NU 335 - Final Exam Review Questions With Complete
Solutions
A 35 -year- old client in her second trimester states a desire to
begin an exercise program to decrease her fatigue. Which of the
following would be the most appropriate nursing response?
a)"Fatigue will increase as pregnancy progresses but jogging
daily may help."
b)Avoid a strenuous exercise regime at your age. Drink coffee
TID."
c)"Avoid an exercise regime due to your pregnancy. Try to nap
daily."
d)"Fatigue should resolve in the second trimester but walking
daily might help." Correct Answers d)"Fatigue should resolve
in the second trimester but walking daily might help."
A client has just given birth. During labor the fetus was in a
cephalicsinciput presentation after a prolonged labor, the fetus
converted to a vertex presentation and was delivered vaginally
with vacuum extractor assistance. The nurse should explain to
the parents that:
a)The infant will need to be observed for meconium aspiration
b)Molding of the newborn head will subside in a few days
c)The infant will need prophylactic antibiotics
d)Chest feeding will need to be delayed for a day or two
Correct Answers b)Molding of the newborn head will subside
in a few days
,A client in her third trimester of pregnancy reports frequent leg
cramps. What strategy would be most appropriate for the nurse
to suggest?
a)Point the toes of the affected leg
b)Increase intake of protein rich foods
c)Limit activity for several days
d)Dorsiflex the foot to stretch the calf Correct Answers
d)Dorsiflex the foot to stretch the calf
A client received an epidural anesthesia during the first stage of
her labor. The epidural is discontinued immediately after
delivery. Due to the epidural use, the nurse should be prepared
to assess the client for___ during the fourth stage of labor?
a)Nausea
b)Bladder distention
c)Uterine tetany
d)hypertension Correct Answers b)Bladder distention
A gravid woman, who is 42 weeks gestation, has just had a 20-
minute nonstress test (NST). Which of the following results
would the nurse interpret as a reactive test?
a)Moderate fetal heart baseline variability b)Maternal heart rate
accelerations to 140 bpm lasting at least 20 seconds
c)Two fetal heart accelerations of 15 bpm lasting at least 15
seconds
d)Absence of maternal premature ventricular contractions
Correct Answers c)Two fetal heart accelerations of 15 bpm
lasting at least 15 seconds
, A multiparous client is admitted to the labor and delivery unit
with contractions that are regular, then minutes apart, lasting 30
seconds. She reports that her labor began about six hours ago,
and she had a bloody show earlier that morning. A vaginal exam
reveals a vertex presentation; her cervix is 80 percent effaced
and 3 cm dilated. The client asks what part of labor she is in.
The nurse should inform the client that she is in the:
a)Active phase
b)Fourth stage
c)Latent phase
d)Transition phase Correct Answers c)Latent phase
A nurse and a student nurse are caring for a postpartum client
who is experiencing afterpains following the birth of her third
child. The nurse knows the student needs more information
when she states the following measures should be implemented
to decrease the client's pain?
a)Offer warm blankets
b)Call the physician to report this finding
c)Massage the fundus of the uterus and observe lochia for clots
d)Administer a nonsteroidal anti-inflammatory drug (NSAID)
Correct Answers b)Call the physician to report this finding
A nurse teaches newly pregnant clients that if an ovum is
fertilized and implants in the endometrium, the hormone the
fertilized egg begins to secrete is:
Solutions
A 35 -year- old client in her second trimester states a desire to
begin an exercise program to decrease her fatigue. Which of the
following would be the most appropriate nursing response?
a)"Fatigue will increase as pregnancy progresses but jogging
daily may help."
b)Avoid a strenuous exercise regime at your age. Drink coffee
TID."
c)"Avoid an exercise regime due to your pregnancy. Try to nap
daily."
d)"Fatigue should resolve in the second trimester but walking
daily might help." Correct Answers d)"Fatigue should resolve
in the second trimester but walking daily might help."
A client has just given birth. During labor the fetus was in a
cephalicsinciput presentation after a prolonged labor, the fetus
converted to a vertex presentation and was delivered vaginally
with vacuum extractor assistance. The nurse should explain to
the parents that:
a)The infant will need to be observed for meconium aspiration
b)Molding of the newborn head will subside in a few days
c)The infant will need prophylactic antibiotics
d)Chest feeding will need to be delayed for a day or two
Correct Answers b)Molding of the newborn head will subside
in a few days
,A client in her third trimester of pregnancy reports frequent leg
cramps. What strategy would be most appropriate for the nurse
to suggest?
a)Point the toes of the affected leg
b)Increase intake of protein rich foods
c)Limit activity for several days
d)Dorsiflex the foot to stretch the calf Correct Answers
d)Dorsiflex the foot to stretch the calf
A client received an epidural anesthesia during the first stage of
her labor. The epidural is discontinued immediately after
delivery. Due to the epidural use, the nurse should be prepared
to assess the client for___ during the fourth stage of labor?
a)Nausea
b)Bladder distention
c)Uterine tetany
d)hypertension Correct Answers b)Bladder distention
A gravid woman, who is 42 weeks gestation, has just had a 20-
minute nonstress test (NST). Which of the following results
would the nurse interpret as a reactive test?
a)Moderate fetal heart baseline variability b)Maternal heart rate
accelerations to 140 bpm lasting at least 20 seconds
c)Two fetal heart accelerations of 15 bpm lasting at least 15
seconds
d)Absence of maternal premature ventricular contractions
Correct Answers c)Two fetal heart accelerations of 15 bpm
lasting at least 15 seconds
, A multiparous client is admitted to the labor and delivery unit
with contractions that are regular, then minutes apart, lasting 30
seconds. She reports that her labor began about six hours ago,
and she had a bloody show earlier that morning. A vaginal exam
reveals a vertex presentation; her cervix is 80 percent effaced
and 3 cm dilated. The client asks what part of labor she is in.
The nurse should inform the client that she is in the:
a)Active phase
b)Fourth stage
c)Latent phase
d)Transition phase Correct Answers c)Latent phase
A nurse and a student nurse are caring for a postpartum client
who is experiencing afterpains following the birth of her third
child. The nurse knows the student needs more information
when she states the following measures should be implemented
to decrease the client's pain?
a)Offer warm blankets
b)Call the physician to report this finding
c)Massage the fundus of the uterus and observe lochia for clots
d)Administer a nonsteroidal anti-inflammatory drug (NSAID)
Correct Answers b)Call the physician to report this finding
A nurse teaches newly pregnant clients that if an ovum is
fertilized and implants in the endometrium, the hormone the
fertilized egg begins to secrete is:
