PROCTORED EXAM WITH NGN
A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1st. Which of the following is the client's estimated date of delivery?
A. Jan 8
B. Jan 15
C. Feb 8
D. Feb 15 - ANSWER A. April 1st minus 3 months plus 7 days and 1 year
A nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the
nurse interpret this? SATA
A client has delivered one newborn at term
B client has experienced no preterm labor
C client has had 2 pregnancies
D client has one living child
E client has been through active labor - ANSWER a: delivered one newborn at term
c: had 2 pregnancies
d: has one living child
a nurse is reviweing the health record of a client who is pregnant. The provider
indicated the client exhibits probable signs of pregnancy. Which of the following
findings should the nurse expect? SATA
a Montgomery glands
b Goodell's Signs
c ballottement
d Chadwick's sign
e quickening - ANSWER b: Goodell's sign
c: ballottement
d: chadwick's sign
a nurse in a prenatal clinic caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
a this is due to an increase in blood volume
b this is due to pressure from the uterus on the diaphragm
c this is due to the weight of the uterus on the vena cava
d this is due to increase cardiac output - ANSWER c: due to the weight of the uterus
on the vena cava
A nurse in a clinic receives a phone call from a client who believes she is pregnant
and would like to be tested in the clinic to confirm her pregnancy. Which of the
following information should the nurse provide to the client?
A) "You should wait until 4 weeks after conception to be tested"
B) "You should be off any medications for 24 hours prior to the test"
, C) "You should be NPO for at least 8 hours prior to the test"
D) "You should collect urine from the first morning void" - ANSWER d "You should
collect urine from the first morning void"
a nurse is teaching a group of women who are pregnant about measures to relieve
backache during pregnancy. Which of the following measures should the nurse
include in the teaching? SATA
a avoid lifting
b perform kegel exercises twice a day
c perform the pelvic rock exercises every day
d use proper body mechanics
e avoid constrictive clothing - ANSWER c: perform the pelvic rock exercises every
day
d: use proper body mechanics
a nurse is caring for a client who is pregnant and reviewing signs of complications
the client should report to the provider. Which of the following complications should
the nurse include in the teaching?
a vaginal bleeding
b swelling of the ankles
c heartburn after eating
d lightheartedness when lying on back - ANSWER a. vaginal bleeding
a client who is at 7 weeks of gstation is experiencing n/v in the morning. Which of the
following info should the nurse include in the teaching?
a eat crackers or plain toast before getting out of bed
b awaken during the night to eat a snack
c skip breakfast and eat lunch after nausea has subsided
d eat a large evening meal - ANSWER a: eat crackers or plain toast before getting
out of bed
a nurse is teaching a client who is at 6 weeks of gestation about common
discomforts of pregnancy. Which of the following findings should the nurse include in
the teaching? SATA
a breast tenderness
b urinary frequency
c expistaxis
d dysuria
e epigastric pain - ANSWER a breast tenderness
b urinary frequency
c expistaxis
A client who is at 8 weeks of gestation tells the RN that she isn't sure she is happy
about being pregnant. which of the following responses should the nurse make?
a: i will inform the provider that you are having these feelings
b: it is normal to have these feelings during the first few months of pregnancy
c: you should be happy that you are going to bring new life into the world
d: i am going to make an appointment with the counselor for you to discuss these
thoughts - ANSWER b: it is normal to have these feelings during the first few
months of pregnancy