NURS368 Exam 1
Which placental hormone is responsible for regulating glucose availability to the fetus? A: Progesterone B: Estrogen C: hCG D: hPL
D: hPL
A woman is in her 7th month of her first pregnancy. What is her G/P?
1/0
A woman has just given birth to her first baby at term. What is her G/P?
1/1
A patient has twin boys who are 4 y/o. She is pregnant again. What is her G/P?
2/1
A woman is pregnant for the second time. She has a 2 y/o son at home. What is her G/P?
2/1
Approximately how many calories are in one ounce of breast milk or standard formula?
20 calories
A woman has a 5 y/o son, a 3 y/o daughter, and is pregnant again. What is her G/P?
3/2
A pregnant woman reports having had a SAB at 13 weeks, a delivery of a preterm infant and then two deliveries of full-term healthy infants. What is her G/P?
5/3
Which of the following findings would the nurse determine are presumptive signs of pregnancy? (Select all that apply): A: Amenorrhea B: Breast tenderness C: Quickening D: Frequent urination E: Uterine growth
A: Amenorrhea B: Breast tenderness C: Quickening D: Frequent urination
Which of the following full-term newborns requires immediate intervention? A: Baby with seesaw breathing B: Baby with irregular breathing with 10-second pauses C: Baby with coordinated thoracic and abdominal breathing D: Baby with a respiratory rate of 52
A: Baby with seesaw breathing
Your patient gave birth to a 6-lb baby girl 6 hrs ago. It was a spontaneous delivery. You note on your assessment of her perineum that there is some edema and slight bruising. She stated that her pain was at 1 on the pain scale. Your nursing action would be to: A: Continue applying ice to the perineum B: Assist her with a sitz bath C: Encourage her to keep her bladder empty D: Administer ibuprofen 800 mg
A: Continue applying ice to the perineum
Which of the following are true statements regarding the let-down reflex? (Select all that apply): A: Contractions of the myoepithelial cells forces milk into the duct system B: Oxytocin is released in response to infant suckling and woman's emotions C: It can occur during sexual arousal D: It occurs multiple times during feeding session
A: Contractions of the myoepithelial cells forces milk into the duct system B: Oxytocin is released in response to infant suckling and woman's emotions C: It can occur during sexual arousal D: It occurs multiple times during feeding session
Variable decelerations are typically related to: A: Cord compression B: Head compression C: Uteroplacental insufficiency D: Uterine hyperstimulation due to hypovolemia
A: Cord compression
Which of the following should be included in postpartum discharge teaching regarding risk reduction for cystitis? (Select all that apply): A: Drink a minimum of 3,000 mL of fluid per day B: Change peripads at least every 3-4 hrs C: Eat foods low in acidity D: Avoid caffeinated fluids
A: Drink a minimum of 3,000 mL of fluid per day B: Change peripads at least every 3-4 hrs
A pt. who delivered vaginally and has a 3rd-degree laceration is being prepared for discharge. Which of the following instructions should the nurse include in her discharge teaching? (Select all that apply): A: Drink at least 2 liters of fluid a day B: Ambulate several times a day C: Eat plenty of whole grain foods, and fruits and vegetables D: Use suppositories to help promote regular, soft bowel movements
A: Drink at least 2 liters of fluid a day B: Ambulate several times a day C: Eat plenty of whole grain foods, and fruits and vegetables
Teaching regarding the care of the newborn begins: A: During pregnancy B: Within a few hours after delivery C: 12 hrs after delivery D: The day of discharge
A: During pregnancy
The experiences of a CS birth parents differ from those of vaginal birth parents in which of the following? A: Emotional responses to the childbirth experience B: Ability to breastfeed C: Nutritional needs D: Maternal hormonal changes
A: Emotional responses to the childbirth experience
The nurse assists a pt. who delivered vaginally 6 hrs ago to the bathroom to void for the first time since delivery. The pt. voids 65 mL of urine. The nurse's initial action is to: A: Document this as a normal finding B: Encourage the pt. to try to void again within the next 4-6 hrs C: Insert an indwelling Foley catheter D: Palpate for bladder distension
D: Palpate for bladder distension
Your patient delivered a full-term baby 12 hours ago. The woman and her husband, who are in their early 20s, have just been informed by their pediatrician that their baby has trisomy 21 (Down syndrome). This is their first child and they did not have prenatal genetic testing. You nursing care will include (Select all that apply): A: Explaining that they will go through a grieving process over the loss of their "dream" child B: Explaining the important of talking openly to each other about their feelings and concerns regarding their child C: Explaining they will benefit from seeing a genetic counselor D: Explaining that they should direct questions regarding the baby's diagnosis to their pediatrician
