NRSG 376 Exam 1
Woman presents with a ruptured ectopic pregnancy. What sign/symptoms are characteristic A. Dark brown rectal bleeding B. Sharp unilateral pain C. Severe nausea and vomiting
b
Lynn's blood type is O positive. The nurse might expect blood incompatibility problems if the fetus' blood is: a. Rh negative b. Type O negative c. Type A positive d. Rh positive
c
2. Liz explains to the nurse, "I don't understand how I can be pregnant. I had a negative pregnancy test two weeks ago, but yesterday it was positive?" What is the best explanation by the nurse? a. "It is probable that the hCG levels were not high enough to be detected last week." b. "It is likely that you may not be pregnant, so let's wait to see if you get your menstrual period." c. "Don't worry this happen sometimes. A pregnancy test will not be positive until your body starts to secrete estrogen." d. "Shall we set up a complete examination in another month to see if you are really pregnant?"
A
• LMP- November 30 3. Using Nagele's rule, the nurse would compute Liz's expected date of birth (EDB) as: (Show mathematical computation below) a. September 7 b. August 7 c. July10 d. February 3
A
2. A woman who is 36 weeks gestation is admitted to the high risk antepartal unit for preeclampsia. Which of the following does the nurse prioritize for appropriate care with this patient? (Select all that apply) a. Monitor intake and output b. Promote activity as tolerated c. Teach about impending labor d. Assess deep tendon reflexes e. Encourage family members to visit for diversion
A d
1. Which statement by the nurse would be the most therapeutic to begin her assessment with the patient: a. I am sorry for your loss with the twins. b. Tell me how you are feeling about this pregnancy. c. Do you have good support in your life? d. Do you have any major stressors in your life right now?
B
Mom at 36 weeks lies flat on her back. Which symptom would nurse expect to observe? A. HTN B. Rales C. Dizziness D. Linea Nigra
C
OB client believes strongly in vitamin supplements. RN teaches her to avoid taking excess: A. Vitamin C B. Vitamin B2 C. Vitamin D D. Vitamin B12
c
Procedure to obtain amniotic fluid for testing.
Amniocentesis
1. Which of the following women does the nurse identify at greatest risk to teratogenic effects to the fetus? a. Primigravida 8 weeks' gestation, states "3 months ago I had four beers the night I had sex" b. Multigravida 10 weeks' gestation reports drinking several glasses of wine last month at her sister's bachelorette party Alcohol is a teratogen and we don't know how much alcohol is an issue so as providers we say no alcohol because we don't know forsure. c. 18 year-old smoked pot 2 weeks ago and had unprotected sex d. 20 year-old 20 weeks' gestation with family history of hypertension
B
11. The nurse is caring for a pregnant woman who speaks little English. Which of the following actions should the nurse take to make certain that the patient understands the plan of care? a. Write all of the instructions on paper and send this home with the patient. b. Obtain a medical interpreter of the language the patient speaks. c. Ask one of the family members to interpret for you. d. Use gestures and facial expressions to get the points across to the patient.
