NR327 Exam 1 Review 2 - Dhui
Pathophysiology (Chamberlain University)
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NR327 Exam 1 Review - Sept. 2022
1. Which routine nursing assessment is contraindicated for a patient admitted with suspected
placenta previa?
A. Determining cervical dilation and effacement
B. Monitoring FHR and maternal vital signs
C. Observing vaginal bleeding or leakage of amniotic fluid
D. Determining frequency, duration, and intensity of contractions
2. The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for
preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?
A. Edema
B. Proteinuria
C. Glucosuria
D. Hypertension
3. The priority nursing intervention when admitting a pregnant patient who has experienced a
bleeding episode in late pregnancy is to
A. monitor uterine contractions.
B. assess fetal heart rate and maternal vital signs.
C. place clean disposable pads to collect any drainage.
D. perform a venipuncture for hemoglobin and hematocrit levels.
4. Rh incompatibility can occur if the patient is Rh-negative and the
A. fetus is Rh-negative.
B. fetus is Rh-positive.
C. father is Rh-positive.
D. father and fetus are both Rh-negative.
5. Which assessment in a patient diagnosed with preeclampsia who is taking magnesium
sulfate would indicate a therapeutic level of medication?
A. Drowsiness
B. Urinary output of 20 mL/hour
C. Normal deep tendon reflexes
D. Respiratory rate of 10 to 12 breaths per minute
6. The nurse is assessing the duration of a patient’s labor contractions. Which method does
the nurse implement to assess the duration of labor contractions?
A. Assess the strongest intensity of each contraction.
B. Assess uterine relaxation between two contractions.
C. Assess from the beginning to the end of each contraction.
D. Assess from the beginning of one contraction to the beginning of the next.
7. Which physiologic event is the key indicator of the commencement of true labor?
A. Bloody show
B. Cervical dilation and effacement
C. Fetal descent into the pelvic inlet
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