Prelim test questions and answers NCM 102

Which of the following would the nurse expect to assess most commonly in a school-aged child with a possible brain tumor?

Headache and vomiting

Which of the following clinical manifestation is most characteristics of spastic cerebral palsy?

Hypertonicity

The primary reason for surgical repair of myelomeningocele is to do which of the following?

Correct the neurologic defect

A pediatric patient's head circumference should be measured regularly in order to:

Determine whether the rate of head growth is normal.

A 20-year old postpartal woman who had abuptio placenta should be monitored for easy bruising, and bleeding from the IV site as early signs of which complication?

Disseminated intravascular coagulation

A postpartum nurse is taking the vital signs of a woman who delivered newborn infant 4 hours ago. The nurse notes that the mother's temperature is a 38-degree centigrade. Which of the following actions would be most appropriate?

increase hydration by encouraging oral fluids

Hydrocephalus can be most accurately defined as:

Excessive production or impairment absorption of cerebral spinal fluid

Which assessment finding are characteristics of abruptio placenta?

a tender, increasingly rigid uterus and an increased maternal pulse rate

Which assessment findings are characteristic of abruptio placenta?

a tender, increasingly rigid uterus and an increased maternal pulse rate

What type of breech presentation does the fetus assume when the legs are extended and lie against abdomen and chest?

frank

What type of breech presentation does the fetus assume when the legs are extended and lie against the abdomen and chest

frank

For the hydration requirements of a patient who will undergo an emergency cesarean section, the preferred intravenous site and gauge of IV catheter is:

gauge 18 on the non dominant hand

The nurse checks the perineum of this patient. Which of the following characteristics of the amniotic fluid would cause alarm to the nurse?

greenish

The etiology of placenta previa includes all the following EXCEPT:

heredity

In reviewing the medical records of a woman in the 1st trimester, which of the following would the nurse consider to be a risk factor for ectopic pregnancy?

history of pelvic inflammatory disease

In reviewing the medical records of a woman in the 1st trimester, which of the following would the nurse consider to a risk factor for ectopic pregnancy?

history of pelvic inflammatory disease or previous abdominal surgies

Alena is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for TOTAL placenta previa is:

immediate cesarean section delivery

____ is recovering mature ova, fertilizing them in lab, and then re-implanting the uterus

in vitro fertilization technique

_____ is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse

infertility

A woman is admitted with a diagnosis of ectopic pregnancy. For which of the following would you anticipate beginning preparation?

intravenous administration of tocolytics

Abruptio placenta threatens fetal well-being primarily because it:

lowers the number of placental oxygen exchange sites

The nurse noticed that the fundus is not contracted and pushed to the side by a full bladder. Which of the following is the immediate intervention of the nurse?

massage the uterus gently

On a client's first partum day, nursing assessment reveals vital signs within normal limits but a boggy uterus was noted and saturation of perineal pads with lochia rubra. Which nursing intervention takes the highest priority?

massaging the uterus gently

Your patient has had 3 miscarriages. Presently, she is pregnant and being admitted for vaginal bleeding. You are asked by your patient to tell her more about miscarriages. Which of the following statements are correct?

most frequent cause of miscarriage is abnormal fetal development

The nurse is monitoring a client in active labor and notes that the client is having contraction every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which of the following nursing actions is most appropriate?

notify the physician or nurse midwife

What do you call that part of the female reproduction organ where a fetus or baby grows?

ovary

_____ is the process among fertile woman which takes place when one or more eggs are released from any one of the 2 ovaries

ovulation

A primigravida admitted to the labor suite with ruptured membranes and contractions occurring every 2-3 minutes and lasting for 45 seconds. After 6 hours of labor , the client's contraction are now every 7-10 minutes lasting 30 seconds. Which of the following would the nurse assess the client for during labor?

oxytocin

When asesessing a 34-year old multigravida client at 34 weeks of gestation experiencing moderate vaginal bleeding. Which of the following would most liekly alert the nurse that moderate placenta previa is present?

painless vaginal bleeding

When assessing a 34-year old multigravida client at 34 weeks of gestation experiencing moderate vaginal bleeding. Which of the following would most likely alert the nurse that moderate placenta previa is present?

painless vaginal bleeding

A patient who was brought to the emergency department for painless, bright red vaginal bleeding on her 3rd trimester. Which immediate care measures should be be performed, excerpt?

pelvic and rectal exam

Tests chow that a patient has a condition wherein her placenta is covering her cervical os completely. She has been advised to avoid sexual intercourse because of painless vaginal bleeding. The doctor advised her to prepare for a C-section. What condition does he have?

placenta previa

The nurse supervisor should question this nursing intervention during the transport of the patient from room to the operating room

position the patient in supine position

The post partum ordered methergin IM was deferred. This is contraindicated because THE PATIENT has:

post partum hemorrhage

Hydrocephalus can be most accurately defined as:

progressive enlargement of the head due to excessive accumulation of cerebrospinal fluid