A: Explaining that they will go through a grieving process over the loss of their "dream" child B: Explaining the important of talking openly to each other about their feelings and concerns regarding their child C: Explaining they will benefit from seeing a genetic counselor
A common indication for an urgent surgical birth includes: A: Fetal intolerance of labor B: Posterior vertex position C: Failed assisted vaginal birth without fetal stress D: Maternal request for the procedure
A: Fetal intolerance of labor
Increased information provided by assessment of uterine contractions with an intrauterine pressure catheter includes: A: Frequency, duration, intensity, and resting tone B: Frequency, duration, and intensity C: Intensity only D: Labor progress
A: Frequency, duration, intensity, and resting tone
Nursing interventions related to late decelerations include all of the following EXCEPT: A: Initiate pitocin induction B: Initiate IV bolus C: Change maternal position D: Initiate oxygen therapy
A: Initiate pitocin induction
You are assigned to a 21-year-old primipara, who is 36 hours post-birth and breastfeeding her healthy newborn son. During your assessment, you note that there is a small reddened area on the right side of the left areola. Based on this assessment finding, which of the following is the priority nursing action? A: Instruct the woman to change feeding position from cradle to football hold B: Instruct the woman to air-dry her nipples for 15 mins after each feeding C: Instruct the woman to apply a lanolin cream to the area after each feeding D: Instruct the woman to feed from only the right breast for 24 hours
A: Instruct the woman to change feeding position from cradle to football hold
A nurse is working in the prenatal clinic. Which of the following findings seen in 3rd-trimester pregnant women would the nurse consider to be within normal limits? (Select all that apply): A: Leg cramps B: Varicose veins C: Hemorrhoids D: Fainting spells E: Lordosis
A: Leg cramps B: Varicose veins C: Hemorrhoids E: Lordosis
Which are hunger cues seen in infants? (Select all that apply): A: Licking or sucking movements B: Sucking on hands C: Jitteriness D: Crying
A: Licking or sucking movements B: Sucking on hands D: Crying
A common side effect of epidural anesthesia in labor includes: A: Maternal hypotension B: Maternal hypertension C: Variable decelerations in the FHR D: Hypertonic labor pattern
A: Maternal hypotension
The goal of maternal position changes for a prolonged deceleration is: A: Maximizing uterine blood flow B: Increasing uterine contractions C: Maximizing maternal oxygenation D: Increasing maternal movement
A: Maximizing uterine blood flow
Which of the following factors place a woman at risk for thrombosis? (Select all that apply): A: Obesity B: Physiological changes of pregnancy C: Metritis D: Cesarean birth
A: Obesity B: Physiological changes of pregnancy C: Metritis D: Cesarean birth
Which is the priority nursing action during the immediate postpartum period? A: Palpate fundus B: Check pain level C: Perform pericare D: Assess breasts
A: Palpate fundus
Which of the following assessments would be done at the first prenatal physical examination? (Select all that apply): A: Pap smear B: Mammogram C: Glucose challenge test D: Biophysical profile E: Complete blood count
A: Pap smear E: Complete blood count
Which of the following vital sign changes should the nurse highlight for a pregnant woman's obstetrician? A: Prepregnancy BP 100/60 and 3rd trimester BP 140/90 B: Prepregnancy RR 16 rpm and 3rd trimester RR 22 rpm C: Prepregnancy HR 76 bpm and 3rd trimester HR 88 bpm D: Prepregnancy temp. 98.6 F and 3rd trimester temp. 99.2 F
A: Prepregnancy BP 100/60 and 3rd trimester BP 140/90
The nurse is preparing a woman in the early postpartum period for a fundal check. Select all the appropriate nursing actions: A: Provide for privacy B: Position the woman in high Fowler's position C: Have the patient empty her bladder D: Position the pt. in supine position
A: Provide for privacy C: Have the patient empty her bladder D: Position the pt. in supine position
Mrs. Fischer is 4 days post birth. She calls the clinic and tells the triage nurse that she has a temperature and does not feel well. What additional assessment findings does the triage nurse need to obtain to assist in her nursing assessment? (Select all that apply): A: When did she notice an increase in temperature and what is her temperature? B: Is she experiencing pain, and if so, where is it located? C: What is the amount of her fluid intake within the past 24 hrs? D: What is the color and amount of her bleeding?
