MCN Prelims

Ms. Cruz is admitted to the ER complaining of a sharp lower right abdominal pain. During the nursing history, she reports that her last menstrual period was 7 weeks ago. A question the nurse would ask is: A) "Are you experiencing any shoulder pain?" B) "Can you feel a hard mass on your right side?" C) "How many children do you have?" D) "Have you ever been pregnant before?"

A) "Are you experiencing any shoulder pain?"

A maternity nurse is caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy. Which assessment finding is least likely to be associated with disseminated intravascular coagulation? A. Swelling of the calf in one leg B. Prolonged clotting times C. Decreased platelet count D. Petechiae, oozing from injection sites, and hematuria

A. Swelling of the calf in one leg

A client, G2 P1001, telephones the gynecology office complaining of left-sided pain. Which of the following questions by the triage nurse would help to determine whether the one-sided pain is due to an ectopic pregnancy? A. "When was the first day of your last menstrual period?" B. "How old were you when you first got your period?" C. "When did you have your pregnancy test done?" D. "Did you have any complications with your first pregnancy?"

A. "When was the first day of your last menstrual period?"

Select all the patients below who are at risk for developing placenta previa: A. A 37-year-old woman who is pregnant with her 7th child. B. A 28-year-old pregnant female with chronic hypertension. C. A 25-year-old female who is 36 weeks pregnant has experienced trauma to abdomen. D. A 20-year-old pregnant female who is a cocaine user.

A. A 37-year-old woman who is pregnant with her 7th child. D. A 20-year-old pregnant female who is a cocaine user.

If the ectopic pregnancy is not managed and the fertilized egg continues to grow in the fallopian tube, it can cause which of the following occurence? A. All of the choices are correct B. The tube to rupture C. Fainting D. Shock E. Cause extreme lightheadedness

A. All of the choices are correct

Gran is a 28-year-old career woman and is seen by her physician for her annual physical check-up. Laboratory tests were ordered and when the results came, she was devastated that she had a sexually-transmitted infection - Gonorrhea. Which of the following contributed to her ignorance of her condition? A. All options are correct B. No health care access C. Being sexually inactive D. Being asymptomatic

A. All options are correct

An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruptio placentae are present. Based on these findings, the nurse would prepare the client for: A. Delivery of the fetus B. Strict monitoring of intake and output C. Complete bed rest for the remainder of the pregnancy D. The need for weekly monitoring of coagulation studies until the time of delivery

A. Delivery of the fetus

A nurse is caring for Charisse who is diagnosed with chlamydia infection. The nurse teaches her about disease transmission and advises the client to inform her sexual partners of the infection. She refuses, stating "This is my business, and I will not be telling anyone. besides, chlamydia does not cause any harm like other STIs". What should be the nurse's action? A. Educate the client about why is it important to inform sexual contacts so they can receive treatment B. Do noting because the client's sexual habits place her at risk for contracting other STIs C. Inform the health department that this client contracted an STI D. Inform the client's sexual contacts of their possible exposure to chlamydia

A. Educate the client about why is it important to inform sexual contacts so they can receive treatment

Maria, a 32-year-old G2P1 mother came into the hospital for a check-up and management of Syphilis. She verbalized that she has an allergy to Pen G. What is the appropriate medical management for her? A. Erythromycin 500 mg QID B. Benzathine penicillin G 500 mg IM C. Azithromycin 1000 mg OD D. Procaine penicillin 650 mg IM

A. Erythromycin 500 mg QID

An 18-year-old client visits to the out patient department and is diagnosed with primary syphilis. The client states that she contracted the disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this client? A. Knowledge deficit related to modes of transmission B. Fear related to complications C. Noncompliance with treatment regimen related to age D. Alteration in comfort related to impaired skin integrity

A. Knowledge deficit related to modes of transmission

The student nurse is performing a head-to-toe assessment on a pregnant patient admitted with abruptio placentae. Which of the following assessment findings would the student immediately report to the physician?* A. Oozing around the IV site B. Tender uterus C. Hard abdomen D. Vaginal bleeding

A. Oozing around the IV site

A 30-year-old female came to the clinic, noted to be 33 weeks pregnant with her second child and has uncontrolled hypertension. What risk factor below found in the patient's health history places her at risk for abruptio placentae? A. Preeclampsia B. Age C. Childhood Polio D. History of Cesarean Section

A. Preeclampsia

When administering magnesium sulfate to a client with preeclampsia, the midwife understands that this drug is given to: A. Prevent seizures B. Reduce blood pressure C. Slow the process of labor D. Increase diuresis

A. Prevent seizures

Myrna had a miscarriage when she was younger, after addressing her immediate psychosocial needs, the nurse identifies which nursing education is best for a woman who says she is miscarrying. A. Save any clots or material passed for your health care provider to examine. B. Continue light activity as usual because most spotting during pregnancy is harmless C. Use a tampon to put pressure on your cervix and stop the bleeding D. Lie down and remain on bed rest for 24 hours to stop the bleeding.

A. Save any clots or material passed for your health care provider to examine.

The risk for HIV/AIDS is tied to behaviors. Which of the following behaviors LEAST predispose you to HIV/AIDS? a. Spending time with someone with HIV/AIDS b. Injecting drugs c. Injecting drugs d. None of the choices mentioned

A. Spending time with someone with HIV/AIDS

Nurse Hanna is teaching a client who came into the clinic with genital herpes. Which of the 3 following explanations should be included when educating the client? A. The importance of informing her sexual partners of the disease partner B. The need for using petroleum products to decrease the risk C. The option of not practicing safer sex practices now that she is already infected D. The disease is only transmitted when visible lesions are present

A. The importance of informing her sexual partners of the disease partner

Hanna is distressed that the recent appearance of her genital warts, an assessment finding that her care provider has confirmed as attribute to human papillomavirus (HPV) infection. Which of the following information should the nurse give the patient? A. There is a chance that these will clear up on their own without any treatment B. It is important to start the treatment soon, so you will be prescribed pills today C. I'd like to give you an HPV vaccination if that is ok with you D. Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease

A. There is a chance that these will clear up on their own without any treatment

Genital herpes is transmitted during direct physical contact with open sores or blisters of an infected person A. True B. False

A. True

A diabetic pregnant client has developed polyhydramnios. The client should be taught to report which of the following? A. Uterine contractions B. Reduced urinary output C. Puerperal rash D. Marked fatigue

A. Uterine contractions

A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the obstetrics unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present? A. Uterus is tender to palpate B. Painless, bright red vaginal bleeding C. Absence of abdominal pain D. A soft abdomen

A. Uterus is tender to palpate

A patient is admitted to the hospital after noticing that she is experiencing vaginal bleeding with vesicles that passed out into the vagina. The nurse is discussing to her the possible treatment options for the patient. Identify ALL the treatment options for molar pregnancies? A. evacuation of molar pregnancy B. serial hCG levels C. radiation D. possible chemotherapy E. frequent follow ups

A. evacuation of molar pregnancy B. serial hCG levels D. possible chemotherapy E. frequent follow-ups

Rina has an Rh-negative blood type. Her electronic record shows she had a previous miscarriage at 16 weeks into her last pregnancy. What medication should the nurse check of what she received following her miscarriage to minimize isoimmunization. A) Packed RBC transfusion B) RhIG C) Ferrous sulfate D) Misoprostol

B) RhIG

A 25-year-old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat seen on ultrasound. The nurse would expect the doctor to write an order to prepare the client for which of the following? A. Nonstress testing. B. Cervical cerclage. C. Dilation and curettage. D. Amniocentesis.

C. Dilation and curettage.

A patient who is 28 weeks pregnant has partial placenta previa. The student nurse is educating the patient about the condition and self-care. Which statement by the patient requires you to re-educate the patient? A. "I will avoid sexual intercourse and douching throughout the rest of the pregnancy." B. "I may start to experience dark red bleeding with pain." C. "I will have another ultrasound at 32 weeks to re-assess the placenta's location." D. "My uterus should be soft and non-tender."

B. "I may start to experience dark red bleeding with pain."

A nurse is caring for a 25-year-old client who has just had a spontaneous first trimester abortion. Which of the following comments by the nurse is appropriate? A. "It is probably better this way." B. "I'm here to talk if you would like." C. "You can try again very soon." D. "At least you weren't very far along."

B. "I'm here to talk if you would like."

A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client's complaint of vaginal bleeding? A. Placenta previa B. Abruptio placentae C. Ectopic pregnancy D. Spontaneous abortion

B. Abruptio placentae

Ester a 27 y/o who is in her early trimester with OB score of G2P0 was admitted due to abdominal pain and spotting. She ask the nurse "What did I do wrong that time", what is the best response of the nurse? A. Avoid sexual intercourse. B. Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation. C. Avoid cigarette smoking D. Avoid alcohol intake.

B. Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.

