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Which of the following statements when made by a student indicates understanding about the umbilical cord? A. the umbilical cord is of 2 arteries and 1 vein B. the umbilical cord is of2 veins and 1 artery C. the umbilical cord is of1 artery and 2 veins D. the umbilical cord is of2 veins
2. Which of the following statements in not true about the placenta? A. it provides exchange of nutrients and waste between fetus and mother B. it develops by the third month of gestation C. it allows transfer of maternal immunoglobulin D. allows passage of bacteria and virus
3. The mother reported to the clinic for prenatal check-up. She asks the nurse when will the sex of the fetus be determined by the ultrasound. Which of the following would be the most appropriate response by the nurse? A. on the 16th week of pregnancy B. on the 20th week of pregnancy C. on the 24th week of pregnancy D. on the 28th week of pregnancy
4. Which of the following assessment data is most accurate indication that the woman is pregnant? A. positive pregnancy test B. presence of fetal heart rate C. absence of menstruation D. quickening
Which of the following information should be included for prevention of toxoplasmosis? a) avoid traveling to foreign countries during the entire pregnancy b) avoid persons with cough and colds c) avoid eating raw meats or handling cat litters d) avoid overcrowded places 7. take anti-emetics D. frequent feedings B. She is experiencing nausea and vomiting each morning that she wakes up. take small. The nurse properly assesses that the fetus is at a) station 0 b) station negative 2 c) station positive 2 d) station (+-) 2 9. Which of the following potential problems should the nurse be alert for in a client with pregnancy-induced hypertension (PIH) a)abruptio placenta b) post term delivery c) uterine inversion d) placenta previa 8. The presenting part of the fetus is at 2 cm. The client is on her first trimester of pregnancy. take dry toast or crackers C.5. Which of the following assessment findings indicates that the woman is experiencing false labor? 2 . The nurse is giving health teachings to a pregnant client. take low-fat diet 6. below the ischial spine. Which of the following should not be included when giving health teachings to this client? A.
palpated towards the right side of the 3 . What warning sign should be placed by the nurse in client's unit? a) no abdominal palpation b) no vaginal examination c) no BP-taking d) no cigarette smoking 11. The client is diagnosed to have placenta previa. Which of the following findings should be given highest priority by the nurse? a) bright red vaginal discharge b) fundus at the level of the umbilicus. The nurse is caring for a mother who experiences fetal distress. The client experiences abruptio placenta. Which of the following should not be included in her nursing care plan? a) continue pitocin drip b) administer oxygen by face mask c) turn to left side d) prepare for cesarean section 13. Which of the following signs and symptoms supports the diagnosis? a) painless vaginal bleeding b) rising fundal height c) soft uterus d) elevated BP 12. The client has delivered a live baby boy 4 hours ago.a) contractions decrease in duration and intensity b) back pain not relieved by walking c) dilatation and effacement of the cervix are noted d) bloody show occurs 10.
abdomen c) urine output of 25o ml since after delivery d) body temperture of 37. The postpartum client who delivered her newborn 5 hours ago is receiving methergine (methylergonovine maleate).6 C 14. Which of the following actions by the RN needs intervention by the charge nurse? a) the RN elevates the legs of the client with pillows b) the RN applies support hose to the client c) the RN massages the legs of the client d) the RN applies moist heat on the legs of the client 17. The mother had breastfed her newborn. Which of the following drugs does the nurse expect to be ordered if preterm delivery is inevitable? a) yutopar (ritodrine) b) pitocin (oxytocin) 4 . Which of the following should be given highest priority when monitoring the client? a) perineal pad count b) vital signs c) intake and output d) calf pain 16. The charge nurse assigned a postpartum client with thrombophlebitis to an RN. Which of the following actions of the mother indicates the need for further teaching? a) the mother inserts a clean finger into the baby's mouth before removing him from breast b) the mother burps the baby after feeding from each breast c) the mother places the baby on the left side after feeding d) the mother exposes her nipples to air for 10-20 minutes after feeding 15.
