3302 Final Exam Practice Questions And Exam With
Complete Solutions A+Graded.
A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions.
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Which assessment finding would indicate to the nurse that the infusion needs to be discontinued?
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A. Three contractions occurring within a 10-minute period
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B. A fetal heart rate of 90 beats per minute
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C. Adequate resting tone of the uterus palpated between contractions
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D. Increased urinary output - CORRECT ANSWER✔✔B
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A nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18.
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The nurse should: Select one
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,A. Tell the couple they need to have an abortion within 2 to 3 weeks
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B. Explain that the fetus has a 50% chance of having the disorder
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C. Discuss options with the couple, including amniocentesis to determine whether the fetus is affected
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D. Refer the couple to a psychologist for emotional support - CORRECT ANSWER✔✔C
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A nurse is caring for a client in labor and is monitoring the fetal heart patterns. The nurse notes the presence
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of episodic accelerations on the electronic fetal monitor tracing. which of the following actions is most
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appropriate?
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A. Take the mother's vital signs and tell the mother that bed rest is required to conserve oxygen
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B. notify the physician or nurse midwife of the findings
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C. Reposition the mother and check the monitor for changes in the fetal tracing
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D. Document the findings and tell the mother that the monitor indicates fetal well-being - CORRECT
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ANSWER✔✔D
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A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client
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determines that the magnesium therapy is effective if:
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A. seizures do not occur
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B. weight loss
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,C. ankle clonus is noted
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D. the blood pressure decreases - CORRECT ANSWER✔✔A
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RhoGAM is prescribed for a woman following delivery of a newborn infant and the nurse provides
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information to the woman about the purpose of the medication. The nurse determines that the woman
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understands the purpose of the medication if the woman states that it will protect her next baby from which
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of the following?
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A. developing physiological jaundice
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B. Having Rh positive blood
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C. Developing a rubella infection
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D. Being affected by Rh incompatibility - CORRECT ANSWER✔✔D
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A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which of the
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following is noted on the external monitor tracing during a contraction?
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A. early decelerations
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B. variable decelerations
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C. late decelerations
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D. tachycardia - CORRECT ANSWER✔✔B
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The viral STI that affects most people in the United States today is:
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A. herpes simplex virus type 2
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B. human papillomavirus
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C. Human immunodeficiency virus
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D. cytomegalovirus - CORRECT ANSWER✔✔B
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, The patient was three months pregnant and had a pregnancy loss. Because the client is Rh negative, the
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nurse must:
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A. make certain the client does not receive RhoGAM, since the gestation only lasted 12 weeks
v v v v v v v v v v v v v v v
B. Not give RhoGAM, since it is not used with the birth of a stillborn
v v v v v v v v v v v v v v
C. Make certain she receives RhoGAM on her first clinic visit
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D. Administer RhoGAM within 72 hours - CORRECT ANSWER✔✔D
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The nurse is working with a population ages 12-18 years, both male and female. In teaching this group about
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HPV select from the below topics that are true and should be included.
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1. females should get the HPV series of vaccines at ages 9-26 years of age
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2. males do not require the vaccine
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3. HPV is the leading cause of throat cancer
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4. HPV can cause cervical cancer
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5. HPV is normal flora in most humans
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6. HPV can be treated with pennicillin - CORRECT ANSWER✔✔1,3,4
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Complete Solutions A+Graded.