Sexually transmitted infections can be spread through casual social contact such as kissing, shaking hands and using public toilets. A. True B. False

B. False

A 36-year-old woman, who is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What other signs and symptoms can present with abruptio placentae? SELECT ALL THAT APPLY. A. Decrease in fundal height B. Hard abdomen C. Fetal distress D. Abnormal fetal position E. Tender uterus

B. Hard abdomen C. Fetal distress E. Tender uterus

A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa. A. Infection B. Hemorrhage C. Chronic HTN D. DIC

B. Hemorrhage

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate? A. If the infection has healed, you probably don't have to use a condom B. Inform all potential sexual partners about the infection, even if it is inactive C. Refrain from all sexual activity until you don't have another outbreak for a year D. Use a condom during sexual activity it the infection becomes active again

B. Inform all potential sexual partners about the infection, even if it is inactive

Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient's care? SELECT ALL THAT APPLY. A. Routine vaginal examinations B. Monitoring vital signs C. Administer RhoGAM per MD order D. Assess internal fetal monitoring E. Placing patient on side-lying position F. Monitoring pad count G. Monitoring CBC and clotting levels

B. Monitoring vital signs E. Placing patient on a side-lying position F. Monitoring pad count G. Monitoring CBC and clotting levels

A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviewed the physician's prescriptions and questioned which prescription. A. Prepare the client for an ultrasound B. Obtain equipment for a manual pelvic examination C. Prepare to draw a hemoglobin and hematocrit blood sample D. Obtain equipment for external electronic FHR monitoring.

B. Obtain equipment for a manual pelvic examination

As Nurse Evie is preparing for her care of a patient with ectopic pregnancy, which of the following would be the priority nursing diagnosis? A. Knowledge Deficit B. Pain C. Risk for Infection D. Anticipatory Grieving

B. Pain

The nurse is monitoring her patient with preeclampsia who is receiving magnesium sulfate. The patient is receiving effective therapy with which of the following manifestations? A. Scotomas are present B. Seizures do not occur C. Ankle clonus is noted D. The blood pressure decreases

B. Seizures do not occur

A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 36 weeks gestation. She's at risk for which of the following blood disorders? A. Thrombocytopenia. B. Idiopathic thrombocytopenic purpura (ITP). C. Disseminated intravascular coagulation (DIC). D. Heparin-associated thrombosis and thrombocytopenia (HATT).

C. Disseminated intravascular coagulation (DIC).

A few hours after being admitted with a diagnosis of inevitable abortion, a client begins to experience bearing-down sensations and suddenly expels the products of conception in bed. To give safe nursing care, the nurse should first: A) Immediately notify the physician B) Give her the sedation ordered C) Check the fundus for firmness D) Take her immediately to the DR

C) Check the fundus for firmness

A client, 12 weeks of gestation, comes to the prenatal clinic complaining of severe nausea and frequent vomiting the nurse suspect hyperemesis gravidarum. Which of the following manifestation is frequently associated with this type of condition? A) Slowed secretion of free hydrochloric acid B) Excessive amniotic fluid C) High levels of human chorionic gonadotropin D) A GI history of cholecystitis

C) High levels of human chorionic gonadotropin

Hana is brought to the hospital and admitted with a diagnosis of hyperemesis gravidarum. She is 28 weeks pregnant. Which is the priority nursing intervention, until the hyperemesis can be resolved? A) Increase vitamin and iron intake B) Decrease gastrointestinal hypermotility C) Maintain hydration and electrolyte levels D) Encourage unlimited visitors

C) Maintain hydration and electrolyte levels

A sonogram shows Lorna who is beginning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety? A. Keep her physically active to avoid a deep vein thrombosis. B. Keep her nothing by mouth (NPC) as she will need an emergency cesarean birth. C. Assess for vaginal bleeding and clear fluid leakage every shift. D. Perform a daily vaginal exam to assess the extent of the previa.

C. Assess for vaginal bleeding and clear fluid leakage every shift.

What is the most appropriate nursing diagnosis for a client with a ruptured ectopic pregnancy would be? A. Altered health maintenance B. Fluid volume excess C. Decreased cardiac output D. Risk for infection

C. Decreased cardiac output

A pregnant diabetic has been diagnosed with hydramnios. Which of the following would explain this finding? A. Recurring hypoglycemic episodes B. Fetal sacral agenesis C. Excessive fetal urination D. Placental vascular damage

C. Excessive fetal urination

A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Select all nursing interventions that apply in the care of the client. SELECT ALL THAT APPLY. A. Monitor maternal vital signs every 2 hours B. Notify the physician if respirations are less than 18 per minute. C. Monitor renal function and cardiac function closely D. Keep calcium gluconate on hand in case of a magnesium sulfate overdose E. Monitor deep tendon reflexes hourly F. Monitor I and O's hourly G. Notify the physician if urinary output is less than 30 ml per hour.

C. Monitor renal function and cardiac function closely D. Keep calcium gluconate on hand in case of a magnesium sulfate overdose E. Monitor deep tendon reflexes hourly F. Monitor I and O's hourly G. Notify the physician if urinary output is less than 30 ml per hour.

