Reference no: EM133923012

Questions

1. A pregnant woman with prior cesarean section is considering vaginal birth after cesarean (VBAC). Which of the following should the nurse recognize as a contraindication for a VBAC?

a. A total previa

b. A prior low transverse incision on her uterus

c. Clinically adequate pelvis

d. A fetus in cephalic presentation

2. Review the BP history for an antepartum patient: 16 weeks gestational (120)/76)/ 20 weeks gestation (118/72): 24 weeks (144/94). The woman returns a week later for a repeated BP check and it is 144/96. The nurse notes no protein in her urine and mild edema of her feet and, ankles. Based of this information, this woman has which of the following hypertensive disorders in pregnancy ?

a. Chronic hypertension

b. Gestational hypertension with superimposed proteinuria

c. Gestational hypertension

d. Mild preeclampsia

3. A woman had received a positive pregnancy test result. If her last menstrual period is MAY 21, 2020 what is her expected date of delivery?

a. Mach 7, 2021

b. February 28, 2021

d. March 14, 2021

d. February 14, 2021

4. A nurse is caring for a client who is postpartum and received Methergine (methylergonovine). Which of the following findings indicates that the medication was effective?

a. Fundus firm

b. Decrease in breast tenderness

c. Increase in lochia

d. Decrease in blood pressure

5. A nurse is caring for a woman labor who is receiving Pitocin (Oxytocin) by IV infusion to stimulate uterine contractions. Which of assessment finding would indicate to the nurse that Oxytocin infusion should be decrease?

a. Six contractions in ten minute per period

b. Early decelerations

c. Fetal heart rate of 120 beats per minute

d. Adequate resting tone noted by palpation between contraction

6. A woman comes to the OB department in labor. According to the prenatal lab report she is positive for group B streptococcus (GBS). Which of the following actions is of highest priority at this time?

a. Perform an amniotomy

b. Prepare for a cesarean section

c. Administer antibiotics in labor

d. Assess the neonate for signs of infection at birth

7. A woman thirty minutes postpartum, experience an amniotic fluid embolism. The healthcare team are unable to resuscitate and she expires The woman's death will become identified as which oof the following perinatal statistics?

a. neonatal mortality

b. maternal mortality

c. maternal morbidity

d. comorbidity rate

8. A woman 38 weeks gestation has been sent down to the radiology department for a biophysical profile test (BPP) after complaining a non-reactive (NST). If all other components of the BPP test were within desired parameters what is the BPP test score?

a. 12

b. 8

c. 6

d. 10

9. A 45-year-old female has called to schedule her first screening mammogram. What information should the nurse provide her in regard to this condition?

a. "You will need to be NPO after midnight prior the scheduled mammogram"

b. "You do not need to come in for a screening mammogram at 45 years old unless you have a family history of breath cancer"

c. "The mammogram procedure will not expose you to radiation"

d. "Do not use perfumes or deodorants before the mammogram"

10. Choose the correct statements about Human Papilloma Virus (HPV). Select all that apply

a. HPV can be cured if treated with antibiotic

b. HPV is the primary cause of cervical cancer

c. During pregnancy if a woman is HPV positive, she should receive antibiotics while in labor

d. HPV is the most common sexually transmitted infection

11. A nurse begins an initial assessment on a neonate by observing his breathing pattern respirations and breath sounds. What is the rationale for beginning the assessment in this way?

a. It will become more difficult to assess respiratory rate once the neonate responds to being handled during the assessment

b. The respiratory assessment is painful and should be completed as soon as possible

c. There is no reason for this approach, the respiratory assessment may be performed any time

d. the respiratory assessment is most important and should be performed first in case there is not enough time to assess every system

12. Which statements about mood disorders in the postpartum period is TRUE?

a. Antidepressants are not used to treat postpartum depression

b. Hallucinations can occur with postpartum depression

c. Postpartum blues are time-limited

d. Postpartum depression does not affect the mother ability to care for herself or her infant

13. Which term is used to describe reddish streaks that may appear on the abdomen, breast and buttocks in about half of pregnancy woman, and also known as stretch marks?

a. Stria gravidarum

b. Linea nigra

c. Melasma

d. telangiectasias

14. A postpartum patient who was discharged home returns to the primary health care facility after 2 weeks with complains of fever and pain in her right breast. The patient diagnosed with mastitis. What education should the nurse give to the patient for managing mastitis?

a. Continue to empty breast at regular intervals

b. Avoid warm or cool compresses on the breast

c. Discontinue breastfeeding to allow time for healing

d. Discontinue massage or manual compression of the breast for expressing milk

15. Thick meconium has been noticed at the delivery of a term infant. The infant demonstrates poor tone and poor respiratory effort. What priority intervention would ensure the best outcomes for this infant?

a. Bathing the infant to remove meconium and prevent infection

b. Administration of oxygen

c. Suctioning of airway

d. Drying and stimulating the infant to breath

16. A woman has a history of chronic endometriosis. This places her at risk for which of the following conditions?

a. uterine fibroids

b. urinary tract infections

c. infertility

d. cervical insufficiency

17. A nurse is assessing a neonate born 12 hours and notes a yellow tint to the sclera. The nurse should read the medical record for what other assessment that is important to note at this time?

a. Platelet count

b. Blood glucose level

c. Blood type of mom and baby and the coombs test

d. Length of time membranes ruptured prior to delivery

18. The nurse understand that which baby is at greatest risk for the development of transient tachypnea of the newborn (TTN)?

a. An infant whose mother is diagnosed with preeclampsia

b. An infant whose is 42 weeks gestation

c. An infant born prior to 37 weeks gestation

d. an infant born by cesarean section

e. an infant experienced a placenta abruption

19. A 13 yearld old girl and her mother asks the nurse when the girl can expect her first period. The girl tell the nurse that she first noticed breast buds at age 11. what is the nurse best response?

a." You will most likely get your first period by the time you are 14"

b." it may take a couple more years"

c. "You should expect your first period any time now"

d. "since you are past the average age of 12 your health care provider may want to check some hormone levels"

20. A multiparous woman advanced thought the latent and active phases of labor within regular uterine contractions and cervical changes. Six hours ago her sterile vaginal exam was 6 cm / 755 affected. Her sterile vaginal exam now is unchanged with decreased intensity, frequency and duration of contractions. What labor of dysfunction is she experience?

a. Hypotonic uterine dysfunction

b. shoulder dystocia

c. Hypertonic uterine dysfunction

d. Dysfunctional dilation

21. A woman has been having contractions every4 to 5 minutes for five hours. Which factor would the nurse use to determine if this is true labor?

a. There is bloody show

b. The cervix is effacing and dilating

c. The contractions last at least 60 seconds

d. The woman is multipara