CMS Quiz Mother Baby 2021
A nurse in a health clinic is reviewing contraceptive use with a group of clients A. A water-soluble lubricant should be used with condoms. B. A diaphragm should be removed 2 hours after intercourse. C. Oral contraceptives can worsen a case of acne D. A contraceptive patch is replaced once a month
A. "A water-soluble lubricant should be used with condoms"
A nurse is caring for a client who is in labor and observes late deceleration on the electronic fetal monitor. Which of the following is the first action the nurse should take? A. Assist the client into the left-lateral position B. Apply a fetal scalp electrode C. Inset an Iv catheter D. Perform a vaginal exam
A. Assist the client into the left-lateral position
A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following mediations should the nurse expect the provider will prescribe? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine
A. Betamethasone
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse expect the provider will prescribe? A. Ceftriaxone B. Fluconazole C. Metronidazole D. Zidovudine
A. Ceftriaxone
A nurse in a prenatal clinic is providing education to a client who is at 8 weeks of gestation. The client states, "I don't like milk." Which of the following foods should a nurse recommend as a good source of calcium? A. Dark green leafy vegetables B. Deep red or orange vegetables C. White breads and rice D. Meat, poultry, and fish
A. Dark green leafy vegetables
A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station with a FHR around 140/min. Which of the following stages and phases of labor is this client experiencing? A. First stage, latent phase B. First stage, active phase C. First stage, transition phase D. Second stage of labor
A. First stage, latent phase
A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification? A. It is good to know that I wont have a tubal pregnancy in the future B. The doctor said that this surgery can affect my ability to get pregnant again C. I understand that one of my fallopian tubes had to be removed D. Ovulation can still occur because my ovaries were not affected
A. It is good to know that I wont have a tubal pregnancy in the future
A client is caing for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15
A. January 8
A nurse is caring for a client who is in the second stage of labor. The client's labor has been progressing, and a vaginal delivery is expected in 20 minutes. The provider is preparing to administer lidocaine for pain relief and perform an episiotomy. The nurse should know that which of the following types of regional anesthetic block is to be administered? A. Pudendal B. Epidural C. Spinal D. Paracervical
A. Pudendal
A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5 minutes and becoming stronger. A vaginal exam reveals that the client's cervix is 3 cm dilated. 80% effaced, and -1 station. The client asks for pain medication. Which of the following actions should the nurse take? SATA Encourage use of patterned breathing techniques Insert an indwelling urinary catheter Administer opioid analgesic medication Suggest application of cold Provide ice chips
Administer opioid analgesic medication Suggest application of cold
A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? A. 1.8 kg (4lbs) weight gain and is in the first trimester B. 3.6kg (8lbs) weight gain and is in the first trimester C. 6.8 kg (15lbs) weight gain and is in the second trimester D. 11.3 kg (25lbs) weight gain and is in the third trimester.
