NUR3500 Final Questions and
Answers All Verified.
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects?
- Answer 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? - Answer 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? - Answer Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? -
Answer 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? - Answer -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? -
Answer 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. - Answer -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? - Answer 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? -
Answer -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? - Answer 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? - Answer
Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of
the following statements is therapeutic response? - Answer 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? - Answer 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? - Answer Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following
statements should nurse include in teaching? - Answer 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? - Answer 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? - Answer Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? - Answer pelvic pain
Answers All Verified.
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects?
- Answer 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? - Answer 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? - Answer Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? -
Answer 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? - Answer -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? -
Answer 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. - Answer -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? - Answer 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? -
Answer -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? - Answer 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? - Answer
Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of
the following statements is therapeutic response? - Answer 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? - Answer 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? - Answer Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following
statements should nurse include in teaching? - Answer 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? - Answer 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? - Answer Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? - Answer pelvic pain
