2024/2025 Exam Questions and Answers
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A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to
stimulate uterine contractions. Which assessment finding would indicate to the
nurse that the infusion needs to be discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute
C. Adequate resting tone of the uterus palpated between contractions
D. Increased urinary output - 🧠ANSWER ✔✔B
A nurse is providing genetic counseling for an expectant couple who already
have a child with trisomy 18. The nurse should: Select one
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,A. Tell the couple they need to have an abortion within 2 to 3 weeks
B. Explain that the fetus has a 50% chance of having the disorder
C. Discuss options with the couple, including amniocentesis to determine
whether the fetus is affected
D. Refer the couple to a psychologist for emotional support - 🧠ANSWER ✔✔C
A nurse is caring for a client in labor and is monitoring the fetal heart patterns.
The nurse notes the presence of episodic accelerations on the electronic fetal
monitor tracing. which of the following actions is most appropriate?
A. Take the mother's vital signs and tell the mother that bed rest is required to
conserve oxygen
B. notify the physician or nurse midwife of the findings
C. Reposition the mother and check the monitor for changes in the fetal tracing
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,D. Document the findings and tell the mother that the monitor indicates fetal
well-being - 🧠ANSWER ✔✔D
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned
to care for the client determines that the magnesium therapy is effective if:
A. seizures do not occur
B. weight loss
C. ankle clonus is noted
D. the blood pressure decreases - 🧠ANSWER ✔✔A
RhoGAM is prescribed for a woman following delivery of a newborn infant and
the nurse provides information to the woman about the purpose of the
medication. The nurse determines that the woman understands the purpose of
the medication if the woman states that it will protect her next baby from which
of the following?
A. developing physiological jaundice
B. Having Rh positive blood
C. Developing a rubella infection
D. Being affected by Rh incompatibility - 🧠ANSWER ✔✔D
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, A nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which of the following is noted on the external monitor tracing
during a contraction?
A. early decelerations
B. variable decelerations
C. late decelerations
D. tachycardia - 🧠ANSWER ✔✔B
The viral STI that affects most people in the United States today is:
A. herpes simplex virus type 2
B. human papillomavirus
C. Human immunodeficiency virus
D. cytomegalovirus - 🧠ANSWER ✔✔B
The patient was three months pregnant and had a pregnancy loss. Because the
client is Rh negative, the nurse must:
A. make certain the client does not receive RhoGAM, since the gestation only
lasted 12 weeks
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