B
4. At 28 weeks' gestation, Liz reports that her husband is more excited about the baby, but he seems "quiet, nervous, and cautious in participating". The nurse explains the various styles of paternal involvement during pregnancy. Which of the following styles does the nurse interpret as appropriate responses by Liz's husband? a. Expressive b. Observer c. Instrumental d. Denial
B
8. After the nurse reviews Liz's physical and nutritional assessment, which of the following foods should be recommend to enhance her pregnant health status? Please give rationale a. Peaches, apples, bananas b. Spinach, legumes, lean meat (Folic acid) c. Milk, cheese, yogurt d. Cereal, squash, pasta
B
Woman in OB's office with late 1st trimester spontaneous abortion. It is important for RN to assess A. Maternal varicella titer B. Maternal blood type C. Past OB history D. Cervical patency
B
5. Which of the following 28-week antepartal assessment data would the nurse recognize as potential risk? (Select all that apply) a. FHR 112 bpm b. Periods of dizziness with some blurred vision c. Fundal height 27.5 cm d. Hemoglobin 10.4 g/dL e. Two episodes of spotting bloody mucous
B D E
#1 risk to a baby that is born to a diabetic mom
Baby becomes severely hypoglycemic. when cord is cut after birth, the sugar is passing from mom to child and child will have so much insulin when cord is cut and the sugar will be cut
Gestational diabetic, 32 weeks gestation, NST is nonreactive
Biophysical profile
2. Liz complains of backache during the last week. Which of the following would be the best health promotional self-care teaching intervention by the nurse? a. Practice the Kegel exercise b. Join a low-impact aerobics class c. Practice the pelvic tilt exercise d. Drink at least 8-10 glasses of water a day
C
4. Which of the following assessment data would positively confirm that Liz is pregnant? a. Positive Chadwick's sign b. Increased pigmentation of the areola. c. Auscultation of the fetal heart rate d. Mother states she has felt fetal movement
C
Julia has been receiving IV Magnesium Sulfate for 22 hours. The nursing staff has been monitoring her closely 13. The night nurse is performing Julia's assessment and interprets which of the following data as and early sign of Magnesium toxicity: a. Respirations 14 per minute b. Urine output 40cc per hour c. DTR weak, 1+ d. BP 162/78
C Ensure you have calcium gluconate - antidote for magnesium sulfate
Multigravida, 37 y/o, 10 weeks gestation, 5 y/o with Down syndrome
Chorionic vili sampling
Performed by collecting a small sample of cells from the developing placenta for a first trimester diagnosis of genetic concerns.
Chorionic villi sampling
17 y/o, 35 weeks gestation, hx drug use, minimal prenatal care, IUGR (intra-uterine growth restriction)
Contraction stress test
Fetal heart rate is evaluated for the respiratory function of the placenta with contractions (either spontaneous or induced). Wellbeing is measured by response of the fetus to the contractions. What is the desired result?
Contraction stress test Negative CST
5. Which of the following questions is most appropriate by the nurse to assess Intimate Partner Violence (IPV)? - IPV is a very DIRECT question, asked ALONE. a. Do you know anyone who is being abused? b. We see many women who are being abused during pregnancy. Has this happened to you? c. Is everything ok in your home environment? d. During the past year, has your partner physically hurt you, insult you or talked down to you, threaten you with physical harm and scream or curse at you?
D
Liz's physical exam reveals her height is 5'6" & her pre-pregnant weight is 110 lbs; Today her weight is 112. Based on Liz's pre-pregnant weight and height, her BMI is 17.8. . According to the Institute of Medicine (IOM) recommendation for optimum weight gain during pregnancy based upon BMI, Liz's total weight gain should be: a. 11- 20 lbs b. 15-25 lbs c. 25-35 lbs d. 28- 40 lbs
D
2. The nurse has given Liz the information and reinforced teaching on the Quad Screening test. Which of the following statements by the patient would indicate understanding of the Quadruple test? a. "If this test is negative, it means that my baby doesn't have any birth defects." b. "It is best if this test is done before I reach second trimester." c. "This test is not relevant since I have had other healthy children." d. "If the level of alpha-fetoprotein is lower than normal, it could mean my baby has a risk of having Down's syndrome."
D If baby has a neural tube defect the alpha-fetoprotein can be elevated.
An assessment of five fetal variables: breathing, body movement, tone, amniotic fluid volume, and FHR reactivity. WHAT IS THE DESIRED SCORE:
F. Biophysical Profile (BPP) 8/10-10/10
35 week, multigravida with severe preeclampsia, C/S if baby mature
L/S ratio
Performed by obtaining amniotic fluid to assess the ratio of surfactant components, lecithin and sphingomyelin. How is this collected?
L/S ratio; amniocentesis
Use of an electronic fetal monitor to obtain a tracing of uterine contractions and fetal heart rate with observation of the FHR with fetal movement. What is the desired result?
Non-stress test; fetal HR acceleration 15 beats above normal for 15-20 seconds in a 20 min period
Use of intermittent high frequency sound waves abdominally or transvaginally to create an image of the fetus.
