NSG 1524 ALL practice & NCLEX questions from notes

A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome? 1. Length of 19 inches 2. Abnormal palmer creases 3. Birth weight of 6 lb, 14 oz 4. Head circumference appropriate for gestational age.

Abnormal palmer creases

Gastrointestinal postpartum changes include which of the following? A. Constipation B. Hemorrhoids C. Increased appetite D. All of the above

All of the above After delivery the mother may experience constipation, hemorrhoids, and increased appetite.

What are ways to lower the risk of caesarean birth? A. Allow labor to progress naturally B. Use vacuum-assisted birth C. Use forceps D. All of the above

All of the above Allowing the second stage of labor to proceed naturally and using vacuum- or forceps-assisted birth can decrease the risk of need for Caesarean birth.

Postpartum blues are caused by what? A. Hormones B. Stress C. Fatigue D. All of the above

All of the above Hormonal changes, stress, and fatigue all contribute to postpartum blues.

Analgesics used during labor include: A. Morphine sulfate B. Butorphanol C. Sublimaze D. All of the above

All of the above Morphine sulfate, butorphanol, and sublimaze are all analgesics used during delivery when benefits outweigh risks.

A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse is measuring the fundal height in centimeters and expects the finding to be which of the following? 1. 22 cm 2. 30 cm 3. 36 cm 4. 40 cm

30 cm

What is Ms. G's due date if her LMP is April 22, 2020? A. July 29, 2021 B. January 29, 2021 C. December 15, 2020

January 29th 2021

A clinic nurse is providing instructions to a pregnant client regarding measures that assist in alleviating heartburn. Which statement by the client indicates an understanding of the instructions? 1. "I should avoid between-meal snack." 2. "I should lie down for an hour after eating." 3. "I should use spices for cooking rather than using salt." 4. "I should avoid eating foods that produce gas, such as beans and some vegetables, and fatty foods such as deep-fried chicken."

"I should avoid eating foods that produce gas, such as beans and some vegetables, and fatty foods such as deep-fried chicken."

A nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching? 1. "I should stay on the diabetic diet." 2. "I should perform glucose monitoring at home." 3. "I should avoid exercise because of the negative effects on insulin production." 4. "I should be aware of any infections and report sign of infection immediately to my health care provider."

"I should avoid exercise because of the negative effects on insulin production."

A nurse is providing instructions about measures to prevent postpartum mastitis to a client who is breast-feeding her newborn. Which of the following, if stated by the client, would indicate a need for further instructions? 1. "I should breast-feed every 2 to 3 hours." 2. "I should change the breast pads frequently." 3. "I should wash my hands well before breastfeeding." 4. "I should wash my nipples daily with soap and water."

"I should wash my nipples daily with soap and water"

A nurse is reviewing true and false labor signs with a multiparous client. The nurse determines that the client understands the signs of true labor if she makes which statement? 1. "I won't be in labor until my baby drops." 2. " My contractions will be felt in my abdominal area." 3. " My contractions will not be as painful if I walk around." 4. " My contractions will increase in duration and intensity."

"My contractions will increase in duration and intensity"

A nurse is reviewing the record of a client in the labor room and notes that the nurse-midwife has documented that the fetus is at -1 station. The nurse determines that the fetal presenting part is: 1. 1 inch below the coccyx 2. 1 inch below the iliac crest 3. 1 cm above the ischial spine 4. 1 fingerbreadth below the symphysis pubis

1 cm above the ischial spine

A pregnant client asks a nurse in the clinic when she will be able to begin to feel the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which of the following weeks of gestation? 1. 6 and 8 2. 8 and 10 3. 10 and 12 4. 16 and 22

16 and 22

The first follow-up visit should take place: A. 24 hours after discharge B. 48-72 hours after discharge C. One week after discharge D. It depends

48-72 hours after discharge The first follow-up visit should take place 48-72 hours after discharge.

The first stage of labor includes which of the following? A. Latent phase B. Active phase C. Transitional phase D. All of the above

All of the above The first stage of labor has three phases: latent, active, and transitional

The neonate is given which of the following to facilitate blood coagulation? A. Oxygen B. Erythromycin C. Vitamin K D. Hepatitis B vaccine

Vitamin K Vitamin K is administered I M after birth to compensate for the absence of vitamin K due to the lack of intestinal flora.

