NURS 326 Exam #1
A 22-yr-old woman pregnant with a single fetus had a preconception frame mass index
(BMI) of 24. When she changed into seen within the medical institution at 14 weeks of
gestation, she had won 1.Eight kg (4 lbs) considering that idea. How could the nurse
interpret this finding?
A. The woman's weight benefit is suitable for this level of being pregnant.
B. This weight advantage indicates viable gestational high blood pressure.
C. This weight gain indicates that the female's infant is at risk for intrauterine increase
restriction (IUGR).
D. This weight benefit can not be evaluated until the girl has been found for numerous
greater weeks. - ANS-a. The girl's weight advantage is appropriate for this degree of being
pregnant.
A 25 - yr antique pregnant patient is at 10 weeks of gestation. Their BMI is calculated to be
24. Regarding weight benefit at some point of being pregnant, the nurse need to advocate:
a. A overall weight gain of 39 lbs
b. First - trimester weight gain of 2 to 4 lbs
c. Weight gain of one lb. Each week for 40 weeks
d. Weight advantage of 6 lbs. Throughout the second and 1/3 trimester - ANS-b. First
trimester weight advantage of 2 to 4 lbs.
A 35 yr patient is 30 weeks pregnant. They have 2 boys one born at 31 weeks and one born
at 38 weeks. The affected person also has 1 daughter born at 38 weeks and reviews that
they miscarried at 16 weeks. What is the patient's GTPAL? - ANS-five-2-1-1-3
A consumer arrives at a prenatal health facility for the first prenatal assessment. The patron
tells a nurse that the first day of her remaining menstrual period changed into September
19th, 2013. Using Naegele's rule, the nurse determines the estimated date of confinement
as:
A. July 26, 2013
B. June 12, 2014
C. June 26, 2014
D. July 12, 2014 - ANS-C. June 26, 2014
A client inside the first trimester of being pregnant arrives at a fitness care medical institution
and reviews that she has been experiencing vaginal bleeding. A threatened abortion is
suspected, and the nurse instructs the client regarding control of care. Which
announcement, if made by using the consumer, shows a need for further education?
A. "I will maintain strict bedrest at some point of the remainder of the pregnancy."
,B. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following
the ultimate proof of bleeding."
C. "I will rely the number of perineal pads used on a day by day foundation and observe the
amount and colour of blood at the pad."
D. "I will look ahead to the evidence of the passage of tissue." - ANS-A. "I will preserve strict
bedrest for the duration of the the rest of the pregnancy."
A consumer who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To
examine the consumer's coaching for parenting, the nurse would possibly ask which
question?
A. "Are you planning to have epidural anesthesia?"
B. "Have you started prenatal instructions?"
C. "What modifications have you ever made at domestic to get equipped for the child?"
D. "Can you tell me about the food you usually eat every day?" - ANS-C. "What changes
have you ever made at domestic to get prepared for the baby?"
A patron who is at 7 weeks of gestation is experiencing N/V within the morning. Which of the
following should the nurse consist of?
A. Awaken throughout the night to eat a snack
b. Eat crackers or undeniable toast earlier than getting out of bed
c. Skip breakfast and devour lunch after nausea has subsided
d. Eat a huge night meal - ANS-b. Eat crackers or undeniable toast before getting away from
bed
A consumer who's at eight weeks of gestation tells the RN that she is not sure she is glad
about being pregnant. Which of the following responses ought to the nurse make?
A. "I will inform the provider that you are having these feelings"
b. "It is everyday to have these feelings in the course of the primary few months of being
pregnant"
c. "You need to be glad that you're going to carry a brand new life into the world"
d. "I am going to make you an appointment with a counselor so that you can talk these mind"
- ANS-b. "It is everyday to have those feelings during the primary few months of pregnancy"
A institution of maternity nurses are providing schooling to pregnant customers
approximately modifications in blood stress. What facts ought to the nurses encompass?
A. Compression of the iliac veins and inferior vena cava by using the uterus contributes to
hemorrhoids inside the later degree of time period being pregnant.
B. The systolic blood strain will increase barely as pregnancy advances; the diastolic
pressure stays consistent.
C. Shifting the customer's function and converting from arm to arm for exceptional
measurements produces the most correct composite blood pressure reading at each visit.
D. A blood pressure cuff that is too small produces a analyzing this is too low; a cuff that is
too large produces a analyzing that is too excessive. - ANS-a. Compression of the iliac veins
, and inferior vena cava by way of the uterus contributes to hemorrhoids in the later level of
term being pregnant.
