NURS 326 Exam #2
A 40-yr-old woman with a excessive frame mass index (BMI) is 10 weeks pregnant. Which
diagnostic tool need the nurse perceive as being suitable to evaluate the pregnancy?
A. Biophysical profile
b. Transvaginal ultrasound
c. Amniocentesis
d. Maternal serum alpha-fetoprotein (MSAFP) - ANS-b. Transvaginal ultrasound
Rationale: An ultrasound is the approach of biophysical assessment of the infant that is
completed at this gestational age. Transvaginal ultrasound is particularly useful for
overweight women, whose thick abdominal layers can not be penetrated accurately with the
abdominal approach.
A purchaser calls a issuer's office and reviews having contractions for 2 hrs that multiplied w/
hobby & did not lower w/ relaxation. The consumer denies leaking of vaginal fluid but did be
aware blood when wiping after voiding. Which of the subsequent is the patron experiencing?
A. Braxton Hicks contractions
b. Rupture of membranes
c. Fetal descent
d. True contractions - ANS-d. True contractions
A patron has just brought a wholesome new child. Which action must the nurse peform
primarily based on evidence-based totally care exercise in the instant new child period?
A. After drying, the toddler ought to receive to the mother wrapped in a receiving blanket.
B. The healthy new child ought to be taken to the nursery for a complete evaluation.
C. Skin-to-skin contact of mother and toddler ought to be advocated.
D. The father or help person ought to be advocated to preserve the infant at the same time
as looking forward to shipping of the placenta. - ANS-c. Skin-to-pores and skin contact of
mother and child should be endorsed.
Rationale: The unwrapped infant need to be located at the girl's naked chest or stomach,
then included with a warm blanket. Skin-to-pores and skin touch keeps the newborn heat,
prevents neonatal infection, complements physiologic adjustment to extrauterine existence,
and fosters early breastfeeding.
A patron has passed through an amniocentesis for evaluation of fetal properly-being. Which
intervention might be covered inside the nurse s plan of care after the technique? (Select all
that observe.)
a. Observe the customer for feasible uterine contractions.
B. Perform a minicatheterization to attain a urine specimen to evaluate for bleeding.
,C. Perform ultrasound to decide fetal positioning.
D. Administer RhoGAM to the purchaser if she is Rh terrible. - ANS-a and d
A organization of nurses are discussing the concept of pain experience throughout exertions.
Which declaration need to the nurses pick out as correct?
A. Sensory ache for nulliparous ladies regularly is extra than for multiparous women for the
duration of early labor.
B. Affective pain for nulliparous women commonly is less than for multiparous girls
throughout the first stage of hard work.
C. Women with a records of substance abuse enjoy greater pain in the course of hard work.
D. Multiparous girls have greater fatigue from exertions and therefore experience extra pain.
- ANS-a. Sensory pain for nulliparous ladies regularly is more than for multiparous women
throughout early labor.
A group of nurses are discussing the strengths and limitations of diverse biochemical tests at
some point of being pregnant. Which announcement must the nurses indicate as correct?
A. Chorionic villus sampling (CVS) is turning into greater famous as it presents early
diagnosis.
B. Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen exams for
Down syndrome.
C. MSAFP is a screening tool most effective; it identifies candidates for extra definitive
approaches.
D. Screening for maternal serum alpha-fetoprotein (MSAFP) stages is recommended best
for women at risk for neural tube defects. - ANS-c. MSAFP is a screening tool best; it
identifies applicants for greater definitive techniques.
A group of nurses are reviewing Category Characteristics of Fetal Monitoring. Which locating
must the nurses pick out as being consultant of Category I ?
A. Early decelerations, both present or absent.
B. Bradycardia now not observed via baseline variability.
C. Tachycardia.
D. Sinusoidal sample. - ANS-a. Early decelerations, both gift or absent.
A multiparous purchaser, Gravida three Para 2002 was tested five mins ago. Her cervix was
8cm, ninety% effaced. She now states that she has to transport her bowels. Which of the
following must the nurse do first?
A. Offer the consumer the bedpan.
B. Evaluate the development of exertions.
C. Notify the company.
D. Encourage the client to push. - ANS-b. Evaluate the development of hard work.
A nurse caring for a pregnant affected person suspected of being in preterm labor
acknowledges which sign as diagnostic of preterm labor?