B. 3.6kg (8lbs) weight gain and is in the first trimester
A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor? A. A client whose sister has alopecia B. A client whose partner has von Willebrand disease C. A client who has an allergy to sulfa D. A client who had rubella 3 months ago
B. A client whose partner has von Willebrand disease
A nurse is caring for a client who is 40 weeks of gestation and reports having large gush of fluid from the vagina while walking from the bathroom. Which of the following actions should the nurse take first? A. Examine the amniotic fluid for meconium B. Check the FHR C. Dry the client and make the comfortable D. Apply a tocotrasducer
B. Check the FHR
A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. The nurse should monitor the client for which of the following manifestations? A. Blood-tinged sputum B. Dizziness C. Pallor D. Somnolence
B. Dizziness
A nurse in the emergency department is caring for a client who reports abrupt, sharp, right lower abdominal pain and bright red vaginal bleeding. The client states, "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device.: The nurse should suspect which of the following? A. Missed abortion B. Ectopic pregnancy C. Severe preeclampsia D. Hydatidiform mole
B. Ectopic pregnancy
A nurse is reviewing the medical record for a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? A. Vital signs B. History and physical C. Laboratory findings D. Medications
B. History and physical
A nurse is completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking from the vagina for 2 days. Which of the following conditions is the client at risk for developing? A. Cord prolapse B. Infection C. Postpartum hemorrhage D. Hydramnios
B. Infection
A client who is at 8 weeks of gestation tells the nurse "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? A. I will inform the provider that you are having these feelings? B. It is normal to have these feelings during the first few months of pregnancy C. You should be happy that you are going to bring new life into the world D. I am going to make an appointment with the counselor for you to discuss these thoughts
B. It is normal to have these feelings during the first few months of pregnancy
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity? A. AFP B. L/S C. Kleihauer- Betke test D. Indirect Coombs' test
B. L/S
A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? A. Apply palms of both hands to sides of uterus B. Palpate the fundus of the uterus C. Grasp lower uterine segment between thumb and fingers D. Stand facing client's feet with fingertips outlining cephalic prominence
B. Palpate the fundus of the uterus
A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following is a manifestation of the condition? A. Hgb 12.2 g/dL B. Urine ketones present C. Alanine aminotransferase 20 IU/L D. Blood glucose 114 mg/dL
B. Urine ketones present
A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? Calcium gluconate Indomethacin Nifedipine Betamethasone
Betamethasone
A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing the condition? SATA Fetal position Blunt abdominal trauma Cocaine use Maternal age Cigarette smoking
Blunt abdominal trauma Cocaine use Cigarette smoking
A nurse is teaching a client who is at 6 weeks gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? (SATA) Breast tenderness Urinary frequency Epistaxis Dysuria Epigastric pain
Breast tenderness Urinary frequency Epistaxis
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor
C. Hydatidiform mole
A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates understanding of the teaching? A. I will take this pill with my breakfast B. I will take this medication with a glass of milk C. I plan to drink orange juice while taking this pill D. I plan to add more calcium-rich foods to my diet while taking this medication.
C. I plan to drink orange juice while taking this pill
A nurse is caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids. Which of the following statements should the nurse make? A. It is needed to promote increased urine output B. It is needed to counteract respiratory depression C. It is needed to counteract hypotension D. It is needed to prevent oligohydramnios
C. It is needed to counteract hypotension
A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? A. Reduced menstrual flow B. Breast tenderness C. Shortness of breath D. Increased appetite
C. Shortness of breath
A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process? A. You will need to see a genetic counselor as part of the assessment B. It is usually the female who is having trouble, so the male doesn't have to be involved C. The male is the easiest to assess, and the provider will usually begin there D. Think about adopting first because there are many babies that need good homes
C. The male is the easiest to assess, and the provider will usually begin there
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? A. This is due to an increase in blood volume B. This is due to pressure from the uterus on the diaphragm C. This is due to the weight of the uterus on the vena cava D. This is due to increased cardiac output
