MB practice test

a nurse is providing education to a client during the first prenatal visit. which of the following statements by the client should indicate to the nurse a need for clarification? - "I should drink about 2 liters of fluid a day" - "I should not drink alcoholic beverages during my pregnancy" - "I can have a moderate amount of caffeine a day" - " I should increase my calcium intake to 1500 mg per day"

"I should increase my calcium intake to 1500 mg per day" a woman older than 19 of age is 1000 mg/day calcium to supply enough for fetal bone and tooth development & maintain maternal bone mass

a nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. which of the following statements by the client indicates a need for further teaching? "I will reduce my stress level" "I will tell my doctor before using home remedies for nausea" "I will monitor my weight gain during the remaining months" "I will only use nonprescription medications while pregnant"

"I will only use nonprescription medications while pregnant"

a nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. the client reports urinary frequency and asks if this will continue until delivery. which of the following responses should the nurse make? "its a minor inconvenience, which you should ignore" "in most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone" "there is no way to predict how long it will last in each individual client" "it occurs during the first trimester and near the end of pregnancy"

"it occurs during the first trimester and near the end of pregnancy"

a nurse is providing teaching about Kegel exercises to a group fo clients who are in their third trimester of pregnancy. which of the following statement by a client indicates the understanding of the teaching?

"these exercises improve the strength of perineal muscles, facilitating stretching and contracting during childbirth"

a nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. the client asks how much weight she should gain during pregnancy. which of the following response should the nurse make?

15-25 pounds is recommended

a nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). which of the following foods should the nurse instruct the client to eliminate from her diet? PB potatoes apple juice broccoli

Peanut butter

a nurse is preparing an in service about St. John's wort. Which of the following information should the nurse include in the teaching?

St. johns wort can cause photophobia

a nurse in an antepartum unit is triaging clients. which of the following clients should the nurse see first?

a client who is at 28 weeks of gestation and reports painless vaginal bleeding

a nurse in a providers office is planning for a client who has a new diagnosis of PCOS. the nurse should plan to monitor which of the following lab values? BUN glucose liver function thyroid stimulating hormone

glucose (pcos may cause hyperinsulinemia)

a nurse is teaching a client who is in her first trimester of pregnancy about OTC meds that are a pregnancy risk category B. which of the following meds should the nurse include? acetaminophen aspirin ibuprofen naproxen

acetaminophen

a nurse in a clinic is reviewing medical record of a group of clients who are pregnant. the nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?

all of the clients MSAFP is a screening tool to detect open spinal and abdominal wall defects in the fetus. this maternal blood test is recommended for all pregnant woman

a nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. the client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she is having doubts and second thoughts about the upcoming changes in her life. which of the following is an appropriate response by the nurse?

ambivalent feelings are quite common for women early in pregnancy

a nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. identify the sequence of material changes - quickening -lightening -goodells sign -amenorrhea

amenorrhea - first presumptive sign of pregnancy goodells sign - softening of cervix at 5-6 weeks quickening - fetal movement felt by mother usually at 16-20 lightening - fetus descends into pelvic cavity typically around 38-40 weeks

a nurse is teaching a client about black cohosh. which of the following information should the nurse include in the teaching?

black cohosh should not be taken during pregnancy

a nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need IV abx therapy. the client tells the nurse, "my parents think I am a virgin. I dont think I can tell them I have this kind of infection." Which of the following responses should the nurse make? "give your parents a chance; they'll understand" "if you want I can tell them for you" "you seem scared to talk to your parents" "your parents will have to be told why you are being admitted"

"you seem scared to talk to your parents"

a nurse is teaching a client who is at 15 weeks gestation and is to undergo an amniocentesis. the nurse should explain that the purpose of this test is to identify which of the following conditions? (select all that apply) - rh incompatibility -cephalopelvic disproportion -anomalies in fetal chromosomes -neural tube defects -fetal gender

anomalies in fetal chromosomes neural tube defects fetal gender

a nurse is instructing a woman who is contemplating pregnancy about nutritional needs. to reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

consume foods fortified with folic acid

a nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. which of the following responses by the nurse is appropriate? - "exercising during pregnancy is not recommended" -"daily jogging up to 30 minutes is fine throughout pregnancy" "activities that raise the body temp such as saunas and hot tubs, are safe until the third trimester". "it is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week"

daily jogging for up to 30 minutes is fine throughout the pregnancy

a nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. which of the following findings should the nurse expect? (select all that apply) eczema psoriasis linea nigra chloasma striae gravidarum

eczema linea nigra striae gravidarum

a nurse is caring for a client who has a positive pregnancy test. the nurse if teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. the nurse should instruct the cleint to call the clinic if she experiences which of the following manifestations?

facial edema

a nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2015. which of the following is the appropriate response by the nurse?

feb 11 2016 subtract 3 months days plus 7 plus 1 year

a nurse is providing preconception counseling for a client who is planning a pregnancy. which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

folic acid

a nurse is assessing a client who is in the third trimester of pregnancy. the nurse should recognize which of the following findings as an expected physiologic change during pregnancy? - gradual lordosis -increased abdominal muscle tone -posterior neck flexion -decreased mobility of pelvic joints

gradual lordosis - forward curving of the spice as the growth of the fetus pulls the pelvis forward

a nurse In a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

high absorbency tampons

a nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. which of the following statements by the newly licensed nurse requires intervention by nurse?

