NUR 114 - EXAM 1 PRACTICE QUESTIONSANDANSWERS UPDATE 2024/2025 ALL ANSWERS100%CORRECT DETAILED BEST GRADEDA+FORSUCCESS

NUR 114 - EXAM 1 PRACTICE QUESTIONSANDANSWERS UPDATE 2024/2025 ALL ANSWERS100%CORRECT DETAILED BEST GRADEDA+FORSUCCESS1. Postpartum patient's lab data 12 hours after delivery includes maternal blood typeandRhfactor is A+, rubella status 1:8, hematocrit 30% and WBC 12,000. What is the nurse's expected response to this information? a. Anticipate administration of antibiotics for treatment of an infection b. Contact physician for new orders to address effects of postpartum hemorrhage c. Administer Rhogam as ordered at time of discharge d. Administer Rubella vaccination prior to discharge from hospital - CORRECT ANSWERSD 2. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency roomwitha chief complaint of "unilateral stabbing pain in her lower abdomen with dark red bleeding." Based on these assessment findings the nurse would suspect which pregnancy-relatedcomplications? a. Placenta Previa b. Ectopic pregnancy c. Preterm labor d. Cervical Insufficiency - CORRECT ANSWERS B 3. A patient is being admitted to the maternity unit because she is in early labor. Thenursewould initially a. Assess maternal vital signs and fetal heartrate ONLYSTUDENTS STORE 2025 ALLLTHEBESTONLYSTUDENTS STORE 2 DONOTCOPYb. Measure fundal height to determine fetal size c. Perform a sterile vaginal exam to determine cervical dilation and effacement - CORRECTANSWERS A 5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks withher fourth child. She states she had one elective abortion at 5 weeks, a daughter who wasbornat 40 weeks gestation, and a son who was born at 37 weeks gestation. What is this patientsGTPAL total? a. 4-1-1-1-2 b. 3-1-1-1-2 c. 2-1-0-1-1 d. 4-2-1-0-2 - CORRECT ANSWERS A 6. The maternal serum alfa-fetal protein (MSAFP) sample collected fromthe patient at 16weeks gestation indicated that this pregnancy is at high-risk for having Down Syndrome. Thepatient is informed that she will require further diagnostic testing. For these findings, theMSAFP level was a. Decreased b. Increased - CORRECT ANSWERS A 8. The pregnant patient's lab values obtained on the first prenatal visit has indicatedthat therubella titer is negative. The nurse should a. Offer the patient the rubella vaccine at the next prenatal visit b. Inform the patient of the dangers of not receiving the rubella vaccine prior to deliveryc. Prepare the patient to receive the vaccine within 72 hours from the birth of her childd. Explain to the patient that a negative titer indicated that she is immune to rubella at thistime - CORRECT ANSWERS C ONLYSTUDENTS STORE 2025 ALLLTHEBESTONLYSTUDENTS STORE 3 DONOTCOPY9. The post-partum patient delivered five hours ago and has cool, clammy skin, and sheisrestless. The patient is excessively thirsty. The nurse's first action is to a. Obtain maternal vital signs b. Notify the healthcare provider c. Massage the fundus of uterus d. Calculate total urinary output since delivery - CORRECT ANSWERS C 10. The patient arrives to the emergency department bleeding heavily. She reports being32- weeks pregnant, heavy smoker, her vital signs are stable, fetal heart baseline is withinthenormal range, and she denies pain. Other assessment findings include the abdomenissoft and non-tender, fundal height appropriate for gestational age and there are no contractions. Upon inspection of the peri-pad you note it is moderately saturated with bright-red bleeding. This patient is experiencing a. Placental abruption b. Placenta previa c. Threatened abortion d. Inevitable abortion - CORRECT ANSWERS B 11. The laboring patient is having strong contractions every one to two minutes that arelasting 60-70 seconds. She notifies the nurse she is having intense sensations of pressureon the perineal area. The nurse's priority action is to a. Perform sterile vaginal exam for cervical dilation, effacement, and station b. Notify the healthcare provider that the patient will be delivering soon c. Offer the patient a bed pan d. Reposition the patient - CORRECT ANSWERS A ONLYSTUDENTS STORE 2025 ALLLTHEBESTONLYSTUDENTS STORE 4 DONOTCOPY12. A 34-week gestation patient phones the health care providers office with concerns about feeling light headed. She states she is dizzy while lying down and states that she "feelslikeI could pass out." She also reports she has awakened in the middle of the night feelingthisway. The nurse should a. Instruct the patient to see the HCP right away to have her blood pressure checkedb. Discuss supine hypertension with the patient and encourage her to avoid lying flat onher back c. Reassure the patient that this is a normal finding for the pregnant patient d. Inform the patient to increase her fluid intake to two liters a day - CORRECT ANSWERSB 13. A client at 4 months gestation comes for a prenatal visit. The client reports continuednausea and vomiting. The client also states she has noticed dark brown spotting. Shehasexperienced no weight loss and has a fundal height larger than expected for the of her pregnancy. B