Ms. Chona had prolonged labor. What is the most common cause for arrest of descent during the second stage of labor?

prolactin

In an emergency situation, the nurse helped mother deliver a healthy baby girl. An appropriate nursing intervention to facilitate the third stage of labor would be:

pull gently on the umbilical cord to help the placenta detach

The physician order intravenous nalbuphine (nubain) for a primigravida client in early active labor. After ministering the drug which of the following would the nurse do FIRST:

pull the side rails up

If an Rh-negative woman experiences a miscarriage during her 1st pregnancy, she should be instructed to do which of the following?

receive Rho immune globulin to prevent the buildup of antibodies

After a day of terbutaline SO4 infusion ( a tocolytic agent ), the patient's uterine contractions stopped. Which of the following is the action of this drug?

relaxes smooth muscle of the uterus

A patient is admitted to the labor until in latent with spontaneous rupture of membranes. During the vaginal examination, the nurse discovers umbilical cord prolapsed. The nurse should make which goal the highest priority?

relieve umbilical cord compression

The nurse should assess for clinical manifestation of MgSO4 toxicity which includes:

respiratory depression and (-) DTR

The nurse discuss the involution of the uterus. Which of the following best describes this period? The uterus:

returns to its non pregnant state

A pregnant woman experiencing severe abruptio placenta would most likely exhibit:

rigid, board-like abdomen

A woman you are carrying for in the health center had a miscarriage when shw was younger. What would be the best advice to give a woman who tell you she is miscarrying?

save any clots of materials passed for your health care provider

A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client determines that the magnesium therapy is effective if:

seizures do not occur

A couple is visiting the clinic because they have been unable to conceive a baby after 3 years of frequent coitus. After discussing the various causes of male infertility, the nurse determines that the male partner needs FURTHER instruction when he states which of the following as a cause?

seminal fluid with an alkaline pH

The nurse would suspect an ectopic pregnancy if the client complained of:

sharp lower right or left abdominal pain radiating to the shoulder

Before repair of the meningomycele the client should, for the most part, be kept in which position?

side-lying

A woman in her 1st trimester of pregnancy seen in the antepartal clinic. An ectopic pregnancy is suspected. Which of the following symptoms would the nurse most likely expect to be present in an ectopic pregnancy:

spotting and unilateral pelvis pain

The client with a medical diagnosis of ectopic pregnancy is a high risk client. Which of the following reasons best account for this?

surgery is required to treat this complication

In the immediate postpartum period; Methylergenovine Maleate causes:

sustained uterine contraction

A teenage patient sought consult at the health center. The nurse judges that the patient might have pre-clampsia because of which complaint?

swelling of the fingers

A nurse would recognize that a woman who has had a cesarean delivery with a classical incision may not be allowed to deliver vaginally for subsequent births because of:

the risk of uterine rupture

Generally patients who are candidates for planned cesarean section the next, must be on NPO after midnight. What is the main purpose for this?

to prevent aspiration

From the following, select the amount of blood loss expected in a a cesarean section...?

total blood loss from 500ml to 1000ml

You patient was told she may have threatened abortion. You explained to her, this is characterized by:

uterine cramping, vaginal spotting and a closed cervix

Which of the following findings might be noted in a patient with gestational trophoblastic diesease?

uterine growth occurring more slowly that in normal pregnancy

A couple visiting the infertility clinic for the first time asks the nurse, "What causes infertility on a woman? Which of the following would the nurse include in the response as one of the most common factors?"

uterus

____ is the thin muscular tube that transports the sperm from the epididymis to the urethra.

vans deferens

First time mother has never had hypertension in her life. She is young, physically active and is diest conscious prior to pregnancy. At 26 weeks, she is experiencing severe hypertension, swollen feet, and has a high level of protein in her urine (marked proteinuria). This condiction is collectively called:

Preeclampsia

A meningomyelocele may be best defines as:

A soft sac containing portions of meninges, nerve roots, CSF protrudes through a defect in the bony spine

Which of the following clinical manifestations is most characteristic of spastic cerebral palsy?

Electroencephalogram (EEG)

Which amount of blood loss following birth marks the criterion for post partum homorrhage?

greater then 500ml

The most common indication for cesarean sention is:

cephalo pelvic disproportion

Which of the following is the best description of dystocia?

difficult, painful, prolonged labor due to mechanical factors

The nurse explains correctly to the client when she teaches the umbilical contains blood vessels, the total number normally being

2 arteries and 1 vein

Which of the following definitions most accurately describes meningocele?

