hPl) b) estrogen (estriol) c) progesterone (progestin) d) Human chorionic gonadotrophin (hCG)

d) human chorionic gonadotrophin (hCG)

A nurse is assessing a postpartum woman. Which finding would lead the nurse to suspect that a postpartum woman is having a problem? a) elevated white blood cell count b) slightly increased hematocrit c) increased levels of clotting factors d) pulse rate of 110 beats/ minute

d) pulse rate of 110 beats/minute

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause of concern during a contraction? a) heart rate increases from 76 bpm to 90 bpm b) blood pressure rise from 110/60 mmmHg to 120/74 c) white blood cell count of 12,000 cells/mm3 d) respiratory rate of 10 breaths per minute

d) respiratory rate of 10 breaths per minute

A nurse is assessing a postpartum client. Which finding would the cause the nurse the greatest concern> a) leg pain on ambulation with mild ankle edema b) calf pain with dorsiflexion of the foot c) perineal pain with swelling along the episiotomy d) sharp stabbing chest pain with shortness of breath

d) sharp stabbing chest pain with shortness of breath

A postpartum client comes to the clinic for her 6- week postpartum checkup. When assessing the client's cervix, the nurse would expect the external cervical os to appear: a) shapeless b) circular c) triangular d) slit-like

d) slit-like