Reference no: EM133912710

Questions

1. The nurse completed a New Ballard Gestational Age assessment on a newborn. The term newborn is determined to be appropriate for gestational age (AGA). The nurse understands that the AGA category includes newborns with a birth weight within which percentile.

a. weight is between the 10th and 90th percentile

b. Weight is 40th to 60th percentile

c. Weight is between 20th and 80th percentile

d. Weight is between 25th and 75th percentile

2. A 28 year old woman 8 weeks pregnant is diagnosed with hyperemesis gravidarum, excessive vomiting during pregnancy may result in which of the following?

a. electrolyte imbalance

b. magnesium toxicity

c. Gestational diabetes

d. pregnancy induced hypertension

3. A pregnant woman with diabetes at 10 weeks' gestation has a glycohemoglobin (HbA1C) level of 13%. At this time the nurse should be MOST concerned about which possible fetal outcome?

a. Congenital anomalies

b. Incompetent cervix

c. Post maturity delivery

d. Placenta previa

4. One minute after birth an infants heart rate is 130 min. the baby has a good cry, some flexion of the extremities, grimace, and the infants body is pink and extremities cyanotic. What is the Apgar score?

a. 8

b. 5

c. 7

d. 6

5. A nurse is instructing new parents on infant car seat safety. Which of the following instructions should the nurse provide?

a. Never leave the infant in a car alone

b. Front-facing car seat are used with infants until they are 1 year of age

c. Infants are safest when secured in the front passenger seat

d. An infant car seat is not required for the trip home from the hospital on the day of discharge

6. The nurse is determined how often contractions occur measuring from the beginning of the one contraction to the beginning of the nest contraction. The nurse document this finding as:

a. Frequency

b. Duration

c. Peak

d. intensity

7. A woman in the eight week of her postpartum period is experiencing bout of irritability insomnia. The nurse suspects that she may have developed postpartum depression. What sign or symptoms is/are indicate of postpartum depression? Select all that apply

a. Hallucinations and bizarre behavior

b. anxiety

c. persistent feeling of sadness

d. lack of appetite

8. A nurse is assessing a newborn the day after delivery. The nurse palpates the newborn's head and notes swelling from a collection of blood that does not cross the suture line. The nurse anticipates an elevation in which of the following blood test in the next few days?

a. CBC

b. PKU

c. Bilirubin

d. Glucose

9. A home health nurse is visiting a pregnant woman diagnosed with mild preeclampsia who is being medically managed at home. The nurse reviews with the woman signs/symptoms that need to report to her physician. Select all that apply

a. Epigastric pain

b. Blurred vision

c. Facial edema

d. urinary frequency

10. A nurse is attending a delivery of a neonate. The nurse understands that when the umbilical cord is clamped blood flow from the placenta to the neonate is stopped. The nurse structure connecting the umbilical cord to the inferior vena cava of the newborn will close 3 days of life. What is this structure called?

a. Foramen ovale

b. Ductus venous

c. Ductus umbilicus

d. ductus arteriosus

11. In order to be effective the plan B emergency oral contraceptive pill should be taken within 72 hours after unprotected intercourse. is this statement true or false?

True

False

12. Which is TRUE about postpartum hemorrhage?

a. Blood loss is usually overestimated

b. IT is easily recognized because bleeding is always external

c. IT is defined as greater than 100cc blood loss for any delivery

d. IT can occur any time in the postpartum period

13. All of the following are potential factors contributing to the birth of small for gestational age (SGA) newborn Except?

a. TORCH group infections

b. Smoking or exposure or secondhand smoking

c. Induction of labor

d. Pre-eclampsia

14. A pregnant woman with active herpes is admitted to the labor and delivery area in the first stage of labor. What should the nurse anticipate?

a. Prepare for cesarean section delivery

b. Contact isolation precautions

c. Administer antiviral medication prior to delivery

d. Administer HSV immunoglobin injection to the newborn immediately after delivery

15. A nurse is providing care to a woman in labor. After assessment of the fetus the nurse documents the fetal lie. Which term would the nurse most likely use?

a. longitudinal

b. flexion

c. engaged

d. extension

16. Thirty minutes after delivery a nurse notices that a neonate is lethargic and pale. The neonate's skin is cool to touch. The nurse take an axillary temperature and finds it is 36. 4C (97.5F). Realizing the neonate is experiencing cold stress the nurse considers her options to increase his body temperature. Which of the following actions is not appropriate at this time?

a. give the neonate a bath

b. Place a stocking cap on the neonate's head

c. Place the neonate's skin-to-skin with mother

d. Swaddle the neonates in warm blankets

17. A nurse is reviewing a postpartum woman and delivery notes. She identifies the need to closely monitor the woman's for infection based on which factor?

a. Placenta removed by manual extraction

b. BMI 23

c. Labor less than 3 hours

d. Multiparity

18. The parents of a neonate born at 31 weeks gestation asked the nurse "why does he have to be fed thought a tube in his nose?" what is the nurses best response?

a. "As mom plans breastfed, we don't want your baby to get nipple confused"

b. "It allows us to monitor how much feeding he takes in"

c. "It helps prevent thrust, and infection that could affect the baby mom's"

d. "The baby's sucking swallowing and breathing are not coordinated yet"

19. Baby Ben weights 3000 grams. He has been admitted to the nursery for possible sepsis. An order for ampicillin 200 mg/kg/day given every 8 hours. How many milligrams should Baby Ben receive for each dose?

a. 200 mg

b. 350 mg

c. 75 mg

d. 750 mg

20. The nurse is caring for a woman who has had a vaginal birth. The nurse understands that pelvic relaxation can occur in any woman experiencing a vaginal birth. What should the nurse recommended to the patient to improve pelvic floor tone?

a. Kegel exercises
b. urinating immediately when the urge is felt
c. abdominal crunches
d. sitz baths

21. The nurse is caring for a woman who presents to the emergency room with complains of light bleeding and uterine cramping that began one hour ago. Last menstrual period was eight weeks ago. Quantitative HCG levels are within normal limits for the gestational age. Pelvic exam reveals a closed cervix. What is the most likely diagnosis?

a. Etopic pregnancy

b. Missed abortion

c. Inevitable abortion

d. Threatened abortion

22. a nurse is preparing to administer oxygen via hood to a newborn who was born at 33 weeks gestation. Which of the following is an appropriate action when administering oxygen to the infant?

a. Place t a pulse oximeter in the newborn

b. place the newborn in Trendelenburg position

c. Remove the newborn hood every hour for 15 minutes to facilitate bounding

d. insert an orogastric tube for decompression of the stomach

23. The nurse is giving instructions to a woman about a newly prescribed diaphragm. Which statements by the patient indicates that additional teaching is necessary?

a. A diaphragm is a good choice for me because I can leave it in place all weekend long

b. I am at greater risk for Toxic Shock syndrome with this method

c. Spermicidal cream or jelly must be used in conjunction with my diaphragm

d. I should keep the diaphragm in place for least 6 hours after intercourse.