A: When did she notice an increase in temperature and what is her temperature? B: Is she experiencing pain, and if so, where is it located? C: What is the amount of her fluid intake within the past 24 hrs? D: What is the color and amount of her bleeding?
Which set of vitals are normal for this quiet, awake, term newborn? A: RR-45, HR-100 B: RR-58, HR-168 C: RR-20, HR-80 D: RR-40, HR-148
D: RR-40, HR-148
Passenger, as one of the 4 P's of labor, refers to: A: The position of the mother B: The passage of the vagina C: The fetal descent in the pelvis D: The fetus
D: The fetus
A client who was seen in the prenatal clinic at 20 weeks' gestation weighed 128 lb at that time. Approx. how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks gestation? A: 129-130 lb B: 131-132 lb C: 133-134 lb D: 135-136 lb
B: 131-132 lb
Select all that are true regarding the anterior fontanel of a full term neonate: A: Approx. 0.5-1 cm in size B: Approx. 2.5-4 cm in size C: Diamond shape D: Triangle shape
B: Approx. 2.5-4 cm in size C: Diamond shape
Physiological changes in pregnancy: A: Involve primarily reproductive organs B: Are protective of the woman and/or fetus C: Are most profound in the first trimester D: Primarily impact the musculoskeletal system
B: Are protective of the woman and/or fetus
You observe that a 2-day postpartum woman is having difficulty breastfeeding. Her baby is crying and moving his head from side to side. Your first nursing action is to: A: Assist the woman into a comfortable position B: Assist the woman in calming her baby C: Show the woman how to properly position the baby D: Tell the woman that her baby is not hungry and to wait a few hours
B: Assist the woman in calming her baby
Which of the following indicates a Category I fetal heart rate? A: Baseline rate of 170 bpm, decreased variability, no fetal heart rate decelerations B: Baseline rate of 150 ppm, moderate variability, accelerations to 170 bpm for 20 seconds C: Baseline rate of 150 bpm, decreased variability, no fetal heart rate decelerations D: Baseline rate of 130 bpm, average variability, decreases after uterine contractions
B: Baseline rate of 150 ppm, moderate variability, accelerations to 170 bpm for 20 seconds
A client states that she believes she is pregnant. Which hormone elevations would indicate a high probability that the client is pregnant? A: Oxytocin B: Chorionic gonadotropin C: Prolactin D: Luteinizing hormone
B: Chorionic gonadotropin
Which is NOT a result of decreased body temperature and cold stress in the newborn? A: Increased metabolic rate B: Decreased metabolic rate C: Metabolism of brown fat D: Vasoconstriction
B: Decreased metabolic rate
Which breast assessment finding is most effective for breastfeeding? A: Inverted nipples B: Everted nipples C: Flat nipples D: Large nipples
B: Everted nipples
Fertilization takes place in the _____________. A: Ovaries B: Fallopian tubes C: Uterus
B: Fallopian tubes
True or false: Breastfed infants are more likely to become constipated than formula-fed infants. A: True B: False
B: False
The nurse is assessing the lab report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above pre pregnancy levels? (Select all that apply): A: Glucose B: Fibrinogen C: Hematocrit D: Bilirubin E: White blood cells
B: Fibrinogen E: White blood cells
The nurse would expect the stools of a 3-day-old breastfed newborn to be: A: Sticky, thick, and black B: Greenish-brown to greenish-yellow C: Golden yellow and pasty D: Loose and green
B: Greenish-brown to greenish-yellow
Which of the following lab results indicates anemia? A: Hgb 11.2 B: Hgb 10 C: HCT 34% D: HCT 38%
B: Hgb 10
What is jitteriness a sign of? (Select all that apply): A: Constipation B: Hypoglycemia C: Electrolyte disorder D: Hunger
B: Hypoglycemia C: Electrolyte disorder
The most critical physiological change required of neonates during the transition from intrauterine to extrauterine life is: A: Initiation and maintenance of cardiac function B: Initiation and maintenance of respiratory function C: Initiation and maintenance of metabolic function D: Initiation and maintenance of hepatic function
