NUR 102 Test #4 Questions
Which therapy frequently becomes the primary treatment modality that replaces traditional medicine? 1.Alternative therapy 2.Herbal therapy 3.Complementary therapy 4.Conventional therapy
1. Alternative therapy
Reflexology is used as an alternative therapy because: 1. the reflexologist manipulates specific reflexes to relieve stress. 2. reflexology is relaxing. 3. pure oils are used with reflexology to provide health benefits. 4. reflexology is contraindicated for infectious skin diseases
1. the reflexologist manipulates specific reflexes to relieve stress.
When caring for clients with various religious beliefs and cultural concerns, which of the following would be the role of the nurse? (Select all that apply.) 1.The nurse should become familiar with viewpoints and religious beliefs of patients. 2.The nurse does not determine complementary and alternative therapies that might be used with western medicine. 3.It is not important for the nurse to know the nurse practice act in the state which she/he is employed. 4.The nurse does not need to familiarize him- or herself with any of the therapies a patient may use because they will not be contraindicated with western medicine.
1.The nurse should become familiar with viewpoints and religious beliefs of patients.
Electronic Doppler can detect fetal heart tones by what week?
10 to 12 weeks
While interacting with a patient during a prenatal visit, the nurse suggests the patient avoid wearing high-heeled shoes. Which symptom would the intervention be addressing? A) Gastric distress B) Dizziness C) Backache D) Heartburn
C) Backache
Which modifiable risk factor associated with coronary artery disease (CAD) should the nurse discuss when conducting a health class for adolescents? A) Opioid use B) Cigarette smoking C) Judicious alcohol intake D) Moderate exercise program
B) Cigarette smoking
Which dietary information would the nurse emphasize when reinforcing a dietary program for a pregnant client with diabetes? A) The need to increase high-quality protein and decrease fats B) The need to increase carbohydrates to meet energy demands and prevent ketosis C) The need to eat a low-calorie diet that maintains the current insulin coverage and helps prevent hyperglycemia D) The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary
D) The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary
A first-time mother has been attending childbirth preparation classes for several weeks. Which behavior by the patient, if witnessed by the nurse, indicates the expecting mother needs additional teaching? A) Wearing support hose B) Preparing a hospital bag for the birth C) Requesting written material D) Wearing high-heeled shoes
D) Wearing high-heeled shoes
The embryo is implanted in the fallopian tube is an?
Ectopic Pregnancy
What can increase when the postpartum mother is at home and exerting herself? a) Lochia b) Urination c) Defecation d) Temperature
a) Lochia
Which is a normal finding for 2 days postpartum? a) Hypertension b) Temperature 100.4° F or higher c) Temperature 98° F or lower d) Respiratory rate of 30
b) Temperature 100.4° F or higher
If a woman has not gained a lot of weight during her pregnancy, when might she return to her prepregnancy weight? a) 8-10 weeks b) 10-12 weeks c) 6-8 weeks d) 4-5 weeks
c) 6-8 weeks
Which position is best when assessing the postpartum woman's perineum? a) Lithotomy b) Lateral c) Supine d) Prone
c) Supine
What will help with engorgement? a) Ambulation b) Hot shower c) Well-fitting bra d) Slippers
c) Well-fitting bra
1. What helps to reduce discomfort and promote healing of the perineum? a) Urinary catheter b) Heating pad c) Heat lamp d) Sitz bath
d) Sitz bath
Which essential problems should be placed on the nursing care plan of a patient with a wound? Select all that apply. A) Infection B) Nutrition C) Skin integrity D) Respiratory distress E) Altered mental status
A) Infection B) Nutrition C) Skin integrity
Which concern would be priority for a patient with epiglottitis? A) Maintaining a patent airway B) Maintaining sterile technique C) Initiating isolation precautions D) Frequent communication with parents
A) Maintaining a patent airway
According to Healthy People 2020 health indicators, which area would the nurse include to improve the overall health of elementary school children? Select all that apply. One, some, or all responses may be correct. A) Oral health B) Hearing checks C) Vision screening D) Injury prevention E) Exercise and activity
A) Oral health B) Hearing checks C) Vision screening D) Injury prevention E) Exercise and activity
A pregnant patient complains of having to go to the bathroom frequently and sometimes even has stress incontinence. Which instruction can the nurse provide to the patient to increase the tone of the perineal muscles? A) Perform Kegel exercises B) Perform pelvic-tilt exercises C) Wear an abdominal support D) Avoid waiting so long to go to the bathroom
