Maternity Final Exam|Questions & Answers|Latest Summer 2020.
Chap 16 Question 1 of 10 Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased? Question 2 of 10 Concerning the third stage of labor, nurses should be aware that: Question 4 of 10 Which sign does not precede the onset of labor? Question 5 of 10 Fetal circulation can be affected by many factors during labor. Accurate assessment of the laboring woman and fetus requires knowledge of these expected adaptations. Which factor will not affect fetal circulation during labor? Question 6 of 10 With regard to primary and secondary powers, the maternity nurse should understand that: Question 7 of 10 Which statement is inaccurate with regard to normal labor? • . Question 9 of 10 In order to accurately assess the health of the mother accurately during labor, the nurse should be aware that: Question 10 of 10 Nurses can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate? Question 3 of 10 Which of the following findings would be a cause for concern for a nurse who is monitoring an obstetric patient who is in early labor? Question 8 of 10 The nurse knows that the second stage of labor, the descent phase, has begun when: Question 1 of 10 A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency to every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of: Question 2 of 10 The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is: Question 3 of 10 Which of the following presentations is associated with early pregnancy loss, occurring in less than 12 weeks gestation? The majority of ectopic pregnancies are located in the: . Question 4 of 10 A nurse is examining a patient who has been admitted for possible ectopic pregnancy who is approximately 8 weeks pregnant. Which finding would be a priority concern? Question 5 of 10 A nurse is evaluating several obstetric patients for their risk for cervical insufficiency. Which patient would be considered to be most at risk?. Question 7 of 10 In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate? Question 8 of 10 Signs of a threatened abortion (miscarriage) are noted in a woman at 8 weeks of gestation. What is an appropriate management approach for this type of abortion? Question 9 of 10 A woman diagnosed with marginal placenta previa gave birth vaginally 15 minutes ago. At present she is at the greatest risk for: Question 10 of 10 A woman presents to the emergency department complaining of bleeding and cramping. The initial nursing history is significant for a last menstrual period 6 weeks ago. On sterile speculum examination, the primary health care provider finds that the cervix is closed. The anticipated plan of care for this woman is based on a probable diagnosis of which type of spontaneous abortion? Chap 29 A pregnant woman has maternal phenylketonuria (PKU) and is interested in whether or not she will be able to breastfeed her baby. Which reaction by the nurse indicates accurate information? Question 2 of 10 In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the: . Question 3 of 10 Which of the following findings is not likely to be seen in a pregnant patient who has hypothyroidism? Question 4 of 10 A pregnant woman at 28 weeks of gestation has been diagnosed with gestational diabetes. The nurse caring for this client understands that: . Question 5 of 10 Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that: Question 6 of 10 A pregnant woman at 14 weeks of gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. The primary goal of her treatment at this time is to: Question 7 of 10 A nurse is working with a diabetic patient who recently found out she is pregnant. In coordinating an interdisciplinary team to help manage the patient throughout the pregnancy, the nurse would include: Question 8 of 10 A patient who is pregnant already has Type 2 diabetes with a hemoglobin A1c value of 7. The nurse would categorize this patient as having: . Question 9 of 10 A pregnant patient experiences thyroid storm following delivery of her infant. What interventions would the nurse anticipate to be ordered by the physician? Question 10 of 10 The priority assessment in evaluating a pregnant woman with severe nausea and vomiting is: Chap 17 With regard to systemic analgesics administered during labor, nurses should be aware that: Question 5 of 10 A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure is to use: • A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should: . Nurses should be aware of the difference that experience can make in labor pain, such as: Question 10 of 10 After change of shift report, the nurse assumes care of a multiparous client in labor. The woman is complaining of pain that radiates to her abdominal wall, lower back, and buttocks, and down her thighs. Before implementing a plan of care, the nurse should understand that this type of pain is: Question 1 of 10 With regard to breathing techniques during labor, maternity nurses should be aware that: Question 2 of 10 With regard to what might be called the tactile approaches to comfort management, nurses should be aware that: Question 3 of 10 With regard to spinal and epidural (block) anesthesia, nurses should know that: Question 7 of 10 In the current practice of childbirth preparation, emphasis is placed on: Question 8 of 10 A woman in active labor receives an opioid agonist analgesic. Which medication relieves severe, persistent, or recurrent pain, creates a sense of well-being, overcomes inhibitory factors, and may even relax the cervix but should be used cautiously in women with cardiac disease? Chap 26 The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis? Question 2 of 10 In the past, factors to determine whether a woman was likely to have a high risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category? Question 5 of 10 A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test? Question 7 of 10 When would the best timeframe be to establish gestational age based on ultrasound? Question 9 of 10 