B: Initiation and maintenance of respiratory function
Select the statements that are true regarding primary engorgement: A: Only women who are lactating will experience primary engorgement B: It is caused by an increase in the vascular and lymphatic system of the breast C: The breasts become large, firm, and warm to touch D: It subsides within 24-36 hrs
B: It is caused by an increase in the vascular and lymphatic system of the breast C: The breasts become large, firm, and warm to touch D: It subsides within 24-36 hrs
Your pt. is a 25-yr-old gravida 1 woman who is 2 hrs postpartum. You note on assessment that her fundus is firm and midline. She is experiencing a steady stream of blood. The bed linen under her is soaked in blood. Based on these findings and observations, you suspect that she is exhibiting early S/Sx of a PPH related to: A: Uterine atony B: Laceration of the cervical or vaginal area C: Retained placental tissue D: Fibroids
B: Laceration of the cervical or vaginal area
RhoGAM would be administered during pregnancy at 28 weeks gestation to women with the following blood type: A: O+ B: O- C: A+ D: AB
B: O-
Your patient, who gave birth to a 7-lb baby boy two hours ago, is complaining of uterine cramping (after-pains). This is her second baby and she is breastfeeding. Your assessment reveals a firm fundus at midline at 1 cm below the umbilicus. Select all of your initial nursing actions: A: Instruct the pt. to bottle-feed for 36 hrs or until the cramping has stopped B: Place a warm blanket on her abdomen C: Explain that these are normal for second-time mothers to experience D: Offer the pt. acetaminophen with codeine so she can continue to breastfeed
B: Place a warm blanket on her abdomen C: Explain that these are normal for second-time mothers to experience
A baby just delivered. Which of the following physiological changes is of highest priority? A: Thermoregulation B: Spontaneous respirations C: Extrauterine circulatory shift D: Successful feeding
B: Spontaneous respirations
A mother and her 2-day old baby are preparing for discharge. Which of the following situations would be reason for the baby's discharge to be cancelled? A: The baby's temperature is 97.8 F B: The baby's TSB is 19 mg/dL C: The baby's blood glucose is 59 mg/dL D: The baby's respirations are irregular
B: The baby's TSB is 19 mg/dL
The developing human is most vulnerable to teratogens during: A: The first 4 weeks of gestation B: The first 8 weeks of gestation C: The first 12 weeks of gestation D: The first 16 weeks of gestation
B: The first 8 weeks of gestation
A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? (Select all that apply): A: Backache B: Urinary frequency C: Dyspnea on exertion D: Fatigue E: Diarrhea
B: Urinary frequency D: Fatigue
Labor pain in active labor is primarily caused by: A: Cervical dilation B: Uterine contractions C: Fetal descent D: Perineal tearing
B: Uterine contractions
You are assigned to a 16-year-old primipara who is bottle feeding her healthy full-term baby boy. She asks you why the other nurse told her to tilt the baby's bottle when feeding. Your best response is: A: "I will go and get the other nurse so she can clarify the instruction she gave you" B: "By tilting the bottle, the nipple is in a more comfortable placement in your baby's mouth" C: "By tilting the bottle, you keep the nipple full of formula and decrease the amount of air your baby swallows" D: "The tilted position provides greater pressure coming from the bottle and makes it easier for your baby to take in the formula"
C: "By tilting the bottle, you keep the nipple full of formula and decrease the amount of air your baby swallows"
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions? A: "What are the ages of your children?" B: "What is your marital status?" C: "Do you ever drink alcohol?" D: "Do you have any allergies?"
C: "Do you ever drink alcohol?"
