FNP Women's Health, Exam 3
A 17yo primigravida has gained 4lbs due to the fact her last prenatal visit. Her BP is one
hundred forty/92mm/Hg. The most essential nursing motion is to:
A. Advise her to reduce down on fast ingredients that are high in fat
B. Caution her to avoid salty foods and return in 2 weeks
C. Assess weight advantage, vicinity of edema, and urine for protein
D. Recommend she live home from faculty for a few days to reduce pressure - ANS-C
A 32yo primigravida is admitted with a prognosis of ectopic pregnancy. Nursing care is primarily
based on which of the following?
A. Hemorrhage is the essential subject
B. She may be unable to conceive inside the future
C. Bed relaxation and analgesics are the encouraged remedy
D. A D&C can be completed to remove the goods of idea - ANS-A
A consumer has been dealt with with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding
has stabilized and slowed down extensively. The peripad in region famous a moderate quantity
of brilliant red blood, with no clots expelled while massaging the fundus. The purchaser now
complains of having problem respiratory. Auscultation of breath sounds monitor adventitious
sounds. Based on this clinical presentation, the priority nursing action is to:
A. Evaluate intake and output of the past 12 hours following delivery
B. Initiate a rapid reaction intervention
C. Obtain an order from the medical doctor for kind and crossmatch of 2 gadgets of PRBCs
D. Reposition the customer and reconsider in 15min. Initiate common crucial signs and
symptoms - ANS-B
A purchaser is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her
fundal height is 13cm. Which trouble should be investigated?
A. Placenta previa
B. Hydatidiform mole
C. Abruptio placentae
D. Disseminated intravascular coagulation - ANS-B
A client taking magnesium sulfate has a respiration price of 10 breaths/min. In addition to
discontinuing the drugs, which movement must the nurse take?
A. Increase the customers IV fluids
B. Administer calcium gluconate
C. Vigorously stimulate the client
D. Instruct the client to take deep breaths - ANS-B
,A client who became pregnant had a spontaneous abortion at about 4 weeks gestation. At the
time of the miscarriage, it turned into concept that each one products of concept had been
expelled. Two weeks later, the consumer gives on the health center office complaining of
crampy abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight
scent. The being pregnant test is terrible. Vital signs display a temp of 100F, with a BP of one
hundred/60, irregular pulse 88bpm, and respirations 20 breaths/min. Based on these
assessment statistics, what does the nurse count on as a medical diagnosis?
A. Ectopic pregnancy
B. Uterine contamination
C. Gestational trophoblastic ailment
D. Endometriosis - ANS-B
A patron with mastitis is concerned approximately breastfeeding whilst she has an energetic
contamination. Which is the right response by the nurse?
A. Organisms might be inactivated by means of gastric acid.
B. Organisms that reason mastitis are not handed to the milk.
C. The infant isn't at risk of the organisms that motive mastitis.
D. The toddler is covered from infection by way of immunoglobulins in the breast milk - ANS-B
A consumer with preeclampsia is admitted complaining of a pounding headache, visible
changes, and epigastric ache. Nursing care is based totally at the information that those signs
and symptoms suggest:
A. GI disenchanted
B. Effects of magnesium sulfate
C. Anxiety cased through hospitalization
D. Worsening disorder and approaching convulsion - ANS-D
A purchaser with preeclampsia is being dealt with with mattress rest and IV magnesium sulfate.
The drug classification of this medicine is a :
A. Diuretic
B. Tocolytic
C. Anticonvulsant
D. Antihypertensive - ANS-C
A girl purchaser presents to the emergency room complaining of lower stomach cramping with
scant bleeding of approximately 2 days period. This morning, the first-class and region of the
pain changed and she or he is now experiencing ache in her shoulder. The customers last
menstrual period turned into 28 days in the past, but she reports that her cycle is variable,
starting from 21 to 45 days. Which scientific diagnosis does the nurse suspect?