Ultrasound
17. Maria's one hour oral Glucose Challenge Test (OGCT) results were 156. Based upon these results, the nurse would counsel Maria in what way? a. This level is high. Maria should return to the clinic for a 3 hour Oral Glucose Tolerance test. b. This level is normal. Maria should return to the clinic in 4 weeks for a regular antepartal assessment. c. This level is high. Maria should return tomorrow for another one hour Oral Glucose Challenge test. d. This level is dangerously high. Maria will need to be admitted to the hospital to hve her glucose level adjusted with insulin therapy.
a
3. The results from the sterile speculum exam reveal "bleeding with a closed cervical os." The nurse would interpret this as: a. Threatened abortion b. Complete abortion c. Missed abortion d. Imminent abortion
a
7. A primigravida 32 weeks gestation with severe headache is admitted to the hospital with preeclampsia. The physician orders intravenous Magnesium Sulfate therapy. Which of the following nursing assessments should be performed first? a. Assess deep tendon reflexes b. Assess baseline weight c. Obtain routine urinalysis d. Obtain nutritional intake
a
RN teaches a T1 diabetic that during the first trimester she may experience: A. Need for less insulin than she expects B. S&S of hydramnios C. The likely need to add an oral diabetes medication D. A need to be hospitalized for fetal testing
a
The GTT at 24 wks assesses a pregnant woman's response to which hormone? A. Human Placental Lactogen B. HCG
a
While assessing the teaching needs of a multigravida, the RN should ask which of the following? A. What are the ages of your children? B. Do you ever drink alcohol? C. What is your marital status? D. Do you have allergies?
a
With nausea and vomiting common in pregnancy, you will provide which anticipatory guidance at 6 weeks? A. Avoid greasy foods B. Drink OJ C. Have 1 tsp of nutmeg D. Eat 3 large meals/day
a
Nurse discussing diet with pregnancy woman. Which food does she instruct her to avoid? A. Bologna B. Asparagus C. Cantaloupe D. Popcorn What is the bacteria
a Listeria
G3P2 at 42wks had a 20 min NST. Which of the following describes the desired, reactive, result? A. Moderate fetal heart baseline variability B. Two accelerations 15b above baseline, lasting at least 15s C. Three accelerations to 150b, lasting at least 20s D. Absence of maternal premature ventricular contractions
b
9. A patient is being seen for her first prenatal visit at 29 weeks gestation. Which of the following assessments will the nurse perform during the visit? (Select all that apply) a. Blood glucose b. Fetal heart rate (FHR) c. Blood pressure d. Transvaginal ultrasound e. Fundal height measurement f. Group Beta Strep screen (only good for 6 weeks so you get it towards end of pregnancy 35-37 weeks) g. CBC, Blood type and Rh
a b c e g
A nurse is caring for a pregnant woman who has type I diabetes that is not well-controlled. The nurse understands that this patient is a risk for which of the following? (Select all that apply) Large for gestational age (LGA) newborn Hyperemesis gravidarium Generalized edema (assoc. with preeclampsia and fluid outside of vessels) Urinary tract infection Hypertension
a d
Which of the following test would be performed during a 36 wk prenatal visit? A. OGTT B. Vaginal and rectal cultures C. Amniotic fluid volume assessment D. Karyotype analysis
b
39 y/o primigravida, 16 weeks gestation, MSAFP level lower than expected
amniocentesis
10 wks preg. Son born at 28wks, now 7. Son born at 39 wks now 5. Miscarriage 3y ago. 1st tri ab 9y ago. A. G4 P2121 B. G5 P1122 C. G4 P1212 D. G5 P 2211
