MCN Exam 1 EAQ questions

A couple in their late 30's are planning a genetic amniocentesis and would like to complete the testing as soon as possible. At which time would the test be scheduled?

After the 14th week of pregnancy

A client in her 36th week if gestation is admitted with vaginal bleeding, severe abdominal pain, a rigid fundus, and signs of impending shock. For which intervention would the nurse prepare?

An immediate cesarean birth.

An adolescent woman who has become sexually active asks the nurse, "What's the most effective way to prevent pregnancy?" Which method of preventing pregnancy should the nurse tell her is most effective?

An intrauterine device

Then nurse is obtaining the health history from 21-yr-old client who is seeking contraceptive information. which factor in the client's history is a contraindication to the use of oral contraceptives?

Hypertension

The nurse is admitting a client to the unit after fetal death was confirmed by ultrasound, while initiating IV therapy, the nurse notes blood continually oqzing from the puncture site. which is the nurses best response?

Informing the PCP about the finding

Which guidance would the nurse provide to a sexually active 16-yr-old client when she inquires as to how she can protect herself from contracting HIV?

Insist that her partner use a condom when having sex.

The nurse is assessing a newborn who's mother had a precipitate birth at home. For which complication would the nurse assess the newborn for?

Intracranial hemorrhage.

The nurse in the women's health clinic is counseling clients about oral contraception. Which information is accurate about the estrogen component of the oral contraceptive?

It inhibits secretion of follicle-stimulating hormone (FSH)

When teaching a client about using a diaphragm as a form of contraception, which instructions would the nurse provide about the diaphragm?

It should remain in place for at least 6 hours after intercourse.

which assessment finding indicates that the disseminated intravascular coagulation is occuring in a postpartum client who has experienced an abruptio placentae?

Bleeding at the IV site

Which intervention would the plan of care for a client with a tentative diagnosis of partial abruptio placentae include?

External fetal monitoring and observation.

The priority assessments for a client wit marginal abruptio placenta include fetal status, vital signs, skin color, and uterine output. Which additional assessment is a priority.

Fundal height

A couple in their late 30's are in the first trimester of pregnancy and have been referred to genetic counseling because of a family history of an inheritable problem and advanced maternal age. They are concerned because they believe that genetic counseling will favor abortion if the studies reveal a defective fetus. Which response by the nurse provide regarding genetic counseling?

"Families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed."

A client who had tocolytic therapy for preterm labor is being discharged. Which instructions would the nurse include in the teaching plan?

Pelvic rest

initial vaginal exam reveals that a clients cervix is dilated 4 cm and 100% effaced. Two hrs later the client experiences rectal pressure, followed by delivery 5 min later. Which is the correct documentation of this delivery?

Precipitous vaginal delivery

Which is the appropriate intervention for a pregnant client whose monitor strip shows fetal heart rate decelerations characterized by a rapid descent and ascent to and from the lowest point of deceleration?

Repositioning the client from side to side

The nurse is assessing a postpartum client for signs of hemorrhage by evaluating the degree of perineal pad saturation. which other parameter can the nurse use to estimate blood loss in a postpartum client?

Weighing blood stained pads and items

a nurse is assessing a pregnant client in the third trimester. which clinical finding is expected in the later stages of pregnancy?

shortness of breath on exertion

Within minutes of giving birth to a healthy infant a client displays symptoms of respiratory distress, and an amniotic fluid embolism is suspected. For which other complication would the nurse assess this client.

uncontrolled bleeding

Which response would the nurse provide to the client who asks if contraception is needed while she is breast-feeding?

"You should use contraceptives because ovulation may occur at any time without a period"

Which assessment finding would the nurse question for a client who is considering oral contraceptives?

- Blood clots - Heart disease - Breast cancer - Impaired liver function - Undiagnosed vaginal bleeding - Smoking more that 15 cigarettes per day

Which cause may produce abnormal uterine bleeding?

- Hypothyroidism - Failure to ovulate - Bleeding disorders - Unidentified pregnancy - Use of oral contraceptives - Benign lesions of the uterus

which presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks gestation?

- amenorrhea - breast changes - urinary frequency

Which statement by the nurse while teaching students about viable pregnancy relate to preterm labor?

- the treatment for preterm labor includes bed rest and hydration - preterm labor before the 20th week of gestation is indicative of a nonviable fetus

Early in the ninth month of pregnancy a client experiences painless vaginal bleeding and is admitted to the hospital. What should the client's plan of care include?

Placing the client in the semi-fowler position to increase cervical pressure

Which fetal heart rate pattern suggests compromised fetal oxygen?

Recurrent variable decelerations that last 60 seconds with minimal baseline variability

which factor puts a client at increased risk for postpartum hemorrhage?

giving birth to a baby weighing 9 lb 8 oz

A client who is having her labor induced with oxytocin has internal fetal monitoring in place. Her contractions are occuring every 2 minutes, are lasting 7- seconds, and are reaching 65 mm Hg on an intrauterine pressure catheter. The baseline fetal HR is 130-140 beats?min with variability of 15 beats/ min. The nurse notices that with the past two contractions the fetal HR began to drop during the peak of the contraction to 110 beats/min, whee it remained for about 40 seconds before returning to baseline. which type of pattern is this.

late decelerations

The nurse explains to the pregnant client that the serum alpha-fetoprotein test screens for which condition?

Open neural tube defects

A client at 36 weeks of gestation presents with severe abdominal pain, heavy vaginal bleeding, a drop in blood pressure, and an increased pulse rate. which complication of pregnancy is suggested by these signs and symptoms?

Abruptio placentae

Which nursing intervention is most appropriate for a pregnant client at 23 weeks gestation with pica?

determining if the clients diet is safe and nutritionally adequate

A client is admitted to the high risk unit in preterm labor and is 8 cm dilated. which is a possible cause of preterm labor?

incompetent cervix

which is the priority nursing action for a client in the second stage of labor?

promote effective pushing by the client.

a client in preterm labor at 34 weeks gestation is receiving tocolytic therapy. the medication is discontinued 72 hrs after the first does of a corticosteroid was administered. Which is the priority goal of nursing care at this time?

promotion of maternal and fetal well-being during labor

After receiving a diagnosis of placenta previa, the client asks the nurse what this means. which is appropriate response?

"The placenta is implanted in the lower uterine segment, and its covering part of the cervical opening.

A healthy couple whose child has CF is concerned about having another child with disease. Knowing that this disorder has an autosomal- recessive mode of inheritance, how would the nurse respond?

"There is a 25% chance the baby will be affected and a 50% chance that the baby will be a carrier"

A primigravida at term has dark red vaginal bleeding and complains of pain continuing between contractions. The nurse palpates the abdomen, which is firm and shows no sign of relaxation. which complication does the nurse expect?

Abruptio placentae

The couple in the fertility clinic has learned that one of them carries a gene for a serious condition and the other parent does not carry the gene. They have been told that there is a 50% chance that their child will have this condition. Which pattern of genetic inheritance inheritance is this?

Autosomal recessive

Which is the nurses first action when a client is active labor starts screaming, "the baby is coming! do something!"

Check the perineal area for visibility of the presenting part.

A female client asks the nurse about using a copper intrauterine device for contraception. When explaining this which common problem would the nurse include in the discussion?

Menses will often become heavier

The nurse teaches a pregnant client regarding the necessity for folic acid supplement. Folic acid is taken in the first trimester of pregnancy to help reduce the risk for which neonatal disorder?

Neural tube defects

The nurse notes in the history of the client giving labor that she is a gravida 5 para 2112. Which statement would be true based on this information?

The client has 2 living children

Which would the nurse expect to find when assessing a client suspected of having abruptio placentae?

Uterine tenderness and increased fetal activity

The nurse is caring for a client in the first stage of labor, and an external fetal heart monitor is in place. Which do the tracings indicate?

Variable decelerations

Which sign would the nurse expect in a client with placenta previa?

Painless vaginal bleeding in the third trimester

A client with frank vaginal bleeding is admitted to the birthing unit at 30 weeks' gestation. The admission data included BP 110/70, Pulse 90 beats/min, Resp rate 22 breaths/ min, and fetal HR 132 beats/min. The uterus is nontender, the client is reporting no contractions, and the membranes are intact. In light of this information which problem would the nurse expect?

Placenta previa

which information would the nurse provide to the client who is to have a pelvic exam in her first visit to the prenatal clinic.

The uterus will be assessed for growth

a nonstress test is scheduled for a client with mild preeclampsia. During the NST, the client asks the nurse what it means when the fetal HR goes up everytime the fetus moves. Which is an appropriate response by the nurse?

These accelerations are a sign of fetal well-being