Community College of Rhode Island Nursing V 2050
Maternity and Pediatric Chapter 26-34 WH Questions With
Complete Solutions
A 34 year old women at 36 weeks gestation has been scheduled
for a biophysical profile. She asks the nurse why the tests needs
to be performed. The nurse tells her that the test is performed
because it- Correct Answers a) determines how well her baby
will breathe after its born.
b) evaluates the response of her baby's heart to uterine
contractions.
c) measures her babes head and length
D) observes her baby's activity in utero to ensure that her baby is
getting enough oxygen.
A 40 year old women at 18 weeks of gestation is having a triple
marker test performed. She is obese, and her health HX reveals
that she is Rh negative. The primary purpose of this test is to
screen for- Correct Answers a) spina bifida
b) gestational diabetes
C) down syndrome
d) Rh antibodies
A 40-year-old woman with a high body mass index (BMI) is 10
weeks pregnant. Which diagnostic tool is appropriate to suggest
to her at this time? Correct Answers a) Biophysical profile
b) Amniocentesis
c) Maternal serum alpha-fetoprotein (MSAFP)
D) Transvaginal ultrasound
,A breast feeding women's c-section birth occurs 2 days ago.
Investigation of the pain, tenderness, and swelling in her left leg
led to a medical diagnosis of DVT. Care management for this
women during the acute stage of DVT involves- (select all that
apply) Correct Answers a) explaining that she will need to stop
breastfeeding until anticoagulation therapy is completed
b) administering warfarin (coumadin) orally
C) placing the women on bed rest with her let leg elevated
d) fitting the women with an elastic stocking so that she can
exercise her leg.
e) telling her to avoid changing her position for the first 24 hours
F) administering heparin IV for 3-5 days
A critically ill pregnant women is to have an arterial pressure
catheter inserted to monitor her systolic, diastolic, and mean
arterial pressure. Before insertion the nurse performs an Allen
test and reports the results to the DR. who will be inserting the
catheter. When performing this test, the nurse should: Correct
Answers a) perform the test on the women's dominate hand
B) occlude the ulnar and radial arteries simultaneously while
raising the hand
c) instruct the pt. to keep her fist tightly clenched during the test
d) release the pressure on both arteries at the same time, noting
the time for capillary refill
A DR. has ordered that dinoprostone (cervidil) be administered
to ripen a pregnant womens cervix in preparation for a induced
labor. In fulfilling this order the nurse should Correct Answers
a) insert the cervidil into the cervical canal jus below the internal
os
b) tell the women to remain in bed for at least 15 mins.
,C) observe the women for signs of uterine tachysystole
d) remove the cervidil as soon as the women begins to
experience uterine contractions
A laboring women's vaginal exam reveals the following - 3cm,
50%, LSA, 0. The nurse caring for this women should Correct
Answers a) place the ultrasound transducer in the left lower
quadrant for the women's abdomen
b) recognize that passage of the meconium would be a definitive
sign of fetal distress
C) expect the progress of fetal descent to be slower than usual
d) assist the women into a knee-chest position for each
contraction
A nulliparous women experiencing a post term pregnancy is
admitted for labor induction. Assessment reveals a Bishop score
of 9. the nurse should- Correct Answers a) call the women's
primary health care provider to order cervidil ripening agent
b) mix 20 units for oxytocin (pitocin) in 500 ml of 5% glucose
in H2O
c) Piggy back the oxytocin solution into the port nearest the drip
chamber of the primary IV tubing
D) Begin the infusion at a rate between 1 miliunits/min as
determined by the induction protocol
A nurse caring for a pregnant women evaluates the omens most
recent arterial blood gas (ABG) values. Which arterial blood gas
falls within the expected range for a pregnant women? Correct
Answers a) pH 7.30
B) PO2 105mm Hg
c) PCO2 50mm Hg
, d) bicarbonate 16 mEq/L
A nurse caring for a pregnant women suspects of being in
preterm labor recognizes this sign as diagnostic of preterm labor.
Correct Answers A) cervical dilation of at least 2 cm
b) uterine contractions occuring q 15 mins
c) spontaneous rupture of the membranes
d) presence of fetal fibronectin in cervical secretions
A nurse caring for pregnant women must be aware that the most
common medical complication of pregnancy is: Correct
Answers A. Hypertension
b. Hyperemesis gravidarum
c. Hemorrhagic complications
d. Infections
A nurse is caring for a client whose labor is being augmented
with oxytocin. The nurse recognizes that the oxytocin should be
discontinued immediately if there is evidence of: Correct
Answers a. Uterine contractions occurring every 8 to 10
minutes
B. A fetal heart rate (FHR) of 180 with absence of variability
c. The client needing to void
d. Rupture of the client's amniotic membranes
A nurse is caring for a pregnant women at 30 weeks gestation in
preterm labor. The women's physician orders betamethasone
12mg IM for 2 doses with the first dose to begin at 11am. In
implementing this order the nurse should- Correct Answers a)
consult the physician because the dose is too high
Maternity and Pediatric Chapter 26-34 WH Questions With
Complete Solutions
A 34 year old women at 36 weeks gestation has been scheduled
for a biophysical profile. She asks the nurse why the tests needs
to be performed. The nurse tells her that the test is performed
because it- Correct Answers a) determines how well her baby
will breathe after its born.
b) evaluates the response of her baby's heart to uterine
contractions.
c) measures her babes head and length
D) observes her baby's activity in utero to ensure that her baby is
getting enough oxygen.