I'm not sure I want to be pregnant!" The nurse interprets the client's statement as an indication of which of the following? a) fear of pregnancy outcome b) rejection of pregnancy c) normal ambivalence d) inability to care for the newborn 20. Which of the following is a common problem in the newborn of a diabetic mother? a) hyperglycemia b) large for gestational age (LGA) c) changes in facial features d) meconium aspiration syndrome 21. Using Nagele's rule for a client whose last normal menstrual period began on May 10. A newly diagnosed pregnant client tells the nurse. the nurse determines that the client's estimated date of delivery would be which of the following? a) January 13 b) January 17 c) February 13 d) February 17 19. How should the nurse determine the frequency of uterine contraction? a) time from the beginning of one contraction to the beginning of the next contraction b) time from the beginning of one contraction to the end of the same contraction c) time from the peak of one contraction to the peak of the next contraction d) time from the end of one contraction to the beginning of the next contraction 22. "If I'm going to have all of these discomforts. A pregnant woman experiencing severe abruptio placenta would most likely exhibit: 5 .c) bricanyl (terbutaline) d) betamethasone 18.
Which of the following drugs is used to treat the candidal infection of a pregnant woman? a) doxycycline (vibramycin) b) azithromycin (zithromax) c) acyclovir (zovirax) d) miconazole (monistat) 24. below the umbilicus 6 . Which of the following signs indicate that the placenta has separated and is ready to be delivered? Select all that apply: a) slowing of vaginal bleeding b) cessation of uterine contractions c) lengthening of the umbilical cord d) round firm uterine shape e) discoid uterine shape f) sudden gush of vaginal blood 25. above the umbilicus b) at the level of the umbilicus c) 1 cm. where would the nurse expect to palpate the fundus? a) 1 cm. boardlike abdomen d) vague abdominal discomfort 23.a) fetal bradycardia b) painless vaginal bleeding c) rigid. Which of the following measurements indicates that the fetal presenting part is engaged? a) -2 b) 0 c) +2 d) +4 26. On the second postpartum day. below the umbilicus d) 2 cm.
the nurse determines that the client needs additional teaching when she says that which of the following hormones is produced by the placenta? a. I should avoid squeezing them 29. b. d. c. I should have a mammogram every year once I m 40 I should schedule a mammography examination during my menstrual period Mammography screening is inexpensive Mammography is an extremely painful procedure 30.27. which of the following client statements indicates that the teaching has been successful? a. After counseling a 35-year-old client about breast self-examination and mammography. I shouldn t worry If there is some discharge from my nipples. b. I should perform BSE on the day my menstrual flow begins It is important that I perform BSE on the same day each month If I notice that one of my breasts is much smaller than the other. After the nurse instructs a 20-year-old nulligravid client on how to perform breast self-examination. c. d. After instructing a primigravid client about the functions of the placenta. b. Estrogen progesterone hCG Testosterone 7 . c. d. what would the nurse expect to find? a) lochia rubra b) lochia serosa c) lochia alba d) absence of lochia 28. When assessing a woman's lochia on the sixth postpartum day. the nurse determines that the client has understood the instructions when the client states which of the following? a.
