NSG 210 Exam 1 Questions With Complete Solutions
5 major changes of fetal circulation & transition to newborn
circulation? Correct Answer 1. increased aortic pressure leads
to decreased venous pressure
2. increased systemic pressure leads to decreased pulmonary
artery pressure
3. closure of foramen ovale
4. closure of ductus arteriosus
5. closure of ductus venosus
A 24-year-old primigravid client who gives birth to a viable
term neonate is in the third stage of labor. Which sign would
indicate to the nurse that the placenta is about to be delivered?
1. The cord lengthens outside the vagina
2. There is a decrease in vaginal bleeding
3. The uterus cannot be palpated
4. The uterus changes to discoid shape Correct Answer
Answer 1
The most reliable sign the placenta has detached from the
uterine wall is lengthening of the cord outside the vagina. Other
signs include a sudden gush of (not decrease) vaginal blood.
A breastfeeding client is seen at home by the visiting nurse 10
days after a vaginal birth. The client has a warm, red, painful
breast, a temperature of 100.0 F., and flu-like symptoms. What
should the nurse do?
1.Encourage the client to breastfeed her infant using the
unaffected breast.
2.Refer the woman to her health care provider
3.Inform the woman that she need to discontinue breastfeeding
,4.Instruct the woman to apply warm compresses to the affected
breast Correct Answer Answer 2
The client is exhibiting signs and symptoms of a breast infection
(mastitis). The nurse should instruct her to contact her health
care provider who will likely prescribe an antibiotic. She should
continue to breastfeed the infant from both breasts. Frequent
feedings are encouraged rather than discontinuing the process.
Applying warm compresses may relieve pain, however, will not
treat the underlying infection.
a client calls the clinic and reports a fever, fatigue, and has a
hard, reddened area in one breast. the client is breastfeeding.
which condition does the nurse understand that the client is most
likely experiencing?
a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis Correct Answer d
a client comes to the hospital in labor. the membranes rupture at
0410. which action does the nurse take first?
a. identifies the amniotic fluid by performing a nitrazine tape
test
b. contacts health care provider and prepares for immediate
delivery
c. documents admission and notes the time of rupture of
membranes
d. observes the amniotic fluid for any signs of infection or
meconium Correct Answer d
,it is important to note the color, amount, and odor of the
amniotic dluid. the fluid should be clear and odorless, and may
contain white specks (vernix caseosa) and fetal hair. a yellow-
green tinged amniotic fluid may indicate infection or fetal
passage of meconium, which could possibly have life-
threatening complications to the fetus that may require
emergency delivery.
a client had a cesarean delivery. the nurse places the highest
priority on monitoring the client for which potential
complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection Correct Answer b
the client is not only an ob client but also a postoperative client;
observe for patent airway, and observe incisional dressing for
bleeding and amount of lochia
a client receives magnesium sulfate intravenously for treatment
of preeclampsia. the client's assessment reveals: BP 110/70, PR
98 beats/min, RR 11 breaths/min, hyporeflexia, and a urine
output of 20 ml/hr. which analysis by the nurse is best?
a. maternal toxicity has occurred
b. an additional dose of magnesium sulfate is needed
c. desired systemic results have been reached
d. drug therapeutic levels have been attained Correct Answer
a
, a fetal heart rate (fhr) tracing shows an early deceleration
pattern. the nurse is aware that this indicates which
interpretation?
a. the fhr slows early in the contraction, which is a normal
finding
b. the fhr slows early in the contraction, which indicates fetal
hypoxia
c. the fhr slows at the peak of the contraction, which is a normal
finding
d. the fhr slows at the peak of the contraction, which indicates
maternal hypoxia Correct Answer a
a light pink discharge of serous exudate, shreds of degenerating
decidua, erythrocytes, leukocytes, cervical mucus, and numerous
microorganisms from the uterus 3-10 days following birth
Correct Answer lochia serosa
A multigravida client gave birth vaginally 2 hours ago. A family
member notifies the nurse that the client is pale and shaky.
Which are the priority assessments for the nurse to make?
1.Blood glucose and vital signs
2.Temperature and level of consciousness
3.Uterine infection and pain
4.Fundus and lochia Correct Answer Answer 4
A client who is pale and shaking could be experiencing
hypovolemic shock likely caused by blood loss. A primary cause
of blood loss after the birth of an infant is uterine atony.
Therefore the priority assessments should be the fundus of the
uterus for firmness and location. In addition the amount of
lochia should also be assessed.
