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Exam (elaborations)

NUR 318: Women's Health Exam 1 Questions With Complete Solutions

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NUR 318: Women's Health Exam 1 Questions With Complete Solutions

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NUR 318: Women's Health Exam 1 Questions With
Complete Solutions

3 layers of uterus Correct Answer -endometrium (inner)
-myometrium (smooth muscle tissue)
-perimetrium

3 main fetal presentations: Correct Answer -cephalic (vertex,
military, brow, face)
-breech
-shoulder

5 P's affecting labor Correct Answer -Passageway (birth canal:
pelvis & soft tissues)

-Passenger (fetus and placenta)

-Powers (contractions)

-Position (maternal)

-Psychological response

A client who is 6 months pregnant is at the prenatal clinic for
her initial visit. Her history reveals she has 10-year-old twins
who were born at 33 weeks gestation, a 3-year old son born at
40 weeks gestation, and a spontaneous abortion 1 year ago at 6
weeks gestation. Using the GTPAL method, the nurse would
document her obstetric history as:
• a. 3 2 1 0 3
• b. 3 1 2 2 3

,• c. 4 1 1 1 3
• d. 4 2 1 3 1 Correct Answer C

A client's membranes spontaneously ruptured. What would the
nurse do next?

a. Check the fetal heart rate
b. Check contractions
c. Notify the primary care provider immediately
d. Change the linen saver pad. Correct Answer A
(b/c worried about prolapsed cord)

A fetus is 1 cm above the ischial spines. The nurse would
document fetal station as:

a. - 2
b. -1
c. 0
d. 2 Correct Answer B

A mother asks the nurse, "How does my baby get air inside my
uterus?" The correct response is:
a. The baby's lungs work in utero to exchange oxygen and
carbon dioxide.
b. The baby absorbs oxygen from your blood system.
c. The placenta provides oxygen to the baby and excretes
carbon dioxide into your bloodstream. Correct Answer C

A nurse is collecting data from an admission assessment of a
client who is pregnant with twins. The client also has an 8-year-

,old child. The nurse would document which gravida (G) and
para (P) status on this client?

• a. G1P1
• b. G2P1
• c. G2P2
• d. G3P2 Correct Answer B

A nurse is preparing a mother for an epidural. What are the most
important actions the nurse should do?

a. Administer IV bolus (hypotension)
b. Take the blood pressure
c. Assess FHR
d. Wait for the obstetrician
e. a,b,c Correct Answer E

A nurse is teaching a pregnant woman about recommended
weight gain. The woman has a pre-pregnancy body mass index
of 28. The nurse determines that teaching was successful when
the woman states that she should gain no more than which
amount during pregnancy?

a. 35 to 40 pounds
b. 25 to 35 pounds
c. 28 to 40 pounds
d. 15 to 25 pounds Correct Answer D

A pigmented line down the middle of the pregnant women's
abdomen is described as?
• a. Linea nigra

, • b. Striae gravidarum
• c. Melasma
• d. Vascular spiders Correct Answer A

A pregnant woman is planning to travel by airplane to visit her
parents. The nurse educates the mother about this travel. What
teaching content provided by the nurse is correct?

a. sit in a window seat so you can focus on the sky to relax
b. do not drink too much fluid so you don't have to urinate so
often
c. get up and walk around the airplane about every 2 hours
d. do some upper arm stretches while sitting in the seat Correct
Answer C

A woman in her 39 weeks of gestation comes to the clinic for a
prenatal visit. She explains to the nurse that her breathing has
become much easier in the last week, but she has noticed
increased pelvic pressure, cramping and lower back pain. Which
of the following has most likely occurred?

a. Cervical dilation
b. Lightening
c. Bloody show
d. Braxton-Hicks contractions Correct Answer B

Abnormalities in chromosome number Correct Answer -
monosomies
-trisomy
-polyploidy

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