NUR 3500 Final || 100% Error-free Answers.
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects?
correct answers Tachycardia (look for increased HR) (normally used bronchodilator causing
tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they
should be following to take basal temp? correct answers morning before getting up (have
thermometer at bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would
you expect her fundus to be at? correct answers Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? correct
answers Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history,
surg history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR
120, RR 50, skin warm and dry, color consistent, mild amount of lanugo present, head
circumference 34 cm, sutures, anterior fontanel flat and soft, pupils equal reactive to light, no
retractions, umbilical cord clamped, no herniations, sac noted on lumbar area, reflexes intact,
meconium stool noted. What is the diagnosis? What are the actions to take? What parameters
should be monitored? correct answers -Diagnosis: meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? correct
answers Epigastric pain and unresolved headache
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into
labor, -1 station, client reports needs to have bowel movement, sterile vaginal exam, 10cm,
100% effaced, FHR 130, variable decels, provider notified, 3:03 and fetal head crowning with
provider there. What condition and 2 actions and 2 monitors. correct answers -Diagnosis:
Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt
needs further teaching? correct answers She thinks she has to lie flat on her back during the test
(needs to be in semi fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching?
correct answers -Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
, Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82,
RR16, HR 81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain
last 2 weeks, headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+,
Fetal heart tones 148. What to report? correct answers Report BP, visual disturbances, 6 lb
weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec.
Which of the following interpretations of finding would the nurse make? correct answers
Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? correct answers This occurs because newborns
lack muscle control to regulate eye movement (last 3-6 months)
First trimester pregnancy and asked if she can continue to exercise during pregnancy. What
would be your response? correct answers Daily light jogging up to 30 min is fine throughout
pregnancy
Interviewing client who has possible endometriosis. What in the history would be consistent with
this diagnosis? correct answers Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following
statements should nurse include in teaching? correct answers Female condoms can help prevent
sexually transmitted viruses
Have 35 year old with fibrocystic disease of breast. At which of the following times should nurse
inform client manifestations are most present? correct answers Before menstruation (painful
breasts, smooth lumps); reducing caffeine and salt may help for benign fibrocystic disease
Caring for middle adult female client reports menstrual periods irregular and having hot flashes.
What should you expect to have for early menopause? correct answers Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? correct answers pelvic pain
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and
lightheaded, oxygen nonrebreather mask 10mL. What actions should she do? correct answers
Fundal massage to promote contractions
Reviewing contraceptive options for poor clients. Nurse should identify which client has
contraindications for receiving oral contraceptives? correct answers 38 year old smoking 6 packs
of cigarettes a day
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects?
correct answers Tachycardia (look for increased HR) (normally used bronchodilator causing
tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they
should be following to take basal temp? correct answers morning before getting up (have
thermometer at bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would
you expect her fundus to be at? correct answers Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? correct
answers Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history,
surg history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR
120, RR 50, skin warm and dry, color consistent, mild amount of lanugo present, head
circumference 34 cm, sutures, anterior fontanel flat and soft, pupils equal reactive to light, no
retractions, umbilical cord clamped, no herniations, sac noted on lumbar area, reflexes intact,
meconium stool noted. What is the diagnosis? What are the actions to take? What parameters
should be monitored? correct answers -Diagnosis: meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? correct
answers Epigastric pain and unresolved headache
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into
labor, -1 station, client reports needs to have bowel movement, sterile vaginal exam, 10cm,
100% effaced, FHR 130, variable decels, provider notified, 3:03 and fetal head crowning with
provider there. What condition and 2 actions and 2 monitors. correct answers -Diagnosis:
Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt
needs further teaching? correct answers She thinks she has to lie flat on her back during the test
(needs to be in semi fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching?
correct answers -Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
, Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82,
RR16, HR 81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain
last 2 weeks, headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+,
Fetal heart tones 148. What to report? correct answers Report BP, visual disturbances, 6 lb
weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec.
Which of the following interpretations of finding would the nurse make? correct answers
Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? correct answers This occurs because newborns
lack muscle control to regulate eye movement (last 3-6 months)
First trimester pregnancy and asked if she can continue to exercise during pregnancy. What
would be your response? correct answers Daily light jogging up to 30 min is fine throughout
pregnancy
Interviewing client who has possible endometriosis. What in the history would be consistent with
this diagnosis? correct answers Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following
statements should nurse include in teaching? correct answers Female condoms can help prevent
sexually transmitted viruses
Have 35 year old with fibrocystic disease of breast. At which of the following times should nurse
inform client manifestations are most present? correct answers Before menstruation (painful
breasts, smooth lumps); reducing caffeine and salt may help for benign fibrocystic disease
Caring for middle adult female client reports menstrual periods irregular and having hot flashes.
What should you expect to have for early menopause? correct answers Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? correct answers pelvic pain
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and
lightheaded, oxygen nonrebreather mask 10mL. What actions should she do? correct answers
Fundal massage to promote contractions
Reviewing contraceptive options for poor clients. Nurse should identify which client has
contraindications for receiving oral contraceptives? correct answers 38 year old smoking 6 packs
of cigarettes a day
