Rasmussen College Maternal Child Exam 1
1)The nurse is evaluating the fetal heart rate rhythm strip and determines the heart rate amplitude varies with a rate 15 to 20 beats/min. What does this assessment finding indicate to the nurse about variability?
-Variability is moderate
2)What is the most effective way for a nurse to assess a women’s usual food intake during pregnancy?
-Ask her to describe her intake for the last 24 hours.
3)The nurse is teaching a client on the nurse if a diaphragm for contraception. Which of the following client statements indicates the client needs further teaching?
-“I need to have the diaphragm checked if my weight changes by 30 Ib.”
4)A nurse is caring for the following clients on the obstetrical unit. The nurse recognizes it is safe to administer tocolytic therapy to which of the following clients?
-A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation
5)The healthcare provider orders alprazolam 0.5 mg PO. Alprazolam 0.25 mg tablets is available. How many tablet(s) will the nurse give the client?
-2
6)A perinatal nurse is caring for a woman who desires an unmedicated birth. Which of the following are options for non-pharmacologic methods of pain control in labor? (SATA)
-Hydrotherapy
-Massage
-Birthball
-Breathing patterns
7)The nurse is reviewing the results of an abnormal pap smear with a 27-year-old female. When explaining to the client the risk for and causes of cervical cancer, which of the following statements should be included in her teaching?
-“Approximately 70% of cervical cancers result from human papillomavirus (HPV).”
8)The nurse in labor and delivery is reviewing frequently used medications in the OB setting. Which of the medications would be used for tocolysis?
-Terbutaline
9)The nurse is reviewing the health record of a pregnant client. Her history includes deliveries of live babies at 39 weeks and 40 weeks, and 35 weeks, and a spontaneous abortion at 17 weeks. According to the GTPAL system, which of the following describes the
-5-2-1-1-3 10)The physician ordered 100mg of amoxicillin PO QID. The amoxicillin comes supplied as 125mg/5ml. How mL will the nurse administer with each dose?
-4
11)The nurse provides care to a client with hyperemesis gravidarum. Which outcome indicates that nursing interventions have been effective?
-Advancing from clear liquids, to soft foods, to regular diet.
12)Frequent urination results from which of the following causes during the third trimester of pregnancy?
-Pressure on the bladder from the uterus
13)The labor nurses assesses the fetal heart rate pattern below immediately following an epidural procedure. In response to her assessment, which of the following actions would be appropriate? (SATA) (Picture of EKG chart)
-Turn the client to her left side
-Administer oxygen
-Administer an IV fluid bolus
14)Which of the following routine tests would the nurse anticipate the provider to order the first trimester? (SATA)
-Blood type and Rh factor
-Complete blood count (CBC)
-HIV
15)The nurse is teaching a client the importance of folic acid in the diet and how folic acid supplements might be beneficial in her first trimester of pregnancy. For which reason is the nurse teaching the client about this vitamin?
-Prevents neural tube disorders in the developing fetus
16)A nurse is measuring the fundal height of a client who is at 21 weeks gestation. At which location should the nurse expect to palpate the fundus?
-Slightly above the umbilicus
17)The nurse is examining a client at a routine prenatal visit who is at 32 weeks gestational age. The assessment findings include the fundal height at 28 cm and fetal heart rate of 115 beats/minute. During the visit, the mother states that the baby’s movements have decreased. How might the nurse expect with these findings?
-Possible intrauterine growth restriction (IUGR) and the nurse should assess for risk factors and notify the physician.
18)A woman who is 4 months pregnant has pyrosis (heartburn). Which of the following suggestion would the nurse provide the client?
-Eat small meals and do not lie down after meals
1)The nurse is evaluating the fetal heart rate rhythm strip and determines the heart rate amplitude varies with a rate 15 to 20 beats/min. What does this assessment finding indicate to the nurse about variability?
-Variability is moderate
2)What is the most effective way for a nurse to assess a women’s usual food intake during pregnancy?
-Ask her to describe her intake for the last 24 hours.
3)The nurse is teaching a client on the nurse if a diaphragm for contraception. Which of the following client statements indicates the client needs further teaching?
-“I need to have the diaphragm checked if my weight changes by 30 Ib.”
4)A nurse is caring for the following clients on the obstetrical unit. The nurse recognizes it is safe to administer tocolytic therapy to which of the following clients?
-A client who is experiencing Braxton-Hicks contractions at 37 weeks gestation
5)The healthcare provider orders alprazolam 0.5 mg PO. Alprazolam 0.25 mg tablets is available. How many tablet(s) will the nurse give the client?
-2
6)A perinatal nurse is caring for a woman who desires an unmedicated birth. Which of the following are options for non-pharmacologic methods of pain control in labor? (SATA)
-Hydrotherapy
-Massage
-Birthball
-Breathing patterns
7)The nurse is reviewing the results of an abnormal pap smear with a 27-year-old female. When explaining to the client the risk for and causes of cervical cancer, which of the following statements should be included in her teaching?
-“Approximately 70% of cervical cancers result from human papillomavirus (HPV).”
8)The nurse in labor and delivery is reviewing frequently used medications in the OB setting. Which of the medications would be used for tocolysis?
-Terbutaline
9)The nurse is reviewing the health record of a pregnant client. Her history includes deliveries of live babies at 39 weeks and 40 weeks, and 35 weeks, and a spontaneous abortion at 17 weeks. According to the GTPAL system, which of the following describes the
-5-2-1-1-3 10)The physician ordered 100mg of amoxicillin PO QID. The amoxicillin comes supplied as 125mg/5ml. How mL will the nurse administer with each dose?
-4
11)The nurse provides care to a client with hyperemesis gravidarum. Which outcome indicates that nursing interventions have been effective?
-Advancing from clear liquids, to soft foods, to regular diet.
12)Frequent urination results from which of the following causes during the third trimester of pregnancy?
-Pressure on the bladder from the uterus
13)The labor nurses assesses the fetal heart rate pattern below immediately following an epidural procedure. In response to her assessment, which of the following actions would be appropriate? (SATA) (Picture of EKG chart)
-Turn the client to her left side
-Administer oxygen
-Administer an IV fluid bolus
14)Which of the following routine tests would the nurse anticipate the provider to order the first trimester? (SATA)
-Blood type and Rh factor
-Complete blood count (CBC)
-HIV
15)The nurse is teaching a client the importance of folic acid in the diet and how folic acid supplements might be beneficial in her first trimester of pregnancy. For which reason is the nurse teaching the client about this vitamin?
-Prevents neural tube disorders in the developing fetus
16)A nurse is measuring the fundal height of a client who is at 21 weeks gestation. At which location should the nurse expect to palpate the fundus?
-Slightly above the umbilicus
17)The nurse is examining a client at a routine prenatal visit who is at 32 weeks gestational age. The assessment findings include the fundal height at 28 cm and fetal heart rate of 115 beats/minute. During the visit, the mother states that the baby’s movements have decreased. How might the nurse expect with these findings?
-Possible intrauterine growth restriction (IUGR) and the nurse should assess for risk factors and notify the physician.
18)A woman who is 4 months pregnant has pyrosis (heartburn). Which of the following suggestion would the nurse provide the client?
-Eat small meals and do not lie down after meals