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? Question 3 of 10 Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy, including that:CORRECT Question 4 of 10 A nurse providing care for the antepartum woman should understand that the contraction stress test (CST): Question 6 of 10 A patient has undergone an amniocentesis for evaluation of fetal well-being. Which intervention would be included in the nurse’s plan of care after the procedure? . Question 8 of 10 A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Question 10 of 10 What is an appropriate indicator for performing a contraction stress test? Chap 30 Question 1 of 10 A pregnant woman with cystic fibrosis (CF) wants to breastfeed her infant. Which assessments would have to be performed in order to make sure that the breastfeedings were safe and effective? Question 2 of 10 A patient who has cystic fibrosis (CF) is pregnant. Which weight gain recommendation should be given her? Question 3 of 10 A nurse is caring for a woman with mitral stenosis who is in the active stage of labor. Which action should the nurse take to promote cardiac function? Question 4 of 10 Thalassemia is a relatively common anemia in which: Question 5 of 10 Which clinical factor could be associated with the development of adult respiratory distress syndrome (ARDS) during pregnancy? Question 6 of 10 The severity of symptoms associated with asthma during pregnancy usually peaks: Question 9 of 10 Appendicitis is more difficult to diagnose during pregnancy because the appendix is: Question 10 of 10 A patient who is pregnant also has a history of psoriasis. What information can the nurse provide to the patient relative to this disease process? Question 7 of 10 A pregnant woman with cardiac disease is informed about signs of cardiac decompensation. She should be told that the earliest sign of decompensation is most often: . Question 8 of 10 During a physical assessment of an at-risk client, the nurse notes generalized edema, crackles at the bases of the lungs, and some pulse irregularity. These are most likely signs of: Chap 31 Question 2 of 10 Which opiate causes euphoria, relaxation, drowsiness, and detachment from reality and has possible effects on the pregnancy, including preeclampsia, intrauterine growth restriction, and premature rupture of membranes? Question 3 of 10 The 5 As screening intervention tool is used to implement smoking cessation strategies on the basis of patient response. What do the 5 As stand for? Question 5 of 10 Nurses must be cognizant of the growing problem of methamphetamine use during pregnancy. When caring for a woman who uses methamphetamines, it is important for the nurse to be aware of which factor related to the abuse of this substance? . 10 Where do most deliveries for pregnant women who have mental health issues take place? Question 7 of 10 A nurse is advising a pregnant patient who has a substance abuse problem about a contingency management program. Which statement identifies an aspect of this type of program? Question 8 of 10 Which of the following statements about the prevalence of perinatal mental health problems is true? Question 1 of 10 To provide adequate postpartum care, the nurse should be aware that postpartum depression (PPD) with psychotic features: Question 4 of 10 Which of these medications would be classified as a Category X substance that is not to be used during pregnancy? Question 9 of 10 During pregnancy, alcohol withdrawal may be treated using: Question 10 of 10 Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women. The 4 Ps-Plus is a screening tool designed specifically to identify when there is a need for a more in-depth assessment. Which of the following is not included in the 4 Ps-Plus screening tool? Chap 27 Question 2 of 10 A woman with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse becomes concerned after assessment when the woman exhibits: . Question 3 of 10 A nurse caring for pregnant women must be aware that the most common medical complication of pregnancy is: . Question 4 of 10 With regard to preeclampsia and eclampsia, nurses should be aware that: Question 8 of 10 A nurse is monitoring a patient’s reflexes (DTRs) while receiving magnesium sulfate therapy for treatment of preeclampsia. Which assessment finding indicates a cause for concern? Question 10 of 10 Nurses should be aware that HELLP syndrome: Question 1 of 10 A pregnant woman who is at 21 weeks of gestation has an elevated blood pressure of 140/98. Past medical history reveals that the woman has been treated for hypertension. On the basis of this information, the nurse would classify this patient as having: . Question 5 of 10 A woman with severe preeclampsia has been receiving magnesium sulfate by IV infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature 37.1° C, pulse rate 96 beats/min, respiratory rate 24 breaths/min, blood pressure 155/112 mm Hg, 3 deep tendon reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for: Question 6 of 10 A woman with severe preeclampsia is being treated with an IV infusion of magnesium sulfate. This treatment is considered successful if: . Question 7 of 10 Which of the following antihypertensive medications would cause a pregnant woman to have a positive Coombs test result? Question 9 of 10 Which laboratory values would be found in a patient diagnosed with preeclampsia? Chap 18 The nurse caring for a laboring woman is aware that maternal cardiac output can be increased by: Question 2 of 10 A group of fetal monitoring experts (National Institute of Child Health and Human Development, 2008) recommends that fetal heart rate (FHR) tracings demonstrate certain characteristics to be described as reassuring or normal (category I). These characteristics include: . Question 3 of 10 When using intermittent auscultation (IA) to assess uterine activity, nurses should be aware that: Question 4 of 10 Fetal bradycardia is most common during: Question 5 of 10 Which of the following statements is not used to describe a characteristic of a uterine