During a feeding session, your 19-year old primipara, who is 12 hours post-birth, asks you how she can tell if her baby girl is getting any milk when nursing. Your best response is: A: "Your baby is getting colostrum. Your milk will come in around 2-3 days" B: "When your baby falls asleep while nursing" C: "You will hear swallowing noises from your baby as she suckles" D: "Your baby will refuse to latch on"
C: "You will hear swallowing noises from your baby as she suckles"
Blood volume increases during pregnancy by: A: 20-30% B: 30-40% C: 40-50% D: 50-60%
C: 40-50%
The initial bathing of the neonate should occur: A: Within 30 minutes of birth B: Before applying eye ointment C: After temperature has stabilized D: 3 hours after the birth
C: After temperature has stabilized
What is the most common allergy seen in infants? A: Formula B: Breastmilk C: Cow's milk D: Honey
C: Cow's milk
Heat loss through evaporation can be reduced by: A: Closing the door to the room B: Using warming equipment on the neonate C: Drying the neonate D: Placing the crib near a warm wall
C: Drying the neonate
Women who have a support person with them in labor are more likely to: A: Have epidural anesthesia B: Have a precipitous labor C: Experience fewer birth complications D: Experience more interventions
C: Experience fewer birth complications
Softening of the cervix that occurs in the second month of pregnancy is known as: A: Hegar's sign B: Braxton's sign C: Goodell's sign D: Chadwick's sign
C: Goodell's sign
Which of the following assessment data of a 12 hrs of age neonate needs additional evaluation? (Select all that apply): A: Localized soft tissue edema of the scalp B: Transient cyanosis around the mouth C: A 10 cm flat bluish area on the buttock D: Jaundice that is limited to the face
D: Jaundice that is limited to the face
To decrease the risk of orthostatic hypotension during the first few hours after the birth, the nurse should: A: Assist the pt. to the bathroom by using a wheelchair B: Break open and ammonia ampule and have the pt. take a deep breath before getting up C: Have the pt. sit on the side of the bed for a few mins before standing D: Check the pt. BP before assisting her to the bathroom
C: Have the pt. sit on the side of the bed for a few mins before standing
A sterile vaginal exam reveals that the woman is 5cm/80% effaced/0 station. Based on this exam the woman is: A: In the transition phase B: In the latent phase C: In the active phase
C: In the active phase
Your postpartum pt. is 10 hrs post-birth. She experienced an uncomplicated labor and birth and her newborn is full term with Apgar scores of 9 at 1 min and 9 at 5 mins. During your assessment, you note that she was hungry and very interested in telling you about her birth experience. You had to remind her to change her baby's diaper and to feed her baby. Based on this assessment you determine that she is: A: Having difficulty bonding with her baby B: Not concerned about her baby's needs C: In the taking-in phase D: In the taking-hold phase
C: In the taking-in phase
What is your next assessment after assessing the breasts during postpartum care? A: Palpate uterus B: Palpate bladder C: Listen to bowel sounds D: Listen to lung sounds
C: Listen to bowel sounds
An involuntary urge to push is most likely a sign of: A: Malposition of the fetus B: Transition to active labor C: Low fetal station D: Imminent delivery
C: Low fetal station
Presumptive signs of pregnancy are: A: All the objective signs of pregnancy B: Those perceived by the healthcare provider C: Physiological changes perceived by the woman herself D: Those attributed to the fetus
C: Physiological changes perceived by the woman herself (?)
Which hormone is responsible for maintaining pregnancy by relaxing smooth muscles leading to decreased uterine activity and decreasing the risk of spontaneous abortion? A: Estrogen B: Human chorionic gonadotropin (hCG) C: Progesterone D: Oxytocin
C: Progesterone
What hormone stimulates breast milk production? A: Estrogen B: Progesterone C: Prolactin D: Oxytocin
C: Prolactin
A pt. who delivered 20 hrs ago reports and transient increase in her lochia when she ambulated to the bathroom to void this morning after sleeping for a few hours. The nurse performs an assessment and documents scant rubra, lochia with no clots, fundus firm 1 cm below umbilicus. Which of the following nursing actions are appropriate at this time? A: Report this finding to the patient's health care provider immediately B: Begin weighing and counting pads C: Reassure the pt. that this is normal D: Obtain a physician's order to administer oxygen
C: Reassure the pt. that this is normal
The point of maximal impulse (PMI) is located at: A: The 1st or 2nd intercostal space B: The 2nd or 3rd intercostal space C: The 3rd or 4th intercostal space D: The 4th or 5th intercostal space
C: The 3rd or 4th intercostal space
You are a nurse working in a prenatal clinic. Your patient, and 18 year old woman, is in her 10th gestational week. She wants to know when her baby's heart will start to beat. You inform her that it usually begins to beat around: A: The 2nd week of gestation B: The 3rd week of gestation C: The 4th week of gestation D: The 5th week of gestation
C: The 4th week of gestation
In the birth suite during the initial newborn assessment, the new father seems concerned and asks why his baby girl is so hairy. The best response is: A: Over the next few months the hair on the back will fall out B: This is a normal characteristic of newborns, so no need to be concerned C: This is called lanugo, which covered the baby while inside the mother. It will fall out in a few months D: You seem overly concerned about this. Do you want to talk about your feelings?