A) Perform Kegel exercises
A pregnant patient comes to the hospital saying she thinks her water has broken. The nurse checks the fluid with nitrazine test paper to determine whether the fluid is amniotic fluid or vaginal secretions. Which color will the nurse expect the paper to turn if the fluid is amniotic? A) Yellow B) Deep blue C) Olive green D) Olive yellow
B) Deep Blue
A patient who is approaching the time of delivery reports a sudden outflow of fluid from the vagina. The registered nurse informs the licensed practical/vocational nurse that the nitrazine paper turned blue in the patient. What does the test result indicate? A) The amniotic sac has ruptured B) The fetus is at risk of infection C) The amniotic membrane is intact D) The fluid discharge contained urine
A) The amniotic sac has ruptured
Why would a health care provider prescribe oxytocin to a pregnant patient who had a positive nitrazine paper test? A) To induce uterine contractions during labor B) To rupture the membrane of the amniotic sac C) Because it should be given 24 hours after a positive nitrazine paper test D) To avoid complications of labor
A) To induce uterine contractions during labor
A mother who identifies as American Indian has just delivered a healthy newborn infant and is requesting to take the placenta home with her newborn infant and is requesting to take the placenta home with her. Which response would the nurse give to the patient? A) "I will start the process for you to take the placenta." B) "The placenta is full of microorganisms that can cause illness." C) "Placenta is a hazardous material that the hospital must dispose of." D) "The placenta is the property of the hospital and cannot be removed."
A) "I will start the process for you to take the placenta."
Which response would a nurse give to a pregnant client who reports having a 1-year-old daughter with sickle cell anemia and asks, "Will this baby also have sickle cell anemia even though my husband and I don't have it?" A) "The chance that another child will have sickle cell anemia is 25%." B) "Only one child in a family is affected, so the others probably will be all right." C) "The most likely conclusion is that your children will have sickle cell anemia." D) "If your partner has the sickle cell gene, it means 50% of your children will have sickle cell anemia."
A) "The chance that another child will have sickle cell anemia is 25%."
Which client situation is a contraindication for the administration of clomiphene citrate? A) 12 weeks pregnant B) Not ovulating regularly C) Plans to become pregnant D) Has reduced estrogen levels
A) 12 weeks pregnant
When reinforcing teaching with the client, the nurse knows that alcohol should be avoided with clients taking phenytoin because?
Alcohol decreases the effectiveness of the phenytoin
A patient with long-term, poorly controlled type 2 diabetes mellitus comes to the clinic complaining of tingling and burning in the legs and numbness in the toes. The nurse anticipates which diagnosis? A) Phantom limb pain B) Trigeminal neuralgia C) Diabetic neuropathy D) Postherpetic neuralgia
C) Diabetic neuropathy
What can affect the level of the fundus? a) Constipation b) Full bladder c) Urgency to urinate d) Urinary tract infection
b) Full bladder
There are a variety of reasons why magnet therapy may be used either intermittently or continuously. Magnet therapy is contraindicated in which client? 1.A 39-year-old female with hyperthyroidism 2.A 68-year-old male with a pacemaker 3.A 48-year-old male with a decubitus ulcer 4.A 58-year-old female with thrombophlebitis
2.A 68-year-old male with a pacemaker
Which is the priority nursing intervention for a patient with hypoxia who has an oxygen level of 78%, dyspnea, and confusion? A) Administer oxygen. B) Obtain pulse oximetry. C) Measure blood pressure. D) Initiate telemetry monitoring.
A) Administer oxygen.
A patient from a different country is admitted to a labor and delivery unit and is near delivery. Neither the patient nor the family understands English, and there is no staff that can interpret the patient's language. Consent forms need to be signed and the risks of any procedures explained. Which action is best for the nurse to take? A) Call a translator service and have them translate over the phone B) Postpone procedures until an English-speaking family member arrives C) Perform procedures and obtain signatures when a translator is available D) Have the primary health care provider's office fax a copy of the consent form on file.
A) Call a translator service and have them translate over the phone
Which advice would a nurse give to a client receiving antibiotics and antifungal medications for the treatment of a recurring vaginal infection to compensate for the effects of these medications? A) Eat yogurt daily. B) Avoid spicy foods. C) Drink more fruit juices. D) Take a multivitamin every day
A) Eat yogurt daily.
