NSG4800 Makeup Comprehensive Exam Makeup Comprehensive Quiz
(VERIFIED ANSWERS) A+ GRADES
Maternal
1. A pregnant client at 32 weeks gestation presents with painless vaginal
bleeding. What is the nurse's priority action?
A. Perform a sterile vaginal exam
B. Assess fetal heart tones
C. Administer oxytocin
D. Encourage ambulation
2. Which finding would alert the nurse to the possibility of preeclampsia?
A. Proteinuria and hypertension
B. Increased fetal movements
C. Decreased blood pressure
D. Hyperglycemia
3. A client in labor is receiving oxytocin. Which finding indicates a need to
stop the infusion?
A. Contractions every 3 minutes lasting 40 seconds
B. Fetal heart rate variability present
C. Contractions every 1 minute lasting 90 seconds
pg. 1
, D. Mild uterine tenderness
4. The nurse teaches a postpartum client about signs of infection. Which
statement indicates understanding?
A. “A fever above 100.4 degrees Fahrenheit is normal.”
B. “Redness and swelling at the incision site are expected.”
C. “Increased foul-smelling discharge should be reported.”
D. “I should soak in warm water baths daily.”
5. Which intervention helps prevent thrombophlebitis in the postpartum client?
A. Strict bedrest
B. Early ambulation
C. Use of compression stockings only when in bed
D. Restricting fluid intake
6. A pregnant client is Rh-negative. What is the nurse’s priority to prevent
isoimmunization?
A. Administer rubella vaccine
B. Administer Rho(D) immune globulin at 28 weeks
C. Avoid all vaccinations during pregnancy
D. Perform amniocentesis at 20 weeks
7. What is a common symptom of magnesium sulfate toxicity?
A. Hyperactive deep tendon reflexes
pg. 2
, B. Decreased respiratory rate
C. Diarrhea
D. Hypertension
8. A newborn’s Apgar score at 1 minute is 6. What action is appropriate?
A. Initiate CPR immediately
B. Provide oxygen and stimulate the infant
C. No intervention necessary
D. Prepare for intubation
9. Which medication is safe to administer during lactation?
A. Lithium
B. Ibuprofen
C. Warfarin
D. Methotrexate
10. A pregnant client is diagnosed with gestational diabetes. What dietary
advice is best?
A. Avoid all carbohydrates
B. Eat small frequent meals with balanced carbs and proteins
C. Limit fluid intake to 1 liter/day
D. Eat large meals twice daily
pg. 3
(VERIFIED ANSWERS) A+ GRADES
Maternal
1. A pregnant client at 32 weeks gestation presents with painless vaginal
bleeding. What is the nurse's priority action?
A. Perform a sterile vaginal exam
B. Assess fetal heart tones
C. Administer oxytocin
D. Encourage ambulation
2. Which finding would alert the nurse to the possibility of preeclampsia?
A. Proteinuria and hypertension
B. Increased fetal movements
C. Decreased blood pressure
D. Hyperglycemia
3. A client in labor is receiving oxytocin. Which finding indicates a need to
stop the infusion?
A. Contractions every 3 minutes lasting 40 seconds
B. Fetal heart rate variability present
C. Contractions every 1 minute lasting 90 seconds
pg. 1
, D. Mild uterine tenderness
4. The nurse teaches a postpartum client about signs of infection. Which
statement indicates understanding?
A. “A fever above 100.4 degrees Fahrenheit is normal.”
B. “Redness and swelling at the incision site are expected.”
C. “Increased foul-smelling discharge should be reported.”
D. “I should soak in warm water baths daily.”
5. Which intervention helps prevent thrombophlebitis in the postpartum client?
A. Strict bedrest
B. Early ambulation
C. Use of compression stockings only when in bed
D. Restricting fluid intake
6. A pregnant client is Rh-negative. What is the nurse’s priority to prevent
isoimmunization?
A. Administer rubella vaccine
B. Administer Rho(D) immune globulin at 28 weeks
C. Avoid all vaccinations during pregnancy
D. Perform amniocentesis at 20 weeks
7. What is a common symptom of magnesium sulfate toxicity?
A. Hyperactive deep tendon reflexes
pg. 2
, B. Decreased respiratory rate
C. Diarrhea
D. Hypertension
8. A newborn’s Apgar score at 1 minute is 6. What action is appropriate?
A. Initiate CPR immediately
B. Provide oxygen and stimulate the infant
C. No intervention necessary
D. Prepare for intubation
9. Which medication is safe to administer during lactation?
A. Lithium
B. Ibuprofen
C. Warfarin
D. Methotrexate
10. A pregnant client is diagnosed with gestational diabetes. What dietary
advice is best?
A. Avoid all carbohydrates
B. Eat small frequent meals with balanced carbs and proteins
C. Limit fluid intake to 1 liter/day
D. Eat large meals twice daily
pg. 3
