Name: Score:
66 Multiple choice questions
Term 1 of 66
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit.
Which of the following findings should the nurse report to the provider?
Minimal arm recoil
Weight gain of 2.2 kg (4.8 lb)
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks
Answer: Swelling of the face
A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
B. Varicose veins in the calves
Varicose veins are an expected finding in the second trimester. The increase in
hormones during pregnancy causes the relaxation of the smooth muscle of the vascular
system, leading to vessel dilation and vasocongestion. Additionally, the weight of the
enlarging uterus on the pelvic veins decreases the return of blood from the lower
extremities.
C. Nonpitting 1+ ankle edema
Nonpitting edema of the lower extremities is an expected finding in the third trimester.
Warm weather, sitting or standing for prolonged periods of time, and tight c
Begin FHR monitoring
,Term 2 of 66
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Answer: Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues
even when the uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct.
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
Increased afterbirth cramping is incorrect.
The use of oxytocin will increase, rather than decrease, afterbirth cramping.
Increased maternal temperature is incorrect.
The use of oxytocin will have no effect on maternal temperature.
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
Answer: Apply internal upward pressure to the presenting part using two gloved fingers.
A. Place a rolled towel beneath one of the client's hips.
The nurse should place a rolled towel under the client's left or right hip to alleviate some
of the pressure; however, evidence-based practice indicates that the nurse should take a
different action first.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
Using evidence-based practice, the first action the nurse should take is to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for
assistance, the nurse should relieve the compr
,A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts.
Answer: Apply cabbage leaves to the breasts.
A. Place warm, moist packs on the breasts.
The client can use cold compresses to decrease breast discomfort during lactation
suppression.
B. Apply cabbage leaves to the breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and
discomfort caused by breast engorgement.
C. Wear a loose-fitting bra.
A tight-fitting bra will provide support to the breasts during engorgement, which can
decrease pain.
D. Put green tea bags on the breasts.
Tea bags are used to relieve nipple soreness in breastfeeding clients.
Answer: Apply cabbage leaves to the breasts.
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
Answer: Platelets 50,000/mm3
A. Hct 39%
An Hct of 39% is within the expected reference range and does not indicate a
postpartum complication.
B. Serum albumin 4.5 g/dL
A serum albumin level of 4.5 g/dL is within the expected reference range. This finding is
consistent with mild preeclampsia and does not indicate a worsening of the condition.
C. WBC 9,000/mm3
A WBC of 9,000/mm3 is within the expected reference range and does not indicate a
postpartum complication.
, D. Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can
indicate disseminated intravascular coagulation. The nurse should report this result to
the provider.
Term 3 of 66
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the
development of preeclampsia
Hypertension
Pregestational Diabetes Mellitus
Premature Rupture Of Membranes
Singleton Pregnancy
Term 4 of 66
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan?
Remove all clothing form the newborn except the diaper
Wrap the newborn in multiple layers of blankets to keep warm
Place the newborn in a heated incubator without any light exposure
Feed the newborn only formula during the phototherapy session
Term 5 of 66
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-
stress test. Which of the following instructions should the nurse include?
"you should drink a large amount of water before the test."
"you should avoid any physical activity during the test."
"You should press the handheld button when you feel your baby move."
"you should schedule a follow-up appointment after the test."
66 Multiple choice questions
Term 1 of 66
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit.
Which of the following findings should the nurse report to the provider?
Minimal arm recoil
Weight gain of 2.2 kg (4.8 lb)
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks
Answer: Swelling of the face
A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
B. Varicose veins in the calves
Varicose veins are an expected finding in the second trimester. The increase in
hormones during pregnancy causes the relaxation of the smooth muscle of the vascular
system, leading to vessel dilation and vasocongestion. Additionally, the weight of the
enlarging uterus on the pelvic veins decreases the return of blood from the lower
extremities.
C. Nonpitting 1+ ankle edema
Nonpitting edema of the lower extremities is an expected finding in the third trimester.
Warm weather, sitting or standing for prolonged periods of time, and tight c
Begin FHR monitoring
,Term 2 of 66
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Answer: Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues
even when the uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct.
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
Increased afterbirth cramping is incorrect.
The use of oxytocin will increase, rather than decrease, afterbirth cramping.
Increased maternal temperature is incorrect.
The use of oxytocin will have no effect on maternal temperature.
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
Answer: Apply internal upward pressure to the presenting part using two gloved fingers.
A. Place a rolled towel beneath one of the client's hips.
The nurse should place a rolled towel under the client's left or right hip to alleviate some
of the pressure; however, evidence-based practice indicates that the nurse should take a
different action first.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
Using evidence-based practice, the first action the nurse should take is to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for
assistance, the nurse should relieve the compr
,A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts.
Answer: Apply cabbage leaves to the breasts.
A. Place warm, moist packs on the breasts.
The client can use cold compresses to decrease breast discomfort during lactation
suppression.
B. Apply cabbage leaves to the breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and
discomfort caused by breast engorgement.
C. Wear a loose-fitting bra.
A tight-fitting bra will provide support to the breasts during engorgement, which can
decrease pain.
D. Put green tea bags on the breasts.
Tea bags are used to relieve nipple soreness in breastfeeding clients.
Answer: Apply cabbage leaves to the breasts.
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
Answer: Platelets 50,000/mm3
A. Hct 39%
An Hct of 39% is within the expected reference range and does not indicate a
postpartum complication.
B. Serum albumin 4.5 g/dL
A serum albumin level of 4.5 g/dL is within the expected reference range. This finding is
consistent with mild preeclampsia and does not indicate a worsening of the condition.
C. WBC 9,000/mm3
A WBC of 9,000/mm3 is within the expected reference range and does not indicate a
postpartum complication.
, D. Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can
indicate disseminated intravascular coagulation. The nurse should report this result to
the provider.
Term 3 of 66
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the
development of preeclampsia
Hypertension
Pregestational Diabetes Mellitus
Premature Rupture Of Membranes
Singleton Pregnancy
Term 4 of 66
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan?
Remove all clothing form the newborn except the diaper
Wrap the newborn in multiple layers of blankets to keep warm
Place the newborn in a heated incubator without any light exposure
Feed the newborn only formula during the phototherapy session
Term 5 of 66
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-
stress test. Which of the following instructions should the nurse include?
"you should drink a large amount of water before the test."
"you should avoid any physical activity during the test."
"You should press the handheld button when you feel your baby move."
"you should schedule a follow-up appointment after the test."
