Name: Score:
54 Multiple choice questions
Term 1 of 54
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test for which of the following diagnostic test should the nurse prepare the client?
Non-stress test - this checks fetal heart rate patterns only.
Biophysical Profile (BPP) - This will help assess fetal well being.
Amniocentesis - this is used to determine genetic disorders.
Ultrasound for fetal growth - this assesses the size of the fetus only.
Term 2 of 54
A nurse is preparing to administer oxytocin to a client who is post partum which of the
following findings as an indication for the administration of the medication?
Flaccid Uterus - YES - Oxytocin increases contractions and is helpful in preventing PPH.
Cervical Laceration - NO - This will continue even with a contracted uterus. A surgical repair
will be needed.
Excessive vaginal bleeding - YES - Enhanced uterine contractions will decrease vaginal
bleeding.
Increased afterbirth cramping - NO - This will INCREASE cramping rather than decrease it.
Increased maternal temperature is incorrect - it has nothing to do w/ temps.
Depression
Flaccid Uterus
Excessive vaginal bleeding
Substernal retractions
Decreased platelet count
,Term 3 of 54
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which of the
following findings should the nurse report to the provider is a potential complication?
Increased fetal movement
Temperature
Swelling of the face
Leakage from the vagina
Term 4 of 54
Client reports a small amount of bright red blood in their underwear upon awakening. Client
denies contractions or abdominal pain.
External fetal monitor applied.
Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter.
Contraindicated
Assess Cervical Dilation - She's currently bleeding and not in the middle of labor,
unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve
ectopic pregnancies in the first trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's losing.
Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having
IV access is critical if we need to administer fluids.
maintain the client on bed rest
Have calcium gluconate readily available.
"I will have blood tests because my potassium might decrease." - Adverse effects of
terbutaline are hypokalemia + hypotension + hyperglycemia. Given every 4 hr SC but not
longer than 24 hr.
,Term 5 of 54
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined
the fetal position as left occipital anterior. To which of the following areas of the client's
abdomen should the nurse apply the ultrasound transducer to assess the point of maximum
intensity of the fetal heart?
Right Upper Quadrant
Right Lower Quadrant
Left Lower Quadrant
Monitor The Fhr
Term 6 of 54
A nurse is assessing a newborn following circumcision which of the following findings should
the nurse identify as an indication of the newborn is experiencing pain?
Chin quivering - Could also be grimacing, brow furrowing.
Oligohydramnios
Slowed respirations
Blurred vision
Chin quivering
, Term 7 of 54
A nurse is reviewing the medical record for a newly admitted client who is 32 weeks gestation.
Which of the following conditions is an indication for fetal heart rate monitoring?
Oligohydramnois - YES - Along with other things such as preeclampsia, IUG Restriction, Renal
disease, decreased fetal movement, previous fetal death, post-term pregnancy, SLE (Lupus),
intrahepatic cholestasis.
Hyperemesis Gravidarum - Nope.
Leukorrhea - White-ish discharge is common during pregnancy.
Periodic Tingling - Common occurrence during pregnancy.
Discordant Fetal Growth
Oligohydramnois
Obesity
Dichorionic Twinning
Term 8 of 54
A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth
because of mild respiratory distress which of the following actions should the nurse take
FIRST?
Confirm Apgar Score - NO - This is done at 1 min and again at 5 min - It should be confirmed
but FIRST...
Verify the newborns identification - YES - always verify the band!
Administer Vitamin K - This should be done ASAP but can be delayed, before doing anything
the Nurse should verify the baby they're working on.
Determine Obstetrical Risk Factors - Not FIRST, this is done after confirming baby's ID.
Verify the newborns identification
Determine obstetrical risk factors
Determine respiratory function
Cover the newborns eyes while under the photo therapy light
54 Multiple choice questions
Term 1 of 54
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test for which of the following diagnostic test should the nurse prepare the client?
Non-stress test - this checks fetal heart rate patterns only.
Biophysical Profile (BPP) - This will help assess fetal well being.
Amniocentesis - this is used to determine genetic disorders.
Ultrasound for fetal growth - this assesses the size of the fetus only.
Term 2 of 54
A nurse is preparing to administer oxytocin to a client who is post partum which of the
following findings as an indication for the administration of the medication?
Flaccid Uterus - YES - Oxytocin increases contractions and is helpful in preventing PPH.
Cervical Laceration - NO - This will continue even with a contracted uterus. A surgical repair
will be needed.
Excessive vaginal bleeding - YES - Enhanced uterine contractions will decrease vaginal
bleeding.
Increased afterbirth cramping - NO - This will INCREASE cramping rather than decrease it.
Increased maternal temperature is incorrect - it has nothing to do w/ temps.
Depression
Flaccid Uterus
Excessive vaginal bleeding
Substernal retractions
Decreased platelet count
,Term 3 of 54
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which of the
following findings should the nurse report to the provider is a potential complication?
Increased fetal movement
Temperature
Swelling of the face
Leakage from the vagina
Term 4 of 54
Client reports a small amount of bright red blood in their underwear upon awakening. Client
denies contractions or abdominal pain.
External fetal monitor applied.
Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter.
Contraindicated
Assess Cervical Dilation - She's currently bleeding and not in the middle of labor,
unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve
ectopic pregnancies in the first trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's losing.
Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having
IV access is critical if we need to administer fluids.
maintain the client on bed rest
Have calcium gluconate readily available.
"I will have blood tests because my potassium might decrease." - Adverse effects of
terbutaline are hypokalemia + hypotension + hyperglycemia. Given every 4 hr SC but not
longer than 24 hr.
,Term 5 of 54
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined
the fetal position as left occipital anterior. To which of the following areas of the client's
abdomen should the nurse apply the ultrasound transducer to assess the point of maximum
intensity of the fetal heart?
Right Upper Quadrant
Right Lower Quadrant
Left Lower Quadrant
Monitor The Fhr
Term 6 of 54
A nurse is assessing a newborn following circumcision which of the following findings should
the nurse identify as an indication of the newborn is experiencing pain?
Chin quivering - Could also be grimacing, brow furrowing.
Oligohydramnios
Slowed respirations
Blurred vision
Chin quivering
, Term 7 of 54
A nurse is reviewing the medical record for a newly admitted client who is 32 weeks gestation.
Which of the following conditions is an indication for fetal heart rate monitoring?
Oligohydramnois - YES - Along with other things such as preeclampsia, IUG Restriction, Renal
disease, decreased fetal movement, previous fetal death, post-term pregnancy, SLE (Lupus),
intrahepatic cholestasis.
Hyperemesis Gravidarum - Nope.
Leukorrhea - White-ish discharge is common during pregnancy.
Periodic Tingling - Common occurrence during pregnancy.
Discordant Fetal Growth
Oligohydramnois
Obesity
Dichorionic Twinning
Term 8 of 54
A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth
because of mild respiratory distress which of the following actions should the nurse take
FIRST?
Confirm Apgar Score - NO - This is done at 1 min and again at 5 min - It should be confirmed
but FIRST...
Verify the newborns identification - YES - always verify the band!
Administer Vitamin K - This should be done ASAP but can be delayed, before doing anything
the Nurse should verify the baby they're working on.
Determine Obstetrical Risk Factors - Not FIRST, this is done after confirming baby's ID.
Verify the newborns identification
Determine obstetrical risk factors
Determine respiratory function
Cover the newborns eyes while under the photo therapy light
