Nur 114 - Exam 1 Practice Questions with complete solution

Nur 114 - Exam 1 Practice Questions with complete solution 1. A 34-week gestation patient phones the health care providers office with concerns about feeling light headed. She states she is dizzy while lying down and states that she "feels like I could pass out." She also reports she has awakened in the middle of the night feeling this way. The nurse should a. Instruct the patient to see the HCP right away to have her blood pressure checked b. Discuss supine hypertension with the patient and encourage her to avoid lying flat on her back c. Reassure the patient that this is a normal finding for the pregnant patient d. Inform the patient to increase her fluid intake to two liters a day -Correct Answer-B 2. Signs of pre-eclampsia include hypertension, generalized edema, and __________. a. Blurred vision b. Proteinuria c. +2 reflexes d. Increased urinary output -Correct Answer-B 3. A patient is being admitted to the maternity unit because she is in early labor. The nurse would initially a. Assess maternal vital signs and fetal heartrate b. Measure fundal height to determine fetal size c. Perform a sterile vaginal exam to determine cervical dilation and effacement -Correct Answer-A 5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks with her fourth child. She states she had one elective abortion at 5 weeks, a daughter who was born at 40 weeks gestation, and a son who was born at 37 weeks gestation. What is this patients GTPAL total? a. 4-1-1-1-2 b. 3-1-1-1-2 c. 2-1-0-1-1 d. 4-2-1-0-2 -Correct Answer-A 6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the patient at 16 weeks gestation indicated that this pregnancy is at high-risk for having Down Syndrome. The patient is informed that she will require further diagnostic testing. For these findings, the MSAFP level was a. Decreased b. Increased -Correct Answer-A 8. The