maternal lec prelim

A primigravid client at 37 weeks gestation who has been diagnosed with pregnancy induced hypertension is to be admitted to the labor and delivery area. Which of the following client care rooms would the nurse determine to be most appropriate for this client? -A private room with many windows that is near the operating room -A darkened private room as close to the nurse's station as possible. -A semiprivate room midway down the hall from the nurse's station -A brightly lit private room at the end of the hall from the nurse's station

-A darkened private room as close to the nurse's station as possible.

The nurse is caring for a client after dilatation and curettage for H-Mole. When planning discharge instructions, the nurse should instruct the client to: -Try to become pregnant as soon as possible -Consider having a hysterectomy (removal of the uterus) in the next year -Avoid pregnancy for at least one year -Have her blood tested for HCG every month

-Avoid pregnancy for at least one year

The nursing student is making a case report about ectopic pregnancy. She explains that the following signs are included, except: -Painless vaginal bleeding -Bluish tinged umbilicus -Positive pregnancy test -Amenorrhea

-Bluish tinged umbilicus

A pregnant client who is diagnosed with hyperthyroidism has exopthalmia. This means -Swelling of the eyelids -Sunken eyeballs -Rolling of the eyeballs -Bulging eye balls

-Bulging eye balls

.A client has active TB. Which of the following symptoms will he exhibit? -Chest and lower back pain -Fever of more than 104°F and nausea -Headache and photophobia -Chills, fever, night sweats, and hemoptysis

-Chills, fever, night sweats, and hemoptysis

A patient with joint swelling and pain is being evaluated for systemic lupus erythematosus (SLE). The nurse knows that the serum test would be to determine the level of: -Platelet -Hematocrit -Creatinine -Hemoglobin

-Creatinine

Which of the following factors should be considered as the usual cause of ectopic Pregnancy? -Abnormal degeneration of the placenta -Damaged Fallopian tube -Incompetent cervix -Damaged uterus

-Damaged Fallopian tube

A pregnant client is diagnosed with Hepatitis A during her prenatal visit. The client asks how a person can become infected with this condition. You know the most common route of transmission is? -Mucosal -Blood -Percutaneous -Fecal-oral

-Fecal-oral

Which procedure should the client undergo after the evacuation of a molar pregnancy to detect for possible cancer? -Amniocentesis -HCG monitoring -Abdominal ultrasound -Chest X-ray

-HCG monitoring

A nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates the need for further instructions? -"I will have my child wear soft fabric clothing under the brace." -I should avoid the use of powder because it will cake under the brace." -I should apply lotion under the brace to prevent skin breakdown." -I will encourage my child to perform prescribed exercises."

-I should apply lotion under the brace to prevent skin breakdown."

Betina 30 weeks AOG discharged with a diagnosis of placenta previa. The nurse knows that the client understands her care at home when she says: -I am afraid I might have an operation when my due comes -I may go back to work since I stay only at the office -I will have to remain in bed until my due date comes -I am happy to note that we can have sex occasionally when I have no bleeding

-I will have to remain in bed until my due date comes

.What is the MOST common transmission route of Hepatitis C? -IV drug use -Blood transfusion -Sharps injury -Long-term dialysis

-IV drug use

When obtaining subjective from a pregnant client with myasthenia gravis, the nurse expects the client to report: -None of the given options -Ability to perform chores in early time of the day -Loss of function in the lower and upper extremities: -Inability to chew and smile

-Inability to chew and smile

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder? -Inspiratory and expiratory wheezing -Normal breath sounds -Production of loose secretions -Increased forced of exhaling volume

-Inspiratory and expiratory wheezing

The nurse is developing a nursing care plan for pregnant client with hypothyroidism who is on a medication to treat the disease. Which of the following should the nurse instruct the client to avoid taking the medication with? -Exercise -Calcium gluconate -Iron preparation -Anticonvulsant drugs

-Iron preparation

The Causative agent of Tuberculosis is said to be: -Mycobacterium Tuberculosis -Bacillus Anthracis -Group A Beta Hemolytic Streptococcus -Hansen's Bacilli

-Mycobacterium Tuberculosis

In hyperthyroidism, there is: -Decrease production of thyroid hormone -Increase production of insulin -Overproduction of thyroid hormone -Decrease production of glucose in the blood

-Overproduction of thyroid hormone

.The client is admitted with the diagnosis of incomplete abortion. Which of the following best suggests the condition? -All the products of conception have been expelled from the uterus -All the products of conception have been expelled from the fallopian tube -Partial products of conception have been expelled from the uterus -All of the given options.

-Partial products of conception have been expelled from the uterus

Excessive bleeding in a client diagnosed with abruptio placenta can result in hypovolemic shock. Thus, the nurse should monitor for signs of this condition which include of the following, except: -Hypotension -Pallor -Tachycardia -Pink conjunctiva

-Pink conjunctiva

A pregnant client is suspected of having systemic lupus erythematous. The nurse monitors the client, knowing that which of the following is one of the initial characteristic sign of systemic lupus erythematous? -Subnormal temperature -Weight gain -Rash on the face across the bridge of the nose -Elevated red blood cell count

-Rash on the face across the bridge of the nose

The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be: -Continuous with red clots -Red and moderate -Thin and white -Brown and scanty

-Red and moderate

Nurse Rowina is looking over the patient chart and is preparing to administer erythropoietin to the patient with Chronic Renal Disease. Nurse Rowina understands that erythropoietin is essential in the formation of: -Platelets -White blood cell -Plasma -Red blood cell

-Red blood cell

.An adolescent with scoliosis is to wear a brace for 22 hrs a day. What is the most likely reason the client will not wear it for that long if the developmental task is to consider among this age bracket clients? -Self-consciousness about appearance -not understanding what the brace is for -difficulty in putting the brace on -pain from the brace

-Self-consciousness about appearance

A patient with systemic lupus erythematosus (SLE) who has a facial rash and tells the nurse. "I hate the way I look! I never go anyplace except here to the health clinic." An appropriate nursing diagnosis for the patient is: -Activity intolerance related to fatigue and inactivity. -Impaired social interaction related to lack of social skills.. -Impaired skin integrity related to itching and skin sloughing -Social isolation related to embarrassment about the effects of SLE

-Social isolation related to embarrassment about the effects of SLE

The nurse is teaching the female client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. The nurse tells the client that this is most effectively done by: -Taking medications on time to maintain therapeutic blood levels -Eating large, well-balanced meals -Doing muscle-strengthening exercises -Doing all chores early in the day while less fatigued

-Taking medications on time to maintain therapeutic blood levels

Which priority teaching information should the nurse discuss with the pregnant client to help prevent contracting hepatitis A? -Discuss how to implement standard precautions -Explain the importance of good hand washing. -Tell the client to take the hepatitis B vaccine in three (3) doses. -Tell the client not to ingest unsanitary food or water

-Tell the client not to ingest unsanitary food or water

A 22 year old primi client came to the clinic with chief complaints of low back pain that is dull, sharp or cramping. The attending doctor mad a diagnosis of abortion. If the client ask you what is an abortion, the best answer is: -A procedure done to remove the fetus from the uterus -A procedure done to evacuate the fetus and placenta from the fallopian tube -A procedure done to remove the placenta from the uterus. -Termination of pregnancy before the period of viability

-Termination of pregnancy before the period of viability

You're providing discharge teaching to a pregnant client who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. The patient needs additional teaching if she includes in the list which of the following? -Itchiness on the throat -Cough -Uterine contractions -Thick mucosal secretions

-Uterine contractions

.A nurse should recognize which symptom as a cardinal sign of diabetes mellitus? -hyperactivity -nausea -frequent urination -seizure

-frequent urination

The most prevalent clinical manifestation of abruptio placentae as compared to placenta previa: -cramping -bleeding -intense abdominal pain -uterine activity

-intense abdominal pain

.A pregnant client is seen in the clinic for sore throat accompanied by elevated temperature. The doctor diagnosed her with Influenza. The nurse understands that this is: -cannot be suppressed by handwashing -mainly acquired by exposure to blood -not constant and do not require new vaccine each year -transmitted by droplets and is probably airborne

-transmitted by droplets and is probably airborne

A woman who's 36 weeks pregnant comes into the labor & delivery unit with mild contracts. Which of the following complications should the nurse watch out for when the client informs her that she has placenta previa? -vaginal bleeding -sudden rupture of membranes -emesis -fever

-vaginal bleeding

The pregnant client is taking iron preparation at the same time medication to treat her hypothyroidism. The nurse should instruct the client to take the medication for hypothyroidism for about after how many hours after taking the iron preparation? -1Hour -6 Hours -4Hours -2Hours

4Hours

.A pregnant client has a sudden attack of asthma after exposure to: -Contaminated eating utensils at home -After given corticosteroid and antihistamine -Allergen -People with the same illness.

Allergen

The parents of a preschooler child were advised by the family doctor that they should guard their son from joining school activities that required abrupt physical contact. this means that the child is diagnosed with: a. HEPATITIS b. THALASSEMIA c. HEMOPHILIA B d. VON WILLEBRAND DISEASE

C. HEMOPHILIA B

An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placentae is present, Based on these findings, the nurse would prepare the client for: -The need for weekly manitoring of coagulation studies until the time of delivery -Strict monitoring of intake and output -Delivery of the fetus -Complete bed rest for the remainder of the pregnancy

Delivery of the fetus

Which diet would best help to combat edema of pre-eclampsia? -salt free diet -High protein diet -Fat free diet -Low carbohydrates

High protein diet

.To ensure tuberculosis pockets would not be broken down, the nurse attending to pregnant client with tuberculosis should take which of the following? -Vitamin B12 -Dairy products -Iron rich food -Folic rich food

Iron rich food

.Oligohydramnios is a condition caused by? -High blood sugar -Low heart rate -Low amniotic fluid -Weight gain

Low amniotic fluid

The clinical instructor asks her student what placenta previa means. The student understands the meaning of this when she/he says: -Pseudocyesis -Inevitable miscarriage -Premature separation of the placenta -Low implantation of the placenta in the uterus

Low implantation of the placenta in the uterus

Which is the most common manifestation found in women with ectopic pregnancy? -Hyperemesis gravidarum -Myxedema -pain -Exopthalmia

Pain

The nurse in the labor room is preparing to care for a client with hypertonic uterine contractions. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. What is the priority nursing action? a) Provide pain relief measures. b) Prepare the client for an amniotomy. c) Promote ambulation every 30 minutes. d) Monitor the oxytocin infusion closely.

Provide pain relief measures.

.The clinic nurse asks a 13 year old female to bend forward at the waist with the arms hanging freely. Which of the following assessments is the nurse most likely conducting? -Scoliosis -Spinal flexibility -Leg length disparity -Hypostatic blood pressure

Scoliosis

.A client is diagnosed with placenta previa and the fetal lungs are not yet fully matured. You expect the doctor to order which of the following? - Methotrexate -Oxytocin -Magnesium sulfate -Steroid shots

Steroid shots

Mother-fetus incompatibility problems result from: -The mother's antibodies agglutinating the fetus Rh positive red blood cells -The fetus's antibodies agglutinating its own blood cells -The father's antibodies agglutinating the fetus Rh positive red blood cells -The fetus antibodies agglutinating its mother's red blood cells

The mother's antibodies agglutinating the fetus Rh positive red blood cells

A client asks the nurse why taking folic acid's so important before and during pregnancy. Which of the following would be the nurse's best response? a) "Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers". b) "Eating foods with moderate amounts of folic acid helps regulate blood glucose levels". c) "Folic acid consumption helps with the absorption of iron during pregnancy". d) "Folic acid is needed to promote blood clotting and collagen formation in the newborn".

a) "Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers".

Von Willebrand disease is considered as a type of disorder involving: a) Coagulation b) Respiratory system c) Cardiovascular system d) Renal system

a) Coagulation

The nurse is planning a care for a 16 year old client in the prenatal clinic. Adolescents are prone to which complication during pregnancy? a) Iron deficiency anemia b) Varicosities c) Nausea and vomiting d) Gestational diabetes

a) Iron deficiency anemia

A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the fetuses is a breech presentation. Which intervention is least appropriate in planning the nursing care of this client? a) Measure fundal height. b) Attach electronic fetal monitoring. c) Prepare the client for a possible cesarean section. d) Visually examine the perineum and vaginal opening

a) Measure fundal height.

You're performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you I immediately report to the physician? a) Oozing around the IV site b) Tender uterus c) Hard abdomen d) Vaginal bleeding

a) Oozing around the IV site

While caring for a 24- years-old primigravida client scheduled for emergency surgery because of a probable ectopic pregnancy, the nurse should: a) Prepare to witness an informed consent for surgery b) Assess the client for massive external bleeding c) Explain that the Fallopian tube can be savages d) Monitor the client for uterine contraction

a) Prepare to witness an informed consent for surgery

Nurse Jackie is looking over the patient chart and is preparing to administer erythropoietin to the patient with Chronic Renal Disease. Nurse Jackie understands that erythropoietin is essential in the formation of: a) Red blood cell b) White blood cell c) Plasma d) Platelets

a) Red blood cell

a diet which is low in salt is prescribed to Mrs. Lilac her attending physician to help in minimizing the fluid in her lungs and heart. Medication to lower the blood volume is also prescribed and this is known as a. Diuretics b. Antihypertensives drugs c. Corticosteroid d. Anticonvulsant drugs

a. Diuretics

You're providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement? I a) "I will take this medication on an empty stomach." b) "I will avoid taking this medication with orange juice." c) "I will wait and take my calcium supplements 2 hours after I take my iron supplement." d) "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as needed."

b) "I will avoid taking this medication with orange juice."

