Case Study # 1
Questions 1-4 refer to this study.
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the LPN
working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit. You
escort her to the examining room, where you assist her in laying on her back on the exam
table.
1. While you are preparing for her examination, Lynn expresses feeling of strength and
vitality. You note she is flushed. She feels warm and dry to the touch. You recall from your
training that this problem is called:
A. Cardiac tamponade
B. Sensitivity hypertension
C. Kernicterus
D. Supine hypotension - ANSWERC. Kernicterus
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the LPN
working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit. You
escort her to the examining room, where you assist her in laying on her back on the exam
table.
2. From your experience working in the prenatal clinic, you recall that this syndrome is
caused by what?
A. Clots forming in the lower legs
B. The first indication Lynn is starting labour
C. Pressure of the uterus and fetus on the minor blood vessels
D. Consuming alcohol - ANSWERD. Consuming alcohol
3. You recognize Lynn's symptoms and know exactly how to alleviate them. You assist Lynn
to do which of the following?
A. Remove her restrictive clothing
, B. Remain in a lying position with her legs raised
C. Remove pillows from under her head
D. To lay in the left lateral position - ANSWERB. Remain in a lying position with her legs
raised
4. Even after repositioning Lynn, she only feels significantly better. She states, "Now I feel
okay, and I have no complaints" As her condition improves, you decide to do what?
A. Give her some water to help hydrate her
B. Take away her call bell since she's feeling better, and you have other duties
C. Have a co-worker stay with her as you consult with her physician.
D. Remove the low-flow O2 at 3 L/min per mask - ANSWERB. Take away her call bell since
she's feeling better, and you have other duties
Case Study # 2
Questions 5-8 refer to this study
Julie Bangay, a primigravida at 30 weeks gestation, is admitted to the birthing suite in active
labour.
5. A few hours after being admitted, Julie becomes very restless, flushed, irritable and
perspires profusely. She states that she is going to vomit. Which stage of labour is Julie in?
A. Late stage
B. Third stage
C. Second stage
D. Transition stage - ANSWERA. Late stage
6. Which of the following signs would be NOT be displayed by Julie when she is close to the
delivery of her infant?
A. She would become irritable and not follow instructions.
B. Her perineum would begin to bulge with each contraction.
C. There would be an decrease in the amount of bloody discharge from the vagina.
D. The contractions would occur every 2 - 3 minutes and last 60 seconds. - ANSWERC.
There would be an decrease in the amount of bloody discharge from the vagina.
7. Julie delivers a healthy infant. Four hours after a vaginal delivery, she still has not voided.
What would be the nurse's initial action?
A. Palpate her suprapubic area for distension.
B. Encourage voiding by placing her on a bedpan frequently.
C. Place her hands in cold water to discourage micturition.
Questions 1-4 refer to this study.
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the LPN
working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit. You
escort her to the examining room, where you assist her in laying on her back on the exam
table.
1. While you are preparing for her examination, Lynn expresses feeling of strength and
vitality. You note she is flushed. She feels warm and dry to the touch. You recall from your
training that this problem is called:
A. Cardiac tamponade
B. Sensitivity hypertension
C. Kernicterus
D. Supine hypotension - ANSWERC. Kernicterus
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the LPN
working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit. You
escort her to the examining room, where you assist her in laying on her back on the exam
table.
2. From your experience working in the prenatal clinic, you recall that this syndrome is
caused by what?
A. Clots forming in the lower legs
B. The first indication Lynn is starting labour
C. Pressure of the uterus and fetus on the minor blood vessels
D. Consuming alcohol - ANSWERD. Consuming alcohol
3. You recognize Lynn's symptoms and know exactly how to alleviate them. You assist Lynn
to do which of the following?
A. Remove her restrictive clothing
, B. Remain in a lying position with her legs raised
C. Remove pillows from under her head
D. To lay in the left lateral position - ANSWERB. Remain in a lying position with her legs
raised
4. Even after repositioning Lynn, she only feels significantly better. She states, "Now I feel
okay, and I have no complaints" As her condition improves, you decide to do what?
A. Give her some water to help hydrate her
B. Take away her call bell since she's feeling better, and you have other duties
C. Have a co-worker stay with her as you consult with her physician.
D. Remove the low-flow O2 at 3 L/min per mask - ANSWERB. Take away her call bell since
she's feeling better, and you have other duties
Case Study # 2
Questions 5-8 refer to this study
Julie Bangay, a primigravida at 30 weeks gestation, is admitted to the birthing suite in active
labour.
5. A few hours after being admitted, Julie becomes very restless, flushed, irritable and
perspires profusely. She states that she is going to vomit. Which stage of labour is Julie in?
A. Late stage
B. Third stage
C. Second stage
D. Transition stage - ANSWERA. Late stage
6. Which of the following signs would be NOT be displayed by Julie when she is close to the
delivery of her infant?
A. She would become irritable and not follow instructions.
B. Her perineum would begin to bulge with each contraction.
C. There would be an decrease in the amount of bloody discharge from the vagina.
D. The contractions would occur every 2 - 3 minutes and last 60 seconds. - ANSWERC.
There would be an decrease in the amount of bloody discharge from the vagina.
7. Julie delivers a healthy infant. Four hours after a vaginal delivery, she still has not voided.
What would be the nurse's initial action?
A. Palpate her suprapubic area for distension.
B. Encourage voiding by placing her on a bedpan frequently.
C. Place her hands in cold water to discourage micturition.
