NUR 4130 EXAM 1 STUDY GUIDE
1. During the first prenatal visit, an 8-weeks’ gestation client reports morning
sickness. To promote self-care, the nurse should suggest to the client that
the nausea can be relieved by – Eat small frequent meals
2. During the assessment of a 36-weeks pregnant client she reports feeling
faint and dizzy. Which nursing intervention is most appropriate? – Turn
client to left side and check blood pressure
3. A patient in her first trimester shares with the nurse that her husband is also
experiencing morning sickness. The nurse's best response should be to: -
Tell the client that is normal for spouses to experience similar symptoms…
(Couvade’s syndrome)
4. A pregnant woman comes to the emergency department reporting nasal
congestion and epistaxis. The woman asks, "What causes this to occur."
Which of the following explanations should the nurse give to the client? –
Estrogen increases blood flow to the airways thus increasing mucus
secretions and causing nose bleeds
5. A 32-week gestation client is at a local clinic for routine prenatal care.
Assessment findings reveal a blood pressure of 150/90 mm Hg and edema
of the face and hands. Which of these actions should the nurse take? –
Educate patient on preterm labor
6. A nurse is obtaining a history from a pregnant client during the first prenatal
visit. The client states that her last menstrual period occurred on April 11th.
The nurse correctly calculated the estimated date of birth (EDB) for this
client as – January 18
7. A nurse is obtaining a history from a pregnant client making her first
antepartum visit. The client has a 2-year-old daughter born at 40 weeks, a 5-
year-old son born at 38 weeks, and 7-year-old twin daughters born at 35
weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the
GTPAL format, the nurse identifies that the client is: - G5 T2 P1 A1 L4
8. A nurse is explaining to a client that a biophysical profile (BPP) test
measures the health of the baby during pregnancy. The nurse explains to the
, patient that the following are included in the BPP. (Select all that apply) –
Fetal tone, Fetal heartbeat, amniotic index
9. During her initial visit to the prenatal clinic a client states she has 5-year-
old triplets born at 36 weeks, a 2-year-old son born at 38 weeks. How
would the nurse record this client's obstetric history? – G3 T1 P1 A0 L4
10.A client expresses her ambivalence about her pregnancy to the nurse. The
nurse's best response should be to: - Some women experience
ambivalence in their first trimester of pregnancy (normal)
11.A pregnant client in her third trimester has been taking iron supplements
during her pregnancy. Her hemoglobin is 10.5 g/dL; her leukocyte count is
10,000/mm3. The nurse interprets these findings as the: - Hemoglobin is
low and leukocyte is normal
12.A 15-week gestation adolescent is at a local clinical for prenatal screening.
The priority assessment for a pregnant, unmarried teenager should be to
closely monitor for: - gestational hypertension
13.An 8-week gestation adolescent informs the nurse that she is pregnant. The
nurse's initial responsibility in teaching the pregnant adolescent client is to:
- express the importance of prenatal visits/monitoring throughout the
pregnancy
14.A pregnant client in her third trimester asks why she has had problems with
vaginal yeast (C. albicans) infections while pregnant. How does the nurse
best explain this? – alkaline to acidic environment (pH 7 – 3.5)
15.A client has blood drawn for a rubella antibody screen at her first prenatal
visit. The results are negative, indicating that she is susceptible to
contracting the virus. In discussing this with the client, the nurse should: -
You will be vaccinated after you give birth
16.A client seeking care at a local clinic reports amenorrhea, nausea, urinary
frequency, and breast tenderness. The nurse is aware that these are –
Presumptive signs of pregnancy
17.Which of the following terms is appropriate for a client whose obstetric
history includes a current pregnancy and one elective abortion at 10 weeks?
– Multigravida
,18.The nurse caring for a woman hospitalized for hyperemesis gravidarum
would expect that initial treatment would involve: - Fluid and electrolyte
replacement
19.When the mother of a fetus experiences lightening, the nurse should expect
her to demonstrate which of the following behaviors? – Recognizes fetus
as an individual
20.A patient comes to the clinic and tells the nurse that her period is 8 weeks
late, but she has a negative home pregnancy test. The nurse tells the patient
that the doctor will send her for diagnostic testing to assess for positive
signs of pregnancy which include: (Select all that apply) – Fetal heart rate,
fetal soufflé, fetal movement felt by an examiner
21.A pregnant woman who is in the second trimester of pregnancy has a
biophysical profile score of 8. This assessment indicates – The score is
normal, and the pregnancy is going well
22.An antepartum nurse teaches clients to elevate their legs frequently because
pelvic and femoral vessel pressure caused by the enlarged uterus can lead
to: - venous hypotension, varicosities, hemorrhoids
23.A pregnant woman in her third trimester complains of nasal stuffiness and
occasional nosebleeds. On assessment the woman's chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic breathing.