5 major changes of fetal circulation & transition to newborn
circulation? Correct Answer 1. increased aortic pressure leads
to decreased venous pressure
2. increased systemic pressure leads to decreased pulmonary
artery pressure
3. closure of foramen ovale
4. closure of ductus arteriosus
5. closure of ductus venosus
A 24-year-old primigravid client who gives birth to a viable
term neonate is in the third stage of labor. Which sign would
indicate to the nurse that the placenta is about to be delivered?
1. The cord lengthens outside the vagina
2. There is a decrease in vaginal bleeding
3. The uterus cannot be palpated
4. The uterus changes to discoid shape Correct Answer
Answer 1
The most reliable sign the placenta has detached from the
uterine wall is lengthening of the cord outside the vagina. Other
signs include a sudden gush of (not decrease) vaginal blood.
A breastfeeding client is seen at home by the visiting nurse 10
days after a vaginal birth. The client has a warm, red, painful
breast, a temperature of 100.0 F., and flu-like symptoms. What
should the nurse do?
1.Encourage the client to breastfeed her infant using the
unaffected breast.
2.Refer the woman to her health care provider
3.Inform the woman that she need to discontinue breastfeeding
,4.Instruct the woman to apply warm compresses to the affected
breast Correct Answer Answer 2
The client is exhibiting signs and symptoms of a breast infection
(mastitis). The nurse should instruct her to contact her health
care provider who will likely prescribe an antibiotic. She should
continue to breastfeed the infant from both breasts. Frequent
feedings are encouraged rather than discontinuing the process.
Applying warm compresses may relieve pain, however, will not
treat the underlying infection.
a client calls the clinic and reports a fever, fatigue, and has a
hard, reddened area in one breast. the client is breastfeeding.
which condition does the nurse understand that the client is most
likely experiencing?
a. adjustment reaction
b. primary engorgement
c. a blocked duct
d. mastitis Correct Answer d
a client comes to the hospital in labor. the membranes rupture at
0410. which action does the nurse take first?
a. identifies the amniotic fluid by performing a nitrazine tape
test
b. contacts health care provider and prepares for immediate
delivery
c. documents admission and notes the time of rupture of
membranes
d. observes the amniotic fluid for any signs of infection or
meconium Correct Answer d
,it is important to note the color, amount, and odor of the
amniotic dluid. the fluid should be clear and odorless, and may
contain white specks (vernix caseosa) and fetal hair. a yellow-
green tinged amniotic fluid may indicate infection or fetal
passage of meconium, which could possibly have life-
threatening complications to the fetus that may require
emergency delivery.
a client had a cesarean delivery. the nurse places the highest
priority on monitoring the client for which potential
complication?
a. infection and pain
b. hemorrhage and shock
c. hemorrhage and pain management
d. dehydration and infection Correct Answer b
the client is not only an ob client but also a postoperative client;
observe for patent airway, and observe incisional dressing for
bleeding and amount of lochia
a client receives magnesium sulfate intravenously for treatment
of preeclampsia. the client's assessment reveals: BP 110/70, PR
98 beats/min, RR 11 breaths/min, hyporeflexia, and a urine
output of 20 ml/hr. which analysis by the nurse is best?
a. maternal toxicity has occurred
b. an additional dose of magnesium sulfate is needed
c. desired systemic results have been reached
d. drug therapeutic levels have been attained Correct Answer
a
, a fetal heart rate (fhr) tracing shows an early deceleration
pattern. the nurse is aware that this indicates which
interpretation?
a. the fhr slows early in the contraction, which is a normal
finding
b. the fhr slows early in the contraction, which indicates fetal
hypoxia
c. the fhr slows at the peak of the contraction, which is a normal
finding
d. the fhr slows at the peak of the contraction, which indicates
maternal hypoxia Correct Answer a
a light pink discharge of serous exudate, shreds of degenerating
decidua, erythrocytes, leukocytes, cervical mucus, and numerous
microorganisms from the uterus 3-10 days following birth
Correct Answer lochia serosa
A multigravida client gave birth vaginally 2 hours ago. A family
member notifies the nurse that the client is pale and shaky.
Which are the priority assessments for the nurse to make?
1.Blood glucose and vital signs
2.Temperature and level of consciousness
3.Uterine infection and pain
4.Fundus and lochia Correct Answer Answer 4
A client who is pale and shaking could be experiencing
hypovolemic shock likely caused by blood loss. A primary cause
of blood loss after the birth of an infant is uterine atony.
Therefore the priority assessments should be the fundus of the
uterus for firmness and location. In addition the amount of
lochia should also be assessed.
