MCN 273 FINAL QUESTIONS AND
ANSWERS 100% CORRECT
The nurse understands that the endometrium is prepped for egg implantation by the
corpus luteum, which secretes:
A. Progesterone
B. Estrogen
C. Luteinizing hormone
D. Prolactin - ANSWER-A. Progesterone
Angie Young is a 32-year-old African-American female who is in excellent health. She
has been happily married to her husband Steve for 8 years, and they have two children,
Kelsey and Marcus
What is Angie's G/P (TPAL)? - ANSWER-G2P2002
What is the most fertile time for conception during a cycle? - ANSWER-Ovulation:
follicle releases ovum (egg) and have 24hr window after ovulation to conceive. typically
occurring on day 14 of menstrual cycle
What should one teach about at home pregnancy tests? - ANSWER-they are most
reliable 14 days after conception
it is important that nurses include a discussion about teratogens in their prenatal
discussions to help prevent deformities or abnormalities. Teratogens may include which
of the following? (Select all that apply.)
A. Multivitamin supplement
B. Certain medications
C. Alcohol
D. Infections - ANSWER-B. Certain medications
C. Alcohol
D. Infections
When discussing the various risks to the mother and infant, the nurse should include
that which of the following is the leading cause of cognitive impairment in the United
States?
A. Maternal drug addiction
B. Pregnancy category X medications
C. Fetal alcohol spectrum disorder
D. Genetic anomalies - ANSWER-C. Fetal alcohol spectrum disorder
Rachel is a healthy, happily married 38 year old, Hispanic woman. She and her
husband Angelo have been married for 3 years and have been attempting to conceive a
child ever since.
,Angie is seen for a 16 week ultrasound. What do you want to discuss with her prior
to/after the procedure? - ANSWER-Positioned in a left tilt/ semi fowlers position: to
increase perfusion
Talk through procedure and what to expect
No need for a full bladder in second trimester (as we did for the first)
Where would you place an EFM ultrasound to assess fetal heart tones for a baby in
LOA position? - ANSWER-LLQ of the abdominal wall
During the day, Angie begins contracting and calls her provider's office. She tells the
nurse she believes she is in labor.
What questions might the nurse ask to determine if Angie is in true labor? What prenatal
history should the nurse obtain during the call? - ANSWER-How long/ frequent she's
been contracting: do the contractions stop when you walk around?
BOW break? if so TACO questions
Is your baby moving?
How far along (GA)
Are you bleeding?
What number baby is this--Effects assessment finding (maybe shorter birth process)
Which of the following, if reported by Angie, might be a sign of labor onset?
A. Sudden loss of energy from epinephrine release
B. "Nagging" but constant pain in the lower back
C. Urinary urgency from increased bladder pressure
D. "Show" or release of the cervical mucus plug - ANSWER-D. "Show" or release of the
cervical mucus plug:
B is false because you expect an increase of energy or "nesting" and C is common in
the third trimester of pregnancy
Angie describes her contractions and discomfort as mild. You examine her report VSS,
FHR 135 with moderate variability, UCs q 6-7 min, SVE 3/50/-2, membranes intact.
What phase and stage of labor is she in? And what positions/ activities are appropriate
for angie at this time - ANSWER-latent phase of stage one & getting up and walking as
able in order to assist with discomfort and dilation
Does Rachel meet the criteria for being infertile? - ANSWER-Yes, infertility is the
inability to conceive after 1 year of unprotected sex.
Rachel has been documenting basal temperature pattern and her doctor notices a lack
of a biphasic temperature curve.
What may be contributing to her infertility? - ANSWER-Ovarian dysfunction, due to the
absence of a temperature increase during ovulation.
A 19 year old female client has been diagnosed with pelvic inflammatory disease due to
untreated chlamydia. Which of the following instructions should the nurse offer when
caring for the client? Select all that apply.
, A. Use an intrauterine device (IUD) for contraception.
B. Complete antibiotic therapy.
C. Increase fluid intake.
D. Limit the number of sex partners. - ANSWER-B. Complete antibiotic therapy
D. Limit the number of sex partners
Which baby is most likely to have a difficult respiratory transition?
A. 38wk vaginal delivery
B. 34wk pre-mature c-section
C. 40wk c-section
D. 36wk pre-mature vaginal delivery - ANSWER-B. 34wk pre-mature c-section: pre-
mature and no vaginal squeeze to stimulate the lungs
Baby has HR of 90 and regular RR of 40, tight flexion, a grimace when stimulated and
acrocyanosis. APGAR score??
A. 6
B. 7
C. 8
D. 9 - ANSWER-B. 7: HR1 (under 100bpm), RR2 (within normal limits), Muscle Tone2
(within normal limits), Reflex irritability1(no vigorous cry), color1 (typical)
Which would alter the nurse to suspect that a newborn is experiencing respiratory
distress?
A. Asymmetrical chest movement
B. Apnea periods lasting 10 seconds
C. Acroncyanosis
D. Respiratory rate of 50 breath per minute - ANSWER-A. Asymmetrical chest
movement: may have an irregular breathing pattern, but should always have
symmetrical movement
Nurse preparing a teaching plan for new parents about why newborns experience heat
loss, what should she include?