Lavender has a laceration on her leg from her automobile accident. What priority nursing action should the nurse initiate? a) Keep the laceration clean by irrigating it with hydrogen peroxide b) Control bleeding by applying a pressure dressing to the wound c) Administer a nonsteroidal anti-inflammatory medication for pain relief d) Obtain written consent for surgery from lavender

b) Control bleeding by applying a pressure dressing to the wound

The nurse is caring for a primiparous client and her neonate immediately after delivery. The neonate was born at 41 weeks' gestation and weighs 4,082 g (9 lbs). Assessing for signs and symptoms of which of the following conditions should be a priority in this neonate? a) Anemia. b) Hypoglycemia. c) Delayed meconium. d) Elevated bilirubin.

b) Hypoglycemia

The nurse is preparing to care for four assigned clients. Which client is at most risk for hemorrhage? I a) A primiparous client who delivered 4 hours ago b) A multiparous client who delivered 6 hours ago. c) A multiparous client who delivered a large baby after oxytocin induction. d) A primiparous client who delivered 6 hours ago and had epidural anesthesia.

c) A multiparous client who delivered a large baby after oxytocin induction.

A client ask the nurse what is the root cause of idiopathic thrombocytopenic purpura? The best answer of the nurse would be: a) Acquired b) Seasonal c) Autoimmune d) Inherited

c) Autoimmune

Violet was placed on an iron supplement because her hemoglobin level was below normal. What would be the best way to determine if Violet is taking her iron supplement? a) Perform a physical assessment noting if her nail bed have deepened in color b) Ask her to describe in her own words why she has been prescribed an iron supplement c) Look up her laboratory results to see if her reticulocyte count has increased since her last visit d) Analyze her urine for color that would reveal the presence of iron deposits

c) Look up her laboratory results to see if her reticulocyte count has increased since her last visit

The nurse is taking a nutritional history from a 16-year-old pregnant adolescent. Which statement, if made by the adolescent, should alert the nurse to a potential psychosocial problem. a) "I don't like dairy products." b) "I will continue drinking my afternoon milkshake." c) "I'm not used to eating so much food, but I will try." d) "I want to gain only 10 pounds because I want to have a small, petite baby."

d) "I want to gain only 10 pounds because I want to have a small, petite baby."

A pregnant client is on her 28th weeks of gestation and was diagnosed with sickle cell anemia. This disorder means: a) Recessive contagious anemia b) Abnormal white blood cells c) Loose red blood cells d) Abnormal amino acid

d) Abnormal amino acid

You're providing seminar teaching to a group of nurses about sickle cell anemia. Which of the following is NOT a treatment for this condition? a) Blood transfusion b) Stem cell transplant c) Intravenous fluids d) Iron supplements

d) Iron supplements

A client has idiopathic thrombocytopenic purpura. To determine the client's response to treatment. the nurse would monitor: a) White blood cell count b) Potassium levels c) Partial prothrombin time (PTT) d) Platelet count

d) Platelet count

All the conditions below that increases a patient's risk for absolute hypovolemic shock EXCEPT a) VOMITING b) BLEEDING c) SURGERY d) SEPSIS

d) SEPSIS

A newly pregnant woman tells the nurse that she hasn't been taking her prenatal vitamin because they make her nauseated. In addition to telling the client how important taking the vitamins are, the nurse should advise her to: a) Take vitamins first thing in the morning b) Switch brands c) Take vitamins with orange juice for better absorption d) Take the vitamins on a full stomach

d) Take the vitamins on a full stomach

Pregnant people over the age of 40 years are at increased risk for developing gestational hypertension. As a result, routine screenings for this health problem have been emphasized on the labor unit for change in nursing practice? a) Many over 40 years are underweight before they begin pregnancy b) Older individuals tend to have a higher fluid intake than do younger people c) Many older people are prone to edema due to their lower activity levels d) The blood vessels of older people may not be as elastic as those of younger individuals

d) The blood vessels of older people may not be as elastic as those of younger individuals

The nurse is providing emergency measures to a client in labor who has been diagnosed with a prolapsed cord. The mother becomes anxious and frightened and says to the nurse, "Why are all of these people in here? Is my baby going to be all right?" Which client problem is most appropriate to address at this time? I a) The client's inability to cope with the situation b) The client's inability to control the situation c) The client's fatigue d) The client's fear

d) The client's fear

Your patient, Mrs. Purple is admitted with the diagnosis of right sided heart failure. The condition is explained as: a) The input of the right ventricle is less than the blood volume received by the right atrium b) The output of the right atrium is less than the blood volume received by the right ventricle c) The input of the right atrium is less than the blood volume received by the right ventricle d) The output of the right ventricle is less than the blood volume received by the right atrium

d) The output of the right ventricle is less than the blood volume received by the right atrium

Which observation in the newborn of a diabetic mother would require immediate nursing intervention? -crying -wakefulness -jitteriness -yawning

jitteriness