Reference no: EM133852557
Questions
1. Which response by the registered nurse is correct when the patient asks the nurse "Could you explain how the baby's blood and my blood separate at birth?"
A. "Your blood supply and the babies are completely separate."
B. "When the placenta is delivered, the circulatory systems separate."
C. "When the doctor clamps the cord, the blood stops mixing."
D. "The separation occurs after the baby takes the first breath."
2. The RN is explaining to a patient about monthly hormone changes. Starting with day 1 of the menstrual cycle, which hormones regulate the menstrual cycle by producing a positive and negative feedback of estrogen and progesterone by the ovaries?
A. Luteinizing hormone
B. Growth hormone
C. Prolactin
D. Follicle-stimulating hormone
E. Gonadotropin-releasing hormone
3. A nurse is interviewing a female client who states she has been unable to become pregnant. Which question should the nurse ask when beginning the infertility assessment?
A. "How long have you been trying to get pregnant?"
B. "How many days are in your menstrual cycle?"
C. "Do you or your partner have any other children?"
D. "Do you have a history of a sexually transmitted disease?"
4. The RN is preparing to administer Terbutaline to a client experiencing preterm labor. Which finding would cause the RN to hold the dose?
A. Fetal heart rate of 158 bpm
B. Adventitious breath sounds
C. Uterine contractions every 3 minutes
D. Maternal pulse of 110 bpm
5. A client who is 24 weeks gestation confesses that she cannot help eating chalk on a daily basis. Which complication is most often associated with this behavior?
A. Iron-deficiency anemia
B. Folic acid deficiency
C. Polycythemia
D. Hypocalcemia
6. A woman in her early twenties presents to the clinic seeking birth control. She has a history of dysmenorrhea, irregular cycles, and menorrhagia. She has no allergies, and smokes ½ pack a day. She states she has been sexually active with several partners. Which method of birth control should be recommended?
A. Depot medroxyprogesterone
B. Female condom
C. Copper IUD
D. Oral contraceptives
7. Which statement made by the pregnant patient indicates that teaching was effective related to an elevated alpha fetoprotein (AFP) level?
A. "The elevated AFP means my baby has Down syndrome."
B. "An elevated AFP indicates that the baby's lungs are mature."
C. "An elevated AFP means the baby may have cystic fibrosis."
D. "The elevated AFP means the baby may have spina bifida."
8. Which is a priority nursing intervention when caring for the patient with pelvic inflammatory disease?
A. Monitor intake and output
B. Administer acyclovir as ordered
C. Provide education about oral contraceptives
D. Institute contact precautions
9. A patient has been diagnosed with a vaginal infection and received a prescription for metronidazole (Flagyl). Which teaching point should the RN include in the patient's education?
A. Protect yourself from sunlight while taking this medication
B. Do not take this medication with milk or milk products
C. This medication may turn the urine an orange color
D. Do not consume alcohol while taking this medication
10. While teaching the patient about how to use the Standard Days method of birth control which finding would the RN teach the patient to recognize?
A. Body temperature
B. Cervical softness
C. Mittelschmerz
D. Fertile phase
11. The nurse is taking a health history on a client diagnosed with Premenstrual dysphoric disorder who states she is having all these symptoms. Which symptoms should be brought to the attention of the provider? Select all that apply.
A. Menstrual migraine
B. Fluid retention
C. Menorrhagia
D. Anxiety
E. Fatigue
12. The nurse is providing nutritional counseling to a client who is a Native American and is currently 16 weeks' gestation. Which teaching point is most appropriate to include?
A. Foods high in fiber
B. Protein sources other than meat
C. Foods with low sodium content
D. Sources of calcium other than milk
13. Which intervention would the registered nurse recommend to the 8-week pregnant woman who reports nausea and occasional vomiting every day?
A. Skip a meal if nausea is experienced.
B. Alter eating patterns to a schedule of small frequent meals.
C. Avoid eating before going to bed at night.
D. Do not consume sugary snacks.
14. When teaching a class of pregnant women about fetal development, the registered nurse would include which statement(s)? Select all that apply.
A. "You should be able to feel your baby move by week 18 to 20 of pregnancy."
B. "Eyelids are open by 24 weeks of pregnancy."
C. "During the first trimester, the nervous system is especially vulnerable to environmental insults."
D. "The external genitalia are distinguishable by the 12th week of pregnancy."
E. "Your baby's heartbeat can be heard with a Doppler stethoscope at 8 weeks of pregnancy."
15. A primigravida at 10-weeks' gestation reports vaginal bleeding, passage of tissue and mild uterine cramping. Cervical dilation is noted when examined. Which intervention would the registered nurse perform?