b
10. Which of the following data clusters obtained from Julia's antenatal assessment would the nurse interpret as representing preeclampsia? a. BP change: 90/56 to 110/70. +1 glycosuria b. BP change: 110/70 to 146/96. +2 proteinuria, facial edema c. BP change: 120/80 to 130/86. +1 proteinuria, c/o backache d. BP change: 134/80 to 140/88. negative proteinuria, c/o shortness of breath
b
18. Maria's 3 hour Glucose Tolerance Test resulted in a diagnosis of gestational diabetes. Which of the following therapies does the nurse anticipate to be ordered for this patient? a. Oral hypoglycemic agents b. Diet control with exercise c. Regular insulin injections d. Genetic counseling
b
2. A pregnant woman is complaining of heartburn. The nurse understands this is caused by which change of pregnancy? a. An increase in water reabsorption by the colon b. The relaxation of the lower esophageal sphincter c. A decrease in the capacity of the stomach d. An increase in stomach acid production
b
2. A pregnant woman tells the nurse the following obstetrical history: she has had three prior pregnancies. Her first pregnancy was a miscarriage at 8 weeks. The second pregnancy was a girl born at 35 weeks' gestation who is now 4 years old. Her third baby was born at 30 weeks and died 2 days after birth. The nurse records her GTPAL as: 37 weeks is full term a. Gravida 4 T-1 P-1 A-1 L-2 b. Gravida 4 T-0 P-2 A-1 L-1 c. Gravida 3 T-0 P-2 A-1 L-1 d. Gravida 4 T-0 P-1 A-2 L-1
b
23. Lynn had a baseline Non-Stress Test (NST) which was non-reactive. What would the nurse anticpate as the next appropriate action to assess for fetal wellbeing? a. Amniocentesis b. Biophysical Profile c. Repeat the NST in 2 weeks d. Contraction Stress Test (CST)
b
28 wk G2P1 leaking amniotic fluid. Before being sent home on bedrest, she is instructed to : A. Perform nitrazine test each morning on awakening B. Abstain from vaginal intercourse for rest of pregnancy C. Immediately report any breast tenderness to OB D. Carefully weigh all her fluid saturated pads
b
3. A nurse in interviewing a 22 y/o primigravida. The patient's last menstrual period was December 20 and lasted 5 days (normal for her pattern). The calculated estimated date of birth would be: a. October 27 b. September 27 c. November 27 d. September 13
b
3. A patient is at the anteparatal clinic pregnant with her first baby. During the history, she explains to the nurse she has achieved a 20 lb weight loss over the past year. The woman expresses concern about gaining the weight back and asks the nurse if she can stay on her diet. The best response by the nurse is: a. "As long as you supplement your diet with prenatal vitamins, any amount of weight gain during pregnancy is fine." b. "I understand that gaining weight after such an accomplishment must be challenge, but weight gain during pregnancy is important for proper fetal growth and development." c. "Dieting during pregnancy is considered child neglect." d. "Excess weight gain during pregnancy is due mostly to water retention, so weight loss after birth will not be an issue."
b
5. Jasmine is a 15 year old seeking prenatal care. Which of the following would be the best approach to take when she tells the nurse she is undecided whether or not to maintain this unwanted pregnancy? a. "You should consider an abortion since you are so young." b. "This is a difficult decision. What have you thought about so far?" c. "Studies show that babies living with teen mothers often become teen parents as well." d. "Have you discussed this with your parents? They should be part of this decision."
