Nur 114 - Exam 1 Practice Questions And Detailed Verified Correct Answers

B - correct answers 1. A 34-week gestation patient phones the health care providers office with concerns about feeling light headed. She states she is dizzy while lying down and states that she "feels like I could pass out." She also reports she has awakened in the middle of the night feeling this way. The nurse should a. Instruct the patient to see the HCP right away to have her blood pressure checked b. Discuss supine hypertension with the patient and encourage her to avoid lying flat on her back c. Reassure the patient that this is a normal finding for the pregnant patient d. Inform the patient to increase her fluid intake to two liters a day B - correct answers 2. Signs of pre-eclampsia include hypertension, generalized edema, and __________. a. Blurred vision b. Proteinuria c. +2 reflexes d. Increased urinary output A - correct answers 3. A patient is being admitted to the maternity unit because she is in early labor. The nurse would initially a. Assess maternal vital signs and fetal heartrate b. Measure fundal height to determine fetal size c. Perform a sterile vaginal exam to determine cervical dilation and effacement A - correct answers 5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks with her fourth child. She states she had one elective abortion at 5 weeks, a daughter who was born at 40 weeks gestation, and a son who was born at 37 weeks gestation. What is this patients GTPAL total? a. 4-1-1-1-2 b. 3-1-1-1-2 c. 2-1-0-1-1 d. 4-2-1-0-2 A - correct answers 6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the patient at 16 weeks gestation indicated that this pregnancy is at high-risk for having Down Syndrome. The patient is informed that she will require further diagnostic testing. For these findings, the MSAFP level was a. Decreased b. Increased C - correct answers 8. The pregnant patient's lab values obtained on the first prenatal visit has indicated that the rubella titer is negative. The nurse should a. Offer the patient the rubella vaccine at the next prenatal visit b. Inform the patient of the dangers of not receiving the rubella vaccine prior to delivery c. Prepare the patient to receive the vaccine within 72 hours from the birth of her child d. Explain to the patient that a negative titer indicated that she is immune to rubella at this time C - correct answers 9. The post-partum patient delivered five hours ago and has cool, clammy skin, and she is restless. The patient is excessively thirsty. The nurse's first action is to a. Obtain maternal vital signs b. Notify the healthcare provider c. Massage the fundus of uterus d. Calculate total urinary output since delivery B - correct answers 10. The patient arrives to the emergency department bleeding heavily. She reports being 32-weeks pregnant, heavy smoker, her vital signs are stable, fetal heart baseline is within the normal range, and she denies pain. Other assessment findings include the abdomen is soft and non-tender, fundal height appropriate for gestational age and there are no contractions. Upon inspection of the peri-pad you note it is moderately saturated with bright-red bleeding. This patient is experiencing a. Placental abruption b. Placenta previa c. Threatened abortion d. Inevitable abortion A - correct answers 11. The laboring patient is having strong contractions every one to two minutes that are lasting 60-70 seconds. She notifies the nurse she is having intense sensations of pressure on the perineal area. The nurse's priority action is to a. Perform sterile vaginal exam for cervical dilation, effacement, and station b. Notify the healthcare provider that the patient will be delivering soon c. Offer the patient a bed pan d. Reposition the patient B - correct answers 12. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency room with a chief complaint of "unilateral stabbing pain in her lower abdomen with dark red bleeding." Based on these assessment findings the nurse would suspect which pregnancy-related complications? a. Placenta Previa b. Ectopic pregnancy c. Preterm labor d. Cervical Insufficiency C - correct answers 13. A client at 4 months gestation comes for a prenatal visit. The client reports continued nausea and vomiting. The client also states she has noticed dark brown spotting. She has experienced no weight loss and has a fundal height larger than expected for the of her pregnancy. Based on this assessment data, which of the following complications should be suspected? a. Hyperemesis gravidarium b. Threatened abortion c. Hydatidiform mole d. Abruptio placentae C - correct answers 14. A client with hyperemesis gravidarum has been admitted to the facility. The nurse would expect that the initial treatment for this client would involve: a. Corticosteroids to advance fetal ling maturity b. Total parenteral nutrition to correct nutritional deficits c. IV therapy to correct fluid and electrolyte imbalances d. Administration of labetalol B - correct answers 15. A client with mild preeclampsia is admitted to the unit. She is complaining of a pounding headache, visual changes and epigastric pain. These findings most appropriately indicate: a. Anxiety due to the unknown b. Worsening condition and impending seizure c. Therapeutic effects of magnesium sulfate therapy d. Gallbladder disease A - correct answers 16. A contraction stress test has been ordered by the health care provider. Which of the following would be interpreted as a negative test result? a. No late deceleration noted after three contractions b. Pain reported at 5 out of 10 on a pain scale c. Duration of contraction 90 seconds or greater for three contractions d. Fetal activity noted three times in 20 minutes C - correct answers 17. A pregnant client with a 42 weeks' gestation has just completed a 20-minute nonstress test (NST). Which of the following results would the nurse interpret as a reactive test? a. Baseline remained unchanged between 110-120 bmp b. Maternal heart rate accelerations up to 120 bmp with fetal activity c. Two fetal heart rate accelerations of 15 bmp lasting at least 15 seconds d. Presence of fetal movement B - correct answers 18. A woman beginning pregnancy at a normal weight would have which weight gain recommendations? a. 35 to 40 pounds b. 25 to 35 pounds c. 28 to 40 pounds d. 15 to 25 pounds C - correct answers 19. A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity? a. G 3 P 0 b. G 4 P 1 c. G 3 P 1 d. G 3 P 2 A, C, D - correct answers 20. At 12 weeks gestation a pregnant client asks, "What's happening with my baby?" Which of the following would be included in your response? Select all that apply. a. External genitalia becomes distinguished to gender b. Eyebrows forming c. Urine is being produced and secreted d. Digestive system becoming active e. Lanugo present on head A, C, D - correct answers 21. Expected integumentary changes occurring during pregnancy include which of the following? Select all that apply. a. Melasma b. Nausea c. Linea nigra d. Striae gravidarum e. Ptyalism B - correct answers 22. Which of the following hormones are responsible for maintain the health of the released ovum and preparing the endometrium for implantation? a. Luteinizing hormone b. Progesterone c. Estrogen d. Follicle-stimulating hormone B - correct answers 23. Shortly after delivery, fetal circulation transitions to neutral circulation due to closure of the circulatory shunts and dilation of the pulmonary vessels. These changes occur due to which of the following action: a. Delivery of the placenta b. Cutting of the umbilical cord c. Suctioning of the nose and the mouth d. Placing the infant skin-to-skin