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TEST I (OBSTETRIC NURSING 100 items) The physician informs the client that an

amniotomy is to be performed. The client states,


1. The nurse visits a neighbor who is 20 weeks “ My friend’s baby died when the umbilical cord
gestation. The neighbor complains of nausea, came out when her water broke. I don’t want
headache, and blurred vision. The nurse notes that the you to do that to me!” Which of the following
neighbor appears nervous, diaphoretic, and is responses by the nurse is BEST?
experiencing tremors. It would be most important for a. “ If you are that concerned, you should refuse
the nurse to ask which of the following questions? the procedure.”
a. “ Are you having a menstrual-like b. “ The procedure will help your labor go
cramps?” faster.”
b. “ When did you last eat or drink” c. “ That shouldn’t happen to you since the
c. “ Have you been diagnosed with baby’s head is engaged.”
diabetes?” d. “ We will monitor you carefully to prevent
d. “ Have you been lying on the cord prolapse.”
couch?” 6. The nurse is teaching a class on natural family
2. The nurse is caring for clients in the GYN clinic. A client planning. Which of the following statements, if
complains of an off-white vaginal discharge with a curd- made by a client, indicates that teaching has
like appearance. The nurse notes the discharge and been successful?
vulvular erythema. It would be MOST important for the a. “ When I ovulate, my basal body temperature will
nurse to ask which of the following questions? be elevated for two days and then will decrease.”
a. “ Do you douch?” b. “ My cervical mucus will be thick, cloudy, and
b. “ Are you sexually active?” sticky
c. “What kind of birth control do you When I ovulate.”
use?” c. “ Since I am regular, I will be fertile about 14 days
d. “ Have you taken any cough after the beginning of my period.”
medicine?” d. “ When I ovulate, my cervix will feel firm.”
3. The nurse is caring for a client in the prenatal clinic. 7. The nurse in the postpartum unit cares for a client
The nurse notes that the client’s chart contains the who delivered her first child the previuos day.
following information: B lood type AB, Rh negative; During her assessment of the client, the nurse
serology-negative; Indirect Coombs test-negative; fertal notes multiple varicosities on the client’s lower
paternity-unknown. The nurse should anticipate taking extremeties. Which of the following actiuons should
which of the following action? the nurse perform?
a. Administer Rho (D) immune a. Teach the client to rest in bed while the baby
globulin ( RhoGAM). sleeps.
b. Schedule an amniocentecis b. Encourage early and frequent ambulation
c. Obtain a direct Coombs test c. Apply warm soaks for 20minutes every four
d. Assess maternal serum for hours.
Alpha-fetal protein level. d. Perform passive range of motion exercices
4. The nurse is caring for a woman at 37 weeks’ three times daily.
gestation. The client was diagnosed with 8. A woman comes to the clinic because she thinks
Insulin-dependent diabetes mellitus (IDDM) at she is pregnant. Tests are performed and the
age 7. The client states, “ I am so thrilled that I pregnancy is confirmed. The client’s last menstrual
will be breastfeeding my baby.” Which of the period began on September 8 and lasted for 6 days.
following responses by the nurse is BEST?” The nurse calculates that her expected date of
a. “ You will probably need less confinement (EDC) is:
insulin while you are a. May 15
breastfeeding.” b. June 15
b. “ You will need to initially c. June 21
increase your insulin after the d. July 8
baby is born.” 9. The nurse teaches a primigravida how to measure
c. “ You will be able to take an oral the frequency of uterine contractions. The nurse
hypoglycemic instead of insulin should explain to the client that the frequency of
after the baby is born.” uterine contractions is determined:
d. “ You will probably require the a. From the beginning of one contraction to the end
same dose of insulin that you are of next contraction.
now taking.” b. From yhe beginning of one contraction to yhe
5. The nurse at the birthing facility is caring for a end of the same contraction.
primipara woman in labor, who is 4cm dilated,
25 % effaced, and whose fetal vertex is at +1.
c. By the number of contractions that occur within a states,” the Doctor told me about RhoGAM, but I’m
given number of time. still a little confused.” Which of the following
d. By the strength of contraction at its peak. responses, if made by the nurse,is MOST
10. The nurse performs teaching with a woman appropriate?
receiving estrogen replacement therapy. Which of a. “RhoGAM is given to your child to prevent the
the following statements, if made by the nurse to the development of antibodies.”
woman, indicates that the nurse is aware of the b. “RhoGAM is given to your child to supply the
possible complications of estrogen therapy? necessary antibodies.”
