Nur 114 Exam 1 – Questions With Verified Solutions
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Terms in this set (72)
1. A 34-week gestation B
patient phones the health
care providers office with
concerns about feeling
light headed. She states
she is dizzy while lying
down and states that she
"feels like I could pass out."
She also reports she has
awakened in the middle of
the night feeling this way.
The nurse should
a. Instruct the patient to
see the HCP right away to
have her blood pressure
checked
b. Discuss supine
hypertension with the
patient and encourage her
to avoid lying flat on her
back
c. Reassure the patient that
this is a normal finding for
the pregnant patient
d. Inform the patient to
increase her fluid intake to
two liters a day
,2. Signs of pre-eclampsia B
include hypertension,
generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output
3. A patient is being A
admitted to the maternity
unit because she is in early
labor. The nurse would
initially
a. Assess maternal vital
signs and fetal heartrate
b. Measure fundal height to
determine fetal size
c. Perform a sterile vaginal
exam to determine cervical
dilation and effacement
5. While obtaining the A
obstetric history the
pregnant patient reports
she is 36 weeks with her
fourth child. She states she
had one elective abortion
at 5 weeks, a daughter who
was born at 40 weeks
gestation, and a son who
was born at 37 weeks
gestation. What is this
patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2
, 6. The maternal serum alfa- A
fetal protein (MSAFP)
sample collected from the
patient at 16 weeks
gestation indicated that this
pregnancy is at high-risk for
having Down Syndrome.
The patient is informed that
she will require further
diagnostic testing. For
these findings, the MSAFP
level was
a. Decreased
b. Increased
8. The pregnant patient's C
lab values obtained on the
first prenatal visit has
indicated that the rubella
titer is negative. The nurse
should
a. Offer the patient the
rubella vaccine at the next
prenatal visit
b. Inform the patient of the
dangers of not receiving
the rubella vaccine prior to
delivery
c. Prepare the patient to
receive the vaccine within
72 hours from the birth of
her child
d. Explain to the patient
that a negative titer
indicated that she is
immune to rubella at this
time
Save
Terms in this set (72)
1. A 34-week gestation B
patient phones the health
care providers office with
concerns about feeling
light headed. She states
she is dizzy while lying
down and states that she
"feels like I could pass out."
She also reports she has
awakened in the middle of
the night feeling this way.
The nurse should
a. Instruct the patient to
see the HCP right away to
have her blood pressure
checked
b. Discuss supine
hypertension with the
patient and encourage her
to avoid lying flat on her
back
c. Reassure the patient that
this is a normal finding for
the pregnant patient
d. Inform the patient to
increase her fluid intake to
two liters a day
,2. Signs of pre-eclampsia B
include hypertension,
generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output
3. A patient is being A
admitted to the maternity
unit because she is in early
labor. The nurse would
initially
a. Assess maternal vital
signs and fetal heartrate
b. Measure fundal height to
determine fetal size
c. Perform a sterile vaginal
exam to determine cervical
dilation and effacement
5. While obtaining the A
obstetric history the
pregnant patient reports
she is 36 weeks with her
fourth child. She states she
had one elective abortion
at 5 weeks, a daughter who
was born at 40 weeks
gestation, and a son who
was born at 37 weeks
gestation. What is this
patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2
, 6. The maternal serum alfa- A
fetal protein (MSAFP)
sample collected from the
patient at 16 weeks
gestation indicated that this
pregnancy is at high-risk for
having Down Syndrome.
The patient is informed that
she will require further
diagnostic testing. For
these findings, the MSAFP
level was
a. Decreased
b. Increased
8. The pregnant patient's C
lab values obtained on the
first prenatal visit has
indicated that the rubella
titer is negative. The nurse
should
a. Offer the patient the
rubella vaccine at the next
prenatal visit
b. Inform the patient of the
dangers of not receiving
the rubella vaccine prior to
delivery
c. Prepare the patient to
receive the vaccine within
72 hours from the birth of
her child
d. Explain to the patient
that a negative titer
indicated that she is
immune to rubella at this
time