A. Ectopic being pregnant
b. Appendicitis
c. Food poisoning
d. Gastroenteritis - ANS-A
, A exertions and start nurse gets a call from the laboratory concerning a preeclamptic affected
person receiving an IV infusion of magnesium sulfate. The laboratory technician reviews that the
patients magnesium level is 7.6mg/dL. What is the nurses precedence action?
A. Stop the infusion of magnesium
B. Assess the patients breathing rate
C. Assess the sufferers deep tendon reflexes
D. Notify the health care provider of the magnesium degree - ANS-B
A multiparous customer is admitted to the postpartum unit after a speedy labor and delivery of a
4000g toddler. Her fundus is boggy, lochia is heavy, and crucial signs and symptoms are
unchanged. The nurse has the patron void and massages her fundus, but the fundus stays hard
to discover and rubra lochia remains heavy. Which action need to the nurse take next?
A. Recheck essential signs
B. Insert a foley catheter
C. Notify the health care issuer
D. Continue to message the fundus - ANS-C
A nurse is explaining to the nursing college students operating on the antepartum unit a way to
determine edema. Which edema evaluation score shows edema of the decrease extremities,
face, palms, and sacral location?
A. +1
B. +2
C. +three
D. +four - ANS-C
A affected person presents to labor and beginning with complaints of continual acute returned
ache at 36 weeks gestation. The nursing evaluation well-knownshows a taught abdomen, fundal
top at 40cm, and overdue decelerations, with a FHR variety of 124 to 128bpm. The nurse will
implement the protocol for which obstetric situation?
A. Placenta previa
B. Hypovolemic surprise
C. Abruptio placentae or abruption
D. DIC - ANS-C
A postpartum client has advanced a DVT and treatment with warfarin (Coumadin) has been
initiated. Which dietary selection need to be changed in view of this treatment routine?
A. Fresh end result
B. Milk
C. Lentils
D. Soda - ANS-C
A postpartum customer would be at accelerated danger for postpartum hemorrhage if she
added a:
A 17yo primigravida has gained 4lbs due to the fact her last prenatal visit. Her BP is one
hundred forty/92mm/Hg. The most essential nursing motion is to:
A. Advise her to reduce down on fast ingredients that are high in fat
B. Caution her to avoid salty foods and return in 2 weeks
C. Assess weight advantage, vicinity of edema, and urine for protein
D. Recommend she live home from faculty for a few days to reduce pressure - ANS-C
A 32yo primigravida is admitted with a prognosis of ectopic pregnancy. Nursing care is primarily
based on which of the following?
A. Hemorrhage is the essential subject
B. She may be unable to conceive inside the future
C. Bed relaxation and analgesics are the encouraged remedy
D. A D&C can be completed to remove the goods of idea - ANS-A
A consumer has been dealt with with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding
has stabilized and slowed down extensively. The peripad in region famous a moderate quantity
of brilliant red blood, with no clots expelled while massaging the fundus. The purchaser now
complains of having problem respiratory. Auscultation of breath sounds monitor adventitious
sounds. Based on this clinical presentation, the priority nursing action is to:
A. Evaluate intake and output of the past 12 hours following delivery
B. Initiate a rapid reaction intervention
C. Obtain an order from the medical doctor for kind and crossmatch of 2 gadgets of PRBCs
D. Reposition the customer and reconsider in 15min. Initiate common crucial signs and
symptoms - ANS-B
A purchaser is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her
fundal height is 13cm. Which trouble should be investigated?
A. Placenta previa
B. Hydatidiform mole
C. Abruptio placentae
D. Disseminated intravascular coagulation - ANS-B
A client taking magnesium sulfate has a respiration price of 10 breaths/min. In addition to
discontinuing the drugs, which movement must the nurse take?