C. This is due to the weight of the uterus on the vena cava
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel movement. The client vomits and states, "I've had enough. I can't do this anymore." Which of the following stages of labor is the client experiencing? A. Second stage B. Fourth stage C. Transition phase D. Latent phase
C. Transition phase
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the following statements should the nurse include in the teaching? A. You will lay on your right side during the procedure B. You should not eat anything for 24 hours prior to the procedure C. You should empty your bladder prior to the procedure D. The test is done to determine gestational age
C. You should empty your bladder prior to the procedure
A nurse in a prenatal clinic is caing for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (SATA) Client has delivered one newborn at term Client has experienced no preterm labor Client has been through active labor Client has had two prior pregnancies Client has one living
Client has delivered one newborn at term Client has had two prior pregnancies Client has one living
A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? A. Obtain an immunization against rubella early in pregnancy B. Seek prophylactic treatment if cytomegalovirus is detected during pregnancy C. A client should avoid crowded places during pregnancy D. A client should avoid consuming undercooked meat while pregnant
D. A client should avoid consuming undercooked meat while pregnant
A nursing is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? A. Nifedipine B. Pyridoxine C. Ferrous sulfate D. Calcium gluconate
D. Calcium gluconate
A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. An IUD should be replaced annually during a pelvic exam B. I cannot get an IUD until after I've had a child C. I should plan on regaining fertility 5 months after the IUD is removed D. I will check to be sure the strings of the IUD are still present after my periods
D. I will check to be sure the strings of the IUD are still present after my periods
A nurse is reviewing postpartum nutrition needs with a group of clients who have begun breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? A. I am glad I can have my morning coffee B. I should take folic acid to increase my milk supply C. I will continue adding 330 calories per day to my diet D. I will continue my calcium supplements because I don't like milk
D. I will continue my calcium supplements because I don't like milk
A nurse is caring for client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A. It is used to stimulate uterine contractions B. It will decrease the incidence of uterine contractions C. It lulls the fetus to sleep D. It awakens a sleeping fetus
D. It awakens a sleeping fetus
A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include in the teaching? A. Use a condom with sexual intercourse B. Avoid bubble bath solution when taking a tub bath C. Wipe from the back to front when preforming perineal hygiene D. Keep a daily record of fetal kick counts
D. Keep a daily record of fetal kick counts
A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects
D. Neural tube defects
A nurse is reciewing a new prescription for iron supplements witha client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nures instruct the client to take the iron supplements with? A. Ice water B. Low-fat or whole milk C. Tea or coffee D. Orange juice
D. Orange juice
A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take? A. Administer oxygen via nasal cannula at 2 L/min B. Apply a warm blanket C. Assist the client to a side-lying position D. Place an oxygen mask over the client's nose and mouth
D. Place an oxygen mask over the client's nose and mouth
A nurse is reviewing the electronic monitoring tracing of a client who is in active labor. A fetus receives more oxygen when which of the following appears on the tracing? A. Peak of the uterine contraction B. Moderate variability C. FHR acceleration D. Relaxation between uterine contractions
D. Relaxation between uterine contractions
A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition? A. No alteration in menses B. Transvaginal ultrasound indicating a fetus in the uterus C. Blood progesterone greater than the expected reference range D. Report of severe shoulder pain
D. Report of severe shoulder pain
A client calls a provider's office and reports having contractions for 2 hours that increased with activity and did not decrease with rest and hydration. The client denies leaking of vaginal fluid but did not notice blood when wiping after voiding. Which of the following manifestations is the client experiencing? A. Braxton Hicks contractions B. Rupture of membranes C. Fetal descent D. True contractions
D. True contractions
A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. Which of the following information should the nurse provide to the client? A. You should wait until 4 weeks after conception to be retested B. You should be off any medications for 24 hours prior to the test C. You should be NPO for at least 8 hours prior to the test D. You should collect urine from the first morning void.
