BSN 346 EXAM REVIEW QUESTIONS AND
CORRECT ANSWERS!!
At 10-weeks gestation, a high-risk multiparous client with a family history of Down
syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure.
What assessment finding requires immediate intervention
A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go
to the bathroom every five minutes." Which explanation should the nurse provide to this
client?
D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs:
axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48
breaths/minute. Based on these findings, which action should the nurse take first?
C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the
priority nursing intervention?
B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the
nurse to use?
C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
B. Explore the mother's concerns about the infant receiving an injection of vitamin K
,The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage
of labor?
D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur?
D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide?
B. The fetus in utero is capable of hearing and does respond to the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week
and her baby jumped in response to the noise. What information should the nurse provide?
B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is
in early pregnancy. What information supports the explanation that the nurse should
provide?
C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-
weeks gestation?
A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one
week after a missed period. At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not
sleeping well. The client's physical examination and ultrasound do not indicate that she is
, pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results?
B. Using an anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks
gestation?
A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6
months, what information should the nurse provide?
B. Make sure to include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding of the
role of protein during pregnancy?
A. "Protein helps the fetus grow while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client?
D. Abstinence is strongly recommended throughout the pregnancy
A female client who wants to deliver at home asks the nurse to explain the role of a nurse-
midwife in providing obstetric care. What information should the nurse provide?
B. The pregnancy should progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which situation
should the nurse include about the safety of a home birth?
D. Medical backup should be available quickly in case of complications
The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the second
stage of labor. Which position should the nurse address the best advantage of gravity
during delivery?
CORRECT ANSWERS!!
At 10-weeks gestation, a high-risk multiparous client with a family history of Down
syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure.
What assessment finding requires immediate intervention
A. Uterine cramping
A client states, "During the three months I've been pregnant, it seems like I have had to go
to the bathroom every five minutes." Which explanation should the nurse provide to this
client?
D. The growing uterus is putting pressure on the bladder.
The nurse assesses a male newborn and determines that he has the following vital signs:
axillary temperature 95.1 F, heart rate 136 beats/minute, and a respiratory rate 48
breaths/minute. Based on these findings, which action should the nurse take first?
C. Assess the infant's blood glucose level
An infant in respiratory distress is placed on pulse ox. The O2 sat is 85%. What is the
priority nursing intervention?
B. Begin humidified oxygen via hood
When assessing a newborn infant's heart rate, which technique is most important for the
nurse to use?
C. Count the heart rate for at least one full minute
The nurse prepares to administer an injection of vitamin K to a newborn infant. The
mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response
would be best for the nurse to make?
B. Explore the mother's concerns about the infant receiving an injection of vitamin K
,The nurse is teaching a new mother about diet and breastfeeding. Which instruction is
most important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk
Which nursing intervention best enhances maternal-infant bonding during the fourth stage
of labor?
D. Encourage early initiation of breast of formula feeding
A client at 8-weeks gestation asks the nurse about the risk fora congenital heart defect
(CHD) in her baby. Which response best explains when a CHD may occur?
D. The heart develops in the third to fifth weeks after conception
A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. What information should the nurse provide?
B. The fetus in utero is capable of hearing and does respond to the mother's voice
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week
and her baby jumped in response to the noise. What information should the nurse provide?
B. The fetus can respond to sound by 24-weeks gestation
A woman whose pregnancy is confirmed asks the nurse what the function of the placenta is
in early pregnancy. What information supports the explanation that the nurse should
provide?
C. Secretes both estrogen and progesterone
Which cardiovascular findings should the nurse assess further in a client who is at 20-
weeks gestation?
A. Decrease in pulse rate
A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one
week after a missed period. At the clinic, the client tells the nurse she takes phenytoin
(Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and is not
sleeping well. The client's physical examination and ultrasound do not indicate that she is
, pregnant. How should the nurse explain the most likely cause for obtaining false-positive
pregnancy test results?
B. Using an anticonvulsant for epilepsy
Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks
gestation?
A. PICA
During a preconception counseling session for women trying to get pregnant in 3 to 6
months, what information should the nurse provide?
B. Make sure to include adequate folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding of the
role of protein during pregnancy?
A. "Protein helps the fetus grow while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with
dinner. How should the nurse respond to the client?
D. Abstinence is strongly recommended throughout the pregnancy
A female client who wants to deliver at home asks the nurse to explain the role of a nurse-
midwife in providing obstetric care. What information should the nurse provide?
B. The pregnancy should progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which situation
should the nurse include about the safety of a home birth?
D. Medical backup should be available quickly in case of complications
The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the second
stage of labor. Which position should the nurse address the best advantage of gravity
during delivery?