A. Increase the customers IV fluids
B. Administer calcium gluconate
C. Vigorously stimulate the client
D. Instruct the client to take deep breaths - ANS-B
,A client who became pregnant had a spontaneous abortion at about 4 weeks gestation. At the
time of the miscarriage, it turned into concept that each one products of concept had been
expelled. Two weeks later, the consumer gives on the health center office complaining of
crampy abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight
scent. The being pregnant test is terrible. Vital signs display a temp of 100F, with a BP of one
hundred/60, irregular pulse 88bpm, and respirations 20 breaths/min. Based on these
assessment statistics, what does the nurse count on as a medical diagnosis?
A. Ectopic pregnancy
B. Uterine contamination
C. Gestational trophoblastic ailment
D. Endometriosis - ANS-B
A patron with mastitis is concerned approximately breastfeeding whilst she has an energetic
contamination. Which is the right response by the nurse?
A. Organisms might be inactivated by means of gastric acid.
B. Organisms that reason mastitis are not handed to the milk.
C. The infant isn't at risk of the organisms that motive mastitis.
D. The toddler is covered from infection by way of immunoglobulins in the breast milk - ANS-B
A consumer with preeclampsia is admitted complaining of a pounding headache, visible
changes, and epigastric ache. Nursing care is based totally at the information that those signs
and symptoms suggest:
A. GI disenchanted
B. Effects of magnesium sulfate
C. Anxiety cased through hospitalization
D. Worsening disorder and approaching convulsion - ANS-D
A purchaser with preeclampsia is being dealt with with mattress rest and IV magnesium sulfate.
The drug classification of this medicine is a :
A. Diuretic
B. Tocolytic
C. Anticonvulsant
D. Antihypertensive - ANS-C
A girl purchaser presents to the emergency room complaining of lower stomach cramping with
scant bleeding of approximately 2 days period. This morning, the first-class and region of the
pain changed and she or he is now experiencing ache in her shoulder. The customers last
menstrual period turned into 28 days in the past, but she reports that her cycle is variable,
starting from 21 to 45 days. Which scientific diagnosis does the nurse suspect?
A. Ectopic being pregnant
b. Appendicitis
c. Food poisoning
d. Gastroenteritis - ANS-A
, A exertions and start nurse gets a call from the laboratory concerning a preeclamptic affected
person receiving an IV infusion of magnesium sulfate. The laboratory technician reviews that the
patients magnesium level is 7.6mg/dL. What is the nurses precedence action?
A. Stop the infusion of magnesium
B. Assess the patients breathing rate
C. Assess the sufferers deep tendon reflexes
D. Notify the health care provider of the magnesium degree - ANS-B
A multiparous customer is admitted to the postpartum unit after a speedy labor and delivery of a
4000g toddler. Her fundus is boggy, lochia is heavy, and crucial signs and symptoms are
unchanged. The nurse has the patron void and massages her fundus, but the fundus stays hard
to discover and rubra lochia remains heavy. Which action need to the nurse take next?
A. Recheck essential signs
B. Insert a foley catheter
C. Notify the health care issuer
D. Continue to message the fundus - ANS-C
A nurse is explaining to the nursing college students operating on the antepartum unit a way to
determine edema. Which edema evaluation score shows edema of the decrease extremities,
face, palms, and sacral location?
A. +1
B. +2
C. +three
D. +four - ANS-C
A affected person presents to labor and beginning with complaints of continual acute returned
ache at 36 weeks gestation. The nursing evaluation well-knownshows a taught abdomen, fundal
top at 40cm, and overdue decelerations, with a FHR variety of 124 to 128bpm. The nurse will
implement the protocol for which obstetric situation?
A. Placenta previa
B. Hypovolemic surprise
C. Abruptio placentae or abruption
D. DIC - ANS-C
A postpartum client has advanced a DVT and treatment with warfarin (Coumadin) has been
initiated. Which dietary selection need to be changed in view of this treatment routine?
A. Fresh end result
B. Milk
C. Lentils
D. Soda - ANS-C
A postpartum customer would be at accelerated danger for postpartum hemorrhage if she
added a:
