NUR 230: final practice questions
a client asks about recurrence of herpes. which statement. Is the nurse true?
a: fever and flu-like symptoms precede a recurrent infection
b: little can be done to control for recurrence
c: transmission of the virus can only happen when lesions are open and draining
d: itching and tingling often occur before vesicles appear - ANS -d.
\a client at 18 weeks gestation has been diagnosed with gestational trophoblastic disease. In
addition to vaginal bleeding, what symptoms would the nurse expect to see?
a: severe unilateral pain
b: hyperemesis gravidarum
c: fetal heart tones via doppler
d: chronic hypertension - ANS -b.
\a client at 28 weeks gestation is admitted to the labor and birth unit. Which test might be used
first to assess the client's fetal well being?
a: chorionic villus sampling (CVS)
b: contraction stress test (CST)
c: biophysical profile (BPP)
d: amniocentesis - ANS -c.
\a client at 36 weeks gestation had a BPP completed with a score of 6/8. Which client statement
is correct about this procedure?
a: this test measures blood flow in the umbilical artery
b: all findings were normal for gestational age
c: I will need to have a non-stress test - ANS -c.
\a client in the first trimester of pregnancy tells the nurse, "I urinate frequently and am not able to
hold urine for very long." what information is relevant to impart to this client?
a: space out your fluid intake by drinking approximately 100 mL every 4 hours
b: alternate with heat and ice in the area over the bladder
c: educated the client on how this will resolve as the pregnancy progresses
d: educate the client on how to perform kegel exercises - ANS -d.
\a client is admitted to the labor and delivery unit with vaginal bleeding. to differentiate between
placenta previa and placental abruption, the nurse will assess?
a: abdominal pain
b: fetal heart rate pattern
c: pad counts
d: Hbg and Hct counts - ANS -a.
\a client is at 28 weeks gestation. approximately what level would the nurse expect the fundal
height to be located?
a: at the level of the umbilicus
b: at the level of the symphysis pubis
c: between 24-34 cm with a measuring tape
d: between 26-30 cm with a measuring tape - ANS -d.
, \a client presents to the physician's office with complaints of right-sided abdominal pain,
dizziness, and vaginal bleeding. A pelvic exam determines the client to be 10 weeks gestation
with abdominal tenderness. What diagnosis should the nurse suspect?
a: threatened abortion
b: appendicitis
c: cholelithiasis
d: ectopic pregnancy - ANS -d.
\a client reports that her last menstrual period was june 18, 2022. what is her estimated date of
birth (EDB) when using the naegele's rule?
a: april 25
b: march 18
c: april 18
d: march 25 - ANS -d.
\a client with a SVE of 6/80/-1 is in which stage and phase of labor?
a: 1st stage, latent phase
b: 1st stage, active phase
c: 2nd stage, latent phase
d: 2nd stage, active phase - ANS -b.
\a multigravida present to the labor and delivery triage area and states that she feels as though
she needs to push. what is the priority?
a: notify the healthcare provider
b: assess the client's vital signs
c: place the client on the external fetal monitor
d: perform a sterile vaginal exam - ANS -d.
\a newborn is diagnosed with dwarfism. the parents ask if this autosomal dominant condition
could occur again for future children.
a: for each pregnancy there is a 50% chance the child will have dwarfism
b: the dwarfism was probably caused by an infection during your pregnancy
c: there is a 25% chance that each future child could be a carrier of the defective gene
d: because you already have an affected child, there is a decreased chance for this to happen
again - ANS -a.
\a nurse evaluates the FHR tracing and notes the baseline at 115 with moderate variability,
contractions are every 2 minutes with recurrent decels that drop to the 90s after the acme of the
contraction and return to baseline 40 seconds after the end of the contractions. what is the
nursing priority?
a: decrease the oxytocin
b: administer oxygen via nasal cannula
c: discontinue the oxytocin
d: perform acoustic stimulation - ANS -c.