a. “ Take an analgesic before you take estrogen, c. “RhoGAM is given to you to prevent the
since estrogen cause discomfort.” formation of antibodies.”
b. “Make sure you keep your clinic d. “RhoGAM is given to you to encourage the
appointmentts, especially your production of antibodies.”
gynecologic checkup.” 15. The caloric increase in nutritional requirements
c. “ Limit your fluid intake since estrogen during pregnancy for a patient of normal weight
promotes is:
the retention of fluids.” a. 300kcal
d. “ Increase roughage in your diet to avoid b. 400kcal
constipation.” c. 500kcal
11. A primigravida at 28 week gestation takes a three d. 1,000 kcal
hour glucose test. The results indicates a fasting 16. During prenatal screening of a diebetic client, the
blood sugar of 100mg/dl and a 2 hour post-load nurse should keep in mind that the client is at
blood sugar of 300mg/dl. Which of the following increased risk for:
nursing diagnosis should be considered the a. Rh incompatibility
HIGHEST priority at this time? b. Placenta previa
a. Potential Impaired Family Coping related to c. Hyperemesis
diagnosis of gestational diabetes mellitus (GDM) d. Stillbirth
b. Potential noncompliance related to lack of 17.When caring for the preeclamptic client during
knowledge or lack of adequate support system. labor, the nurse should?
c. Potential for altered parenting related to a. Give a fluid bolus before the second stage.
disappointment. b. Give extra fluids throughout labor.
d. Ineffective family coping related to anticipatory c. Restrict the amount of fluid administered.
grieving. d. Refrain from administering fluids during
12. A woman comes to the clinic at 32 weeks labor.
gestation. A diagnosis of pregnancy induced 18. When caring for a preeclamptic client during
hypertension (PIH) is made. The nurse performs labor,fetal monitoring should be performed:
teaching. Which of the following statements, if a. Before each contraction throughout labor.
made by the client, indicates to the nurse that b. Between contractions throughout labor.
further teaching is required? c. During each contraction throughout labor.
a. “ Lying in bed on my left side is likely to increase d. Continuously throughout labor.
my urinary output.” 19. A pregnant client who is positive for human
b. “ If the bed rest works, I may lose a pound or immunodeficiency virus asks the nurse about drug
two in the next few days.” therapy. The nurse should tell the client to expect
c. “I should be sure to maintain a diet that has a to:
good amount of protein.” a. Start taking zidovudine between the 14th and
d. “ I will have to keep my room darkened and not 34th weeks.
watch much television.” b. Delay taking zidovudine until after the fetus
13. A woman comes to the physician’s office for a is born.
routine prenatal checkup at 34 week’s gestation. c. Delay taking zidovudine until the third
Abdominal palpation reveals the fetal position as trimester.
right occipital anterior (ROA). At which of the d. Delay starting zidovudine therapy in the
following sites would the nurse expect to find the newborn until age six months.
fetal heart tone? 20. Which of the following medications promote fetal
a. Below the umbilicus, on the mother’s left side. lung maturity in cases of preterm labor?
b. Below the umbilicus, on the mother’s right side. a. Terbutaline
c. Above the umbilicus, on the mother’s left side. b. Betamethasone
d. Above the umbilicus, on the mother’s right c. Co-trimoxasole
side. d. Clarithromycin
14. The nurse is caring for a Rh negative mother who 21. The client, a multigravida in her 38th week of
has delivered an Rh positive child. The mother gestation,has come to the emergency department
complaining of chest pain. She tells the nurse that complains of intense abdominal pain and the fetal
she recently inhaled crack cocaine. The nurse’s monitor stops picking up contractions. The nurse
top priority is to assess patient for? recognizes that which of the following has occurred?
a. Abruption placenta a. Abruptio placenta
b. Placenta accreta b. Prolapsed cord
c. Malnutrirtion c. Partial placenta previa
d. Hypotension d. Complete uterine rupture
22. The client, a multigravida in her 39th week of gestation, is 28. A client with gravida 3 para 2( 3 pregnancies and 2
diagnosed with PIH and HELLP syndrome. The nurse’s top children) at 40 weeks’ gestation is admitted with
priority is to assess the client’s: spontaneouseous contractions. The physician
a. WBC count performs an amniotomy to augment her labor. The
b. Blood glucose levels priority nursing action is to?
c. Plasma levels a. Explain the rationale for the amniotomy to
d. Platelet count the client
23. Which of the following signs should the nurse expect to b. Assess fetal heart tones after the amniotomy
find during physical assessment of a primigravida in c. Ambulate the client to strengthen the
her 8 week of gestation?
th
contraction pattern.