b
7. A woman in her second trimester of pregnancy tells the nurse she is "very constipated". Which of the following foods would be BEST for the nurse to recommend to this patient? a. Pasta b. Celery (water to help move foods and contains fiber) c. Yogurt d. Rice
b
8. The nurse has assessed four pregnant women. Which of the following women does the nurse identify as most appropriate to provide information of the Chorionic Villi Sampling screen? a. 37 year old primigravida at 10 weeks' gestation; sister has son with spina bifida (a neural tube defect doesn't show up on CVS but ultrasound instead) b. 19 year old multigravida at 12 weeks' gestation; sister has Down's Syndrome (genetic testing and CVS testing timeline occurs at 10-12 weeks) c. Primigravida at 32 weeks' gestation with history of asthma d. Multigravida at 22 weeks' gestation with history of two miscarriages
b
7. A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? (Select all that apply) a. Heartburn b. Double vision c. Nausea & vomiting for 3 days without relief d. Polyuria e. No fetal movement at 16 weeks f. Burning with urination (if UTI is untreated, it can cause pre-term labor)
b c f
The following assessment findings were gathered by the nurse on a pregnant woman with preeclampsia. Which of the following is an indication that her condition is becoming worse? (Select all that apply) a. B/P 158/102 b. Deep tendon reflexes 3+ c. Fetal heart rate 130 bpm d. Complains of right upper quadrant pain
b d
4. A primigravida is 24 weeks gestation and the fundus is palpated slightly below the umbilicus. Which of the following risk factors does the nurse identity as significant to this assessment data? (Select all that apply) a. Vegetarian diet b. Smokes 1-2 packs of cigarettes/ day c. Runs 4-5 miles/day d. Stress with moving to new area and starting new job e. 2 lb weight gain in 4 weeks f. Hemoglobin level 10.2 g/dL
b e f
1. A multigravida type II diabetic is 30 weeks gestation. Which of the following does the nurse anticipate as a potential complication for this patient? a. Potential fetal genetic abnormalities b. Rh isoimmunization c. Macrosomic baby d. Placenta previa
c
1. A woman is 12 weeks pregnant. Which of the following symptoms would the nurse expect the patient to exhibit? a. Backache b. Dyspnea c. Fatigue d. Diarrhea
c
10. A woman makes the following response after finding out her pregnancy test is positive. "This is not a good time for me. I am in college and the baby will be due during final exams week!" Which of the following responses by the nurse is appropriate? a. "I'm absolutely positive everything will turn out alright." b. "I suggest you email your professors and set up alternative test times." c. "It sounds like you are feeling a little overwhelmed right now." d. "Would you like me to ask the doctor for a referral to a counselor?"
c
10. Which of the following patients would have a definitive diagnosis of gestational diabetes? a. Primigravida with oral Glucose Challenge test (OGCT) result of 148 ml/dL b. Primigravida with fasting blood sugar of 110 ml/ dL c. Multigravida with two results greater than norm from the 3-hour Oral Glucose Tolerance test (OGTT) d. Multigravida pregnant with third baby; history of two previous macrosomic babies
c
16YO G1P0 at 10 wk visit, tells RN she felt the baby move this am. Best response by the RN is: A. That is very exciting. The baby must be very healthy B. That is impossible. The baby is not big enough C. Would you describe what you felt for me? D. Would you please let me see if I can feel the baby?
c
19. Which of the following will the nurse now carefully monitor Maria for during her prenatal care? a. Multiple gestation b. Metabolic acidosis c. Urinary tract infection (spilling sugar to the urine indicates a good environment for the bacteria to grow) d. Iron deficiency anemia
c
20. At 37 3/7 weeks, Maria is scheduled for an amniocentesis due to increasing fetal growth. The results of the L/S ratio are 2.1:1. The nurse interprets these results to indicate: a. Neural Tube Defect (NTD) b. Down Syndrome c. Lung maturity (low risk for respiratory distress syndrome) d. Lung immaturity
c
24 wk pregnancy client reports of headache for last 3days what is the most appropriate action? A. Inquire whether or not the woman has allergies B. Assess the woman's fundal height C. Take the woman's BP D. Ask the woman about stressors at work
c
3. Which postpartum patient should receive RhoGAM? a. A postpartum woman who has a negative Indirect Coombs test and is A positive b. A postpartum woman who is B negative and has just delivered an infant who is B positive and has a positive direct Coombs test. c. A postpartum woman who is B negative and has just delivered an infant who is B positive and has a negative direct Coombs test. d. A postpartum woman who has just delivered an infant who is A negative.