A. Place the woman on bedrest with no stress when discharged.
B. Prepare the woman for an emergent cerclage.
C. Prepare the woman for dilatation and curettage.
D. Prepare to administer a tocolytic agent.
16. Which assessment finding would the RN anticipate finding on a client who is 36 weeks pregnant with hydramnios?
A. Maternal hypertension
B. Sudden weight loss
C. Facial edema
D. Tense uterus
17. A woman who is 32 weeks' gestation presents to the labor and delivery unit with moderate, painless vaginal bleeding. Which is the priority nursing intervention?
A. Place woman in reverse Trendelenburg
B. Prepare for emergent Cesarean section
C. Assess for ruptured membranes
D. Initiate continuous fetal monitoring
18. Which intervention will lessen the chance of hemorrhage following a transurethral resection of the prostate when caring for the patient eight hours after the procedure?
A. Administer Finasteride 5 mg orally
B. Tape the catheter securely to the patient's leg
C. Maintain freely flowing urine into the drainage bag
D. Report all clot formation in the drainage to the surgeon
19. A client who is 12 weeks' gestation asks the RN: "What does it mean when they say the nuchal translucency test is abnormal?" Which response by the nurse is most appropriate?
A. "There may be a chromosomal disorder."
B. "The baby may have a neural tube disorder."
C. "The baby will develop hydrocephalus."
D. "There is a high risk of miscarriage."
20. Which gravid patient is best for the RN to assign to a float RN with no OB experience?
A. 39-week patient receiving intravenous magnesium sulfate.
B. 38-week patient with complete previa.
C. 34-week patient with no fetal heart rate.
D. 9-week patient with hyperemesis receiving IV therapy.
21. A patient who is 4 months pregnant is experiencing pyrosis. Which are the most appropriate suggestions for the registered nurse to make to the patient to help with this health problem?
A. Eat small frequent meals.
B. Include complex carbohydrates in meals.
C. Brush teeth immediately after meals.
D. Use sodium bicarbonate as needed.
E. Do not lie down after meals.
22. The RN is seeing all of these first trimester pregnant clients in the outpatient clinic. Which client is the priority for a consultation with a dietician?
A. The client who has had recent bariatric surgery
B. The client who is lactose intolerant
C. The client who is a life-long vegetarian
D. The client with hyperemesis gravidarum
23. A pregnant client has been diagnosed with polyhydramnios. What additional testing should the client have?
A. Clotting studies
B. Serum blood glucose
C. Maternal cardiac ultrasound
D. 24-hour urine for protein
24. A client who already has a 3-year-old child states to the RN that she took an at-home pregnancy test, which was positive. Which response by the nurse would be most appropriate?
A. "Have you been taking folic acid supplements regularly?"
B. "We need to retest you as the home kits are not accurate."
C. "How are you feeling about the news?"
D. "When was your last period so we can calculate your due date?"
25. A client who is 28 week's gestation has been recently diagnosed with gestational diabetes. Which health care team members should be included in the interdisciplinary team during the pregnancy for this client? Select All that Apply
A. Lactation Consultant
B. Obstetrician
C. Ultrasound technologist
D. Neonatologist
E. Certified Diabetes Educator
26. A pregnant client is seen in the office for symptoms of a Urinary Tract Infection (UTI). The client confesses that she has stopped drinking fluids during the day so her boss would not reprimand her for the number of times she uses the restroom. Which response is the most appropriate for the RN?
A. "You have the right to use the restroom as you need during your pregnancy."
B. "Drink cranberry juice every day to help prevent another UTI."
C. "You may need to consider other employment during the pregnancy."
D. "Try performing Kegal exercises several times a day to strengthen the bladder."
27. The RN is creating a plan of care for a client who has been been canceling her prenatal appointments due to lack of transportation. The RN has chosen the nursing diagnosis of Ineffective Childbearing process. Which outcome is most appropriate for this nursing diagnosis?
A. The nurse will counsel the client on the importance of keeping appointments
B. The client will attend regular prenatal visits throughout the pregnancy
C. The nurse will contact Social Services for help with transportation
D. The client will contact family member for a ride by the end of the week.