T/F: The incidence of BPH among men older than 50 years of age is 65%.

False BPH typically occurs in men older than 40 years. By the time they reach 60 years, 50% of men will have BPH. It affects as many as 90% of men by 85 years of age.

Which of the following is the treatment of choice for primary postpartum hemorrhage? A. Terbutaline B. Oxytocin C. Misoprostol D. Low-weight heparin

Oxytocin Oxytocin is the treatment of choice for primary postpartum hemorrhage.

Which of the following are maternal tasks of pregnancy? A. Accepting the pregnancy B. Identifying with the role of motherhood C. Solving mother/daughter conflicts D. All of the above

All of the above The mother needs to accept the pregnancy, identify with the role of mother, and deal with her own relationship with her mother

A nurse is preparing to care for four assigned clients. Which client is at highest risk for hemorrhage? 1. A primiparous client who delivered 4 hours ago 2. A multiparous client who delivered 6 hours ago 3. A primiparous client who delivered 6 hours ago and had epidural anesthesia 4. A multiparous client who delivered a large fetus after oxytocin (Pitocin) induction

A multiparous client who delivered a large fetus after oxytocin (Pitocin) induction

A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The physician prescribes a contraction stress test, and the results are documented as negative. A nurse interprets the finding of the contraction stress test as indicating: 1. A normal test result 2. An abnormal test result 3. A high risk for fetal demise 4. The need for a cesarean delivery

A normal test result

A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse determines that this sign indicates: 1. A softening of the cervix 2. The presence of fetal movement 3. The presence of human chorionic gonadotropin in the urine 4. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.

A softening of the cervix

Which observation of the newborn should be reported to the health care provider as soon as possible? 1. A heart rate of 140 2. A respiratory rate of 55 breaths/min 3. A unilateral Moro reflex 4. Cyanosis of the hands and feet

A unilateral moro reflex

Acute hypertension is treated with what? A. I V labetolol and hydralazine B. Nifedipine C. Frequent monitoring of vital signs D. All of the above

All of the above Nursing actions for acute hypertension include medication with I V labetolol and hydralazine, nifedipine, and frequent monitoring of vital signs.

Whos at risk for gestational diabetes? A. Obese pregnant women B. History of fetal macrosomia C. Family history of diabetes D. All of the above

All of the above Obesity, history of fetal macrosomia, and family history of diabetes increases the risk of gestational diabetes.

What cardiovascular changes occur during pregnancy? A. Increased cardiac output B. Dependent edema C. Increased plasma volume D. All of the above

All of the above Cardiovascular changes include increased cardiac output, dependent edema, and increased plasma volume.

What signs and symptoms can occur during menopause? A. Night sweats B. Sexual dysfunction C. Weight gain D. All of the above

All of the above Night sweats, sexual dysfunction, and weight gain can all occur during menopause.

Which of the following is a method of induction? A. Oxytocin B. Sweeping the membranes C. Cervical ripening D. All of the above

All of the above Oxytocin induction, sweeping the membranes, and cervical ripening are all methods to stimulate labor.

A fertilized egg that implants outside the uterus is called? A. A molar pregnancy B. Eclampsia C. An ectopic pregnancy D. An elective termination

An ectopic pregnancy A pregnancy that implants in the fallopian tubes and must be removed is called an ectopic pregnancy.

A nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. The nurse tells the client that: 1. Strict bed rest is required after the procedure. 2. An informed consent needs to be signed before the procedure. 3. Hospitalization is necessary for 24 hours after the procedure. 4. A fever is expected after the procedure because of the trauma to the abdomen.

An informed consent needs to be signed before the procedure

A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Which of the following are probable signs of pregnancy? Select all that apply. 1. Ballottement 2. Chadwick's sign 3. Uterine enlargement 4. Braxton Hicks contractions 5. Fetal heart rate detected by a nonelectronic device 6. Outline of fetus via radiography or ultrasonography

Ballottement Chadwicks sign Uterine enlargement Braxton Hicks contractions

The mothers incision staples are removed A. 2 hours after surgery B. before discharge to home C. 3 weeks postsurgery D. 6 weeks postsurgery

Before discharge to home The woman's staples are removed before discharge, after wound dehiscence and infection potential are ruled out.