a. Ballotement d. Position the client in a lithotomy position to
b. Quickening administer perineal care.
c. Palpation of the fetal outkine 29.The nurse can consider the fetus’s head to be
d. Hegar’s sign engaged when:
24. During the first clinic visit, the client reports that her a. The presenting part moves through the pelvis
last menstrual period (LMP) began on September 12. b. The fetal head rotates to pass through the
Based on Nagele’s rule, what is the client’s estimated ischial spine.
date of delivery (EDD)? c. The fetal head extends as it passes under the
a. June 1 symphysis pubis
b. June 19 d. The biparietal diameter passes the pelvic
c. July 10 inlet.
d. July 29 30.A client is experiencing true labor when her
25. A client in the 28th week of gestation comes to the contraction pattern shows:
emergency department because she thinks that she a. Occasional irregular contractions
is in labor. To confirm a diagnosis of preterm labor, b. Irregular contractions that increase in
the nurse would expect physical examination to intensity
reveal? c. Regular contractions that remain the same.
a. Irregular uterine contractions with no d. Regular contractions that increase in
cervical dilatation. frequency and duration.
b. Painful contractions with no cervical 31.A client is admitted to the hospital with
dilatation. contractionns that are about 1 to 2 minutes apart
c. Regular uterine contractions with cervical and last for 60 seconds. Vaginal examination
dilatation. reveals that her cervix is dilated 8cm. The client
d. Regular uterine contractions with no is in which stage of labor?
cervical dilatation. a. The latent phase
26. A client in the active phase of labor has a reactive fetal b. The active phase
monitor strip and has been encourage to walk. When c. The third stage
she returns to bed for a monitor check, she complains d. The transitional phase
of an urge to push. When performing a vaginal 32. A client in the second stage of labor experiences
examination, the nurse accidentally ruptures the rupture of membranes. The most appropriate
amniotic membranes, and as she withdraws her hand, intervention by the nurse is to:
the umbilical ord comes out. What should the nurse do a. Assess the client’s vital signs
next? immediately.
a. Put the client in a knee-to-chest position b. Observe for prolapsed cord and monitor
b. Call the physician or midwife fetal heart rate (FHR).
c. Push down on the uterine fundus c. Administer oxygen through face mask at
d. Set up for a fetal blood sampling to assess 6 to 10 liters per minute.
for fetalblood acidosis. d. Position the client on her left side.
27. A client is attempting to deliver vaginally despite the 33. A client in labor is being monitored by an
fact that her previous delivery was by cesarean Internal electronic device to evaluate fetal
delivery. Her contractions are 2 to 3 minutes apart, status. The nurse measures the duration of
lasting from 75 to 100 seconds. Suddenly, the client her contractions by:
a. Measuring from the beginning of the d. She request help in choosing a name for the
increment to the end of the decrement. baby.
b. Measuring from the beginning of one 40. Which of the following circumstances is most likely to
contraction to the beginning of the next. cause uterine atony, leading to postpartum hemorrhage?
c. Measuring from the beginning of the a. Hypertension
decrement to the end of the increment. b. Cervical and vaginal tears
d. Using an intrauterine catheter that c. Urine retention
measures increases in contraction d. Endometritis
pressures. 41.When assessing the client’s episiotomy, the nurse should
34. A client is receiving a magnesium sulfate to help be especially careful to observe?
suppress preterm labor. The nurse should watch for a. Location
which sign of magnesium toxicity? b. Discharge and odor
a. Headache c. Edema and approximation
b. Loss of deep tendon reflexes d. Subinvolution
c. Palpitations
d. Dyspepsia 42. In performing a routine fundal assessment, the
35. When assessing a postpartum client for uterine nurse finds that the clien’s fundus is boggy. The
bleeding, the nurse finds the fundus to be boggy. nurse shoul first:
After fundal massage by the nurse, the physician a. Call the physician
prescribes 0.2 mg of methylergonovine (Methergine) b. Massage the fundus
by mouth. What should the nurse tell the client? c. Assess lochia flow
a. “Methergine is commonly used to help the d. Obtain an order for methylergonovine
uterus contract so that the bleeding will 43. Which type of lochia should the nurse expect to
decrease. You may experience more cramping find in a client who is 2 days postpartum?
as your uterus becomes firmer.” a. Foul-smelling
b. “You will probably take this medication until you are b. Serosa
discharged from the hospital. Every patient usually c. Alba
needs to take this medication.” d. Rubra
c. “ If your blood pressure is low, you wont be 44. A client treated with magnesium sulfate during