implantation occurs between 2-3 weeks after conception (occurs 6-10 days)

a nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. the client asks about the cause of her heartburn. which of the following responses should the nurse make? retained bile in the liver results in delayed digestion increased estrogen production causes increased secretion of hydrochloric acid pressure from the growing uterus displaces the stomach increased progesterone production causes decreased motility of smooth muscle

increased progesterone production causes decreased motility of smooth muscle causes a relaxation of the cardiac sphincter of the stomach and delayed gastric emptying, which can result in heartburn

a nurse is completing a health history for a client who is at 6 weeks of gestation. the client informs the nurse that she smokes one pack of cigarettes per day. the nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?

intrauterine growth restriction (can also cause placental abruption, placenta previa, preterm delivery and fetal death)

a nurse is caring for a client who is scheduled for a maternal serum alpha fetoprotein test at 15 weeks of gestation. the nurse provides which of the following explanations about this test to the client? -the test assesses fetal lung maturity -it assesses various markers of fetal well being -this test identifies an Rh incompatibility between the mother and fetus - it is a screening test for spinal defects in the fetus

it is a screening test for spinal defects in the fetus

a nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy. which of the following statements should the nurse include in the teaching?

moderate exercises improve circulation

a nurse is presenting educational materials for a group of middle aged clients about menopausal hormone therapy following total hysterectomy. which of the following information should the nurse include in the information? - take at different times of the day - take an extra dose if missed a day -prevents from having a cerebral hemorrhage - prevents osteoporotic fractures

prevents osteoporotic fractures

a nurse is caring for a client who is 18 weeks of gestation. the client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. the nurse should interpret this finding as which of the following?

quickening

a nurse in a prenatal clinic Is caring for a client. using Leopold maneuvers, the nurse palpates a round, firm, moveable part of the funds of the uterus and a long, smooth surface on the clients right side. in which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

right upper (best over location of the back)

a nurse is caring for a client during the first trimester of pregnancy. after reviewing the clients blood work, the nurse notices she does not have immunity to rubella. with of the following times should the nurse understand is recommended for rubella immunization?

shortly after giving birth. not allowed to give while pregnant because rubella and varicella vaccine is live.

a nurse is teaching about fetal development to a group of clients in the antenatal clinic. which of the following statements should the nurse include in the teaching?

the babies heart beat is audible by a doppler stethoscope at 12 weeks of pregnancy

a nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. which of the following is the correct interpretation of this data?

the client requires a rubella immunization following delivery

a nurse is teaching a newly licensed nurse about gynecological examination. which fo the following information should the nurse include in the teaching? - a speculum is used to assess the perineum - the cervix is assessed by spreading the labia majora - the anal opening is assessed to visual the bartholin glands - the urethral orifice is assessed by separating the labia minora

the urethral orifice is assessed by separating the labia minora

a nurse in a community clinic is counseling a client who received a positive test result for chlamydia. which of the following statement should the nurse provide? "this infection is treated with one dose of azithromycin" "if your sexual partner has no symptoms, no med is needed" "you have to avoid sexual relations for 3 days" "you need to return in 6 months for retesting"

this infection is treated with one dose of azithromycin (alt is doxycycline BID for 7 days - not for preggers)

a nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks when she can expect to experience quickening. which of the following responses should the nurse make? "this will occur during the last trimester of pregnancy" "this will happen by the end of the first trimester of pregnancy" "this will occur between the fourth and fifth months of pregnancy" "this will happen once the uterus begins to rise out of the pelvis"

this will occur between the fourth and fifth months of pregnancy usually occurs at 18 weeks or later; can occur at 14-16 with a mother who had previous pregnancies

a nurse is teaching a client who is at 23 weeks of gestation about immunizations. which of the following statements should the nurse include in the teaching? "you should not receive the rubella vaccine while breast-feeding" "you should receive a varicella vaccine before you deliver" "you can receive an influenza vaccination during pregnancy" "you cannot receive Tdap vaccine until you deliver"

you can receive an influenza vaccine during pregnancy

a nurse providing a teaching about nutrition to a client at her first prenatal visit. which of the following statement by the nurse should be including in the teaching? "you will need to increase your calcium intake during breastfeeding" "prenatal vitamins will meet your need for increased vitamin D during pregnancy" "vitamin E requirements decline during pregnancy due to the increase in body fat" "you will need to double your intake of ion during pregnancy"

you will need to double your intake of iron during pregnancy

a nurse observes a nurse checking fetal heart tones for a client who is at 12 weeks of gestation. which of the following actions by the nurse indicates a need for intervention by the charge nurse? place a pillow under the clients counts the fetal heart rate for a full minute auscultates above the pubic symphysis listens with a fetoscope

listens with a fetoscope fetoscope is not able to detect FHT this early in pregnancy. the nurse should use a doppler or ultrasound stethoscope. a fetoscope can be use around 16-20 weeks

a nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. at which location should the nurse expect to palpate the fundus?

slightly above the umbilicus

a nurse in a prenatal clinic is caring for a client who believes she might be pregnant because she feel the baby moving. which of the following statements should the nurse make?

this is a presumptive sign of pregnancy