A nurse is performing an assessment on a client diagnosed with placenta previa. Which of these assessment findings would the nurse expect to note? Select all that apply. 1. Uterine rigidity 2. Uterine tenderness 3. Severe abdominal pain 4. Bright red vaginal bleeding 5. Soft, relaxed, nontender uterus 6. Fundal height may be greater than expected for gestational age

Bright red vaginal bleeding Soft, relaxed, nontender uterus Fundal height may be greater than expected for gestational age

Which of the following is protective tissue that assists in thermoregulation in the neonate? A. Brown fat B. Foramen ovale C. Bilirubin D. Vernix

Brown fat Brown fat is the protective adipose tissue that can be metabolized to generate warmth in the neonate.

In discussing home care with a client after transurethral resection of the prostate (TURP), the nurse should teach the male client that dribbling of urine: 1. Can be a chronic problem 2. Can persist for several months 3. Is an abnormal sign that requires intervention. 4. Is a sign of healing within the prostate

Can persist for several months

Which of the following F H R patterns indicates a normal F H R? A. Category 1 B. Category 2 C. Category 3 D. None of the above

Category 1 Category 1 are normal. Category 2 F H R's are indeterminate, while Category 3 F H R's are an abnormal pattern.

Which test best provides an answer to the question of whether or not the infant has a congenital defect? A. Screening B. Diagnostic test C. Biophysical profile D. Multiple marker screening

Diagnostic test Diagnostic tests, which are often invasive and can pose risks to the fetus, can obtain a definitive answer on suspected congenital defects.

The nurse should specifically assess a client with prostatic hypertrophy for which of the following? 1. Voiding at less frequent intervals 2. Difficulty starting the flow of urine 3. Painful urination 4. Increased force of the urine stream

Difficulty starting the flow of urine

A nurse in a delivery room is assisting with the delivery of a newborn. After delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: 1. Warming the crib pad 2. Closing the doors to the room 3. Drying the infant with a warm blanket 4. Turning on the overhead radiant warmer

Drying the infant with a warm blanket

A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for: 1. Enlargement of the breasts 2. Complaints of feeling hot when the room is cool 3. Periods of fetal movement followed by quiet periods 4. Evidence of bleeding, such as in the gums, petechiae and purpura.

Evidence of bleeding, such as in the gums, petechiae and purpura

What assessments can indicate fetal compromise during labor? A. Leopold's maneuvers B. Fetal heart rate monitoring C. Nagele's rule D. All of the above

Fetal heart rate monitoring Fetal heart rate monitoring can indicate fetal compromise during labor.

A nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse monitors for which adverse reactions of the medication. Select all that apply. 1. Flushing 2. Hypertension 3. Increased urine output 4. Depressed respirations 5. Extreme muscle weakness 6. Hyperactive deep tendon reflexes

Flushing Depressed respirations Extreme muscle weakness

Ms. R had two spontaneous abortions (miscarriages) at 12 weeks gestation, has a 3-year-old son, and is now 32 weeks pregnant. Gravida ____Para _____ A. Gravida 4 Para 1 B. Gravida 3 Para 2 C. Gravida 4 Para 2

Gravida 4 Para 1

A nurse is assessing a newborn who was born to a mother who is addicted to drugs. Which assessment finding would the nurse expect to not during the assessment of this newborn? 1. Lethargy 2. Sleepiness 3. Incessant crying 4. Cuddles when being held

Incessant crying

A nurse-midwife is assessing a pregnant client for the presence of ballottement. To make this determination, the nurse-midwife does which of the following? 1. Auscultates for fetal heart sounds 2. Assesses the cervix for compressibility 3. Palpates the abdomen for fetal movement 4. Initiates a gentle upward tap on the cervix.

Initiates a gentle upward tap on the cervix

A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was October 19, 2020. Using Nagele's Rule, the nurse determines the estimated date of confinement is: 1. July 12, 2020 2. July 26, 2021 3. August 12, 2021 4. August 26, 2021

July 26, 2021

Prenatal classes provide the couple with: A. Knowledge and confidence B. Mental health counseling C. Nursing-level knowledge D. A birth plan

Knowledge and confidence Prenatal classes empower the couple to know, understand, and plan for pregnancy. They gain skills to create their own birth plan and seek resources, if needed.