Sac formation containing meninges and spinal fluid

A 31-year old client is admitted to the nursing unit with the diagnosis of placenta previa. Which sign or symptom is NOT seen with placenta

Severe pelvic pain

The ability to perceive and understand an object through touch by its size, shape, and texture is called :

Stereognosis

During a prenatal examination, the nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk for:

acute hemolytic disease

In the 12th week of gestation, a client completely expels the products of conception. Because the client is Rh negative, the nurse must:

administer RhoGAM within 72 hours

In treating infertility, what do they need to consider?

all of the above -insist men be evaluated as well as women -sensitive counseling to avoid inappropriate -treatment and to discourage from seeking help at multiple clinics -advising about timing of intercourse and other behaviors - smoking and alcohol

Which of the following is not contained in the lochia?

amniotic fluid

Methylergonivine and syntocinon are example of

anesthetic drug

In the preoperative interview of a woman anticipating cesarean birth, the nurse on duty should know her history of drug intake. Which of these combination should be asked first?

anticoagulants and antihypertensive

Situation; 2 - A 25-ear old gravida 3 para 1, arrives at the labor and delivery unit. She states that her "water broke" about 7:30 this morning and she has been having contractions 6-7 minutes apart lasting 30 seconds since that time. During the admission procedures, the nurse obtains her temperature, pulse, and respiration, blood pressure, and fetal heart rate.

are having pain?

The best method to prevent homorrhage after cesarian birth is to:

assess the uterine funds regularly from firmness

A 29-year old multigravida at 38 weeks gestation is admitted to the hospital with painless, bright red bleeding, and mild contractions every 7-10 minutes. Which of the following assessments will the nurse avoid?

assessment of cervical dilatation

Assessment of a 15-year old primigravida client at term in active labor reveals cervical dilation of 7 cm with complete effacement. Because the client is only 15-years old, which of the following would the nurse assess the client for during labor?

cephalopelvic disporportion

Assessment of a 15-year old pimigravida client at term in active labor reveals cervical dilatation of 7 cm with complete effacement. Because the client is only 15 years old, which of the following would the nurse assess the client for during labor?

cephalopelvic disproportion (CPD)

A client on her 34th week is experiencing preterm labor has been given drugs to stop the contractions but the doctor found out that the cervix has slightly opened. Which procedure could the doctor do to have the client's cervix closed mechanically?

cervical cerclage

A 29-year old multigravida at 38-weeks gestation is admitted to the hospital with painless, bright red bleeding and mild contractions every 7-10 minutes. Which if the following assessments will the nurse avoid?

cervical dilation

A client who has to undergo a cesarean section tells you that this is her first pregnancy

classical

The major objective of surgical repair of the meningomyclocele was to:

close the surface defect and preserve functioning nerve tissue

This is an inappropriate nursing intervention for patients who underwant cesarean section

complete bed rest for 2 days

The primary hormone secreted by the posterior pituitary gland during the let down reflex

d oxytocin

A couple visiting the infertility clinic for the first time state that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, the nurse determines that an appropriate outcome for the couple would be to accomplish which of the following by the end of the visit?

describe each of the potential causes and possible treatment outcomes modalities

In contrast to threatened abortion, INEVITABLE abortion is characterized by:

dilated cervix

Mrs. Marquez is receiving magnesium sulfate. The nurse must be alert for the 1st sign of excessive blood magnesium levels, which is:

disappearance of the knee-jerk reflex

A woman on her 10th week of pregnancy noticed vaginal spotting accompanied by sharp abdominal pain. Which condiction would you suspect her to have?

ectopic pregnancy

On arrival at the emergency department, a client tells the nurse that she suspects that she may be pregnant but has been having small amount of bleeding and has severe pain in the lower abdomen. The client's blood pressure is 70/50 mmHg and pulse is 120 bpm. The nurse notifies the physician immediately because which of the following is suspected?

ectopic pregnancy

Suppose a pregnant client was discovers to have an ectopic pregnancy. What advice would you give her?

ectopic pregnancy can either be medically or surgically treated

The physician orders magnesium sulfate for Ms. Sta. Maria careful administration of this drug is required because of the likelihood of its impairing the proper functioning of the:

endocrine system

A patient on her 34th week who was diagnosed with placenta previa experienced vaginal bleeding. Fetal heart rate is 130 bpm, and maternal vital signs are stable. What management would be done to this patient?

expectant watching

A nurse is performing an assessment of a client who is scheduled for a vaginal delivery. Which assessment finding would indicate a need to contact the physician?

fetal heart rate of 180 beats per minute

Which of the following best signals early pueperal infection?

fever at 38 degree centigrade for at least 2 days of the 1st 10 days post

A 22-year old client tells the nurse that she and her husband are trying to conceive a baby. When teaching the client about reducing the incidence of neural tube defects in newborns, the nurse would emphasize the need for intake of which of the following nutrients?

folic acid

While preparing to teach a group of child-bearing age women about healthy pregnancies, the nurse is aware that which following prenatal maternal disorder my significantly influences the development of myelomeningocele?

folic acid deficiency