able to take this medication; I will establish a labor is now on the postpartum unit. The nurse
new IV line so I can start Petocin again.” should be aware that the client is at risk for
d. “Most people don’t experience additional which of the following complications of of
Pain or cramping from taking this medication.” magnesium sulfate therapy?
36. The nurse is providing care for a postpartum client. a. Hypotension
Which of the following conditions would place a client b. Uterine infection
at greater risk for a postpartum hemorrhage? c. Postpartum hemorrhage
a. Hypertension d. Postpartum depression
b. Uterine infection
c. Placenta previa 45.A pregnant client has been diagnosed with a
d. Severe pain vaginal from the organism Candida albicans.
37. A client has delivered twins. What is the most Which findings would the nurse expect to note on
important intervention for the nurse to perform? assessment of a client?
a. Assess fundal tone and lochia flow. a. Absence of any signs and symptoms.
b. Apply a cold pack to the perineal area. b. Pain, itching and vaginal discharge.
c. Administer analgesics as ordered. c. Proteinuria, hematuria, edema and
d. Encourage voiding by offering the bedpan. hypertention.
38. Which of the following is a normal physiological response d. Costovertebral angle pain.
in the early postpartum period? 46.A pregnant client is suspected of having Iron
a. Urinary urgency and dysuria Deficiency Anemia (IDA). Which of the following
b. Rapid diuresis would the nurse expect to note regarding the
c. Decrease in blood pressure client’s status?
d. Increased motility of the GI system a. A low hemoglobin and hematocrit level.
39. During the 3rd postpartum day, which of the following b. A high hemoglobin and hematocrit level.
would the nurse be most likely to find in the client? c. Fluid volume excess.
a. She’s interested in learning more about d. Fluid volume deficit
newborn care. 47.A delivery room nurse is preparing for a client for
b. She talks a lot about her birth experience. a cesarean delivery. The client is placed on the
c. She sleeps whenever the baby isn’t present. delivery room table and the nurse positions the
client:
a. In Trendelenburg position. a. October 17, 2008
b. In Semi-fowlers position. b. October 17, 2009
c. Supine position with a wedge under the c. September 7, 2008
right hip. d. September 7, 2009
d. In the prone position. 54. A client has been in labor for 6 hours, and her
48.A pregnant client tests positive for Hepatitis B contractions occurring every 2 minutes and lasting 80
virus. The client asks the nurse if she will be able seconds. She is diaphoretic, restless, and irritable
to breastfeed the baby as planned after delivery. and tells the nurse that she cant take it anymore.
Which of the following responses is most Which stage or phase of labor is the client in?
appropriate by the nurse? a. Transitional phase
a. “ You will not be able to breastfeed the baby b. Latent phase
until 6 months after delivery.” c. Second stage
b. “ Breastfeeding is not a problem and you will be d. Third stage
able to breastfed immediately after delivery.” 55. The nurse should advise the pregnant client to
c. “ Breastfeeding is allowed if the baby receives use which body position to enhance cardiac
Prophylaxis at birth and remains on scheduled output and renal function?
immunizations.” a. Right lateral
d. “ Breastfeeding is not advised, and you should b. Left lateral
seriously c. Supine
Consider bottle-feeding the baby.” d. Semi-fowler’s
49. Amanda is two weeks late for her menstrual period. She 56. When does the postpartum client begin to accept
has been feeling tired and had bouts of nausea in the the neonate as separate individual?
evenings.What is the classification of the pregnancy a. Letting-go phase
symptoms Amanda is experiencing? b. Taking-hold phase
a. Positive c. Dependent phase
b. Presumptive d. Taking-in phase
c. Probable 57. The nurse is assessing a client who is resting
d. No classification comfortably 4 hours after delivery. Which of the
50. Amanda makes an appointment with an obstetrician following findings is considered normal?
during the exam, the obstetrician notes that a. A thread pulse
uterine isthmus is soft. What is the name of this b. An irregular pulse
sign, and how is it classified? c. Tachycardia
a. Chadwick’s sign; presumptive. d. Bradycardia
b. Goodell’s sign; presumptive. 58. The nurse is developing a teaching plan for a
c. Hegar’s sign; presumptive client who is about to discharged after delivering
d. Goodell’s sign; probable. a Hydatidiform molar pregnancy. Which
51. Amanda is now 16 weeks pregnant. If the pregnancy is expected outcomes takes highest priority?
progressing as expected, where would practitioner a. Client states that she may attempt
find the uterine fundus? another pregnancy after 3 mos. Of
a. Just above the pubic bone follow-up care.
