NCM109 - Prelims (Part 2)

If a client at 36 weeks gestation with eclampsia begins to exhibit signs of labor after an eclamptic seizure, for which of the following would the nurse assess? A. Abruptio placenta B. Transverse lie C. Placenta accreta D. Uterine atony

A. Abruptio placenta

A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that apply)? A. Elevated blood pressure B. Negative urinary protein C. Nausea and vomiting D. Increased respirations

A. Elevated blood pressure C. Nausea and vomiting

Internal fetal monitoring should be avoided when the expectant mother has any of the following maternal infection that is active at the time of delivery. Select all that apply. A. HIV B. UTI C. Gonorrhea D. Herpes

A. HIV C. Gonorrhea

Which of the following anticoagulants would the nurse expect to administer when caring for a primigravid client at 12 weeks gestation who has class II cardiac disease due to mitral valve stenosis? A. Heparin B. Warfarin Coumadin) C. Enoxaparin (Lovenox) D. Ardeparin (Normiflo)

A. Heparin

If gestational diabetes is left untreated in the mother, how does it affect the baby? Select all that apply: A. High birth weight B. Respiratory distress syndrome in the newborn C. Hypoglycemia in the newborn D. All of the above

A. High birth weight B. Respiratory distress syndrome in the newborn C. Hypoglycemia in the newborn D. All of the above

When can Herpes simplex virus (HSV) infection be transmitted to a neonate? Select all that apply. A. Intrapartum B. Transplacental C. Postnatal, nonvenereal D. Breastfeeding

A. Intrapartum B. Transplacental C. Postnatal, nonvenereal

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

A. Monitoring Apical Pulse

Which of the following signs will require a mother to seek immediate medical attention? A. No fetal movement is felt on the 6th month B. When the fetal movement is felt C. Mild uterine contraction D. Slight dyspnea

A. No fetal movement is felt on the 6th month

A 38-year-old client at about 14 weeks gestation is admitted to the hospital with a diagnosis of complete hydatidiform mole. Soon after admission, the nurse would assess the client for signs and symptoms of which of the following? A. Pregnancy Induced hypertension B. Gestational diabetes C. Hypothyroidism D. Polycythemia

A. Pregnancy Induced hypertension

Gestational diabetes usually gets back to normal after pregnancy. A. True B. False

A. True

How is congenital rubella prevented? A. Vaccination B. strong immune system C. isolation D. consistent handwashing

A. Vaccination

High blood sugar level in the mother does not affect the fetus' sugar level. A. True B. False

B. False

Congenital malformations or neurologic damage in the newborn may be caused by which of the following first trimester maternal conditions? Select all that apply... A. HIV B. Gonorrhea C. Cytomegalovirus D. Hepatitis B E. German measles F. Chickenpox G. Syphilis

C. Cytomegalovirus E. German measles F. Chickenpox G. Syphilis

You are providing diet teaching to a pregnant patient with low iron levels. Which foods would you encourage the patient to eat regularly? A. Herbal tea, apples, and watermelon B. Sweet potatoes, artichokes, and packaged meat C. Egg yolks, beef, and legumes D. Chocolate, cornbread, and cabbage

C. Egg yolks, beef, and legumes

Oral glucose tolerance test is a gestational diabetes test that measures: A. How insulin is processed in the mother's body B. Baby's glucose levels C. How a mother's body processes sugar D. Hormone levels in the placenta

C. How a mother's body processes sugar

You're providing seminar teaching to a group of nurses about sickle cell anemia. Which of the following is NOT a treatment for this condition? A. Blood transfusion B. Stem cell transplant C. Intravenous fluids D. Iron supplements

C. Intravenous fluids

For multi gravid client at 39 week's gestation with suspected HELLP syndrome, the nurse would immediately notify the physician for which of the following laboratory results? A. Hyperfibrinogenemia B. Decreased liver enzymes C. Thrombocytopenia D. Hypernatremia

C. Thrombocytopenia

The nurse knows that preeclampsia tends to occur during what time in a pregnancy? A. before 20 weeks B. in the third trimester and postpartum C. after 20 weeks in the first and second trimester

C. after 20 weeks

Your patient with preeclampsia is started on Magnesium Sulfate. The nurse knows to have what medication on standby? A. Acetylcysteine B. Calcium carbonate C. Oxytocin D. Calcium gluconate