Which activity reflects secondary prevention interventions in relation to health promotion? Select all that apply. One, some, or all responses may be correct. A) Encouraging regular dental checkups B) Facilitating smoking cessation programs C) Administering influenza vaccines to older adults D) Teaching the procedure for breast self-examination E) Referring clients with a chronic illness to a support group
A) Encouraging regular dental checkups D) Teaching the procedure for breast self-examination
A patient arrives at the clinic complaining of chronic pain and comments, " My neck and lower back hurt all the time. My body is stiffer in the morning, and the achiness and stiffness are always much worse after a hard day of work." Which diagnosis does the nurse interpret these symptoms to be associated with? A) Fibromyalgia B) Osteomyelitis C) Osteoarthritis D) Rheumatoid arthritis
A) Fibromyalgia
Which factor is associated with abnormal uterine bleeding? Select all that apply. One, some, or all responses may be correct. A) Hyperthyroidism B) Thrombocytopenia C) Spontaneous abortion D) Polycystic ovarian syndrome E) Lesions in the reproductive tract
A) Hyperthyroidism B) Thrombocytopenia C) Spontaneous abortion D) Polycystic ovarian syndrome E) Lesions in the reproductive tract
A client is concerned about regaining her figure after the baby is born and wishes to diet during pregnancy. Which advise would the nurse provide? A) Inadequate food intake can result in a low-birth-weight infant. B) Dieting is recommended to decrease the risk for stillbirth. C) Dieting is recommended to make the birthing process easier. D) Inadequate food intake may result in gestational diabetes mellitus.
A) Inadequate food intake can result in a low-birth-weight infant.
The caregivers of a patient with acute seizures ask the nurse what they should do if another episode of seizure occurs at home after discharge. Which instructions should the nurse provide in response to the question? Select all that apply. A) Loosen constrictive clothes B) Ease the patient to the floor C) Restrain the patient to the bed D) Protect the patient from injury E) Bring the patient to the hospital immediately
A) Loosen constrictive clothes B) Ease the patient to the floor D) Protect the patient from injury
A recently admitted elderly patient becomes disorientated to person, place, and time. Which action should the nurse take first? A) Reorient the patient to person, place, and time. B) Notify the family of the patient's disorientation. C) Call the health care provider to get a prescription for a mild sedative. D) Have an unlicensed assistive personnel (UAP) sit with the patient
A) Reorient the patient to person, place, and time
A client in status epilepticus arrives at the emergency department. The family is interviewed to determine the cause of this problem. Which event may have predisposed the client to this condition?
Abruptly stopping anti convulsant therapy
The client knows that this can help with fibromyalgia:
Acupuncture, Stretching, Mediation, Stress Management, Physical Exercise
The nurse is caring for a pregnant patient who reports labor pains. After data collection, the nurse finds it to be false labor. Which finding in the patient indicates false labor? A) The cervix is softened, effaced, and dilated B) Contractions eventually stop with relaxation C) Contractions are not stopped with relaxation D) The fetus continues its descent into the pelvis
B) Contractions eventually stop with relaxation
A client tells the nurse that they recalled a warm sensation before her seizure. Which term describes this?
Aura
Which statement made by a client indicates adherence primarily to an alternative or complementary health belief system? Select all that apply. One, some, or all responses may be correct. A) "I usually take laxatives to relieve constipation." B) "I often use topical essential oils to promote relaxation." C) "I believe in treatment that involves carrying out rituals." D) "I believe acupuncture is most effective in relieving pain." E) "I frequently practice meditation to keep myself from becoming depressed."
B) "I often use topical essential oils to promote relaxation." D) "I believe acupuncture is most effective in relieving pain." E) "I frequently practice meditation to keep myself from becoming depressed."
A nurse is taking a health history from a new patient. Which data, if obtained during the interview, would cause the nurse to be concerned about the safety of the infant? A) "I exercise three times a week." B) "I use the sauna at the club twice a week." C) "I delivered my other children at 38 weeks." D) "I eat three well-balanced meals and a snack daily."
B) "I use the sauna at the club twice a week."
Which statement made by the nursing student indicates a need for further teaching regarding the effects of aspirin in pregnant women? A) "It may reduce a fever." B) "It will cause Reye syndrome." C) "The risk of bleeding may increase." D) "Labor contractions may be suppressed."