b. Halfway between the pubic bone b. Client schedule her first follow-up
and umbilicus papaniccolau for 6 mos after
c. At the umbilicus discharge
d. The uterine fundus would not be palpable c. Client states that she wont attempt
at 16 weeks. another pregnancy until her HCG
52. You are teaching Amanda about a proper diet during level rises.
pregnancy. If Amanda understands your instructions, d. Client uses a reliable contraceptive
how will she reply when you asks her method until her follow-up care is
approximately how many calories per day does she complete in 1 year and her HCG
need over her normal pre-pregnant needs? level is negative.
a. “ about 300” 59. A client expresses concern that her 3-hour old
b. “approximately 500” neonate is difficult to awaken. The nurse
c. “ I need to double my calories because Im explains that this behavior indicates?
eating for two.” a. A physiologic abnormality
d. “ I should not increase my calories while Im b. Probable hypoglycemia
pregnant.” c. Normal progression into the sleep
53. A woman reports that her LMP occurred on cycle
January 10, 2008. Using Nagele’s rule, what is her due d. Normal progression into a period of
date? neonatal reactivity.
60. Which of the following fetal heart rates would be a. Spinnbarkeit test
expected in the fetus, in a laboring woman, who b. Hysteroscopy
is full term? c. Ferning test
a. 80-100 beats/min d. Hysterosalpingography
b. 100-120 beats/min 69. When reviewing contraceptive methods before
c. 120-160 beats/min teaching a class, the nurse would keep in mind which of
d. 160-180 beats/min the following methods mostly would be the least effective
61. Which of the following descriptions best fits the for most couple?
term effacement? a. Cervical cap
a. Enlargement of the cervical canal. b. Coitus interruptus
b. Expulsion of the mucus plug. c. Subdermal implant
c. Shortening and thinning of the cervical d. Condom and foam
canal. 70. A client who is using a diaphragm for contraception
d. Downward movement of the fetal head. and who is currently participating in weight loss
62. Which of the following methods of pain program asks the nurse about the need to refit the
control incorporates Effleurage as a technique to diaphragm. The nurse should instruct the client to
displace pain? have the diaphragm refitted after a weight loss of at
a. Bradley method least which of the following amounts?
b. Hydrotherapy a. 12 to 22 lbs.
c. Lamaze method b. 15 to 25 lbs.
d. Nubain method c. 24 to 30 lbs.
63. Which of the following hormones stimulates d. 25 to 40 lbs.
the ovary to produce estrogen during the menstrual 71. Which of the following approaches to childbirth
cycle? education advocates slow breathing, deep relaxation,
a. Follicle-stimulating hormone (FSH) and a person to act as coach?
b. Gonadotropin-releasing hormone (GnRH) a. Dick-Read method
c. Luteinizing hormone (LH) b. “New childbirth” method
d. Human chorionic gonadotropin (HCG) c. Bradley method
64. During the menstrual cycle, ovulation generally occurs d. Lamaze method
at which of the following? 72. Quickening in primigravidas usually can be detected
a. 7 days after the last day of menstruation. during which of the following weeks of gestation?
b. 14 days after the last day of menstrual cycle.
c. 7 days before the end of menstruation. a. 10 to 14 weeks
d. 14 days before the end of the menstrual b. 15 to 17 weeks
cycle. c. 18 to 20 weeks
65. Which of the following substances is measured in the d. 20 to 22 weeks
maternal serum when a neural tube defect is
suspected? 73. A client LMP began July 5. Her EDD should be
a. Estrogen which of the following ?
b. Progesterone
a. January 2
c. Alpha-fetoprotein (AFP) b. March 28
d. Luteinizing hormone (LH) c. April 12
66. By which of the following does the placenta transport D. October 12
nutrients and oxygen to the fetus?
a. Capacitation 74. Which of the following fundal heights indicates less
than 12 week’s gestation when the date of the LMP
b. Diffusion is unknown?
c. Fertilization
d. Ustulation a. Uterus in the pelvis
67. An expectant mother in the prenatal clinic asks the b. Uterus at the xiphoid
nurse,“ when can I expect to feel my baby move?” c. Uterus in the abdomen
d. Uterus at the umbilicus
which of the following would be the nurse best
response? 75. Which of the following danger signs should be
a. At about 2 months reported promptly during the antepartum period?
b. At about 3 months
a. Constipation
c. At about 4 months
b. Breast tenderness
d. At about 5 months c. Nasal stuffiness
68. Introduction of radiopaque material into the uterus and d Leaking amniotic fluid
fallopian tubes to assess tubal patency is known as
which of the following? 76. Which of the following prenatal laboratory test
values would be nurse consider as significant?
a. Hermatocrit 33.5% a. Anemia
b. Rubella titer less that 1:8 b. HPN
c. white blood cells, 8,000/mm3 c. dysmenorrheal
d. one hour glucose challenge test 110 g/dl d. acne vulgaris