Fibroid tumors of the uterus are called: A. Leiomyoma B. Uteromyoma C. Endometriosis D. None of the above

Leiomyoma Leiomyoma is another name for fibroid tumors of the uterus.

Which of the following groups of women experiences health disparities due to stigma? A. Teenagers B. Lesbian women C. Geriatric women D. Unmarried heterosexual women

Lesbian women Health disparities, barriers to access, and stigma all afflict lesbian women and impact their health.

Endometrial changes are assessed by examining which of the following? A. Vital signs B. Lochia C. Fundal height D. All of the a

Lochia The appearance and amount of lochia tells the nurse about the progress of endometrial shedding and regeneration.

The nurse is preparing to care for a newborn receiving phototherapy. Which interventions are appropriate? Select all that apply. 1. Avoid stimulation 2. Decrease fluid intake 3. Expose all of the newborn's skin 4. Monitor skin temperature closely 5. Reposition the newborn every 2 hours 6. Cover the newborn's eyes with eye shields or patches

Monitor skin temperature closely Reposition the newborn every 2 hours Cover the newborn's eyes with eye shields or patches

A nurse has developed a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which intervention as the highest priority? 1. Providing comfort measures 2. Monitoring the fetal heart rate 3. Changing the client's position frequently 4. Keeping the significant other informed of the progress of the labor

Monitoring the fetal heart rate

The multiple marker screenings identify: A. Neural tube defects B. Cerebral palsy C. Hemolytic diseases D. Cleft palate

Neural tube defects Multiple marker screenings can identify most open neural tube defects. They also identify Down syndrome.

What is the name of the ethical duty to do no harm? A. Veracity B. Nonmaleficence C. Justice D. Autonomy

Nonmaleficence Nonmaleficence is the name for the obligation to do no harm to either the woman or the fetus.

A maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician's orders and would question which order? 1. Prepare the client for an ultrasound. 2. Obtain equipment for a manual pelvic examination 3. Prepare to draw a hemoglobin and hematocrit blood sample 4. Obtain equipment for external electronic fetal heart rate monitoring.

Obtain equipment for a manual pelvic examination

After instructing a 20-year-old nulligravid client about adverse effects of oral contraceptives, the nurse determines that further instruction is needed when the client states which of the following as an adverse effect? 1. Weight gain 2. Nausea 3. Headache 4. Ovarian cancer

Ovarian cancer

A nurse is reviewing the physician's orders for a client admitted for premature rupture of the membranes. Gestational age of the fetus is determined to 36 weeks. Which physician's order should the nurse question? 1. Perform a vaginal exam every shift. 2. Monitor maternal vital signs frequently. 3. Administer ampicillin 1 g as an intravenous piggyback every 6 hours. 4. Monitor fetal heart rate continuously.

Perform a vaginal exam every shift

A nurse in the labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which of the following assessment findings would alert the nurse to a compromise? 1. Maternal fatigue 2. Coordinated uterine contractions 3. Progressive changes in the cervix 4. Persistent nonreassuring fetal heart rate.

Persistent nonreassuring fetal heart rate

Meconium aspiration syndrome affects: A. Preterm infants B. Post-term infants C. Children over 1 month D. None of the above

Post-term infants Large and post-term infants are likely to pass meconium in utero, leading to a dangerous respiratory situation.

When does a mother begin adjusting to her new role? A. Pregnancy B. Infancy C. First four months D. After four months

Pregnancy The first stage of motherhood occurs during pregnancy.