A institution of scholar nurses are reiviewing duration for a regular pregnancy. Which time
span have to the scholar nurse identify as being appropriate?
A. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days
b. Nine calendar months, 10 lunar months, 42 weeks, 294 days
c. 9 calendar months, 38 weeks, 266 days
d. 10 lunar months, nine calendar months, forty weeks, 280 days - ANS-d. 10 lunar months,
nine calendar months, 40 weeks, 280 days
A organization of pupil nurses are reviewing human chorionic gonadotropin (hCG) ranges
because it relates to being pregnant. Which locating if observed with the aid of the scholar
nurses would suggest a ability problem?
A. Expected height among 60 and 70 days into the pregnancy
b. Increased plasma degrees in correlation to predicted gestational age
c. Increase in levels 7 to eight days after implantation
d. Decrease in plasma stages at the stop of being pregnant - ANS-b. Increased plasma
ranges in correlation to predicted gestational age
A maternity nurse is counseling a pregnant customer approximately getting enough iron in
her weight-reduction plan. What records need to the nurse provide?
A. Iron supplements are permissible for youngsters in small doses.
B. Iron absorption is inhibited by means of a diet rich in vitamin C.
C. Constipation is common with iron supplements.
D. Milk, espresso, and tea aid iron absorption if fed on at the equal time as iron. - ANS-c.
Constipation is common with iron supplements.
A maternity nurse is working with a father of a pregnant patron to assist with acceptance of
the pregnancy and preparation for childbirth. What must the nurse recognize related to the
father's position in pregnancy?
A. In the remaining 2 months of pregnancy, maximum expectant fathers abruptly get very
defensive in their hooked up life-style and face up to making changes to the home.
B. The father goes through three levels of acceptance of his own.
C. Typically men stay ambivalent approximately fatherhood proper as much as the beginning
of their baby.
D. The father's attachment to the fetus can't be as robust as that of the mother because it
does not begin till after delivery. - ANS-b. The father is going through three levels of
popularity of his own.
A maternity nurse's role is to assist guide a girl's attractiveness of pregnancy. What facts
ought to the maternity nurse recognize related to capability results of maternal feeling as
they relate to attractiveness of being pregnant?
A 22-yr-old woman pregnant with a single fetus had a preconception frame mass index
(BMI) of 24. When she changed into seen within the medical institution at 14 weeks of
gestation, she had won 1.Eight kg (4 lbs) considering that idea. How could the nurse
interpret this finding?
A. The woman's weight benefit is suitable for this level of being pregnant.
B. This weight advantage indicates viable gestational high blood pressure.
C. This weight gain indicates that the female's infant is at risk for intrauterine increase
restriction (IUGR).
D. This weight benefit can not be evaluated until the girl has been found for numerous
greater weeks. - ANS-a. The girl's weight advantage is appropriate for this degree of being
pregnant.
A 25 - yr antique pregnant patient is at 10 weeks of gestation. Their BMI is calculated to be
24. Regarding weight benefit at some point of being pregnant, the nurse need to advocate:
a. A overall weight gain of 39 lbs
b. First - trimester weight gain of 2 to 4 lbs
c. Weight gain of one lb. Each week for 40 weeks
d. Weight advantage of 6 lbs. Throughout the second and 1/3 trimester - ANS-b. First
trimester weight advantage of 2 to 4 lbs.
A 35 yr patient is 30 weeks pregnant. They have 2 boys one born at 31 weeks and one born
at 38 weeks. The affected person also has 1 daughter born at 38 weeks and reviews that
they miscarried at 16 weeks. What is the patient's GTPAL? - ANS-five-2-1-1-3
A consumer arrives at a prenatal health facility for the first prenatal assessment. The patron
tells a nurse that the first day of her remaining menstrual period changed into September
19th, 2013. Using Naegele's rule, the nurse determines the estimated date of confinement
as:
A. July 26, 2013
B. June 12, 2014
C. June 26, 2014
D. July 12, 2014 - ANS-C. June 26, 2014
A client inside the first trimester of being pregnant arrives at a fitness care medical institution
and reviews that she has been experiencing vaginal bleeding. A threatened abortion is
suspected, and the nurse instructs the client regarding control of care. Which
announcement, if made by using the consumer, shows a need for further education?
A. "I will maintain strict bedrest at some point of the remainder of the pregnancy."
,B. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following
the ultimate proof of bleeding."
C. "I will rely the number of perineal pads used on a day by day foundation and observe the
amount and colour of blood at the pad."
D. "I will look ahead to the evidence of the passage of tissue." - ANS-A. "I will preserve strict
bedrest for the duration of the the rest of the pregnancy."
A consumer who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To
examine the consumer's coaching for parenting, the nurse would possibly ask which
question?
A. "Are you planning to have epidural anesthesia?"
B. "Have you started prenatal instructions?"
C. "What modifications have you ever made at domestic to get equipped for the child?"
D. "Can you tell me about the food you usually eat every day?" - ANS-C. "What changes
have you ever made at domestic to get prepared for the baby?"
A patron who is at 7 weeks of gestation is experiencing N/V within the morning. Which of the
following should the nurse consist of?
A. Awaken throughout the night to eat a snack
b. Eat crackers or undeniable toast earlier than getting out of bed
c. Skip breakfast and devour lunch after nausea has subsided
d. Eat a huge night meal - ANS-b. Eat crackers or undeniable toast before getting away from
bed
A consumer who's at eight weeks of gestation tells the RN that she is not sure she is glad
about being pregnant. Which of the following responses ought to the nurse make?
A. "I will inform the provider that you are having these feelings"
b. "It is everyday to have these feelings in the course of the primary few months of being
pregnant"
c. "You need to be glad that you're going to carry a brand new life into the world"
d. "I am going to make you an appointment with a counselor so that you can talk these mind"
- ANS-b. "It is everyday to have those feelings during the primary few months of pregnancy"
A institution of maternity nurses are providing schooling to pregnant customers
approximately modifications in blood stress. What facts ought to the nurses encompass?
A. Compression of the iliac veins and inferior vena cava by using the uterus contributes to
hemorrhoids inside the later degree of time period being pregnant.
B. The systolic blood strain will increase barely as pregnancy advances; the diastolic
pressure stays consistent.
C. Shifting the customer's function and converting from arm to arm for exceptional
measurements produces the most correct composite blood pressure reading at each visit.
D. A blood pressure cuff that is too small produces a analyzing this is too low; a cuff that is
too large produces a analyzing that is too excessive. - ANS-a. Compression of the iliac veins
, and inferior vena cava by way of the uterus contributes to hemorrhoids in the later level of
term being pregnant.
A institution of scholar nurses are reiviewing duration for a regular pregnancy. Which time
span have to the scholar nurse identify as being appropriate?
A. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days
b. Nine calendar months, 10 lunar months, 42 weeks, 294 days
c. 9 calendar months, 38 weeks, 266 days
d. 10 lunar months, nine calendar months, forty weeks, 280 days - ANS-d. 10 lunar months,
nine calendar months, 40 weeks, 280 days
A organization of pupil nurses are reviewing human chorionic gonadotropin (hCG) ranges
because it relates to being pregnant. Which locating if observed with the aid of the scholar
nurses would suggest a ability problem?
A. Expected height among 60 and 70 days into the pregnancy
b. Increased plasma degrees in correlation to predicted gestational age
c. Increase in levels 7 to eight days after implantation
d. Decrease in plasma stages at the stop of being pregnant - ANS-b. Increased plasma
ranges in correlation to predicted gestational age
A maternity nurse is counseling a pregnant customer approximately getting enough iron in
her weight-reduction plan. What records need to the nurse provide?
A. Iron supplements are permissible for youngsters in small doses.
B. Iron absorption is inhibited by means of a diet rich in vitamin C.
C. Constipation is common with iron supplements.
D. Milk, espresso, and tea aid iron absorption if fed on at the equal time as iron. - ANS-c.
Constipation is common with iron supplements.
A maternity nurse is working with a father of a pregnant patron to assist with acceptance of
the pregnancy and preparation for childbirth. What must the nurse recognize related to the
father's position in pregnancy?
A. In the remaining 2 months of pregnancy, maximum expectant fathers abruptly get very
defensive in their hooked up life-style and face up to making changes to the home.
B. The father goes through three levels of acceptance of his own.
C. Typically men stay ambivalent approximately fatherhood proper as much as the beginning
of their baby.
D. The father's attachment to the fetus can't be as robust as that of the mother because it
does not begin till after delivery. - ANS-b. The father is going through three levels of
popularity of his own.
A maternity nurse's role is to assist guide a girl's attractiveness of pregnancy. What facts
ought to the maternity nurse recognize related to capability results of maternal feeling as
they relate to attractiveness of being pregnant?