83. Which of the following instructions about activities


during menstruation would the nurse include when
77. Which of the following factors affecting labor is counseling an adolescent who has just begun to
associated with the passageway? menstruate?
a. Size of the fetal head and its ability to a. take a mild analgesic for the pain
mold to the maternal pelvis. b. avoid cold foods if pain persists.
b. The presentation of the fetus in relation to c. stop exercise while menstruating.
the maternal pelvis. d. avoid sexual intercourse during
c. The structure of the maternal pelvis (eg, menstruation.
gynecoid versus android)
d. The frequency, duration, and strength of 84. While discussing reproductive health with a group
uterine contractions. of female adolescents, one of the adolescents asks
the nurse, “Where is the ovum fertilized?” The
78. Which of the following is an essential intrapartum nurse responds by stating that fertilization normally
fetal assessment? occurs at which of the ff: sites?
a. Determination of the duration, frequency, a. uterus.
and intensify of the contractions. b. vagina
b. Inspection of the maternal abdomen to c. fallopian tube
determine fetal lie. d. cervix
c. Examination of the vagina to assess
cervical dilation and effacement. 85. When discussing sexual arousal and orgasm with a
d. Evaluation of the mother to determine 25 year old nulliparous client, which of the following
knowledge about childbirth education. would the nurse include as the primary anatomic
female structure involved?
79. Which of the following characteristics of
contractions would the nurse expect to find in a a. vaginal wall
client experiencing true labor? b. clitoris
c. mons pubis
a. Occurring at irregular intervals. d. vulvovaginal glands
b. Starting mainly in the abdomen.
c. Gradually increasing intervals. 86. A multigravid client will be using
d. Increasing intensity with walking. medroxyprogesterone acetate (Depo-Provera) as a
family planning method. After the nurse instructs
80. During which of the following stages of labor would the client about this method, which of the following
the nurse assess “crowning? client statement indicates effective teaching?
a. First stage a. This method of family planning requires
b. Second stage monthly injectios.
c. Third stage b. I should have my first injection during my
d. Fourth stage menstrual injections
c. One possible side effect is a absence of a
81. Barbiturates are usually not given for pain relief menstrual cycle.
during active labor for which of the following d. This drug will be given by subcutaneous
reasons? injections.
a. The neonatal effects include hypotonia, 87. After counseling a 35-year-old client about breast
hypothermia, generalized drowsiness, and self-examination and mammography, the nurse
reluctance to feed for the first few days. determine that the client has understood the
b. These drugs readily cross the placenta instructions when the client states which of the
barrier, causing depressive effects in following?
newborn 2 to 3 hours after intramuscular
injection. a. I should have a mammogram every year
c. They rapidly transfer across the placenta once I’m 40.
and lack of an antagonist make generally b. I should schedule a mammography
inappropriate during labor. examination during my screening is
d. Adverse reactions may include maternal inexpensive.
hypotension, allergic or toxic reaction c. Mammography screening is inexpensive
partial or total respiratory failure. d. Mammography is an extremely painful
procedure.
82.. Before advising a 24 years old client desiring oral
contraceptives for family planning, the nurse would 88. A 20 year-old married client with a positive
assess the client for signs and symptoms of which of pregnancy tests states,” Is it really true? I can’t
the following? believe I’m going to have a baby” Which of the
following responses by the nurse would be most94. When developing a meal-planning guide-about foods rich
appropriate at this time? in riboflavin for a primigravid client, the nurse would
expect to instruct the client to include a least two daily
a. “Would you like some booklets on the servings of which of the following foods?
pregnancy experience?
b. Yes it is true. How does that make you a. Fresh fruits
feel?
c. You should be delighted that you are b. Prunes
pregnant.
d. Weren’t you and your husband trying to c. Potatoes
have a baby? d. Enriched cereals
89. A newly diagnosed pregnant client tells the nurse, 95. When performing Leopold’s maneuvers, which of
“If I’m going to have all of these discomforts, I’m not the following would the nurse ask the client to do to
sure I want to be pregnant!” The nurse interprets nurse optimal comfort and accuracy?
the client’s statement as a indication of which of the
following? a. Breathe deeply for 1 minute
a. Fear of pregnancy outcome b. Empty her bladder
b. Rejection of the pregnancy
c. Normal ambivalence c. Drink a full glass of water
d. Inability to care for the newborn
d. Lie on her5 left side
90. A client, approximately 11 weeks pregnant, and her
husband is seen in the antepartal clinic. The client’s 96. Which of the following statement of the nurse would
husband tells the nurse that he has been be most appropriate when responding to a
experiencing nausea vomiting and fatigue along primigravid client who asks, “ What should I do
with his wife. The nurse interprets these findings as about this brown discoloration across my nose and
suggesting that the client’s husband is experiencing cheeks?
which of the following?
a. This usually disappears after delivery.
a. Ptyalism
b. It is a sign of skin melanoma.
b. Mittelschmerz
c. Couvade syndrome c. The discoloration is due to dilated
d. Pica capillaries.
91. A primigravid client asks the nurse if she can continue to d. It will fade if you use a prescribed cream.
have a glass of wine with dinner during her pregnancy.
Which of the following would be the nurse’s best 97. A primigravida at 28 weeks gestation tells the
response? nurse that she and her husband wish to drive to
visit relatives who live several hundred miles
a. The effects of alcohol on a fetus during away. Which of the following recommendations
pregnancy are unknown.” by the nurse would be best?
b. You should limit your consumption to beer
and wine. a. Try to avoid travelling anywhere in the
c. You should abstain from drinking alcoholic car during your third trimester,
beverages.
d. You may have 1 drink or 2 ounces of b. Limit the time you spend in the car to
alcohol per day.” maximum of 4 to 5 hours”.

