NURS 3334 (Maternity) Practice Questions
When a nurse is teaching a woman about her menstrual cycle, which of the following is the most important change that happens during the follicular phase of the menstrual cycle?
A) Maturation of the Graafian follicle
B) Multiplication of the fimbraiae
C) Secretion of human chorionic gonadotropin
D) Proliferation of the endometrium - correct answer A) Maturation of the Graafian follicle
A client provides the nurse with the following obstetrical history: Delivered a son, now 7, at 28 weeks gestation; delivered a daughter, now 5 years old, at 39 weeks' gestation; has a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity?
A) G4 P2121
B) G4 P1212
C) G5 P1122
D) G5 P2211 - correct answer C) G5 P1122
A client asks the nurse, "could you explain how the baby's blood and my blood separate at delivery?". Which of the following responses is appropriate for the nurse to make?
A) 'When the placenta is born, the circulatory systems separate."
B) "When the doctor clamps the cord, the blood stops mixing."
C) "The separation happens after the baby takes the first breath. The baby's oxygen no longer comes from you."
D) "The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate." - correct answer D) The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate. During ambulation to the bathroom a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A) Evidence of a possible vaginal hematoma
B) An indication of a cervical or perineal laceration
C) A normal postural discharge of lochia
D) Abnormally excessive lochia rubra flow - correct answer C) A normal postural discharge of lochia
A client, 2 days postoperative from a C/S, complains to the nurse that she has yet to have a bowel movement since the surgery. Which of the following responses by the nurse would be appropriate at this
time?
A) That is very concerning. I will request that your physician order an enema for you
B) You have been taking antibiotics through your IV. This is probably why you are constipated
C) Two days is not that bad. Some patients go four days or longer without a movement
D) Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid - correct answer D) Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid
A nurse in a delivery room is planning to promote maternal-infant bonding for a client who just gave birth. Which of the following is the priority action by the nurse?
A) Encourage the parents to touch and explore the neonate's features
B) Limit noise and interruption in the delivery room
C) Place the neonate at the client's breast
D) Position the neonate skin-to-skin on the client's chest - correct answer D) Position the neonate skin-
to-skin on the client's chest
A client is 10 minutes postpartum from a forceps delivery of a 4,500 gram neonate with a cleft lip. The physician performed a right mediolateral episiotomy during the delivery. The client is a risk for each of the following nursing diagnoses. Which of the diagnosis is highest priority at this time?
When a nurse is teaching a woman about her menstrual cycle, which of the following is the most important change that happens during the follicular phase of the menstrual cycle?
A) Maturation of the Graafian follicle
B) Multiplication of the fimbraiae
C) Secretion of human chorionic gonadotropin
D) Proliferation of the endometrium - correct answer A) Maturation of the Graafian follicle
A client provides the nurse with the following obstetrical history: Delivered a son, now 7, at 28 weeks gestation; delivered a daughter, now 5 years old, at 39 weeks' gestation; has a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity?
A) G4 P2121
B) G4 P1212
C) G5 P1122
D) G5 P2211 - correct answer C) G5 P1122
A client asks the nurse, "could you explain how the baby's blood and my blood separate at delivery?". Which of the following responses is appropriate for the nurse to make?
A) 'When the placenta is born, the circulatory systems separate."
B) "When the doctor clamps the cord, the blood stops mixing."
C) "The separation happens after the baby takes the first breath. The baby's oxygen no longer comes from you."
D) "The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate." - correct answer D) The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate. During ambulation to the bathroom a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A) Evidence of a possible vaginal hematoma
B) An indication of a cervical or perineal laceration
C) A normal postural discharge of lochia
D) Abnormally excessive lochia rubra flow - correct answer C) A normal postural discharge of lochia
A client, 2 days postoperative from a C/S, complains to the nurse that she has yet to have a bowel movement since the surgery. Which of the following responses by the nurse would be appropriate at this
time?
A) That is very concerning. I will request that your physician order an enema for you
B) You have been taking antibiotics through your IV. This is probably why you are constipated
C) Two days is not that bad. Some patients go four days or longer without a movement
D) Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid - correct answer D) Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid
A nurse in a delivery room is planning to promote maternal-infant bonding for a client who just gave birth. Which of the following is the priority action by the nurse?
A) Encourage the parents to touch and explore the neonate's features
B) Limit noise and interruption in the delivery room
C) Place the neonate at the client's breast
D) Position the neonate skin-to-skin on the client's chest - correct answer D) Position the neonate skin-
to-skin on the client's chest
A client is 10 minutes postpartum from a forceps delivery of a 4,500 gram neonate with a cleft lip. The physician performed a right mediolateral episiotomy during the delivery. The client is a risk for each of the following nursing diagnoses. Which of the diagnosis is highest priority at this time?