A. Limited voluntary muscle activity
B. Expanded stores of glucose and glycogen
C. Thick skin with deep lying blood vessel
D. Enhanced shivering ability - ANSWER-A. Limited voluntary muscle activity: B, C, D
are all false (decreased glucose stores, thin skin with superficial blood vessels, and
muscularly immature so no shivering ability)
Angie Young tells the nurse her last period was May 18. The nurse uses Nagele's rule
to compute the client's expected date of birth, and tells the client that the correct date of
birth will be:
A. February 11 (of the next year)
B. February 18 (of the next year)
C. February 25 (of the next year)
ANSWERS 100% CORRECT
The nurse understands that the endometrium is prepped for egg implantation by the
corpus luteum, which secretes:
A. Progesterone
B. Estrogen
C. Luteinizing hormone
D. Prolactin - ANSWER-A. Progesterone
Angie Young is a 32-year-old African-American female who is in excellent health. She
has been happily married to her husband Steve for 8 years, and they have two children,
Kelsey and Marcus
What is Angie's G/P (TPAL)? - ANSWER-G2P2002
What is the most fertile time for conception during a cycle? - ANSWER-Ovulation:
follicle releases ovum (egg) and have 24hr window after ovulation to conceive. typically
occurring on day 14 of menstrual cycle
What should one teach about at home pregnancy tests? - ANSWER-they are most
reliable 14 days after conception
it is important that nurses include a discussion about teratogens in their prenatal
discussions to help prevent deformities or abnormalities. Teratogens may include which
of the following? (Select all that apply.)
A. Multivitamin supplement
B. Certain medications
C. Alcohol
D. Infections - ANSWER-B. Certain medications
C. Alcohol
D. Infections
When discussing the various risks to the mother and infant, the nurse should include
that which of the following is the leading cause of cognitive impairment in the United
States?
A. Maternal drug addiction
B. Pregnancy category X medications
C. Fetal alcohol spectrum disorder
D. Genetic anomalies - ANSWER-C. Fetal alcohol spectrum disorder
Rachel is a healthy, happily married 38 year old, Hispanic woman. She and her
husband Angelo have been married for 3 years and have been attempting to conceive a
child ever since.
,Angie is seen for a 16 week ultrasound. What do you want to discuss with her prior
to/after the procedure? - ANSWER-Positioned in a left tilt/ semi fowlers position: to
increase perfusion
Talk through procedure and what to expect
No need for a full bladder in second trimester (as we did for the first)
Where would you place an EFM ultrasound to assess fetal heart tones for a baby in
LOA position? - ANSWER-LLQ of the abdominal wall
During the day, Angie begins contracting and calls her provider's office. She tells the
nurse she believes she is in labor.
What questions might the nurse ask to determine if Angie is in true labor? What prenatal
history should the nurse obtain during the call? - ANSWER-How long/ frequent she's
been contracting: do the contractions stop when you walk around?
BOW break? if so TACO questions
Is your baby moving?
How far along (GA)
Are you bleeding?
What number baby is this--Effects assessment finding (maybe shorter birth process)
Which of the following, if reported by Angie, might be a sign of labor onset?
A. Sudden loss of energy from epinephrine release
B. "Nagging" but constant pain in the lower back
C. Urinary urgency from increased bladder pressure
D. "Show" or release of the cervical mucus plug - ANSWER-D. "Show" or release of the
cervical mucus plug:
B is false because you expect an increase of energy or "nesting" and C is common in
the third trimester of pregnancy
Angie describes her contractions and discomfort as mild. You examine her report VSS,
FHR 135 with moderate variability, UCs q 6-7 min, SVE 3/50/-2, membranes intact.
What phase and stage of labor is she in? And what positions/ activities are appropriate
for angie at this time - ANSWER-latent phase of stage one & getting up and walking as
able in order to assist with discomfort and dilation
Does Rachel meet the criteria for being infertile? - ANSWER-Yes, infertility is the
inability to conceive after 1 year of unprotected sex.
Rachel has been documenting basal temperature pattern and her doctor notices a lack
of a biphasic temperature curve.
What may be contributing to her infertility? - ANSWER-Ovarian dysfunction, due to the
absence of a temperature increase during ovulation.
A 19 year old female client has been diagnosed with pelvic inflammatory disease due to
untreated chlamydia. Which of the following instructions should the nurse offer when
caring for the client? Select all that apply.
, A. Use an intrauterine device (IUD) for contraception.
B. Complete antibiotic therapy.
C. Increase fluid intake.
D. Limit the number of sex partners. - ANSWER-B. Complete antibiotic therapy
D. Limit the number of sex partners
Which baby is most likely to have a difficult respiratory transition?
A. 38wk vaginal delivery
B. 34wk pre-mature c-section
C. 40wk c-section
D. 36wk pre-mature vaginal delivery - ANSWER-B. 34wk pre-mature c-section: pre-
mature and no vaginal squeeze to stimulate the lungs
Baby has HR of 90 and regular RR of 40, tight flexion, a grimace when stimulated and
acrocyanosis. APGAR score??
A. 6
B. 7
C. 8
D. 9 - ANSWER-B. 7: HR1 (under 100bpm), RR2 (within normal limits), Muscle Tone2
(within normal limits), Reflex irritability1(no vigorous cry), color1 (typical)
Which would alter the nurse to suspect that a newborn is experiencing respiratory
distress?
A. Asymmetrical chest movement
B. Apnea periods lasting 10 seconds
C. Acroncyanosis
D. Respiratory rate of 50 breath per minute - ANSWER-A. Asymmetrical chest
movement: may have an irregular breathing pattern, but should always have
symmetrical movement
Nurse preparing a teaching plan for new parents about why newborns experience heat
loss, what should she include?
A. Limited voluntary muscle activity
B. Expanded stores of glucose and glycogen
C. Thick skin with deep lying blood vessel
D. Enhanced shivering ability - ANSWER-A. Limited voluntary muscle activity: B, C, D
are all false (decreased glucose stores, thin skin with superficial blood vessels, and
muscularly immature so no shivering ability)
Angie Young tells the nurse her last period was May 18. The nurse uses Nagele's rule
to compute the client's expected date of birth, and tells the client that the correct date of
birth will be:
A. February 11 (of the next year)
B. February 18 (of the next year)
C. February 25 (of the next year)