D. Calcium gluconate

A pregnant client is admitted to the labor room. An assessment is performed, and the nurse notes that the client's hemoglobin and hematocrit levels are low, indicating anemia. The nurse determines that the client is at risk for which of the following? A. loudmouth B. Low self-esteem C. Hemorrhage D. Postpartum infections

D. Postpartum infections

At 38 weeks gestation, a primigravid client with poorly controlled diabetes and severe pre-eclampsia is admitted for a cesarean delivery. The nurse explains to the client that delivery helps to prevent which of the following? A. Neonatal hyperbilirubinemia B. Congenital anomalies C. Perinatal asphyxia D. Stillbirth

D. Stillbirth

Fifteen Minutes after a client experiences an eclamptic seizure, the nurse assess the client for which of the following? A. Polyuria B. Facial Flushing C. Hypotension D. Uterine contraction

D. Uterine contraction

Majority of abortions take place between A. 16-20 weeks B. 12-16 weeks C. Later than 20 weeks E. 8-12 weeks

E. 8-12 weeks

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: A. Any bleeding, such as in the gums, petechiae, and purpura. B. Enlargement of the breasts C. Periods of fetal movement followed by quiet periods D. Complaints of feeling hot when the room is cool

A. Any bleeding, such as in the gums, petechiae, and purpura.

You're providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement? A. "I will take this medication on an empty stomach." B. "I will avoid taking this medication with orange juice." C. "I will wait and take my calcium supplements 2 hours after I take my iron supplement." D. "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as needed."

B. "I will avoid taking this medication with orange juice."

What are the medications for gestational diabetes? A. Oral blood sugar medication B. Insulin injections C. Either of the above

C. Either of the above

A client makes a routine visit to the prenatal clinic. Although she's 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal: A. Severely malformed uterus B. Extrauterine pregnancy C. Grapelike clusters D. An empty gestational sac

C. Grapelike clusters

Which of the following is the most likely effect on the fetus if the woman is severely anemic during pregnancy? A. Large for gestational age (LGA) fetus B. Hemorrhage C. Small for gestational age (SGA) baby D. Erythroblastosis fetalis

C. Small for gestational age (SGA) baby

A primigravid client's baseline blood pressure at her initial visit at 12 week's gestation was 110/70 mm Hg. During an assessment at 38 week's gestation, which of the following data would indicate mild pre-eclampsia. A. Blood pressure of 160/110 mm Hg on two separate occasions. B. Proteinuria more than 5 g in 24 hours. C. Serum creatinine concentration of 1.4 ml/ dl. D. Weigh gain of 2 pounds in the last week.

D. Weigh gain of 2 pounds in the last week.

80% of infants infected with congenital rubella will most likely develop what clinical condition? A. Obesity B. Phocomelia C. congenital heart disease D. deafness

D. deafness

A 17-year-old client at 33 weeks gestation diagnosed with mild pre-eclampsia, is prescribed bed rest at home. The nurse instructs the client to contact the health care provider immediately if she experiences which of the following? A. Blurred Vision B. Ankle edema C. Increased energy level D. Mild backache.

A. Blurred Vision

A patient is being tested for sickle cell disease. As the nurse, you know that you will assess for abnormal hemoglobin on the red blood cell, but will not differentiate between sickle cell disease and sickle cell trait. Therefore, the patient will need to have what other test to determine this? A. dithionite test; hemoglobin electrophoresis B. hemoglobin electrophoresis; sickledex C. edrophonium test, dithionite test D. sickledex; edrophonium test

A. dithionite test; hemoglobin electrophoresis

After suction and evacuation of a complete hydatidiform mole, the 28-year-old multigravida client asks the nurse when she can become pregnant again. The nurse would advise the client not to become pregnant again for at least which of the following time spans? A. 6 months B. 12 months C. 18 months D. 24 months.