c
5. A pregnant woman at 20 weeks' gestation has just been examined during a prenatal visit. Which assessment data would the nurse report to the health care provider? a. Blood pressure 128/78 b. Fetal heart rate 146 bpm c. Fundal height measurement 26 cm (if so, wrong date or more than one baby) d. 4 lb. weight gain in the last 4 weeks
c
5. A primigravida is 9 weeks pregnant and admitted with a diagnosis of hyperemesis gravidarum. Which of the following orders by the primary health care provider is highest priority for the nurse to complete? a. Obtain complete blood count b. Check admission weight c. Start intravenous therapy with multivitamins d. Obtain urine for urinalysis
c
6. The nurse has assessed four pregnant women in the prenatal clinic. Which of the following does the nurse prioritize to refer to the nurse midwife first for further assessment? a. Primigravida 10 weeks' gestation; complaining of nausea and vomiting b. Multigravida 26 weeks' gestation; fundal height 28 cm c. 15 year old primigravida, 32 weeks' gestation complains of headache and blurred vision(sign of preaclamsia) d. Multigravida 40 weeks' gestation, complaining of being pregnant and "ready for labor"
c
8. A pregnant woman at 36 weeks gestation with 4+ proteinuria and 4+ reflexes is admitted to the hospital with severe preeclampsia. The nurse's goal of care is: a. Lower blood pressure b. Maintain fetal health c. Prevent grand mal seizure d. Monitor weight gain
c
8. A woman's prenatal weight was documented as 105 lbs with a BMI of 18.7. She weighs 109 lbs at her 12 week visit. Which of the following comments by the nurse is appropriate at this time? a. "We expect you to gain one pound per week, so your weight is a little low at this time." b. "Most women gain no weight during the first trimester, so I would suggest you eat fewer desserts for the next few weeks." c. "Your weight gain is exactly what we would expect it to be at this time during your pregnancy." d. "You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need."
c
A G2P1 in ER after MVA appears uninjured. RN monitors for what complications? A. Placenta previa and pica B. Preeclampsia and gestational diabetes C. Placental abruption and preterm labor D. GBS and GTT
c
During Jasmine's antepartal care, which of the following vital signs should be monitored carefully? a. Heart rate b. Respiratory rate c. Blood pressure d. Temperature
c
G8 P3406 at 14 weeks. The RN emphasizes that need to notify doctor immediately if she experiences: A. Change in fetal movement B. Swelling of feet and ankles C. Signs and symptoms of labor D. Appearance of spider veins
c
Pregnant woman confides to the RN that she is practicing pica. Which alternative does the RN suggest? A. Replace laundry starch with salt B. Replace soap with cream cheese C. Replace ice with frozen fruit juice D. Replace soil with uncooked pie crust
c
What is the primary goal in developing a birth plan? A. Enable couple to learn about labor pain management B. Provide list of items to bring to hospital C. Promote communication b/w couple and healthcare team D. Give couple sense of control
c
Which of the following antenatal tests would the nurse anticipate the physician would order as most appropriate for this patient's plan of care? (you want to look at fetal well-being) what is the least invasive and will give us the correct information a. Biophysical profile b. Ultrasound c. Non-Stress Test (NST) d. Contraction Stress Test (CST)
c
Which of the following symptoms would indicate that Julia is developing HELLP syndrome? a. Stable creatinine level 1.2 (0.6-1.6g/24hours) b. Platelet level 150,000 (140,000-340,000) c. Elevated AST & ALT liver enzymes d. Hgb level 11.2 g/dL
c
Which stat is used to measure the health of a nation? A. Maternal morbidity rate B. Neonatal mortality rate C. Infant mortality rate D. FHR
c
8. A new RN working is in the antepartal clinic. She has just completed the initial assessments of four patients. Which of the following women would the nurse refer the obstetrician to see first? a. A diabetic woman at 30 weeks with a record of morning blood sugars between 88-102. b. Pregnant woman at 29 weeks gestation with history of bleeding in first trimester. FHR 110-118 bpm. c. Pregnant woman at 35 weeks gestation with 5 lb weight gain in last week. BP 158/90. Complaints of headache for past week. d. Multigravida at 18 weeks gestation. Rh negative, previous Rh positive infant.
c (five pound weight gain could signify fluid retention - the edema could accumulate in the face)
1. Which of the following patients would be considered a primigravida? a. A woman who has never been pregnant. b. A woman at 13 weeks gestation with a history of an ectopic pregnancy 2 years ago. c. A woman at 14 weeks gestation with a 3 year old daughter. d. A woman at 15 weeks gestation who has never been pregnant before.