A nurse is monitoring a client in labor who is receiving oxytocin (Pitocin) and notes that the client is experiencing hypertonic uterine contractions. List in order of priority the actions that the nurse takes: Reposition the client Stop the oxytocin infusion Perform a vaginal examination Check the client's blood pressure Administer oxygen by face mask at 8 to 10L/min Administer medication as prescribed to reduce uterine activity

Reposition the client (2) Stop the oxytocin infusion (1) Perform a vaginal examination (4) Check the client's blood pressure (5) Administer oxygen by face mask at 8 to 10L/min (3) Administer medication as prescribed to reduce uterine activity (6)

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse determines that the client is experiencing toxicity from the medications if which of the following is noted on assessment? 1. Proteinuria of 3+ 2. Respirations of 10 breaths/min 3. Presence of deep tendon reflexes 4. Serum magnesium level of 6 mEq/L

Respirations of 10 breaths/min

Which of the following observations of the newborn infant should be promptly reported to the health care provider? (Select all that apply) 1. Retractions 2. Temperature of 98.4 F 3. Pulse rate of 88/min 4. Nasal Flaring

Retractions Pulse rate of 88/min Nasal Flaring

Which of the following instructions should the nurse include in the teaching plan for a 30-year-old multiparous client who will be using an intrauterine device (IUD) for family planning? 1. Amenorrhea is a common adverse effect of IUDs 2. The client needs to use additional protection for conception. 3. IUDs are more costly than other forms of contraception. 4. Severe cramping may occur when the IUD is inserted.

Severe cramping may occur when the IUD is inserted

A 28-year-old male is diagnosed with acute epididymitis. The nurse should assess the client for: 1. Burning and pain on urination 2. Severe tenderness and swelling in the scrotum 3. Foul-smelling ejaculate 4. Foul-smelling urine

Severe tenderness & swelling in the scrotum

A pregnant client asks a nurse about the types of exercises that are allowable during pregnancy. The nurse should instruct the client that the safest exercise to engage in is which of the following? 1. Swimming 2. Scuba diving 3. Low impact gymnastics 4. Bicycling with the legs in the air

Swimming

A nurse in the newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment signs noted in the newborn would alert the nurse to the possibility of the syndrome? 1. Tachypnea and retractions 2. Acrocyanosis and grunting 3. Hypotension and bradycardia 4. Presence of a barrel chest with acrocyanosis

Tachypnea and retractions

A nurse is caring for a client in labor. The nurse determines that the client is beginning the second stage of labor when which of the following assessments is noted? 1. The contractions are regular. 2. The membranes have ruptured. 3. The cervix is dilated completely. 4. The client begins to expel clear vaginal fluid.

The cervix is dilated completely

A home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the physician? 1. Urinary output has increased 2. Dependent edema has resolved 3. Blood pressure reading is at the prenatal baseline 4. The client complains of a headache and blurred vision.

The client complains of a headache and blurred vision.

A physician has prescribed transvaginal ultrasonography for a client in the first trimester of pregnancy and the client asks a nurse about the procedure. The nurse tells the client that: 1. The procedure takes about 2 hours 2. It will be necessary to drink 1 to 2 quarts of water before the examination 3. Gel is spread over the abdomen, and a round disk transducer will be moved over the abdomen to obtain the picture 4. The probe that will be inserted into the vagina will be covered with a disposable cover and coated with a gel

The probe that will be inserted into the vagina will be covered with a disposable cover and coated with a gel

The frequency of uterine contractions measure from: A. The time between contractions B. The length of the contraction C. The start of one contraction to the start of the next contraction D. All of the above

The start of one contraction to the start of the next contraction The frequency of uterine contractions measures from the start of one contraction to the start of the next contraction.

The mother of a newborn reports to the nurse that her infant has had a black tarry stool. The nurse would tell the mother that: 1. This is most likely caused by blood the infant may have swallowed during the birth process. 2. The health care provider will be promptly notified. 3. The infant will be given nothing by mouth until a stool culture is taken. 4. This is normal stool in newborn infants.

This is normal stool in newborn infants

T/F: Transurethral resection of the prostate is the most common surgical procedure used to remove the hypertrophied portion of the prostate gland.

True

Which of the following is a contraindication for breastfeeding? A. Obesity B. Tuberculosis C. Prematurity D. Autoimmune disease

Tuberculosis Active or latent tuberculosis in the mother is a contraindication for breastfeeding.

A nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruption placentae. Which of the following assessment finding would the nurse expect to note if this condition is present? 1. Soft abdomen 2. Uterine tenderness 3. Absence of abdominal pain 4. Painless, bright red vaginal bleeding

Uterine tenderness