Nurse Evie is preparing to care for a patient who is newly admitted to the hospital with a possible diagnosis of ectopic pregnancy. Nurse Evie develops a plan of care for the client and determines that which of the following nursing actions is the priority for her patient with ectopic pregnancy? A. Monitoring weight B. Monitoring temperature C. Monitoring apical pulse D. Assessing for edema

C. Monitoring apical pulse

Which of the following is the first warning sign of ectopic pregnancy? A. Headache B. Nausea and vomiting C. Pelvic pain and vaginal bleeding D. Lightheadedness

C. Pelvic pain and vaginal bleeding

A patient with pregnancy-induced hypertension probably exhibits which of the following symptoms? A. Proteinuria, headaches, vaginal bleeding B. Headaches, double vision, vaginal bleeding C. Proteinuria, headaches, double vision D. Proteinuria, double vision, uterine contractions

C. Proteinuria, headaches, double vision

A primigravida is receiving magnesium sulfate for the treatment of pregnancy-induced hypertension (PIH). The nurse who is caring for the client is performing assessments every 30 minutes. Which assessment finding would be of most concern to the nurse? A. Urinary output of 20 ml since the previous assessment B. Deep tendon reflexes of 2+ C. Respiratory rate of 10 BPM D. Fetal heart rate of 120 BPM

C. Respiratory rate of 10 BPM

Which assessment finding indicates a worsening of the Preeclampsia and the need to notify the physician? A. Blood pressure reading is at the prenatal baseline B. Urinary output has increased C. The client complains of a headache and blurred vision D. Dependent edema has resolved

C. The client complains of a headache and blurred vision

When teaching students about patient with molar pregnancy, which of the following symptoms occur with the condition? A. Fetal cardiac motion after 6 weeks gestation B. Benign tumors found in the smooth muscle of the uterus C. Heavy, bright red bleeding every 21 days D. "Snowstorm" pattern on ultrasound with no fetus or gestational sac

D. "Snowstorm" pattern on ultrasound with no fetus or gestational sac

Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage? A. Placenta previa B. Ectopic pregnancy C. Incompetent cervix D. Abruptio placentae

D. Abruptio placentae

Hanna visits the clinic and is scheduled for a Pap Smear. Abnormal results of this diagnostic test may imply which of the following infections? A. Chlamydia trachomatis B. Candida albicans C. Trichomoniasis D. Human Papillomavirus (HPV)

D. Human Papillomavirus (HPV)

When teaching students about molar pregnancy, which term is used to refer to a type of gestational trophoblastic neoplasm? A. Dermoid cyst B. Doderlein's bacilli C. Bartholin's cyst D. Hydatidiform mole

D. Hydatidiform mole

Alicia is pregnant and diagnosed to have eclampsia, begins to experience a seizure. Which of the following would the midwife in charge do first? A. Pad the side rails B. Place a pillow under the left buttock C. Insert a padded tongue blade into the mouth D. Maintain a patent airway

D. Maintain a patent airway

To which of the following nursing diagnosis should the nurse assign highest priority for the client with hyperemesis gravidarum? A. Risk for fatigue B. Altered health maintenance C. Risk for infection D. Potential fluid volume deficit

D. Potential fluid volume deficit

Abruptio placenta is most likely to occur in a woman with: A. Cardiac disease B. Hyperthyroidism C. Cephalopelvic disproportion D. Pregnancy-induced Hypertension

D. Pregnancy-induced Hypertension

Julianne is admitted to your care with a diagnosis of ectopic pregnancy. Which of the following actions would you anticipate when taking care of a patient with ectopic pregnancy? A. Provide enema to the patient as prescribed B. Encourage patient to have adequate bed rest C. Instruct patient that she will maintain an NPO status D. Prepare the patient for an immediate surgery

D. Prepare the patient for an immediate surgery

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse determines the client is experiencing toxicity from the medication if which of the following is noted on assessment? A. Presence of deep tendon reflexes B. Serum magnesium level of 6 mEq/L C. Proteinuria of +3 D. Respirations of 10 per minute

D. Respirations of 10 per minute

A pregnant mother came into the OPC-Outpatient Clinic Department for a check-up because of hyperthermia and skin rashes all over her vagina. As a student nurse having knowledge about STDs, you are aware that she might probably experiencing signs and symptoms of: A. Bacterial Vaginosis B. Trichomoniasis C. Chlamydia D. Syphilis

D. Syphilis

Possible complications of syphilis during pregnancy are premature birth, miscarriage, stillbirth, and birth defects. True or False?

True