D. You should collect urine from the first morning void.
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? SATA Decreased fetal movement Intrauterine growth restriction (IUGR) Postmaturity Placenta previa Amniotic fluid emboli
Decreased fetal movement Intrauterine growth restriction (IUGR) Postmaturity
A nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? SATA Diabetes Multifetal pregnancy Maternal age greater than 40 Gestational trophoblastic disease Oligohydramnios
Diabetes Multifetal pregnancy Gestational trophoblastic disease
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? Eat crackers of plain toast before getting out of bed Awaken during the night to eat a snack Skip breakfast and eat lunch after nausea has subsided Eat a large evening meal
Eat crackers of plain toast before getting out of bed
A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? SATA Feral weight Fetal breathing movement Fetal tone Fetal position Amniotic fluid volume
Fetal breathing movement Fetal tone Amniotic fluid volume
A nurse is caring for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? SATA Fetal distress Preterm labor Vaginal bleeding Cervical dilation greater than 6 cm Severe gestational hypertension
Fetal distress Vaginal bleeding Cervical dilation greater than 6 cm
A nurse is caring for a client who is in labor. The nurse should should identify that which of the following infections can be treated during labor or immediately following birth? SATA Gonorrhea Chlamydia HIV Group B streptococcus beta-hemolytic TORCH infection
Gonorrhea Chlamydia Group B streptococcus beta-hemolytic
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (SATA) Montgomery's glands Goodell's sign Ballottement Chadwick's sign Quickening
Goodell's sign Ballottement Chadwick's sign
A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (SATA) Tinnitus Irregular vaginal bleeding Weight gain Nausea Gingival hyperplasia
Irregular vaginal bleeding Weight gain Nausea
A nurse is teaching a client about the benefits of internal fetal heart monitoring. Which of the following statements should the nurse include? SATA It is considered a noninvasive procedure It can detect abnormal fetal heart tones early It can determine the amount of amniotic fluid you have It allows for accurate readings with maternal movement It can measure uterine contraction intensity
It can detect abnormal fetal heart tones early It allows for accurate readings with maternal movement It can measure uterine contraction intensity
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? SATA Joint pain Malaise Rash Urinary frequency Tender lymph nodes
Joint pain Malaise Rash Tender lymph nodes
A nurse is caring for a client who is in active labor. The cervix is dilated to 5 cm, and the membranes are intact. Based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115-125/min with occasional increases up to 150-155/min that last for 25 seconds and have moderate variability. There is no slowing of the FHR from the baseline. This client is exhibiting manifestations of which of the following? SATA Moderate variability FHR accelerations FHR decelerations Normal baseline FHR Fetal tachycardia
Moderate variability FHR accelerations Normal baseline FHR
A nurse in an infertility clinic is providing care to clients who have been unable to conceive for 18 months. Which of the following should the nurse assess? (SATA) Occupation Menstrual history Childhood infectious disease History of falls Recent blood transfusions
Occupation Menstrual history Childhood infectious disease
A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? (SATA) Avoid any lifting perform Kegel exercises twice a day Perform the pelvic rock exercise every day Use proper body mechanics Avoid constrictive clothing
Perform the pelvic rock exercise every day Use proper body mechanics
A nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. Which of the following indicates magnesium sulfate toxicity? SATA Respirations less than 12/min Urinary output less than 25 mL/hr Hyperreflexic deep-tendon reflexes Decreased level of consciousness Flushing and sweating
Respirations less than 12/min Urinary output less than 25 mL/hr Decreased level of consciousness
A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects that this pain is related to a persistent occiput posterior fetal position. Which of the following nonpharmacological nursing interventions should the nurse recommend to the client? Abdominal effleurage Sacral counterpressure Showering if not contraindicated Back rub and massage
Sacral counterpressure
A nurse is caring for a client who reports manifestations of preterm labor. Which of the following findings are risk factors of this condition? SATA Urinary tract infection Multifetal pregnancy Oligohydramnios Diabetes mellitus Uterine abnormalities
Urinary tract infection Multifetal pregnancy Diabetes mellitus Uterine abnormalities
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? SATA Vacuum extractor Oxytocin infusion The use of forceps during delivery should be avoided due to the risk of fetal bleeding Cesarean birth Internal fetal monitoring
Vacuum extractor The use of forceps during delivery should be avoided due to the risk of fetal bleeding Internal fetal monitoring
A nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly report to the provider. Which of the foloowing complications should the nurse include? Vaginal bleeding Swelling of the ankles Heartburn after eating Lightheadedness when lying on back
Vaginal bleeding
A nurse in a clinic is teaching a client about a new prescriptions for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (SATA) Weight fluctuations can occur You are protected against STIs You should increase your intake of calcium You should avoid taking antibiotics Irregular vaginal spotting can occur
Weight fluctuations can occur You should increase your intake of calcium Irregular vaginal spotting can occur
