PRACTICE TEST II Maternal and Child intrauterine device would not be
Health recommended?
a. Woman over age 35
1. For the client who is using oral b. Nulliparous woman
contraceptives, the nurse informs c. Promiscuous young adult
the client about the need to take the d. Postpartum client
pill at the same time each day to
accomplish which of the following? 5. A client in her third trimester
a. Decrease the incidence of tells the nurse, “I’m constipated
nausea all the time!” Which of the
b. Maintain hormonal levels following should the nurse
c. Reduce side effects recommend?
d. Prevent drug interactions a. Daily enemas
b. Laxatives
2. When teaching a client about c. Increased fiber intake
contraception. Which of the d. Decreased fluid intake
following would the nurse include as
the most effective method for 6. Which of the following would the
preventing sexually transmitted nurse use as the basis for the
infections? teaching plan when caring for a
a. Spermicides pregnant teenager concerned about
b. Diaphragm gaining too much weight during
c. Condoms pregnancy?
d. Vasectomy a. 10 pounds per trimester
b. 1 pound per week for 40
3. When preparing a woman who is 2 weeks
days postpartum for discharge, c. ½ pound per week for 40
recommendations for which of the weeks
following contraceptive methods d. A total gain of 25 to 30
would be avoided? pounds
a. Diaphragm
b. Female condom
c. Oral contraceptives
d. Rhythm method
4. For which of the following clients
would the nurse expect that an
162
, 10. When developing a plan of care for a
7. The client tells the nurse that her last client newly diagnosed with
menstrual period started on January 14 gestational diabetes, which of the
and ended on January 20. Using following instructions would be the
Nagele’s rule, the nurse determines priority?
her EDD to be which of the following? a. Dietary intake
a. September 27 b. Medication
b. October 21 c. Exercise
c. November 7 d. Glucose monitoring
d. December 27
11. A client at 24 weeks gestation has
8. When taking an obstetrical history on a gained 6 pounds in 4 weeks. Which of
pregnant client who states, “I had a son the following would be the priority
born at 38 weeks gestation, a daughter when assessing the client?
born at 30 weeks gestation and I lost a a. Glucosuria
baby at about 8 weeks,” the nurse b. Depression
should record her obstetrical history as c. Hand/face edema
which of the following? d. Dietary intake
a. G2 T2 P0 A0 L2
b. G3 T1 P1 A0 L2 12.A client 12 weeks’ pregnant
c. G3 T2 P0 A0 L2 come to the
d. G4 T1 P1 A1 L2 emergency department with
abdominal
9. When preparing to listen to the fetal
heart rate at 12 weeks’ gestation, the
nurse would use which of the
following?
a. Stethoscope placed midline
at the umbilicus
b. Doppler placed midline
at the suprapubic region
c. Fetoscope placed midway
between the umbilicus and the
xiphoid process
d. External electronic fetal monitor
placed at the umbilicus
,
, 163
cramping and moderate vaginal nursing brassiere
bleeding. Speculum examination d. Use soap and water to clean the
reveals 2 to 3 cms cervical dilation. nipples
The nurse would document these
findings as which of the following? 16. The nurse assesses the vital signs of a
a. Threatened abortion client, 4 hours’ postpartum that are as
b. Imminent abortion follows: BP 90/60; temperature
c. Complete abortion 100.4ºF; pulse 100 weak, thready; R 20
d. Missed abortion per minute. Which of the following
should the nurse do first?
13. Which of the following would be a. Report the temperature to the
the priority nursing diagnosis for a physician
client with an ectopic pregnancy? b. Recheck the blood
a. Risk for infection pressure with another cuff
b. Pain c. Assess the uterus for
c. Knowledge Deficit firmness and position
d. Anticipatory Grieving d. Determine the amount of lochia
14. Before assessing the postpartum 17. The nurse assesses the postpartum
client’s uterus for firmness and vaginal discharge (lochia) on four
position in relation to the umbilicus clients. Which of the following
and midline, which of the following assessments would warrant
should the nurse do first? notification of the physician?
a. Assess the vital signs
b. Administer analgesia
c. Ambulate her in the hall
d. Assist her to urinate
15. Which of the following should the
nurse do when a primipara who is
lactating tells the nurse that she has
sore nipples?
a. Tell her to breast feed more
frequently
b. Administer a narcotic
before breast feeding
c. Encourage her to wear a
Health recommended?
