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Pre-Test 1. The phrase gravida 4, para 2 indicated which of the following prenatal histories? a.

a client has been pregnant 4 times and had 2 miscarriages. b. a client has been pregnant 4 times and had 2 live born children c. a client has been pregnant 4 times and had 2 c-sections d. a client has been pregnant 4 times and 2 spontaneous abortions. 2. Yesha, a 21 y.o. client, 6 weeks pregnant, is diagnosed with hyperemesis gravidum. This excessive vomiting during pregnancy will often result in which of the following? a. bowel perforation b. electrolyte imbalance c. miscarriage d. PIH 3. Clients with gestational diabetes are usually managed by which of the following therapies? a. diet b. long acting insulin c. oral hypoglycemic drugs d. oral hypoglycemic drugs/insulin 4. Which of the following would the nurse identify as a presumptive sign of pregnancy? a. b. c. d. Hegar sign Nausea and vomiting Skin pigmentation changes Positive serum pregnancy test

5. Woman with a term, uncomplicated pregnancy comes into L&D in early labor saying that she thinks her water broke. Which action should the nurse take? a. prep the woman for delivery b. note color, amt and odor of fluid c. immediately contact doctor d. collect sample of fluid for microbial analysis 6. Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor? a. Ballottement b. Dilation c. Effacement d. Muliparous

7. During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition? a. b. c. d. Prepregnant period First trimester Second trimester Third trimester

8. At what gestational age is a conceptus considered viable (able to live outside the womb)? a. 9 weeks b. 14 weeks c. 24 weeks d. 30 weeks 9. Which sign would indicate the neonate was adapting appropriate to extrauterine life w/out difficulty? a. nasal flare b. light audible grunting c. resp rate 40-60 breaths/min d. resp rate 60-80 breaths/min 10. A neonate has been diagnosed with caput succedaneum. Which statement is true? a. usually resolves in 3-6 weeks b. collection of blood btw/ skill and periosteum c. doesnt cross the cranial suture line d. it involves swelling of the tissue over the presenting part of the head 11. FHR can be auscultated with a fetoscope as early as which of the following? a. b. c. d. 5 weeks gestation 10 weeks gestation 15 weeks gestation 20 weeks gestation

12. A 2 month pregnant woman asks about nausea and vomiting. What is an appropriate response? a. It is normal and caused by growth of the uterus b. It generally gets better at 3 months c. It's due to thyroid growth d. It requires testing for creatinine levels 13. When has a client entered the fourth stage of labor? a. When the baby is being expelled

b. After the baby has been expelled c. When contractions first reach 60-90 seconds long d. Soon after the placenta is delivered 14. What is the most accurate description of dystocia? a. A difficult labor/childbirth b. When the uterus ruptures c. An infection caused syndrome d. A common cause of eclampsia 15. During which of the following stages of labor would the nurse assess crowning? a. b. c. d. First stage Second stage Third stage Fourth stage