, A. Cervical dilation of as a minimum 2 cm
b. Uterine contractions going on each 15 minutes.
C. Spontaneous rupture of membranes
d. Presence of fetal fibronectin in cervical secretions. - ANS-a. Cervical dilation of at least 2
cm
A nurse is assessing a consumer at 42 weeks of gestation. Which locating, if mentioned via
the nurse calls for extra evaluation?
A. Cervix dilated 2 cm and 50% effaced
b. Score of eight at the biophysical profile
c. Fetal heart rate of 116 beats/min
d. One fetal movement cited in 1 hour of evaluation by means of the mother - ANS-d. One
fetal movement noted in 1 hour of assessment by the mom
A nurse is worrying for a customer following the administration of an epidural block and is
getting ready to manage IV fluid bolus. The purchaser asks about the purpose of IV fluids.
Which of the subsequent statements need to the nurse make?
A. "It is needed to sell increased urine output"
b. "It is wanted to counteract respiratory despair"
c. "It is wanted to counteract hypotension"
d. "It is needed to save you oligohydramnios" - ANS-c. "It is wanted to counteract
hypotension"
A nurse is caring for a client having contractions every eight min which might be 30 to 40
seconds in length. The customer's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2
station with a FHR around a hundred and forty/min. Which of the subsequent stages of labor
is the consumer experiencing?
A. First stage, latent phase
b. First level, active section
c. First stage, transition segment
d. Second level of exertions - ANS-a. First degree, latent phase
A nurse is caring for a customer in a lively hard work. The cervix is dilated five cm &
membranes are intact. Based on external fetal tracking, the FHR is 115 to 125/min with
occasional multiplied as much as 150 - 155/min that lasts 25 seconds with slight variability.
There isn't any slowing of the FHR from baseline. The client is showing manifestations of
which of the subsequent? Select all that follow.
A. Moderate variability
b. FHR accelerations
c. FHR decelerations
d. Normal baseline FHR
e. Fetal tachycardia - ANS-a, b, and d
A 40-yr-old woman with a excessive frame mass index (BMI) is 10 weeks pregnant. Which
diagnostic tool need the nurse perceive as being suitable to evaluate the pregnancy?
A. Biophysical profile
b. Transvaginal ultrasound
c. Amniocentesis
d. Maternal serum alpha-fetoprotein (MSAFP) - ANS-b. Transvaginal ultrasound
Rationale: An ultrasound is the approach of biophysical assessment of the infant that is
completed at this gestational age. Transvaginal ultrasound is particularly useful for
overweight women, whose thick abdominal layers can not be penetrated accurately with the
abdominal approach.
A purchaser calls a issuer's office and reviews having contractions for 2 hrs that multiplied w/
hobby & did not lower w/ relaxation. The consumer denies leaking of vaginal fluid but did be
aware blood when wiping after voiding. Which of the subsequent is the patron experiencing?
A. Braxton Hicks contractions
b. Rupture of membranes
c. Fetal descent
d. True contractions - ANS-d. True contractions
A patron has just brought a wholesome new child. Which action must the nurse peform
primarily based on evidence-based totally care exercise in the instant new child period?
A. After drying, the toddler ought to receive to the mother wrapped in a receiving blanket.
B. The healthy new child ought to be taken to the nursery for a complete evaluation.
C. Skin-to-skin contact of mother and toddler ought to be advocated.
D. The father or help person ought to be advocated to preserve the infant at the same time
as looking forward to shipping of the placenta. - ANS-c. Skin-to-pores and skin contact of
mother and child should be endorsed.
Rationale: The unwrapped infant need to be located at the girl's naked chest or stomach,
then included with a warm blanket. Skin-to-pores and skin touch keeps the newborn heat,
prevents neonatal infection, complements physiologic adjustment to extrauterine existence,
and fosters early breastfeeding.
A patron has passed through an amniocentesis for evaluation of fetal properly-being. Which
intervention might be covered inside the nurse s plan of care after the technique? (Select all
that observe.)
a. Observe the customer for feasible uterine contractions.