d
11. A multigravida with gestational diabetes is 36 and 4/7 weeks with increased fetal growth. The results of her amniocentesis are Lecithin/Sphingomyelin (L/S ratio) 1:2. The nurse interprets these results to indicate: a. Lung maturity b. Down's syndrome c. Low risk for respiratory distress syndrome d. Lung immaturity
d
16. The nurse provides anticipatory guidance to Angela by explaining that living in an environment with constant stress is not healthy to her and the baby. The nurse explains that stress can affect the baby by: a. Increasing the risk of congenital anomalies b. Excess stress on fetal heart function leading to cardiac anomalies c. Increasing the risk of chromosomal anomalies d. Depriving the baby of blood and oxygen that can cause decreased growth and low birth weight
d
4. The nurse is caring for a pregnant woman who is 39 weeks and arrives at the high risk triage clinic with complaints of vaginal bleeding and intense abdominal pain. What assessment should the nurse perform first? a. Perform mother's vital signs b. Measure the fundal height c. Assess blood glucose level d. Auscultate the fetal heart rate
d
5. A nurse has identified the following nursing diagnosis for a prenatal patient, Altered nutrition: Less than body requirements related to poor folic acid intake. Which of the following foods should the nurse suggest the woman include in her diet? a. Potatoes and grapes b. Cranberries and squash c. Apples and corn d. Oranges and spinach
d
6. A mulitgravida's 32-week assessment was BP 110/60, P-92, R-20 weight 145 lbs. and urine negative for protein. Which of the following findings at the 34-week appointment would the nurse highlight for the certified nurse midwife? a. BP 110/70; P-88, R-20 b. Weight 147 lbs; BP 130/74 c. Urine protein trace; BP 134/70 d. Weight 155 lbs; urine protein +2; BP 142/88
d
6. A pregnant woman who recently immigrated from China is at the clinic for her first prenatal visit. She was never vaccinated in her home country. Which of the following should be administered to the woman during pregnancy? a. Mumps b. Rubella c. Varicella d. Influenza (because it's inactive)
d
6. Because of a teenager's body requirements and special nutritional needs, the nurse will evaluate Jasmine's dietary intake for: a. Protein and magnesium b. Carbohydrates and zinc c. Pyroxidine and thiamine d. Calcium and iron
d
9. A gravida 6 para 5 is 24 weeks gestation and admitted to the hospital for placenta previa. Which of the following is an appropriate long-term goal for this woman? a. The patient will state an understanding of the need for bedrest. b. The patient will have a reactive non-stress test on day 2 of hospitalization. c. The patient will call her children shortly after admission. d. The patient will be symptom-free until the end of 37 weeks' gestation.
d
9. A nurse is performing an assessment on four 22 week pregnant women. Which of the following women would the nurse suspect may be carrying twins, and reports this to the obstetrician? a. The woman states "she feels huge." b. The woman has a total weight gain of 13 pounds. c. The woman with an alpha-fetoprotein level that is high. d. The woman who has a fundal height measurement of 26 cm.
d
9. A nurse working at the antepartal clinic assesses four primgravid women. Which of the patient findings would the nurse report to the midwife as a priority? a. 15 weeks gestation; denies feeling fetal movement b. 21 weeks gestation; fundal height at the umbilicus c. 27 weeks gestation; fetal heart rate 112 bpm d. 34 weeks gestation; report of vaginal bleeding a few days ago
d
A gravid woman moves into a 1930s home. To protect the unborn child, the RN advises: A. Climb stairs only once/day B. Refrain from entering basement C. Drink water from only the hot water tap D. Stay out of any rooms being renovated
d
Client ask as about smoking in pregnancy. the RN responds that smoking can lead to : A. Genetic changes in fetal reproductive system B. Addiction to the nicotine inhaled from the cigarette C. Extensive CNS damage D. Fetal intrauterine growth restriction
d
Which statement is appropriate for the RN to say to a patient with a complete previa? A. During first stage of labor, do slow chest breathing B. The doctor will deliver you once you reach 25 weeks C. You should ambulate in halls at least two times each day D. It is important to inform me if you become constipated
d
20 y/o primigravida, 28 weeks gestation with chronic hypertension
non-stress test