b.positive antibodies 34. A client about 8 weeks pregnant. Development of a future Rh positive fetus An antibody response to Rh negative blood A future pregnancy resulting in abortion Development of Rh. 4 weeks 8 weeks 15 weeks 18 weeks 32. The nurse understands the rationale for administration is to prevent which of the following? a. d. a. b. b. Witness an informed consent for surgery Assess the client for massive external bleeding Explain that the fallopian tube can be salvaged Monitor the client for uterine contractions 8 . c. asks the nurse when she will be able to hear the fetal heartbeat. c. the nurse would expect to do which of the following a. b. While caring for a 24 year old primigravid client scheduled for emergency surgery because of a probable ectopic pregnancy. c.31. d. d. d. The nurse would respond by telling the client that the fetal heartbeat can be heard with Doppler ultrasound device when gestation is as early as which of the following? a. A primiparous client at 10 weeks gestation questions the nurse about the need for ultrasound. c. The nurse would incorporate which statement as the underlying reason for performing the ultrasound now. Identification of fetal parts and possible Downs syndrome View the heart beating to indicate that fetus is healthy To determine gender of baby Evaluation of sufficient nutrient supply for the fetus 33. RhoGAM is ordered for a client before she is discharged after a spontaneous abortion.
c. After instructing a primigravid client at 38 weeks gestation how preeclampsia can affect both the client and growing fetus. d. After reviewing the clients history. the nurse realizes that the client needs additional instruction when she says that preeclampsia can lead to which of the following? a. b. b. b. which of the following factors might lead the nurse to suspect abruptio placenta? a. A 24 year old client G3P1 at 32 weeks gestation is admitted to the hospital because of vaginal bleeding. d. the nurse determines that the teaching has been effective when the client says that she will count the number of times the baby moves during which of the following time spans? a. Hydrocephalic infant Abruption placenta Intrauterine growth retardation Poor placental perfusion 36.35. Several hypotensive episodes Previous low transverse ceasarian delivery One induced abortion History of cocaine use 38. c. 30-minute period three times a day 45-minute period after lunch each day 1-hour period each day 12-hour period each week 37. Painless vaginal bleeding 9 . d. When assessing a 34 year old multigravid client at 34 weeks gestation experiencing moderate vaginal bleeding. which of the following would most likely alert the nurse that placenta previa is present? a. c. After instructing a multigravid client diagnosed with mild preeclampsia how to keep a record of fetal movement patterns at home.
b. Which of the following would the nurse expect the physician to order? a. On arrival at the emergency department. Uterine tetany c. The nurse is planning care for a multigravid client hospitalized at 36 weeks gestation with confirmed rupture of membranes and no evidence of labor. c. The physician orders whole blood replacement for a multigravid client with abruption placenta. b. d. Ectopic pregnancy Abruption placenta Gestational trophoblastic disease Complete abortion 42. c. Frequent assessment of cervical dilatation Intravenous oxytocin administration Vaginal culture for Neiseria gonorrhea Sonogram for amniotic fluid volume index 41. c. a client tells the nurse that she may be pregnant but has been having a small amount of bleeding and has severe pain in the lower abdomen. Intermittent pain with spotting d. b. which of the following should the nurse do first? a.b. Before administering the intravenous blood product. The nurse notifies the physician immediately because which of the following is suspected? a. d. A multigravid client seen in the emergency department complaining of sharp abdominal pain and vaginal spotting is diagnosed with ectopic pregnancy. Dull lower back pain 39. Validate client information and the blood product with another nurse Check the vital signs before transfusing over 5 to 6 hours Ask the client if she has ever has any allergies Administer 100 ml of 5% dextrose solution intravenously 40. When 10 . d.
Primary Secondary Tertiary Non specific ******************* GOOD LUCK ********************* 11 . c. b. which of the following would the nurse include as the most common site for implantation? a. b. I ll eat dry crackers or toast before arising in the morning I ll drink adequate fluids separate from my meals and snacks I ll eat two large meals daily with frequent protein snacks I ll snack on a small amount of carbohydrates throughout the day 44. Fallopian tube Intestine Interstitial lining Ovary 43. d. A nurse who is teaching smoking cessation programs to healthy adult smokers is participating in what type of prevention activity? a.explaining to the client and family members about an ectopic pregnancy. After instruction of a primigravid client at 8 weeks gestation about measures to overcome early morning nausea and vomiting. c. c. d. which of the following client statements indicates the need for additional teaching? a. b. d.
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