B) "It will cause Reye syndrome."
Which response will be made by a nurse caring for a client scheduled for a hysterectomy who starts to sob and says, "I told my husband that after this operation I'll be only half a woman. He told me not to worry, but I know that he was just putting up a front"? A) "It's frightening to think that your husband rejects you as a woman." B) "You think this operation will affect how your husband feels about you as his wife." C) "Try not to worry about it right now. The most important thing is for you to get well." D) "I'll try to have your surgery postponed. You both need time to adjust to the effects of a hysterectomy."
B) "You think this operation will affect how your husband feels about you as his wife."
A nurse is collecting data on a patient who is 28 weeks pregnant. Which measurement would the nurse expect the fundal height to measure in centimeters? A) 20 cm B) 28 cm C) 32 cm D) 36 cm
B) 28 cm
A pregnant patient call the clinic and explains to the nurse that she is experiencing pain with no distinctive pattern, the pain varies in length and intensity, and it stops when she gets up and moves around. Which inference can the nurse make out about the patient's condition? A) True labor has begun B) Braxton Hicks contractions are occurring C) The appendix may be inflamed D) This is an indication of severe indigestion
B) Braxton Hicks contractions are occurring
While assessing an older patient, the nurse finds that the patient has seizures and tetany. Which laboratory value alteration does the nurse infer from this? A) Sodium deficiency B) Calcium deficiency C) Chlorine excess D) Magnesium excess
B) Calcium deficiency
Which nursing action will ensure that the patient receives the correct dose of the prescribed drug? Select all that apply. A) Ask another nurse to prepare the dose. B) Calculate and obtain the correct dose. C) Determine whether the dosage is normal. D) Compare the dose with the dose on the record sheet. E) Obtain a similar drug if the prescribed drug is unavailable.
B) Calculate and obtain the correct dose. C) Determine whether the dosage is normal. D) Compare the dose with the dose on the record sheet.
Which interventions are included in a patient's plan of care to reduce the symptoms of fibromyalgia syndrome? A) Long naps and rest periods B) Dark, quiet sleep environment C) Yoga and relaxation techniques D) Stretching exercises and swimming E) Warm bath within 2 hours of bedtime
B) Dark, quiet sleep environment C) Yoga and relaxation techniques D) Stretching exercises and swimming E) Warm bath within 2 hours of bedtime
During the prenatal checkup, the nurse finds that the patient has nausea and vomiting early in the morning. Which suggestion should the nurse provide to the patient to prevent nausea and discomfort? A) Eat food that has high amounts of fat B) Eat a few soda crackers before rising from the bed C) Avoid frequent fluid intake during the day D) Avoid eating frequent, small amounts of food
B) Eat a few soda crackers before rising from the bed
Which aspect of patient care is the highest priority in both the acute and long-term care setting? A) Protecting patient privacy B) Ensuring patient safety C) Providing a wide range of patient care services D) Administering patient medications in a timely manner
B) Ensuring patient safety
When an adolescent client tells the nurse, "I have this awful pain during my periods; it never stops," the nurse would encourage her to do take which action? A) Increasing daily activities B) Having a gynecologic examination C) Eating a nutritious diet containing iron D) Practicing relaxation of abdominal muscles
B) Having a gynecologic examination
Considering Maslow's hierarchy of needs, which patient problem would be of the highest priority? A) Lack of education about diagnosis B) Inability to tolerate food and drink C) Pain not being alleviated by pain medication D) Risk of skin integrity being compromised by immobility
B) Inability to tolerate food and drink
A nurse has been asked to give a presentation to parents about health promotion in preschoolers. Which topic would the nurse include? A) Nutrition and bullying B) Injury prevention and dental health C) Organized sports and immunizations D) Toilet training and attention deficit disorder
B) Injury prevention and dental health
A nurse is taking care of a patient who suddenly begins to have a seizure. Which response by the nurse would be appropriate? A) Run to the telephone, and call for help B) Observe and record the seizure activity C) Apply soft restraints until the seizure activity ceases D) Pry the jaw open to place a padded tongue blade into the patient mouth
B) Observe and record the seizure activity
Which action is the first step for the nurse to carry out in the event of a fire in the workplace? A) Turn the oxygen off near the fire. B) Remove the people from the room with the fire. C) Use an appropriate fire extinguisher to put out the fire. D) Notify the switchboard operator where the fire is located.