\a nurse is educating about the normal discomforts of pregnancy. which client should be triaged
first?
a: client at 34 weeks reprts cleat watery vaginal discharge and is wearing a pad to catch the
fluid
b: client at 30 weeks with darkened butterfly pigmentation noted on her face
a client asks about recurrence of herpes. which statement. Is the nurse true?
a: fever and flu-like symptoms precede a recurrent infection
b: little can be done to control for recurrence
c: transmission of the virus can only happen when lesions are open and draining
d: itching and tingling often occur before vesicles appear - ANS -d.
\a client at 18 weeks gestation has been diagnosed with gestational trophoblastic disease. In
addition to vaginal bleeding, what symptoms would the nurse expect to see?
a: severe unilateral pain
b: hyperemesis gravidarum
c: fetal heart tones via doppler
d: chronic hypertension - ANS -b.
\a client at 28 weeks gestation is admitted to the labor and birth unit. Which test might be used
first to assess the client's fetal well being?
a: chorionic villus sampling (CVS)
b: contraction stress test (CST)
c: biophysical profile (BPP)
d: amniocentesis - ANS -c.
\a client at 36 weeks gestation had a BPP completed with a score of 6/8. Which client statement
is correct about this procedure?
a: this test measures blood flow in the umbilical artery
b: all findings were normal for gestational age
c: I will need to have a non-stress test - ANS -c.
\a client in the first trimester of pregnancy tells the nurse, "I urinate frequently and am not able to
hold urine for very long." what information is relevant to impart to this client?
a: space out your fluid intake by drinking approximately 100 mL every 4 hours
b: alternate with heat and ice in the area over the bladder
c: educated the client on how this will resolve as the pregnancy progresses
d: educate the client on how to perform kegel exercises - ANS -d.
\a client is admitted to the labor and delivery unit with vaginal bleeding. to differentiate between
placenta previa and placental abruption, the nurse will assess?
a: abdominal pain
b: fetal heart rate pattern
c: pad counts
d: Hbg and Hct counts - ANS -a.
\a client is at 28 weeks gestation. approximately what level would the nurse expect the fundal
height to be located?
a: at the level of the umbilicus
b: at the level of the symphysis pubis
c: between 24-34 cm with a measuring tape
d: between 26-30 cm with a measuring tape - ANS -d.
, \a client presents to the physician's office with complaints of right-sided abdominal pain,
dizziness, and vaginal bleeding. A pelvic exam determines the client to be 10 weeks gestation
with abdominal tenderness. What diagnosis should the nurse suspect?
a: threatened abortion
b: appendicitis
c: cholelithiasis
d: ectopic pregnancy - ANS -d.
\a client reports that her last menstrual period was june 18, 2022. what is her estimated date of
birth (EDB) when using the naegele's rule?
a: april 25
b: march 18
c: april 18
d: march 25 - ANS -d.
\a client with a SVE of 6/80/-1 is in which stage and phase of labor?
a: 1st stage, latent phase
b: 1st stage, active phase
c: 2nd stage, latent phase
d: 2nd stage, active phase - ANS -b.
\a multigravida present to the labor and delivery triage area and states that she feels as though
she needs to push. what is the priority?
a: notify the healthcare provider
b: assess the client's vital signs
c: place the client on the external fetal monitor
d: perform a sterile vaginal exam - ANS -d.
\a newborn is diagnosed with dwarfism. the parents ask if this autosomal dominant condition
could occur again for future children.
a: for each pregnancy there is a 50% chance the child will have dwarfism
b: the dwarfism was probably caused by an infection during your pregnancy
c: there is a 25% chance that each future child could be a carrier of the defective gene
d: because you already have an affected child, there is a decreased chance for this to happen
again - ANS -a.
\a nurse evaluates the FHR tracing and notes the baseline at 115 with moderate variability,
contractions are every 2 minutes with recurrent decels that drop to the 90s after the acme of the
contraction and return to baseline 40 seconds after the end of the contractions. what is the
nursing priority?
a: decrease the oxytocin
b: administer oxygen via nasal cannula
c: discontinue the oxytocin
d: perform acoustic stimulation - ANS -c.
\a nurse is educating about the normal discomforts of pregnancy. which client should be triaged
first?
a: client at 34 weeks reprts cleat watery vaginal discharge and is wearing a pad to catch the
fluid
b: client at 30 weeks with darkened butterfly pigmentation noted on her face