a. Woman over age 35
1. For the client who is using oral b. Nulliparous woman
contraceptives, the nurse informs c. Promiscuous young adult
the client about the need to take the d. Postpartum client
pill at the same time each day to
accomplish which of the following? 5. A client in her third trimester
a. Decrease the incidence of tells the nurse, “I’m constipated
nausea all the time!” Which of the
b. Maintain hormonal levels following should the nurse
c. Reduce side effects recommend?
d. Prevent drug interactions a. Daily enemas
b. Laxatives
2. When teaching a client about c. Increased fiber intake
contraception. Which of the d. Decreased fluid intake
following would the nurse include as
the most effective method for 6. Which of the following would the
preventing sexually transmitted nurse use as the basis for the
infections? teaching plan when caring for a
a. Spermicides pregnant teenager concerned about
b. Diaphragm gaining too much weight during
c. Condoms pregnancy?
d. Vasectomy a. 10 pounds per trimester
b. 1 pound per week for 40
3. When preparing a woman who is 2 weeks
days postpartum for discharge, c. ½ pound per week for 40
recommendations for which of the weeks
following contraceptive methods d. A total gain of 25 to 30
would be avoided? pounds
a. Diaphragm
b. Female condom
c. Oral contraceptives
d. Rhythm method
4. For which of the following clients
would the nurse expect that an
162
, 10. When developing a plan of care for a
7. The client tells the nurse that her last client newly diagnosed with
menstrual period started on January 14 gestational diabetes, which of the
and ended on January 20. Using following instructions would be the
Nagele’s rule, the nurse determines priority?
her EDD to be which of the following? a. Dietary intake
a. September 27 b. Medication
b. October 21 c. Exercise
c. November 7 d. Glucose monitoring
d. December 27
11. A client at 24 weeks gestation has
8. When taking an obstetrical history on a gained 6 pounds in 4 weeks. Which of
pregnant client who states, “I had a son the following would be the priority
born at 38 weeks gestation, a daughter when assessing the client?
born at 30 weeks gestation and I lost a a. Glucosuria
baby at about 8 weeks,” the nurse b. Depression
should record her obstetrical history as c. Hand/face edema
which of the following? d. Dietary intake
a. G2 T2 P0 A0 L2
b. G3 T1 P1 A0 L2 12.A client 12 weeks’ pregnant
c. G3 T2 P0 A0 L2 come to the
d. G4 T1 P1 A1 L2 emergency department with
abdominal
9. When preparing to listen to the fetal
heart rate at 12 weeks’ gestation, the
nurse would use which of the
following?
a. Stethoscope placed midline
at the umbilicus
b. Doppler placed midline
at the suprapubic region
c. Fetoscope placed midway
between the umbilicus and the
xiphoid process
d. External electronic fetal monitor
placed at the umbilicus
,
, 163
cramping and moderate vaginal nursing brassiere
bleeding. Speculum examination d. Use soap and water to clean the
reveals 2 to 3 cms cervical dilation. nipples
The nurse would document these
findings as which of the following? 16. The nurse assesses the vital signs of a
a. Threatened abortion client, 4 hours’ postpartum that are as
b. Imminent abortion follows: BP 90/60; temperature
c. Complete abortion 100.4ºF; pulse 100 weak, thready; R 20
d. Missed abortion per minute. Which of the following
should the nurse do first?
13. Which of the following would be a. Report the temperature to the
the priority nursing diagnosis for a physician
client with an ectopic pregnancy? b. Recheck the blood
a. Risk for infection pressure with another cuff
b. Pain c. Assess the uterus for
c. Knowledge Deficit firmness and position
d. Anticipatory Grieving d. Determine the amount of lochia
14. Before assessing the postpartum 17. The nurse assesses the postpartum
client’s uterus for firmness and vaginal discharge (lochia) on four
position in relation to the umbilicus clients. Which of the following
and midline, which of the following assessments would warrant
should the nurse do first? notification of the physician?
a. Assess the vital signs
b. Administer analgesia
c. Ambulate her in the hall
d. Assist her to urinate
15. Which of the following should the
nurse do when a primipara who is
lactating tells the nurse that she has
sore nipples?
a. Tell her to breast feed more
frequently
b. Administer a narcotic
before breast feeding
c. Encourage her to wear a