A 40 year old women at 18 weeks of gestation is having a triple
marker test performed. She is obese, and her health HX reveals
that she is Rh negative. The primary purpose of this test is to
screen for- Correct Answers a) spina bifida
b) gestational diabetes
C) down syndrome
d) Rh antibodies
A 40-year-old woman with a high body mass index (BMI) is 10
weeks pregnant. Which diagnostic tool is appropriate to suggest
to her at this time? Correct Answers a) Biophysical profile
b) Amniocentesis
c) Maternal serum alpha-fetoprotein (MSAFP)
D) Transvaginal ultrasound
,A breast feeding women's c-section birth occurs 2 days ago.
Investigation of the pain, tenderness, and swelling in her left leg
led to a medical diagnosis of DVT. Care management for this
women during the acute stage of DVT involves- (select all that
apply) Correct Answers a) explaining that she will need to stop
breastfeeding until anticoagulation therapy is completed
b) administering warfarin (coumadin) orally
C) placing the women on bed rest with her let leg elevated
d) fitting the women with an elastic stocking so that she can
exercise her leg.
e) telling her to avoid changing her position for the first 24 hours
F) administering heparin IV for 3-5 days
A critically ill pregnant women is to have an arterial pressure
catheter inserted to monitor her systolic, diastolic, and mean
arterial pressure. Before insertion the nurse performs an Allen
test and reports the results to the DR. who will be inserting the
catheter. When performing this test, the nurse should: Correct
Answers a) perform the test on the women's dominate hand
B) occlude the ulnar and radial arteries simultaneously while
raising the hand
c) instruct the pt. to keep her fist tightly clenched during the test
d) release the pressure on both arteries at the same time, noting
the time for capillary refill
A DR. has ordered that dinoprostone (cervidil) be administered
to ripen a pregnant womens cervix in preparation for a induced
labor. In fulfilling this order the nurse should Correct Answers
a) insert the cervidil into the cervical canal jus below the internal
os
b) tell the women to remain in bed for at least 15 mins.
,C) observe the women for signs of uterine tachysystole
d) remove the cervidil as soon as the women begins to
experience uterine contractions
A laboring women's vaginal exam reveals the following - 3cm,
50%, LSA, 0. The nurse caring for this women should Correct
Answers a) place the ultrasound transducer in the left lower
quadrant for the women's abdomen
b) recognize that passage of the meconium would be a definitive
sign of fetal distress
C) expect the progress of fetal descent to be slower than usual
d) assist the women into a knee-chest position for each
contraction
A nulliparous women experiencing a post term pregnancy is
admitted for labor induction. Assessment reveals a Bishop score
of 9. the nurse should- Correct Answers a) call the women's
primary health care provider to order cervidil ripening agent
b) mix 20 units for oxytocin (pitocin) in 500 ml of 5% glucose
in H2O
c) Piggy back the oxytocin solution into the port nearest the drip
chamber of the primary IV tubing
D) Begin the infusion at a rate between 1 miliunits/min as
determined by the induction protocol
A nurse caring for a pregnant women evaluates the omens most
recent arterial blood gas (ABG) values. Which arterial blood gas
falls within the expected range for a pregnant women? Correct
Answers a) pH 7.30
B) PO2 105mm Hg
c) PCO2 50mm Hg
, d) bicarbonate 16 mEq/L
A nurse caring for a pregnant women suspects of being in
preterm labor recognizes this sign as diagnostic of preterm labor.
Correct Answers A) cervical dilation of at least 2 cm
b) uterine contractions occuring q 15 mins
c) spontaneous rupture of the membranes
d) presence of fetal fibronectin in cervical secretions
A nurse caring for pregnant women must be aware that the most
common medical complication of pregnancy is: Correct
Answers A. Hypertension
b. Hyperemesis gravidarum
c. Hemorrhagic complications
d. Infections
A nurse is caring for a client whose labor is being augmented
with oxytocin. The nurse recognizes that the oxytocin should be
discontinued immediately if there is evidence of: Correct
Answers a. Uterine contractions occurring every 8 to 10
minutes
B. A fetal heart rate (FHR) of 180 with absence of variability
c. The client needing to void
d. Rupture of the client's amniotic membranes
A nurse is caring for a pregnant women at 30 weeks gestation in
preterm labor. The women's physician orders betamethasone
12mg IM for 2 doses with the first dose to begin at 11am. In
implementing this order the nurse should- Correct Answers a)
consult the physician because the dose is too high