B) Remove the people from the room with the fire.
A pregnant woman in the third trimester comes to a clinic appointment accompanied by her husband, who asks privately if it is normal for his wife to experience anxiety and mood swings. Which response by the nurse would be most appropriate? A) "Just ignore the behavior; it will go away." B) "Give her some time, and she will be better." C) "Continue to reassure her and offer support." D) "All of the abnormal behavior will stop after birth."
C) "Continue to reassure her and offer support."
The nurse is repeating instructions to a patient with epilepsy about the care to be taken after discharge. Which statement made by the patient indicates the need for further teaching? A) "I have to maintain good oral hygiene" B) "I should abstain from anything with alcohol in it" C) "I may stop taking my seizure medications if I have not had a seizure in 30 days" D) "I should wear the medical alert bracelet provided"
C) "I may stop taking my seizure medications if I have not had a seizure in 30 days"
A Native American patient is in labor. She believes that a medal will ward off evil spirits during the cesarean delivery. When the nurse asks her to remove the necklace, she becomes hysterical. Which action provides culturally competent care by the nurse? A) Asking a family member to hold the item B) Demanding that the necklace be removed C) Allowing the necklace if it does not cause harm D) Notifying the primary health care provider of the conflict
C) Allowing the necklace if it does not cause harm
Which is an example of tertiary care? A) Preparing a client who has sustained a leg fracture in an accident for an x-ray B) Teaching community members about the importance of using seat belts in cars C) Caring for a postoperative client who is suffering from respiratory distress in the intensive care unit D) Advising a client with stage 1 Parkinson disease to include exercise in his or her daily routine
C) Caring for a postoperative client who is suffering from respiratory distress in the intensive care unit
A nurse has just assisted with the delivery of a full-term infant. Which immediate intervention should the nurse carry out to prevent hypothermia? A) Check the infant's reflexes B) Suction the infant's mouth C) Dry the infant with a blanket D) Place a cap on the infant's head
C) Dry the infant with a blanket
Which term is used for documentation of shortening and thinning of the cervix during the first stage? A) Dilation B) Scarring C) Effacement D) Contractions
C) Effacement
A primary health care provider is performing the Leopold maneuver on a laboring patient to check for fetal position. Which position is the most common for delivery? A) LOP B) ROP C) LOA D) ROA
C) LOA
In assessing a laboring patient, which fetal heart tone (FHT) would the nurse consider cause for further or constant monitoring? A) Accelerations B) FHTs at 136 beats per minute (bpm) C) Late decelerations D) Early decelerations
C) Late decelerations
A patient visits the antepartum clinic and gives August 3 as the first day of the last menstrual cycle. Based on Nägele's rule, on which date can this patient expect to deliver? A) May 3 B) April 3 C) May 10 D) April 10
C) May 10
Which description identifies fibromyalgia syndrome? A) Psychiatric disorder B) Mood disorder of depression, irritability, and hostility C) Musculokeletal chronic pain of unknown cause D) Disorder that usually affects men between the ages of 20 and 50 years
C) Musculoskeletal chronic pain of unknown cause
A young pregnant woman has been planning a natural vaginal delivery for the past 8 months. A breech presentation resulted in a cesarean section. When the nurse enters to assess the surgical incision, the patient yells, " That doctor ruined my plan, now my stomach is scarred for life." Which action is most appropriate for the nurse to take? A) Ask the family to comfort the patient B) Immediately exit the room and return at a later time C) Sit at the bedside and allow the patient to express concerns D) Call the primary health care provider and inform him or her of the patient's statement
C) Sit at the bedside and allow the patient to express concerns
Bluish or purplish discoloration of the vulva, vagina, and cervix is called the?
Chadwick's sign
During a client education session, which scenario mentioned by the nurse is an example of secondary prevention? A) "A nurse educates a young couple regarding sex and sexually transmitted infections." B) "A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a client." C) "A nurse arranges for a client's rehabilitation to help gain maximum limb function after amputation." D) "A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the health care facility."
D) "A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the health care facility."
Which client statement would indicate to the nurse a need for further teaching about oral health? A) "Acidic and sugary foods tend to cause dental caries." B) "I will use a soft-bristled brush to clean my dentures." C) "Gum disease increases the risk for heart attack or stroke." D) "Because I have diabetes, I need to see the dentist every year."