B. 12 months

In what stage of pregnancy is the fetus particularly susceptible to rubella infection? A. Any stage during the pregnancy B. 1st trimester C. 2nd trimester D. 3rd trimester

B. 1st trimester

When preparing a multi-client who has undergone evacuation of H-mole for discharge, the nurse explains the need for follow up care. The nurse determines that the client understand the instruction when she says that she is at risk for developing which of the following? A. Ectopic pregnancy B. Choriocarcinoma C. Multifetal pregnancies D. Infertility

B. Choriocarcinoma

Marybeth is admitted with a diagnosis of ectopic pregnancy. Which of the following would you anticipate? A. NPO B. Bedrest C. Immediate surgery D. All of the above

C. Immediate surgery

The nurse is caring for a multigravida client at 34 weeks gestation diagnosed with preterm labor. The client has delivered two stillborn infants at 30 weeks gestation. The client is scheduled for a sonogram before an amniocentesis. Which of the following would be a priority nursing care diagnosis for the client? A. Acute pain related to abnormal uterine contractions. B. Anxiety related to diagnostic test for fetal well - being. C. Ineffective coping related to hospitalization. D. Deficient knowledge related to consequences of preterm birth.

B. Anxiety related to diagnostic test for fetal well - being.

Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy? A. Risk for infection B. Pain C. Knowledge Deficit D. Anticipatory grieving

B. Pain

After a dilation and curettage to evacuate a molar pregnancy, assessing the client for signs and symptoms of which of the following would be most important? A. Urinary Tract infection B. Hemorrhage C. Abdominal distension D. Chorioamnionitis

B. Hemorrhage

The nurse is caring for a woman who has been admitted with early pregnancy-induced hypertension (PIH) that has progressed to eclampsia. The priority intervention by the nurse is to: A. Check the blood pressure and fetal heart tones. B. Maintain a patent airway. C. Administer oxygen. D. Prepare to administer magnesium sulfate

B. Maintain a patent airway.

Cath is 25 weeks AOG has a blood glucose level of 160 mg/dL one hour after consuming 50 g of oral glucose. What is the next best step in her management? A. Collaborate with Cath for dietary management of gestational diabetes B. Perform a 3 hour confirmation test with 100 g oral glucose drink C. Proceed with routine prenatal care D. Provide therapeutic communication for the diagnosis of gestational diabetes

B. Perform a 3 hour confirmation test with 100 g oral glucose drink

The nurse is performing a routine prenatal assessment of a client at 23 weeks' gestation. Which of the following would indicate to the nurse that the client may be experiencing pregnancy-induced hypertension (PIH)? A. A baseline blood pressure of 122/80. B. Proteinuria. C. Complaints of low back pain. D. Glucose in the urine.

B. Proteinuria.

At 32 week's gestation, a 15-year-old primigravid client who is 5 feet, 2 inches tall has gained a total of 20 pounds, with 1 pound gain in the last 2 weeks. Urinalysis reveals negative glucose and a trace of protein. The nurse determines that which of the following factors increases this client risk for pre-eclampsia? A. Total weight gain B. Short stature C. Adolescent age gap D. Proteinuria

C. Adolescent age gap

A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse, you would? A. Notify the doctor B. Hold the next dose of iron C. Reassure the patient this is a normal side effect of iron supplementation D. None of the options are correct

C. Reassure the patient this is a normal side effect of iron supplementation

A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. A nurse discover that the client is encountering toxicity from the medication in which of the following assessment? A. Urine output of 25 ml/hr. B. The presence of deep tendon reflex. C. Respirations of 10 breaths per minute. D. Serum magnesium level of 7 mEq/L

C. Respirations of 10 breaths per minute.

A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being monitored for pregnancy induced hypertension (PIH). 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

An infant born at 33 weeks' gestation has anemia of prematurity, which is characterized by an inadequate response to erythropoietin. The healthcare provider expects that microscopic examination of this infant's red blood cells would reveal. A. Normal hemoglobin in each cell. B. Large, pale cells. C. Small and immature cells. D. Cells of normal size E. Small, irregularly shaped cells

D. Cells of normal size

When preparing a multigravida client at 34 weeks gestation experiencing preterm labor for the shake test performed on amniotic fluid, the nurse would instruct the client that this test is done to evaluate the maturity of which of the following fetal system? A. Urinary B. Gastrointestinal C. Cardiovascular D. Pulmonary

D. Pulmonary

The nurse is planning care for a multigravida client hospitalized at 36 weeks gestation with confirmed rupture of membranes and no evidence of labor. Which of the following would the nurse expects the physician to order? A. Frequent assessment of cervical dilatation B. Intravenous oxytocin administration C. Vaginal culture for Neisseria gonorrhea D. Sonogram for amniotic fluid volume index.

D. Sonogram for amniotic fluid volume index.

During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's? A. hemoglobin A1C level B. heart rate C. reflexes D. vaccination history

D. vaccination history