contraction? Question 6 of 10 You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother, provide oxygen, increase IV fluid, and perform a vaginal exam. The cervix has not changed. Five minutes have passed, and the FHR remains in the 80s. What additional nursing measures should you take? Question 7 of 10 A nurse caring for a woman in labor understands that increased variability of the fetal heart rate might be caused by: Question 8 of 10 The nurse providing care for the laboring woman understands that accelerations with fetal movement: Question 9 of 10 The most common cause of decreased variability in the FHR that lasts 30 minutes or less is: Question 10 of 10 Fetal well-being during labor is assessed by: CORRECT • The response of the fetal heart rate (FHR) to uterine contractions (UCs). Chap 24 Question 2 of 10 A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the woman need to be taught to take care of the infant when she gets home? . Question 3 of 10 With regard to umbilical cord care, nurses should be aware that: Question 4 of 10 Which statement is incorrect regarding bathing of a new baby? Question 6 of 10 A nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should: Question 9 of 10 Vitamin K is given to the newborn to: Question 1 of 10 The nurse is providing discharge instructions related to the baby’s respiratory system. Which statement should not be included as part of discharge teaching? Question 5 of 10 When placing a newborn under a radiant heat warmer to stabilize temperature after birth, the nurse should: An Apgar score of 10 at 1 minute after birth indicates: Question 8 of 10 A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord. After birth the infant is noted to have petechiae over the face and upper back. Information given to the infant’s parents should be based on the knowledge that petechiae: Question 10 of 10 When weighing a newborn, the nurse should: Chap 32 Question 2 of 10 Which statement is most likely to be associated with a breech presentation? Question 3 of 10 A pregnant woman’s amniotic membranes rupture. Prolapsed cord is suspected. Which intervention is the nurse’s top priority? Question 4 of 10 With regard to dysfunctional labor, nurses should be aware that: Question 9 of 10 With regard to the use of tocolytic therapy to suppress uterine activity, nurses should be aware that: Question 10 of 10 Which factors would lead to an increased likelihood of uterine rupture? Question 1 of 10 A nurse providing care to a woman in labor should be aware that cesarean birth: Question 5 of 10 In planning for an expected cesarean birth for a woman who has given birth by cesarean section previously and who has a fetus in the transverse presentation, the nurse includes which information? . Question 6 of 10 A woman at 26 weeks of gestation is being assessed to determine whether she is experiencing preterm labor. What finding indicates that preterm labor is occurring? Question 7 of 10 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: Question 8 of 10 For a woman at 42 weeks of gestation, which finding requires more assessment by the nurse? Chap 33 Question 1 of 10 The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to: Question 2 of 10 Which ratio would be used to restore effective circulating volume in a postpartum patient who is experiencing hypovolemic shock? In which situations would the use of Methergine or prostaglandin be contraindicated even if the patient was experiencing a postpartum significant bleed? Question 4 of 10 Which postpartum infection is most often contracted by first-time mothers who are breastfeeding? Question 5 of 10 Which PPH conditions are considered medical emergencies that require immediate treatment? Question 6 of 10 During rounds, a nurse suspects that a patient who has recently delivered via vaginal route is having excessive postpartum bleeding. Which intervention would be the priority action taken by the nurse at this time? Question 7 of 10 Despite popular belief, there is a rare type of hemophilia that affects women of childbearing age. Von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike. It results from a factor VIII deficiency and platelet dysfunction. Although factor VIII levels rise naturally during pregnancy, there is an increased risk for postpartum hemorrhage from birth until 4 weeks postpartum as levels of von Willebrand factor (vWf) and factor VIII fall. The treatment that should be considered first for the client with von Willebrand disease who experiences a postpartum hemorrhage is: Question 8 of 10 Which of the following is the most common kind of placental adherence seen in pregnant women? Question 9 of 10 A thrombosis results from the formation of a blood clot or clots inside a blood vessel and is caused by inflammation or partial obstruction of the vessel. Three thromboembolic conditions are of concern during the postpartum period; which of the following is not? Question 10 of 10 Which indicator would lead the nurse to suspect that a postpartum patient experiencing hemorrhagic shock is getting worse? Chap 34 Question 1 of 10 A male infant at 26 weeks of gestation arrives from the delivery room intubated. The nurse weighs the infant, places him under the radiant warmer, and attaches him to the ventilator at the prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse oximeter is recording oxygen saturation values of 80%. The prescribed saturation value is 92%. The nurse’s most appropriate action is to: Question 2 of 10 Which priority intervention would be needed if the nurse suspected that an infant was septic? Question 3 of 10 When providing an infant with a gavage feeding, what should the nurse document each time? Question 4 of 10 Which of the following processes or findings increase the risk of preterm infants in which hematologic problems are developing? Question 5 of 10 A nurse providing care to preterm infants should understand that nasogastric and orogastric tubes are used to: Question 9 of 10 For diagnostic and treatment purposes, nurses should know the birth weight classifications of high risk infants. For example, extremely low birth weight (ELBW) is the designation for an infant whose weight is: Question 10 of 10 Which factor would contribute to depletion of weight and metabolic stores in the high risk newborn? Question 6 of 10 Necrotizing enterocolitis (NEC) is an inflammatory disease of the gastrointestinal mucosa. The signs of NEC are nonspecific. Some generalized signs are: Question 7 of 10 Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are: Question 8 of 10 With regard to small-for-gestational age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that: Chap 35 Question 1 of 10 An infant weighing 4.1 kg was born 2 hours ago at 37 weeks of gestation. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of: Question 2 of 10 Antidepressant medication is the mainstay treatment for maternal depression, with selective serotonin reuptake inhibitors (SSRIs) being the first line of pharmacotherapy. Reports of cardiac defects have been associated with the use of which SSRI? Question 3 of 10 With regard to injuries to the infant’s plexus during labor and birth, nurses should be aware that:. Question 4 of 10 Which TORCH infection could be contracted by the infant because the mother owned a cat? Question 7 of 10 With regard to the classification of neonatal bacterial infection, nurses should be aware that: Question 9 of 10 Which factors predispose an infant to birth injuries? Question 10 of 10 Preterm infants are more likely to become septic because: Question 5 of 10 Which of the following would be considered to be an intrapartum risk factor for neonatal sepsis? Question 6 of 10 Which factor increases the risk of complications for infants of diabetic mothers? Question 8 of 10 In caring for a mother who has abused (or is abusing) alcohol and for her infant, nurses should be aware that: . Chap 37 Question 1 of 10 A woman is diagnosed with having a stillborn. At first she appears stunned by the news, cries a little, and then asks you to call her mother. The phase of bereavement the woman is experiencing is called: Question 2 of 10 Which statements would not be advisable to use as a basis for therapeutic discussion following a perinatal loss? Question 3 of 10 A patient tells the nurse about the funeral arrangements for her newborn son. The patient is thereby providing the nurse with information about: Question 5 of 10 A pregnant patient who is at term has been informed that her fetus has died. This finding was verified at the physician’s office by an ultrasound when the patient stated that she had not felt the baby move for a few days. Subsequently, the patient is going to be admitted to the obstetric unit. When developing a plan of care, the nurse would focus on which priority measure? Question 6 of 10 Which statement is accurate with regard to the emotional state of grief? Question 8 of 10 A Gravida III, Para 0 is concerned about the potential outcome for this pregnancy because all of her prior pregnancies have resulted in stillborn deliveries. Which diagnostic test would help assess for fetal well-being now that her pregnancy is at 32 weeks gestation? Question 9 of 10 Complicated bereavement: Question 10 of 10 After giving birth to a stillborn infant, the woman turns to the nurse and says, “I just finished painting the baby’s room. Do you think that caused my baby to die?” The nurse’s best response to this woman is: Question 4 of 10 Which priority action would be most beneficial in helping a couple deal with fetal loss following the delivery of a stillborn? Question 7 of 10 The most appropriate statement that the nurse can make to bereaved parents is: Chap 19 Question 2 of 12 In a variation of rooming-in called couplet care, the mother and infant share a room and the mother shares the care of the infant with: Question 4 of 12 If a woman complains of back labor pain, the nurse might best suggest that she: Question 5 of 12 Under which circumstance would a nurse not perform a vaginal examination on a patient in labor? Question 6 of 12 A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse’s best response is: Question 9 of 12 Which test is performed to determine whether membranes are ruptured? Question 10 of 12 When managing the care of a woman in the second stage of labor, the nurse uses various measures to enhance the progress of fetal descent. These measures include: Question 11 of 12 When performing vaginal examinations on a laboring woman, the nurse should be guided by what principle? Question 1 of 12 Which description of the phases of the second stage of labor is accurate? Question 3 of 12 Which of the following would not be included in a labor nurse’s plan of care for an expectant mother? Question 7 of 12 A nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates her understanding of the instructions when the woman states: Question 8 of 12 Evidence-based care practices designed to support normal labor and birth recommend which practice during the immediate newborn period? Question 12 of 12 When assessing a multiparous woman who has just given birth to an 8-pound boy, the nurse notes that the woman’s fundus is firm and has become globular. A gush of dark red blood comes from her vagina. The nurse concludes that:
Written for
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Clovis Community College
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NURSING MISC
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- June 5, 2020
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- 2019/2020
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- Questions & answers
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- maternity final exam
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which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased
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concerning the third stage of labor
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nurses should be aware that
