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MCN Dx Test 2010

MCN Dx Test 2010

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Published by jjbautista

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Published by: jjbautista on Jul 09, 2010
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01/03/2013

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Instructions:SELECT THE BEST ANSWER FOR EACH OF THE FOLLOWING QUESTIONS. READ THE QUESTIONS WELL.
STRICTLY NO ERASURES.
1.A client that has had pelvic inflammatory disease (PID) caused by Chlamydia trachomatis is at risk for whichof the following:A.B.Anovulatory menstrual cycles
C. Ectopic pregnancy
D.Multifetal pregnancyE.Cervical dysplasia2.At a family planning clinic the nurse explains how a urine pregnancy test works and tells the client that thetest detects an increase in the hormone:A.Estriol.B.Progesterone.
C.
Human chorionic gonadotropin (hCG).
D.Human placental lactogen (hPL).3.The client is pregnant and reports that her last menstrual period began July 10. Her expected date of birth is:A.B.April 3.
C. April 17.
D.October 3.E.October 17.4.The pregnant client reports that she has a 3-year-old child at home who was born at term, had a miscarriageat 10 weeks gestation, and delivered a set of twins at 28 weeks gestation that died within 24 hours. In theprenatal record, the nurse should record:A.B.Gravida 2, para 1.C.Gravida 3, para 3.
D. Gravida 4, para 2.
E.Gravida 5, para 4.5.Following confirmation of pregnancy, the client has come into the clinic for her first prenatal visit. Shereports having a 5-year-old child who was born at 40 weeks gestation, a set of 3-year-old triplets who wereborn at 34 weeks gestation, and a first trimester abortion when she was in college. On her medical record,the nurse would make which of the following entries?
A.B. Gravida 4, Para 1114
C.Gravida 3, Para 1314D.Gravida 4, Para 4014E.Gravida 3, Para 31126.During her first prenatal visit, a woman tells the nurse she was born with cleft lip and palate and isconcerned that her infant will inherit the anomaly. The nurse's best response is:A."I will tell the doctor of your concern."
B. "There are many reasons for cleft lip and palate; it is not directly inherited."
C."I will contact your parents to check for other family members who may have a birth defect."D. "I know you are concerned, but there is no way to know if your baby will have this7.After delivery the nurse examines the umbilical cord. She expects to find a cord with:A.B.One artery and two veins.
C. Two arteries and one vein.
D.Two arteries and two veins.E.One artery and one vein.8.A nurse discusses teratogens with a client during pre-conceptual counseling. The client demonstratesunderstanding by stating:A."I should stop taking all my medications while I am pregnant."B."The fetus is at greatest risk for developing anomalies during the first 16 weeks of pregnancy."C."After 12 weeks the placenta protects the fetus from teratogens."
D. "Exposure to teratogens poses the greatest risk during the first eight weeks."
9.A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an amniocentesis. After teachingthe client about the purpose for the ultrasound, which of the following client statements would indicate tothe nurse in charge that the client needs further instruction?A.The ultrasound will help to locate the placenta
B. The ultrasound identifies blood flow through the umbilical cord
C.The test will determine where to insert the needleD.The ultrasound locates a pool of amniotic fluid1.While the postpartum client is receiving herapin for thrombophlebitis, which of the following drugs would thenurse Mica expect to administer if the client develops complications related to heparin therapy?A.B.Calcium gluconateC.Methylegonovine (Methergine)
D. Protamine sulfate
 
E.Nitrofurantoin (Macrodantin)1.When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in chargewould expect to do which of the following?A.Turn the neonate every 6 hoursB.Encourage the mother to discontinue breast-feedingC.Notify the physician if the skin becomes bronze in color
D. Check the vital signs every 2 to 4 hours
1.The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaining self-caremeasures for common discomforts of pregnancy, the nurse determines that the client understands theinstructions when she says:
A.“Nausea and vomiting can be decreased if I eat a few crackers before arising”
B.“If I start to leak colostrum, I should cleanse my nipples with soap and water”C.“If I have a vaginal discharge, I should wear nylon underwear”D.“Leg cramps can be alleviated if I put an ice pack on the area”1.When the nurse on duty accidentally bumps the bassinet, the neonate throws out its arms, hands opened,and begins to cry. The nurse interprets this reaction as indicative of which of the following reflexes?A.B.Babinski reflex
C. Startle reflex
D.Grasping reflexE.Tonic neck reflex1.A primigravida client at 25 weeks’ gestation visits the clinic and tells the nurse that her lower back acheswhen she arrives home from work. The nurse should suggest that the client perform:A.B.Leg liftingC.Shoulder circlingD.Squatting exercises
E. Tailor sitting
1.Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleedingon the diaper of a neonate who just had a circumcision?A.Notify the neonate’s pediatrician immediatelyB.Check the diaper and circumcision again in 30 minutesC.Secure the diaper tightly to apply pressure on the site
D.
Apply gently pressure to the site with a sterile gauze pad
1.The nurse is reviewing results from the client's initial prenatal visit and notes that the urine contained anincreased number of white blood cells, nitrites, and greater than 10,000 bacteria/mL of urine. These findingslead the nurse to suspect which of the following?A.Renal failureB.Contamination of the urine with amniotic fluid
C. Urinary tract infection
D.Nothing unusual, this is a normal finding in pregnancy2.In explaining to the client who has come in for her initial prenatal exam why it is important to test pregnantwomen for gonorrhea, the nurse should tell the client that gonorrhea can cause neonatal:A.B.Vaginal discharge.
C. Eye infections.
D.Liver damage.E.Congenital anomalies.3.A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in early part of the first stage of labor. Her pain is likely to be most intense:
A.Around the pelvic girdle
B.Around the pelvic girdle and in the upper armsC.Around the pelvic girdle and at the perineumD.At the perineum1.Normal lochial findings in the first 24 hours post-delivery include:
A.Bright red blood
B.Large clots or tissue fragmentsC.A foul odorD.The complete absence of lochia1.A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assessher uterine contractions?A.B.Every 5 minutes
C. Every 15 minutes
D.Every 30 minutesE.Every 60 minutes1.The nurse in charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor?A.The patient is 25 years old
B. The patient has a child with cystic fibrosis
C.The patient was exposed to rubella at 36 weeks’ gestationD.The patient has a history of preterm labor at 32 weeks’ gestation
 
