lOMoAR cPSD| 17222949
Nr 327 final exam QUESTIONS WITH 100
% COMPLETE SOLUTIONS
A |nurse |is |caring |for |a |client |admitted |for |induction |of |labor |due |to |intrauterine |fetal
|demise |at |32 |weeks. | |What |statement |by |the |nurse |would |be |most |therapeutic |at |this
|time?
a. After |you |recover |you |can |hopefully |conceive |again |and |start |your |family.
b. My |sister |lost |a |baby |too, |I |know |how |you |feel |and |I’m |here |to |help.
c. If |you |want |to |talk |about |how |you’re |feeling, |I |can |call |a |chaplain.
d. Would |you |like |to |hold |your |baby |after |he |is |born?
2) A |G1P0 |is |8 |weeks |gestation, |and |the |provider |does |not |detect |a |fetal |heartbeat |on
|the |ultrasound. | |What |assessment |data |must |be |collected |in |order |to |ensure |the
|safety |of |future |pregnancies?
a. Chromosomal |studies |of |the |placental |tissue.
b. The |fetus’ |blood |type.
c. Maternal |while |blood |cell |count.
d. Maternal |Rh |status.
3) Following |a |cerclage |at |14 |weeks, |the |nurse |counsels |the |client |to |report |any
|cramping |or |contractions. |What |is |the |rational |for |these |instructions?
a. The |client |is |at |risk |for |bleeding |if |she |contracts |with |cerclage |in |place
b. Contractions |can |indicate |that |cerclage |procedure |was |unsuccessful
c. Fetus’ |lungs |are |not |yet |developed, |so |preterm |birth |would |be |dangerous
d. Labor |is |contraindicated |due |to |the |scar |on |the |uterus |
4) A |client |is |10 |weeks |and |arrives |at |her |first |prenatal |visit. | |An |ultrasound |reveals
|implantation |in |the |right |fallopian |tube. | |What |important |education |should |the |patient
|receive?
a. The |client |should |return |in |two |weeks |to |see |if |the |pregnancy |has |migrated |into
|the |uterus.
b. The |client |needs |to |take |Methotrexate |and |stop |her |prenatal |vitamins. | |
c. The |client |should |be |rushed |to |emergency |surgery |for |the |removal |of |her
|pregnancy.
d. The |pregnancy |could |end |in |miscarriage |so |the |nurse |should |recommend |grief
|counseling.
, lOMoAR cPSD| 17222949
*Methotrexate |will |stop |cell |replication |so |the |body |will |detect |not |further |growth |and |will
|then |release |it |and |it |will |be |expelled
5) The |nurse |is |caring |for |a |G1P0 |who |experienced |a |miscarriage |at |home. | |Which
|statement |is |true |about |her |future |pregnancies?
a. She |has |increased |risk |of |future |miscarriages.
b. She |is |a |candidate |for |a |Cerclage |procedure.
c. She |should |avoid |pregnancy |for |at |least |one |year.
d. It |is |most |likely |that |her |next |pregnancy |will |be |healthy. |
*She |would |only |be |a |greater |risk |of |miscarriages |if |it |was |greater |than |3 |miscarriages. |
|The |Cerclage |procedure |is |for |an |incompetent |cervix |where |it |is |stitched |closed. | |Avoid
|pregnancy |for |a |year |for |a |molar |pregnancy.
6) A |nurse |is |caring |for |a |client |on |magnesium |sulfate |for |preeclampsia. |Which |finding
|would |indicate |that |the |magnesium |level |is |below |therapeutic |range? |
a. minimal |variability
b. deep |tendon |reflexes |+3
c. shallow |respirations
d. arrhythmias
7) The |nurse |is |assisting |with |amniotomy. |The |nurse |immediately |notes |the |color |of
|amniotic |fluid |is |port |wine. |What |condition |does |this |finding |indicate?
a. Incomplete |abortion
b. Placenta |previa
c. Uterine |rupture
d. Placental |abruption |
8) Which |of |the |following |clients |would |be |at |risk |for |developing |s |placenta |previa? |
a. G2P1 |with |a |history |of |gestational |diabetes
b. G1P0 |Native |American |with |chronic |hypertension
c. G3P1 |with |a |placental |abruption |in |her |first |pregnancy |
d. G3P2 |with |a |history |of |2 |C-sections
C-sections |can |leave |scarring |on |fundus, |and |the |implantation |will |happen |in |the |lower
|uterus. |
9) A |34-week |client |with |a |placenta |previa |arrives |for |the |office |visit. |What |action |by |the
|nurse |shows |understanding |of |this |condition?
a. Educate |the |client |about |c-section |as |the |vaginal |birth |is |contraindicated
b. Educate |the |client |that |her |previa |will |likely |resolve |before |the |delivery
c. Send |the |patient |to |the |OB |triage |for |the |nonstress |test |NST
d. Administer |terbutaline |to |prevent |contractions |
Nr 327 final exam QUESTIONS WITH 100
% COMPLETE SOLUTIONS
A |nurse |is |caring |for |a |client |admitted |for |induction |of |labor |due |to |intrauterine |fetal
|demise |at |32 |weeks. | |What |statement |by |the |nurse |would |be |most |therapeutic |at |this
|time?
a. After |you |recover |you |can |hopefully |conceive |again |and |start |your |family.
b. My |sister |lost |a |baby |too, |I |know |how |you |feel |and |I’m |here |to |help.
c. If |you |want |to |talk |about |how |you’re |feeling, |I |can |call |a |chaplain.
d. Would |you |like |to |hold |your |baby |after |he |is |born?
2) A |G1P0 |is |8 |weeks |gestation, |and |the |provider |does |not |detect |a |fetal |heartbeat |on
|the |ultrasound. | |What |assessment |data |must |be |collected |in |order |to |ensure |the
|safety |of |future |pregnancies?
a. Chromosomal |studies |of |the |placental |tissue.
b. The |fetus’ |blood |type.
c. Maternal |while |blood |cell |count.
d. Maternal |Rh |status.
3) Following |a |cerclage |at |14 |weeks, |the |nurse |counsels |the |client |to |report |any
|cramping |or |contractions. |What |is |the |rational |for |these |instructions?
a. The |client |is |at |risk |for |bleeding |if |she |contracts |with |cerclage |in |place
b. Contractions |can |indicate |that |cerclage |procedure |was |unsuccessful
c. Fetus’ |lungs |are |not |yet |developed, |so |preterm |birth |would |be |dangerous
d. Labor |is |contraindicated |due |to |the |scar |on |the |uterus |
4) A |client |is |10 |weeks |and |arrives |at |her |first |prenatal |visit. | |An |ultrasound |reveals
|implantation |in |the |right |fallopian |tube. | |What |important |education |should |the |patient
|receive?
a. The |client |should |return |in |two |weeks |to |see |if |the |pregnancy |has |migrated |into
|the |uterus.
b. The |client |needs |to |take |Methotrexate |and |stop |her |prenatal |vitamins. | |
c. The |client |should |be |rushed |to |emergency |surgery |for |the |removal |of |her
|pregnancy.
d. The |pregnancy |could |end |in |miscarriage |so |the |nurse |should |recommend |grief
|counseling.
, lOMoAR cPSD| 17222949
*Methotrexate |will |stop |cell |replication |so |the |body |will |detect |not |further |growth |and |will
|then |release |it |and |it |will |be |expelled
5) The |nurse |is |caring |for |a |G1P0 |who |experienced |a |miscarriage |at |home. | |Which
|statement |is |true |about |her |future |pregnancies?
a. She |has |increased |risk |of |future |miscarriages.
b. She |is |a |candidate |for |a |Cerclage |procedure.
c. She |should |avoid |pregnancy |for |at |least |one |year.
d. It |is |most |likely |that |her |next |pregnancy |will |be |healthy. |
*She |would |only |be |a |greater |risk |of |miscarriages |if |it |was |greater |than |3 |miscarriages. |
|The |Cerclage |procedure |is |for |an |incompetent |cervix |where |it |is |stitched |closed. | |Avoid
|pregnancy |for |a |year |for |a |molar |pregnancy.
6) A |nurse |is |caring |for |a |client |on |magnesium |sulfate |for |preeclampsia. |Which |finding
|would |indicate |that |the |magnesium |level |is |below |therapeutic |range? |
a. minimal |variability
b. deep |tendon |reflexes |+3
c. shallow |respirations
d. arrhythmias
7) The |nurse |is |assisting |with |amniotomy. |The |nurse |immediately |notes |the |color |of
|amniotic |fluid |is |port |wine. |What |condition |does |this |finding |indicate?
a. Incomplete |abortion
b. Placenta |previa
c. Uterine |rupture
d. Placental |abruption |
8) Which |of |the |following |clients |would |be |at |risk |for |developing |s |placenta |previa? |
a. G2P1 |with |a |history |of |gestational |diabetes
b. G1P0 |Native |American |with |chronic |hypertension
c. G3P1 |with |a |placental |abruption |in |her |first |pregnancy |
d. G3P2 |with |a |history |of |2 |C-sections
C-sections |can |leave |scarring |on |fundus, |and |the |implantation |will |happen |in |the |lower
|uterus. |
9) A |34-week |client |with |a |placenta |previa |arrives |for |the |office |visit. |What |action |by |the
|nurse |shows |understanding |of |this |condition?
a. Educate |the |client |about |c-section |as |the |vaginal |birth |is |contraindicated
b. Educate |the |client |that |her |previa |will |likely |resolve |before |the |delivery
c. Send |the |patient |to |the |OB |triage |for |the |nonstress |test |NST
d. Administer |terbutaline |to |prevent |contractions |