92. When developing a teaching plan for a client who is 8 c. Taking the trip is okay if you stop every 1
weeks pregnant, which of the following foods would the to 2 hours and walk.
nurse suggest to meet the client’s need for increased
folic acid? d. Avoid wearing your seat belt in the car
prevent injury in the fetus.
a. Spinach
b. Bananas 98. Which of the following recommendations would
c. Seafood most helpful to suggest to a primigravid client 37
d. Yogurt weeks’ gestation who is complaining of cramps?

93. The nurse instructs a primigravida about the importance if a. Change positions frequently throughout
sufficient vitamin A in her diet. The nurse knows that the day
instructions have been effective when the client indicates
b. Alternately flex and extend the legs
that she should include which of the following in her diet?
c. Straighten the knee and push upward on
a. Buttermilk and cheese
the toes
b. Strawberries and cantaloupe
c. Egg yolks and squash d. Lie prone in bed with the legs elevated.
d. Oranges and tomatoes
99. Which of the following recommendations would
be most appropriate preventive measure to
suggest to a primigravid client at 30 weeks
gestation who is experiencing occasional
heartburn?

a. Eat smaller and more frequent meals


during the day

b. Take a pinch of baking soda with water


before meals

c. Decrease fluid intake to four lasses daily

d. Drink several cups of regular tea


throughout the day.

100. Which of the following amounts of blood loss following


birth, marks the criterion for describing postpartum
hemorrhage?

a. More than 200ml

b. Mora than 300ml

c. Mora than 400ml

d. More than 500ml

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