C: This is called lanugo, which covered the baby while inside the mother. It will fall out in a few months
How much weight loss is considered normal for a baby to lose within the first couple days after birth? A: Up to 2% of birth weight B: Up to 7% of birth weight C: Up to 10% of birth weight D: Up to 15% of birth weight
C: Up to 10% of birth weight
Potential causes of late decelerations include: A: Maternal fever B: Umbilical cord compression C: Uteroplacental insufficiency D: Fetal activity
C: Uteroplacental insufficiency
Which of the following measurements fall above or below the normal range for a newborn born at 40 weeks gestation? (Select all that apply): A: Head circumference: 34 cm B: Chest circumference: 32 cm C: Weight: 4250 grams D: Length: 43 cm
C: Weight: 4250 grams D: Length: 43 cm
Foul-smelling lochia occurs: A: When beta-hemolytic streptococcus is the primary organism associated with metritis B: Within the first 24 hours post birth related to metritis C: When the entire endometrium is infected D: During the normal involution process
C: When the entire endometrium is infected
Contraindications for breastfeeding include which of the following? (Select all that apply): A: Woman is using cocaine B: Woman is being treated for mastitis C: Woman is receiving chemotherapy for lymphoma D: Infant has thrush
C: Woman is receiving chemotherapy for lymphoma
Indication for a cesarean delivery on maternal request is: A: Nonreassuring fetal heart rate B: Placenta previa C: Woman's desire to have a CS vs. vaginal birth D: Obstetrician preference for a CS delivery
C: Woman's desire to have a CS vs. vaginal birth
A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time? A: "We expect you to gain about 1 lb 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: "You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need." D: "Your weight gain is exactly what we would expect it to be at this time."
D: "Your weight gain is exactly what we would expect it to be at this time."
At what age is cow's milk considered safe for infants to consume? A: 6 months B: 8 months C: 10 months D: 12 months
D: 12 months
The appropriate recommended weight gain during pregnancy for a woman with a normal BMI is: A: 10-15 lbs B: 6-20 lbs C: 21-25 lbs D: 25-35 lbs
D: 25-35 lbs
Which 2 day postpartum woman has an abnormal finding that requires intervention? A: A 23 year old Arabic woman who plans to breastfeed but wants to bottle feed until her milk comes in B: A 28 year old Chinese woman who refuses to take a shower. C: A 20 year old Japanese woman who has her mother care for her baby. D: A 19 year old Caucasian woman who requests that her baby stay in the nursery so she can sleep.
D: A 19 year old Caucasian woman who requests that her baby stay in the nursery so she can sleep.
You are caring for a newborn girl, and during your assessment you note that the newborn is jittery and irritable. Your first nursing action is: A: Increase the temperature of the warmer B: Feed the infant formula C: Transfer the infant to the NICU D: Assess the blood glucose level
D: Assess the blood glucose level
Using Naegele's rule to calculate the EDD for a patient with a LMP of 10 March: A: December 3 B: December 7 C: December 10 D: December 17
D: December 17
Fetal heart rate should be assess in a low-risk woman in active labor: A: Every 5 mins B: Every 10 mins C: Every 15 mins D: Every 30 mins
D: Every 30 mins
What is a normal assessment 4 days postpartum? A: Fundus 1 cm above, lochia rosa B: Fundus 4 cm above, lochia alba C: Fundus 2 cm below, lochia rubra D: Fundus 4 cm below, lochia serosa
D: Fundus 4 cm below, lochia serosa
False labor is characterized by: A: Irregular uterine contractions and cervical change B: Back pain that radiates to the lower abdomen C: The presence of bloody show D: Irregular contractions with no cervical change
D: Irregular contractions with no cervical change
A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit? A: Nausea B: Dyspnea C: Urinary frequency D: Leg cramping
D: Leg cramping
Mary is pregnant. She previously had a miscarriage at 11 weeks gestation. Then, she had twins at 32 weeks gestation, both of whom die 2 days after birth. What is her GTPAL and G/P?
GTPAL: 3/0/2/1/0 G/P: 3/1
Nancy gave birth to twins at 38 weeks gestation, both of whom did fine. Two years later she had a singleton birth at 41 weeks gestation. Two years after that she had another baby born on its due date. What is her GTPAL and G/P?
GTPAL: 3/4/0/0/4 G/P: 3/3
Sally had a baby at 38 weeks gestation. Then, she had twins at 36 weeks gestation who both did well. She had an elective abortion at 8 weeks gestation many years ago. Sally is currently pregnant again, with twins. What is her GTPAL and G/P?
GTPAL: 4/1/2/1/3 G/P: 4/2