2.When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement wouldindicate to the nurse in charge that the client understands the information given to her?A. “I’ll report increased frequency of urination.”
B. “If I have blurred or double vision, I should call the clinic immediately.”
C. “If I feel tired after resting, I should report it immediately.”D.“Nausea should be reported immediately.”3.A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her uterusapproximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease andorders ultrasonography. The nurse expects ultrasonography to reveal:A.An empty gestational sac.
B. Grapelike clusters.
C.A severely malformed fetus.D.An extrauterine pregnancy.4.After completing a second vaginal examination of a client in labor, the nurse-midwife determines that thefetus is in the right occiput anterior position and at –1 station. Based on these findings, the nurse-midwifeknows that the fetal presenting part is:A.1 cm below the ischial spines.B.Directly in line with the ischial spines.
C. 1 cm above the ischial spines.
D.In no relationship to the ischial spines.5.Which of the following would be inappropriate to assess in a mother who’s breast-feeding?A.The attachment of the baby to the breast.B.The mother’s comfort level with positioning the baby.C.Audible swallowing.
D. The baby’s lips smacking
6.A client who’s 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’spreparation for parenting, the nurse might ask which question?A.“Are you planning to have epidural anesthesia?”B.“Have you begun prenatal classes?”
C. “What changes have you made at home to get ready for the baby?”
D.“Can you tell me about the meals you typically eat each day?”7.The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The babyis coming!” which of the following would be the nurse’s first action?
A.Inspect the perineum
B.Time the contractionsC.Auscultate the fetal heart rateD.Contact the birth attendant8.A client’s gestational diabetes is poorly controlled throughout her pregnancy. She goes into labor at 38weeks and delivers a baby boy. Which priority intervention should be included in the care plan for theneonate during his first 24 hours?A.Administer insulin subcutaneously.B.Administer a bolus of glucose I.V.
C.Provide frequent early feedings with formula.
D.Avoid oral feeding.9.Early detection of an ectopic pregnancy is paramount in preventing a life-threatening rupture. Whichsymptoms should alert the nurse to the possibility of an ectopic pregnancy?
A.Abdominal pain, vaginal bleeding, and a positive pregnancy test.
B.Hyperemesis and weight loss.C.Amenorrhea and a negative pregnancy test.D.Copious discharge of clear mucus and prolonged epigastric pain.10.A client who tells the nurse that she would like to use the basal body temperature method of family planningreceives instructions about the method. Which of the following client statements indicates to the nurse thatthe teaching has been successful?A.“When my temperature remains elevated for 7 days, ovulation has occurred.B.“Taking my temperature in the evening just after dinner or before I go to bed is best.”C.“Because this method is not very effective, I should use other forms of contraception too.”
D.“It’s important to take my temperature at about the same time every morning beforerising.”
11.A 20-year-old client, having missed one menstrual period, visits the prenatal clinic because she suspects thatshe is pregnant. Besides amenorrhea, the client tells the nurse that she has experienced nausea andvomiting, urinary frequency, and fatigue. The nurse determines that the client has been experiencing signsof pregnancy categorized as which of the following:
A.Presumptive
B.ProbableC.PositiveD.Predictive12.The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?A.One fingerbreadth above the umbilicus
B.One fingerbreadth below the umbilicus
C.At the level of the umbilicusD.Below the symphysis pubis13.A client asks, “Can my partner and I still engage in sexual intercourse while I’m pregnant?” The nurseresponse is based on which of the following?A.Throughout the pregnancy, coitus interruptus is the preferred of sexual activity.

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