D) "Because I have diabetes, I need to see the dentist every year."
Which instruction does the nurse give to the parents of a neonate about suctioning the mouth with a bulb syringe? A) "Do not use the same bulb for suction of nasal passages." B) "Insert the bulb at one side of the mouth and compress it." C) "Compress the bulb and insert it at the center of the mouth." D) "Compress the bulb and insert it into one side of the mouth."
D) "Compress the bulb and insert it into one side of the mouth."
A postpartum client is scheduled to have a tubal ligation and has asked that her husband not be told about the procedure because she has told him that she is having exploratory surgery. The client's husband asks the nurse why his wife needs to have exploratory surgery. How would the nurse respond? A) "What has the physician told you?" B) "I don't know the answer to that question." C) "I'm not allowed to give you that information." D) "Have you talked to your wife about your concerns?"
D) "Have you talked to your wife about your concerns?"
Which instructions would the nurse give to the unlicensed assistive personnel (UAP) regarding bathing a patient with dementia? A) "Turn on the radio to help calm the patient." B) "Try not to smile; it makes the patient anxious." C) "Have three to five staff members assist with the bath." D) "If a full bath is not possible, prioritize which body parts need bathing."
D) "If a full bath is not possible, prioritize which body parts need bathing."
A seasoned nurse is caring for a young mother in labor whose husband feels guilty for not being able to help his wife. Which response by the nurse would be the most therapeutic? A) "You can leave and come back when you feel better" B) "Call your family, you need some extra support right now" C) '"You are right, men can never do anything right" D) "Just provide support, be caring, and make her comfortable"
D) "Just provide support, be caring, and make her comfortable"
A pregnant patient asks the nurse about a darkened line on her abdomen. Which nursing response is correct? A) "That is chloasma, the mask of pregnancy." B) "That is striae gravidarum, more commonly known as stretch marks." C) "That is spider nevi, a branched growth of dilated capillaries on the skin." D) "That is linea nigra, a darkened line from the pubis to the umbilicus resulting from increased hormones."
D) "That is linea nigra, a darkened line from the pubis to the umbilicus resulting from increased hormones."
A 21-year-old patient who believes she may be pregnant telephones the clinic and asks to speak with the nurse. Which statement by the patient would give the best indication that the patient may be pregnant? A) "I have not been feeling well lately." B) "I notice that I have gained 10 pounds." C) "My stomach has been upset for the last week." D) "Up until the last 2 months I have had regular periods."
D) "Up until the last 2 months I have had regular periods."
Which nursing activity is an example of primary prevention? Select all that apply. One, some, or all responses may be correct. A) Preventing disabilities B) Correcting dietary deficiencies C) Establishing goals for rehabilitation D) Assisting with immunization programs E) Facilitating a program about smoking cessation
D) Assisting with immunization programs E) Facilitating a program about smoking cessation
The parent of a child who has received all of the primary immunizations asks the nurse which ones the child should receive before starting kindergarten. Which immunizations would the nurse tell the parent? A) Inactivated polio vaccine (IPV), hepatitis B (HepB), and tetanus/diphtheria (Td) B) Diphtheria, tetanus, and acellular pertussis (DTaP), HepB, and Td C) Measles, mumps, and rubella (MMR); DTaP; and Haemophilus influenzae type b (Hib) D) DTaP, IPV, and MMR
D) DTaP, IPV, and MMR
An older pregnant woman comes to the clinic for a prenatal appointment. Per the primary health care provider ' s orders, the nurse arranges for the patient to have an amniocentesis at 16 weeks. Based on the gestational age, the nurse understands that this test is performed for which reason? A) Monitoring fetal distress B) Assessing fetal lung maturity C) Detecting intrauterine infection D) Determining chromosomal abnormality
D) Determining chromosomal abnormality
During a prenatal visit, a patient asks the nurse what can be done for swelling ankles. Which instruction would the nurse provide to the patient to reduce the swelling? A) Exercise the legs B) Apply warm packs C) Ambulate four times daily D) Elevate the legs for an hour twice a day
D) Elevate the legs for an hour twice a day
A patient diagnosed with seizures is advised to take phenytoin. Which common side effects of phenytoin should the nurse inform the patient about? A) Weight gin B) Neuropathy C) Memory loss D) Gingival hyperplasia
