PRE-ASSESSMENT QUIZ
A nurse in a prenatal sanatorium is being concerned for a customer who's at 12 weeks of
gestation. The customer asks approximately the motive of her heartburn. Which of the
following responses should the nurse make?
1. Increased pancreatic interest consequences in intolerance of fats inside the weight loss
program
2. Increased estrogen production reasons accelerated secretion of hydrochloric acid
three. Pressure from the growing uterus displaces the stomach
4. Increased progesterone manufacturing causes decreased motility of easy muscle -
ANS-four. Increased progesterone manufacturing causes decreased motility of clean muscle
A nurse in a prenatal sanatorium is reviewing the medical information of a patron who's at 28
weeks of gestation. The customer's records reveals one being pregnant terminated via
non-compulsory abortion at nine weeks; the beginning of twins at 36 weeks; and a
spontaneous abortion at 15 weeks gestation. According to the GTPAL device, which of the
following describes her present parity?
1. 2-zero-1-2-2
2. 1-zero-2-2-2
3. 2-zero-0-2-2
four. 0-2-0-2-2 - ANS-1. 2-0-1-2-2
(She had 2 pregnancies that attain 20weeks or greater, she has had no time period births,
one being pregnant resulted within the preterm beginning, and has 2 dwelling children)
A nurse is assisting within the care of a customer who is scheduled for a cesarean delivery
primarily based on the fetal lungs having reached maturity. Which of the following findings
indicated that the fetal lungs are mature?
1. Phosphatidylglycerol (PG) absent
2. Biophysical profile rating of eight
three. Lecithin/sphingomyelin (L/S) ratio of two:1
four. Nonstress test is reactive - ANS-three. Lecithin/sphingomyelin (L/S) ratio 2:1
A nurse is assisting with the admission of a customer who's 39 weeks of gestation and has
heavy vaginal bleeding. Which of the following moves ought to the nurse take?
1. Request the RN carry out a cervical exam
2. Initiate an IV infusion of magnesium sulfate
3. Administer antibiotics
4. Prepare for cesarean start - ANS-4. Prepare for cesarean beginning
A nurse is assisting with the care of a customer who is in hard work. The patron's labor is
tough and prolonged and she reports a extreme backache. Which of the subsequent factors
is a contributing reason of difficult, prolonged labor?
1. Fetal attitude is in preferred flexion
2. Fetal lie is longitudinal
three. Maternal pelvis is gynecoid
four. Fetal function is chronic occiput posterior - ANS-4. Fetal function is persistent occiput
posterior
, A nurse is assisting with the care of a new child who needs a gestational age assessment.
Which of the following findings must the nurse record as part of this evaluation?
1. Acrocyanosis of hands and toes
2. Anterior fontanel tender and level
three. Plantar creases cover 2/3 of sole
four. Vernix caseosa in inguinal creases - ANS-three. Plantar creases cover 2/three of sole
A nurse is worrying for a purchaser who has unrelieved episiotomy pain 8 hr following
shipping. Which of the subsequent moves must the nurse take?
1. Apply an ice % to the perineum
2. Prepare a heat sitz bathtub
3. Place a smooth pillow below the clients buttocks
four. Position a heating lamp towards the episiotomy - ANS-1. Apply an ice % to the
perineum
A nurse is being concerned for a patron who's at 38 weeks of gestation and has a fantastic
contraction stress take a look at. Which of the following actions must the nurse take?
1. Repeat the contraction pressure test in 24 hr
2. Prepare the consumer for admission to the clinic
3. Document the findings as anticipated inside the customer file
four. Check the customers cervix for dilation - ANS-2. Prepare the patron for admission to
the medical institution
A nurse is worrying for a group of clients on an intrapartum unit. Which of the following
findings must be suggested to the RN right now?
1. A client who is at 32 weeks of gestation and is experiencing abnormal, frequent
contractions is tearful
2. A patron who is at 28weeks of gestation and receiving terbutaline reports nice tremors
three. A consumer who has preeclampsia has 2+ patellar reflexes and 2+ proteinuria
4. A client who has preeclampsia and reviews epigastric ache and unresolved headache -
ANS-four. A purchaser who has preeclampsia and reviews epigastric pain and unresolved
headache
A nurse is worrying for a newborn at once after beginning. Which of the subsequent moves
by means of the nurse reduces evaporative heat loss with the aid of the new child?
1. Placing the newborn on a heat floor
2. Preventing air drafts
three. Drying the newborns pores and skin very well
4. Maintaining ambient room temp 75 levels F - ANS-3. Drying the newborns skin very well
A nurse is caring for a newborn whose mother is nice for the hepatitis B surface antigen.
Which of the subsequent remedies must the little one receive?
1. Hepatitis B immune globulin at 1 week accompanied by using the hepatitis B vaccine
month-to-month for 6 months
2. The hepatitis B vaccine monthly until the new child exams poor for the hepatitis B surface
antigen
3. Hepatitis B immune globulin and the hepatitis B vaccine inside 12hr of start
4. The hepatitis B vaccine at 24hr accompanied by using hepatitis B immune globulin every
12hr for three days - ANS-3. Hepatitis B immune globulin and the hepatitis B vaccine inside
12hr of start
A nurse is being concerned for a postpartum purchaser following a vaginal beginning of a
newborn weighing 9lbs 6oz. The nurse should perceive that this purchaser is at danger for
which of the following postpartum headaches?