(With Answers)
QUESTION 1
Anurse is caring for a dlient who has been admitted to the antepartum Click to highlight the findings that require follow-up. To deselect a
unit. finding, click on the finding again.
Exhibit 1 Exhibt2 Exhibit3
History
and Physical
el &
Day 1, 0900: Day 1, 0900:
30-year-old client at 33 weeks gestation, Gravida 4 Para 3
‘Admission: Maternal blood type: Rh+
Temperature 38.4° C(101.1°F) Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks
Heart rate 92/min
gestation.
Respiratory rate 18/min
Blood pressure 130/78 mm Hg
Nurses' Notes
Pre-pregnancy BMI 27.6 Day 1, 0900
Current BMI 29.9
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
FHR baseline 145, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab,
QUESTION 2
Anurse s caring fora client who has been admitted to the antepartum Click to highlight the findings that require follow-up. To deselect a
unit, finding, click on the finding again.
Exhibit 1 Exniig, Exhibit3
History
and Physical
History and Physical
Day 1,0900: Day 1, 0900
30-year-old client at 33 weeks gestation, Gravida 4 Para 3
30-year-old client at 33 weeks gestation, Gravida 4 Para 3 Maternal biood type: Rh+
Maternal blood type: Rh+ Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks
Last pregnancy resulted in a preterm spontaneous vaginal birth gestation.
at 30 weeks gestation.
NKA
Nurses’ Notes
Day 1, 0900:
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
FHR baseline 145, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab,
,QUESTION 3
Anurse s caring fora dlient who has been admitted to the antepartum Complete the fol owing sentence by using the list of options.
s cesttcteesiest et aastoarann
Bhbtl Bhbk2 b “The nurse should recognize the cinnt = swmsinncins
S preeclampsia ~ due’ Select..
Nurses' Notes BMI
Day 1,0900; &
blood pressure.
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration blood type
30 seconds.
FHR baseline 145, minimal variability.
r term birth
previous preterm
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab.
QUESTION 4
Anurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an
understanding of the teaching?
(© “After 5t0 10 minutes when the breast is emptied, my baby should be removed from the breast.*
© *Manually expressing my milk will decrease my milk supply.*
@ “My baby should always start on the same breast when feeding*
*The more my baby is at the breast sucking, the more milk will produce.”
QUESTION 5
Anurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the
teaching?
@ “The immunization for varicella should be given at least 1 month prior to delivery.*
“You can receive the rubella immunization during the third trimester of pregnancy.”
L]
© “The hepatitis 8 immunization should not be cbtained unti after you finsh breastfeeding."
“You can receive the immunization for influenza at any time during your pregnancy.”
, QUESTION 6
Anurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement
for 4 days. Which of the following medications should the nurse administer?
@ sisacodyl 10 mg rectal suppository
© Magnesium hydroxide 30 mL PO
© Famortidine 20 mg P
@ Loperamide 4 mg PO
QUESTION 7
Anurse s caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
Q@ spotting
O Nausea
© polyhycramnios
© Uterine tenderness
QUESTION 8
Anurse is preparing to assess fetal heart tones for a client whe at 12 weeks of gestation. Which of the following actions should the nurse take?
cesessecesensees
s eensebebses st e et ess s
© Place the client in a side-lying position prior to assessing the fetal heart rate.
© Measure the fundal height to determine the placement of the ultrasound stethoscope.
@ Fosition the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate.
@ Perform Leopold maneuvers prior to auscultating the fetal heart rate.
QUESTION 1
Anurse is caring for a dlient who has been admitted to the antepartum Click to highlight the findings that require follow-up. To deselect a
unit. finding, click on the finding again.
Exhibit 1 Exhibt2 Exhibit3
History
and Physical
el &
Day 1, 0900: Day 1, 0900:
30-year-old client at 33 weeks gestation, Gravida 4 Para 3
‘Admission: Maternal blood type: Rh+
Temperature 38.4° C(101.1°F) Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks
Heart rate 92/min
gestation.
Respiratory rate 18/min
Blood pressure 130/78 mm Hg
Nurses' Notes
Pre-pregnancy BMI 27.6 Day 1, 0900
Current BMI 29.9
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
FHR baseline 145, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab,
QUESTION 2
Anurse s caring fora client who has been admitted to the antepartum Click to highlight the findings that require follow-up. To deselect a
unit, finding, click on the finding again.
Exhibit 1 Exniig, Exhibit3
History
and Physical
History and Physical
Day 1,0900: Day 1, 0900
30-year-old client at 33 weeks gestation, Gravida 4 Para 3
30-year-old client at 33 weeks gestation, Gravida 4 Para 3 Maternal biood type: Rh+
Maternal blood type: Rh+ Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks
Last pregnancy resulted in a preterm spontaneous vaginal birth gestation.
at 30 weeks gestation.
NKA
Nurses’ Notes
Day 1, 0900:
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration 30 seconds.
FHR baseline 145, minimal variability.
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab,
,QUESTION 3
Anurse s caring fora dlient who has been admitted to the antepartum Complete the fol owing sentence by using the list of options.
s cesttcteesiest et aastoarann
Bhbtl Bhbk2 b “The nurse should recognize the cinnt = swmsinncins
S preeclampsia ~ due’ Select..
Nurses' Notes BMI
Day 1,0900; &
blood pressure.
Client reports lower back pain and pinkish vaginal discharge.
Uterine contractions every 8 minutes, palpate strong, duration blood type
30 seconds.
FHR baseline 145, minimal variability.
r term birth
previous preterm
Cervical exam indicates 2 cm, 50% effaced, 0 station.
Membranes intact.
CBC and urinalysis collected and sent to lab.
QUESTION 4
Anurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an
understanding of the teaching?
(© “After 5t0 10 minutes when the breast is emptied, my baby should be removed from the breast.*
© *Manually expressing my milk will decrease my milk supply.*
@ “My baby should always start on the same breast when feeding*
*The more my baby is at the breast sucking, the more milk will produce.”
QUESTION 5
Anurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the
teaching?
@ “The immunization for varicella should be given at least 1 month prior to delivery.*
“You can receive the rubella immunization during the third trimester of pregnancy.”
L]
© “The hepatitis 8 immunization should not be cbtained unti after you finsh breastfeeding."
“You can receive the immunization for influenza at any time during your pregnancy.”
, QUESTION 6
Anurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement
for 4 days. Which of the following medications should the nurse administer?
@ sisacodyl 10 mg rectal suppository
© Magnesium hydroxide 30 mL PO
© Famortidine 20 mg P
@ Loperamide 4 mg PO
QUESTION 7
Anurse s caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
Q@ spotting
O Nausea
© polyhycramnios
© Uterine tenderness
QUESTION 8
Anurse is preparing to assess fetal heart tones for a client whe at 12 weeks of gestation. Which of the following actions should the nurse take?
cesessecesensees
s eensebebses st e et ess s
© Place the client in a side-lying position prior to assessing the fetal heart rate.
© Measure the fundal height to determine the placement of the ultrasound stethoscope.
@ Fosition the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate.
@ Perform Leopold maneuvers prior to auscultating the fetal heart rate.