A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions.
v v v v v v v v v v v v v v v v v v v
Which assessment finding would indicate to the nurse that the infusion needs to be discontinued?
v v v v v v v v v v v v v v v
A. Three contractions occurring within a 10-minute period
v v v v v v v
B. A fetal heart rate of 90 beats per minute
v v v v v v v v v
C. Adequate resting tone of the uterus palpated between contractions
v v v v v v v v v
D. Increased urinary output - CORRECT ANSWER✔✔B
v v v v v v
A nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18.
v v v v v v v v v v v v v v v v v
The nurse should: Select one
v v v v v
,A. Tell the couple they need to have an abortion within 2 to 3 weeks
v v v v v v v v v v v v v v
B. Explain that the fetus has a 50% chance of having the disorder
v v v v v v v v v v v v
C. Discuss options with the couple, including amniocentesis to determine whether the fetus is affected
v v v v v v v v v v v v v v
D. Refer the couple to a psychologist for emotional support - CORRECT ANSWER✔✔C
v v v v v v v v v v v v
A nurse is caring for a client in labor and is monitoring the fetal heart patterns. The nurse notes the presence
v v v v v v v v v v v v v v v v v v v v
of episodic accelerations on the electronic fetal monitor tracing. which of the following actions is most
v v v v v v v v v v v v v v v v
appropriate?
v
A. Take the mother's vital signs and tell the mother that bed rest is required to conserve oxygen
v v v v v v v v v v v v v v v v v
B. notify the physician or nurse midwife of the findings
v v v v v v v v v
C. Reposition the mother and check the monitor for changes in the fetal tracing
v v v v v v v v v v v v v
D. Document the findings and tell the mother that the monitor indicates fetal well-being - CORRECT
v v v v v v v v v v v v v v v
ANSWER✔✔D
v
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client
v v v v v v v v v v v v v v v
determines that the magnesium therapy is effective if:
v v v v v v v v
A. seizures do not occur
v v v v
B. weight loss
v v
,C. ankle clonus is noted
v v v v
D. the blood pressure decreases - CORRECT ANSWER✔✔A
v v v v v v v
RhoGAM is prescribed for a woman following delivery of a newborn infant and the nurse provides
v v v v v v v v v v v v v v v
information to the woman about the purpose of the medication. The nurse determines that the woman
v v v v v v v v v v v v v v v v
understands the purpose of the medication if the woman states that it will protect her next baby from which
v v v v v v v v v v v v v v v v v v v
of the following?
v v v
A. developing physiological jaundice
v v v
B. Having Rh positive blood
v v v v
C. Developing a rubella infection
v v v v
D. Being affected by Rh incompatibility - CORRECT ANSWER✔✔D
v v v v v v v v
A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which of the
v v v v v v v v v v v v v v v v v
following is noted on the external monitor tracing during a contraction?
v v v v v v v v v v v
A. early decelerations
v v
B. variable decelerations
v v
C. late decelerations
v v
D. tachycardia - CORRECT ANSWER✔✔B
v v v v
The viral STI that affects most people in the United States today is:
v v v v v v v v v v v v
A. herpes simplex virus type 2
v v v v v
B. human papillomavirus
v v
C. Human immunodeficiency virus
v v v
D. cytomegalovirus - CORRECT ANSWER✔✔B
v v v v
, The patient was three months pregnant and had a pregnancy loss. Because the client is Rh negative, the
v v v v v v v v v v v v v v v v v
nurse must:
v v
A. make certain the client does not receive RhoGAM, since the gestation only lasted 12 weeks
v v v v v v v v v v v v v v v
B. Not give RhoGAM, since it is not used with the birth of a stillborn
v v v v v v v v v v v v v v
C. Make certain she receives RhoGAM on her first clinic visit
v v v v v v v v v v
D. Administer RhoGAM within 72 hours - CORRECT ANSWER✔✔D
v v v v v v v v
The nurse is working with a population ages 12-18 years, both male and female. In teaching this group about
v v v v v v v v v v v v v v v v v v
HPV select from the below topics that are true and should be included.
v v v v v v v v v v v v v
1. females should get the HPV series of vaccines at ages 9-26 years of age
v v v v v v v v v v v v v v
2. males do not require the vaccine
v v v v v v
3. HPV is the leading cause of throat cancer
v v v v v v v v
4. HPV can cause cervical cancer
v v v v v
5. HPV is normal flora in most humans
v v v v v v v
6. HPV can be treated with pennicillin - CORRECT ANSWER✔✔1,3,4
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