Her diaphragm is elevated, and she has an increased subcostal angle. The
nurse should: - document the finding as normal
24.At the first antepartum visit a patient states that she feels the baby move
regularly. The nurse knows that fetal movement is usually felt by: - 20
weeks
25.A client who is 10-weeks’ gestation came to the clinic for her second
prenatal visit. After reviewing the lab results, which of the following would
indicate a risk to the fetus for erythroblastosis? – fetal alpha-protein
26.A 32-week multipara presents to the clinic for a routine visit. Which of the
following if expressed by the client should require immediate follow-up by
the nurse? – vaginal bleeding
, 27.At the first prenatal visit the pregnant woman tells the nurse that she works
at a computer entering data. Considering the implications during pregnancy,
the nurse should recommend she – Walk around every few hours
28.A nurse is caring for a diabetic primigravida who understands that her
insulin needs will increase during pregnancy. Which of these statements, if
made by the client, indicates that the client has the correct understanding of
this fact? – Due to so many hormones produced by my cervix, insulin
production is decreased
29.A pregnant client is having an amniocentesis at 15 weeks' gestation. Which
of the following responses shows the client understands the risks of this
procedure: - I might go into labor early
30.A 26-week gestation client comes to the clinic for a routine prenatal visit.
When giving a history, the client reports severe headaches, blurred vision,
and epigastric pain. A nurse should recognize these symptoms as indicative
of - preeclampsia
31.A client in her second trimester will need further instruction if she tells the
nurse: - I will lay down after I eat to minimize heartburn
32.A nurse is assessing a 16-year-old primigravida client who is 32 weeks
pregnant. The client reports flank pain, dysuria, pelvic pressure, and
backache for the past 2 days. The nurse should further evaluate the client
for – preterm labor
33.A client at 20-weeks’ gestation is worried that she is not "big enough". The
nurse palpates and measures the fundal height at 20 cm. The nurse should
inform the client that: - the fundal height is at the level of the bellybutton
which is normal
34.A nurse admits a 34-week gestation multipara who has vaginal bleeding
with a duration of one hour. Following the physical exam, the nurse reports
dark red vaginal spotting. Which of the following assessments should be
most important? – Fetal heart rate
35.A nurse caring for 24 weeks gestation women who has gestation
hypertension which of the following blood pressure assessment findings
would indicate that the client risk for developing preeclampsia Baseline BP
100/70 Current BP 130/85
1. During the first prenatal visit, an 8-weeks’ gestation client reports morning
sickness. To promote self-care, the nurse should suggest to the client that
the nausea can be relieved by – Eat small frequent meals
2. During the assessment of a 36-weeks pregnant client she reports feeling
faint and dizzy. Which nursing intervention is most appropriate? – Turn
client to left side and check blood pressure
3. A patient in her first trimester shares with the nurse that her husband is also
experiencing morning sickness. The nurse's best response should be to: -
Tell the client that is normal for spouses to experience similar symptoms…
(Couvade’s syndrome)
4. A pregnant woman comes to the emergency department reporting nasal
congestion and epistaxis. The woman asks, "What causes this to occur."
Which of the following explanations should the nurse give to the client? –
Estrogen increases blood flow to the airways thus increasing mucus
secretions and causing nose bleeds
5. A 32-week gestation client is at a local clinic for routine prenatal care.
Assessment findings reveal a blood pressure of 150/90 mm Hg and edema
of the face and hands. Which of these actions should the nurse take? –
Educate patient on preterm labor
6. A nurse is obtaining a history from a pregnant client during the first prenatal
visit. The client states that her last menstrual period occurred on April 11th.
The nurse correctly calculated the estimated date of birth (EDB) for this
client as – January 18
7. A nurse is obtaining a history from a pregnant client making her first
antepartum visit. The client has a 2-year-old daughter born at 40 weeks, a 5-
year-old son born at 38 weeks, and 7-year-old twin daughters born at 35
weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the
GTPAL format, the nurse identifies that the client is: - G5 T2 P1 A1 L4
8. A nurse is explaining to a client that a biophysical profile (BPP) test
measures the health of the baby during pregnancy. The nurse explains to the
, patient that the following are included in the BPP. (Select all that apply) –
Fetal tone, Fetal heartbeat, amniotic index
9. During her initial visit to the prenatal clinic a client states she has 5-year-
old triplets born at 36 weeks, a 2-year-old son born at 38 weeks. How
would the nurse record this client's obstetric history? – G3 T1 P1 A0 L4
10.A client expresses her ambivalence about her pregnancy to the nurse. The
nurse's best response should be to: - Some women experience
ambivalence in their first trimester of pregnancy (normal)
11.A pregnant client in her third trimester has been taking iron supplements
during her pregnancy. Her hemoglobin is 10.5 g/dL; her leukocyte count is
10,000/mm3. The nurse interprets these findings as the: - Hemoglobin is
low and leukocyte is normal
12.A 15-week gestation adolescent is at a local clinical for prenatal screening.
The priority assessment for a pregnant, unmarried teenager should be to
closely monitor for: - gestational hypertension
13.An 8-week gestation adolescent informs the nurse that she is pregnant. The
nurse's initial responsibility in teaching the pregnant adolescent client is to:
- express the importance of prenatal visits/monitoring throughout the
pregnancy
14.A pregnant client in her third trimester asks why she has had problems with
vaginal yeast (C. albicans) infections while pregnant. How does the nurse
best explain this? – alkaline to acidic environment (pH 7 – 3.5)
15.A client has blood drawn for a rubella antibody screen at her first prenatal
visit. The results are negative, indicating that she is susceptible to
contracting the virus. In discussing this with the client, the nurse should: -
You will be vaccinated after you give birth
16.A client seeking care at a local clinic reports amenorrhea, nausea, urinary
frequency, and breast tenderness. The nurse is aware that these are –
Presumptive signs of pregnancy
17.Which of the following terms is appropriate for a client whose obstetric
history includes a current pregnancy and one elective abortion at 10 weeks?
– Multigravida
,18.The nurse caring for a woman hospitalized for hyperemesis gravidarum
would expect that initial treatment would involve: - Fluid and electrolyte
replacement
19.When the mother of a fetus experiences lightening, the nurse should expect
her to demonstrate which of the following behaviors? – Recognizes fetus
as an individual
20.A patient comes to the clinic and tells the nurse that her period is 8 weeks
late, but she has a negative home pregnancy test. The nurse tells the patient
that the doctor will send her for diagnostic testing to assess for positive
signs of pregnancy which include: (Select all that apply) – Fetal heart rate,
fetal soufflé, fetal movement felt by an examiner
21.A pregnant woman who is in the second trimester of pregnancy has a
biophysical profile score of 8. This assessment indicates – The score is
normal, and the pregnancy is going well
22.An antepartum nurse teaches clients to elevate their legs frequently because
pelvic and femoral vessel pressure caused by the enlarged uterus can lead
to: - venous hypotension, varicosities, hemorrhoids
23.A pregnant woman in her third trimester complains of nasal stuffiness and
occasional nosebleeds. On assessment the woman's chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic breathing.
Her diaphragm is elevated, and she has an increased subcostal angle. The
nurse should: - document the finding as normal
24.At the first antepartum visit a patient states that she feels the baby move
regularly. The nurse knows that fetal movement is usually felt by: - 20
weeks
25.A client who is 10-weeks’ gestation came to the clinic for her second
prenatal visit. After reviewing the lab results, which of the following would
indicate a risk to the fetus for erythroblastosis? – fetal alpha-protein
26.A 32-week multipara presents to the clinic for a routine visit. Which of the
following if expressed by the client should require immediate follow-up by
the nurse? – vaginal bleeding
, 27.At the first prenatal visit the pregnant woman tells the nurse that she works
at a computer entering data. Considering the implications during pregnancy,
the nurse should recommend she – Walk around every few hours
28.A nurse is caring for a diabetic primigravida who understands that her
insulin needs will increase during pregnancy. Which of these statements, if
made by the client, indicates that the client has the correct understanding of
this fact? – Due to so many hormones produced by my cervix, insulin
production is decreased
29.A pregnant client is having an amniocentesis at 15 weeks' gestation. Which
of the following responses shows the client understands the risks of this
procedure: - I might go into labor early
30.A 26-week gestation client comes to the clinic for a routine prenatal visit.
When giving a history, the client reports severe headaches, blurred vision,
and epigastric pain. A nurse should recognize these symptoms as indicative
of - preeclampsia
31.A client in her second trimester will need further instruction if she tells the
nurse: - I will lay down after I eat to minimize heartburn
32.A nurse is assessing a 16-year-old primigravida client who is 32 weeks
pregnant. The client reports flank pain, dysuria, pelvic pressure, and
backache for the past 2 days. The nurse should further evaluate the client
for – preterm labor
33.A client at 20-weeks’ gestation is worried that she is not "big enough". The
nurse palpates and measures the fundal height at 20 cm. The nurse should
inform the client that: - the fundal height is at the level of the bellybutton
which is normal
34.A nurse admits a 34-week gestation multipara who has vaginal bleeding
with a duration of one hour. Following the physical exam, the nurse reports
dark red vaginal spotting. Which of the following assessments should be
most important? – Fetal heart rate
35.A nurse caring for 24 weeks gestation women who has gestation
hypertension which of the following blood pressure assessment findings
would indicate that the client risk for developing preeclampsia Baseline BP
100/70 Current BP 130/85