B. Perform a minicatheterization to attain a urine specimen to evaluate for bleeding.
,C. Perform ultrasound to decide fetal positioning.
D. Administer RhoGAM to the purchaser if she is Rh terrible. - ANS-a and d
A organization of nurses are discussing the concept of pain experience throughout exertions.
Which declaration need to the nurses pick out as correct?
A. Sensory ache for nulliparous ladies regularly is extra than for multiparous women for the
duration of early labor.
B. Affective pain for nulliparous women commonly is less than for multiparous girls
throughout the first stage of hard work.
C. Women with a records of substance abuse enjoy greater pain in the course of hard work.
D. Multiparous girls have greater fatigue from exertions and therefore experience extra pain.
- ANS-a. Sensory pain for nulliparous ladies regularly is more than for multiparous women
throughout early labor.
A group of nurses are discussing the strengths and limitations of diverse biochemical tests at
some point of being pregnant. Which announcement must the nurses indicate as correct?
A. Chorionic villus sampling (CVS) is turning into greater famous as it presents early
diagnosis.
B. Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen exams for
Down syndrome.
C. MSAFP is a screening tool most effective; it identifies candidates for extra definitive
approaches.
D. Screening for maternal serum alpha-fetoprotein (MSAFP) stages is recommended best
for women at risk for neural tube defects. - ANS-c. MSAFP is a screening tool best; it
identifies applicants for greater definitive techniques.
A group of nurses are reviewing Category Characteristics of Fetal Monitoring. Which locating
must the nurses pick out as being consultant of Category I ?
A. Early decelerations, both present or absent.
B. Bradycardia now not observed via baseline variability.
C. Tachycardia.
D. Sinusoidal sample. - ANS-a. Early decelerations, both gift or absent.
A multiparous purchaser, Gravida three Para 2002 was tested five mins ago. Her cervix was
8cm, ninety% effaced. She now states that she has to transport her bowels. Which of the
following must the nurse do first?
A. Offer the consumer the bedpan.
B. Evaluate the development of exertions.
C. Notify the company.
D. Encourage the client to push. - ANS-b. Evaluate the development of hard work.
A nurse caring for a pregnant affected person suspected of being in preterm labor
acknowledges which sign as diagnostic of preterm labor?
, A. Cervical dilation of as a minimum 2 cm
b. Uterine contractions going on each 15 minutes.
C. Spontaneous rupture of membranes
d. Presence of fetal fibronectin in cervical secretions. - ANS-a. Cervical dilation of at least 2
cm
A nurse is assessing a consumer at 42 weeks of gestation. Which locating, if mentioned via
the nurse calls for extra evaluation?
A. Cervix dilated 2 cm and 50% effaced
b. Score of eight at the biophysical profile
c. Fetal heart rate of 116 beats/min
d. One fetal movement cited in 1 hour of evaluation by means of the mother - ANS-d. One
fetal movement noted in 1 hour of assessment by the mom
A nurse is worrying for a customer following the administration of an epidural block and is
getting ready to manage IV fluid bolus. The purchaser asks about the purpose of IV fluids.
Which of the subsequent statements need to the nurse make?
A. "It is needed to sell increased urine output"
b. "It is wanted to counteract respiratory despair"
c. "It is wanted to counteract hypotension"
d. "It is needed to save you oligohydramnios" - ANS-c. "It is wanted to counteract
hypotension"
A nurse is caring for a client having contractions every eight min which might be 30 to 40
seconds in length. The customer's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2
station with a FHR around a hundred and forty/min. Which of the subsequent stages of labor
is the consumer experiencing?
A. First stage, latent phase
b. First level, active section
c. First stage, transition segment
d. Second level of exertions - ANS-a. First degree, latent phase
A nurse is caring for a customer in a lively hard work. The cervix is dilated five cm &
membranes are intact. Based on external fetal tracking, the FHR is 115 to 125/min with
occasional multiplied as much as 150 - 155/min that lasts 25 seconds with slight variability.
There isn't any slowing of the FHR from baseline. The client is showing manifestations of
which of the subsequent? Select all that follow.
A. Moderate variability
b. FHR accelerations
c. FHR decelerations
d. Normal baseline FHR
e. Fetal tachycardia - ANS-a, b, and d