D) Gingival hyperplasia
During the initial visit, a primary care provider is concerned about the risk of a 45-year-old pregnant patient having an infant with Down syndrome. During the pregnancy, the nurse can anticipate that which assessment tool will be used to evaluate the well-being of the fetus? A) Contraction stress test B) Daily fetal movement count C) Nipple-stimulated contractions D) Maternal serum alpha-fetoprotein (AFP) screening
D) Maternal serum alpha-fetoprotein (AFP) screening
A laboring patient has just had membranes ruptured by the primary health care provider. The amniotic fluid is greenish-brown in color. Which abnormality does this finding indicate? A) Intrauterine infection B) Fetal hemolytic disease C) Premature separation of the placenta D) Passage of meconium stool by the fetus
D) Passage of meconium stool by the fetus
A nurse is caring for a new mother and her infant. The nurse is about to place the infant under the warmer and realizes that it is cold and malfunctioning. Which alternative action can the nurse take to prevent hypothermia in the infant? A) Feed the infant warm glucose water B) Assess and transfer infant to the nursery C) Don gloves and massage the infant's back D) Place the infant skin-to-skin with the mother
D) Place the infant skin-to-skin with the mother
A patient in the second trimester of pregnancy is experiencing dizziness on standing. Which education would be appropriate to give to the patient? A) Take several deep breaths before standing B) Avoid sitting for a long period before standing C) Wear anti-embolism stockings while pregnant D) Rise slowly from a sitting to a standing position
D) Rise slowly from a sitting to a standing position
A student nurse us being mentored in the delivery room by an experienced nurse. Which action, if performed by the student, requires immediate correction? A) Provides for infant warmth B) Dries the infant immediately C) Secures identification bracelet D) Suctions the back of the babies throat
D) Suctions the back of the babies throat
Which nursing intervention should be implemented immediately at onset of a seizure to ensure the safety of a patient with tonic-clonic seizures? A) Place a tongue blade in the patients mouth B) Restrain the patients arms and legs C) Elevate the head of the patients bed D) Take measures to prevent head injury
D) Take measures to prevent head injury
A patient has been admitted to a labor, delivery, and recovery (LDR) unit. The nurse is assessing the patient to determine whether the membranes have ruptured. Which intervention would the nurse carry out to determine the status of the membrane? A) Assess the fluid for color B) Monitor uterine contractions C) Perform a vaginal examination D) Test the fluid with nitrazine paper
D) Test the fluid with nitrazine paper
Which signs would support documentation of lightening in a nulliparous patient? A) Sudden pain in the legs starts B) The patient's urinary frequency increases C) The patient's breathing becomes abnormal D) The fetus seems to have settled into the pelvis
D) The fetus seems to have settled into the pelvis
Effective contractions should be?
During labor, the muscles in the upper uterine segment, the fundus, thicken and contract at intervals, Are regular 15-30 minutes apart; last 20-35 seconds, Are 2-3 minutes apart; last 60-80 seconds
A client is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse recognizes that this drug is also indicated for which of these?
Fibromyalgia
Neural Tube defect is related to lack of?
Folic Acid
The function of contractions?
Is to push the baby out of the uterus
Which nursing intervention take priority for client experiencing a tonic-clonic seizure?
Maintaining a patent airway
The nurse knows that these are some of the causes of peripheral neuropathy?
Poorly controlled diabetes, Vitamin B Deficiency, Kidney Failure, Smoking, Alcoholism
Swollen hands, feet and face during pregnancy could indicate?
Preeclampsia
An unsensitized Rh-negative mother has a Rh-positive pregnancy should expect to receive?
RhoGAM
Which adverse effect may occur during phenytoin (Dilantin) therapy?
Toxicity, Gingival Hyperplasia, Somnolence
A therapeutic phenytoin levels is 10 to 20 mg/dL. True or False
True
Regular contractions becoming more frequent and intense is?
True Pregnancy
Food and fluids are restricted for several hours prior to delivery to prevent?
Vomiting and aspiration/ Or just in case of an emergency surgery
The term for vaginal discharge after delivery is _____________. a) menses b) lochia c) exudate d) serosanguineous
b) lochia
Within 12 hours after delivery, what rises to the umbilicus? a) Linea nigra b) Linea albicans c) Fundus d) Bladder
c) Fundus
Which hormone causes the uterus to contract? a) Estrogen b) Progesterone c) Prolactin d) Oxytocin
d) Oxytocin
