3302 FINAL EXAM PRACTICE
QUESTIONS AND CORRECT
ANSWERS
AA2nurseA2isA2caringA2forA2aA2clientA2inA2laborA2whoA2isA2receivingA2PitocinA2byA2IVA2infusio
nA2toA2stimulateA2uterineA2contractions.A2WhichA2assessmentA2findingA2wouldA2indicateA2t
oA2theA2nurseA2thatA2theA2infusionA2needsA2toA2beA2discontinued?
A.A2ThreeA2contractionsA2occurringA2withinA2aA210-minuteA2period
B.A2AA2fetalA2heartA2rateA2ofA290A2beatsA2perA2minute
C.A2AdequateA2restingA2toneA2ofA2theA2uterusA2palpatedA2betweenA2contractions
D.A2IncreasedA2urinaryA2outputA2-A2Ans--B
AA2nurseA2isA2providingA2geneticA2counselingA2forA2anA2expectantA2coupleA2whoA2alreadyA
2haveA2aA2childA2withA2trisomyA218.A2TheA2nurseA2should:A2SelectA2one
A.A2TellA2theA2coupleA2theyA2needA2toA2haveA2anA2abortionA2withinA22A2toA23A2weeks
B.A2ExplainA2thatA2theA2fetusA2hasA2aA250%A2chanceA2ofA2havingA2theA2disorder
C.A2DiscussA2optionsA2withA2theA2couple,A2includingA2amniocentesisA2toA2determineA2whet
herA2theA2fetusA2isA2affected
D.A2ReferA2theA2coupleA2toA2aA2psychologistA2forA2emotionalA2supportA2-A2Ans--C
AA2nurseA2isA2caringA2forA2aA2clientA2inA2laborA2andA2isA2monitoringA2theA2fetalA2heartA2patt
erns.A2TheA2nurseA2notesA2theA2presenceA2ofA2episodicA2accelerationsA2onA2theA2electroni
cA2fetalA2monitorA2tracing.A2whichA2ofA2theA2followingA2actionsA2isA2mostA2appropriate?
A.A2TakeA2theA2mother'sA2vitalA2signsA2andA2tellA2theA2motherA2thatA2bedA2restA2isA2require
dA2toA2conserveA2oxygen
B.A2notifyA2theA2physicianA2orA2nurseA2midwifeA2ofA2theA2findings
C.A2RepositionA2theA2motherA2andA2checkA2theA2monitorA2forA2changesA2inA2theA2fetalA2tra
cing
D.A2DocumentA2theA2findingsA2andA2tellA2theA2motherA2thatA2theA2monitorA2indicatesA2fetal
A2well-beingA2-A2Ans--D
,AA2womanA2withA2preeclampsiaA2isA2receivingA2magnesiumA2sulfate.A2TheA2nurseA2assign
edA2toA2careA2forA2theA2clientA2determinesA2thatA2theA2magnesiumA2therapyA2isA2effectiveA
2if:
A.A2seizuresA2doA2notA2occur
B.A2weightA2loss
C.A2ankleA2clonusA2isA2noted
D.A2theA2bloodA2pressureA2decreasesA2-A2Ans--A
RhoGAMA2isA2prescribedA2forA2aA2womanA2followingA2deliveryA2ofA2aA2newbornA2infantA2a
ndA2theA2nurseA2providesA2informationA2toA2theA2womanA2aboutA2theA2purposeA2ofA2theA2
medication.A2TheA2nurseA2determinesA2thatA2theA2womanA2understandsA2theA2purposeA2o
fA2theA2medicationA2ifA2theA2womanA2statesA2thatA2itA2willA2protectA2herA2nextA2babyA2fromA
2whichA2ofA2theA2following?
A.A2developingA2physiologicalA2jaundice
B.A2HavingA2RhA2positiveA2blood
C.A2DevelopingA2aA2rubellaA2infection
D.A2BeingA2affectedA2byA2RhA2incompatibilityA2-A2Ans--D
AA2nurseA2isA2monitoringA2aA2clientA2inA2labor.A2TheA2nurseA2suspectsA2umbilicalA2cordA2c
ompressionA2ifA2whichA2ofA2theA2followingA2isA2notedA2onA2theA2externalA2monitorA2tracingA
2duringA2aA2contraction?
A.A2earlyA2decelerations
B.A2variableA2decelerations
C.A2lateA2decelerations
D.A2tachycardiaA2-A2Ans--B
TheA2viralA2STIA2thatA2affectsA2mostA2peopleA2inA2theA2UnitedA2StatesA2todayA2is:
A.A2herpesA2simplexA2virusA2typeA22
B.A2humanA2papillomavirus
C.A2HumanA2immunodeficiencyA2virus
D.A2cytomegalovirusA2-A2Ans--B
TheA2patientA2wasA2threeA2monthsA2pregnantA2andA2hadA2aA2pregnancyA2loss.A2BecauseA
2theA2clientA2isA2RhA2negative,A2theA2nurseA2must:
A.A2makeA2certainA2theA2clientA2doesA2notA2receiveA2RhoGAM,A2sinceA2theA2gestationA2onl
yA2lastedA212A2weeks
B.A2NotA2giveA2RhoGAM,A2sinceA2itA2isA2notA2usedA2withA2theA2birthA2ofA2aA2stillborn
C.A2MakeA2certainA2sheA2receivesA2RhoGAMA2onA2herA2firstA2clinicA2visit
,D.A2AdministerA2RhoGAMA2withinA272A2hoursA2-A2Ans--D
TheA2nurseA2isA2workingA2withA2aA2populationA2agesA212-
18A2years,A2bothA2maleA2andA2female.A2InA2teachingA2thisA2groupA2aboutA2HPVA2selectA2fr
omA2theA2belowA2topicsA2thatA2areA2trueA2andA2shouldA2beA2included.
1.A2femalesA2shouldA2getA2theA2HPVA2seriesA2ofA2vaccinesA2atA2agesA29-
26A2yearsA2ofA2age
2.A2malesA2doA2notA2requireA2theA2vaccine
3.A2HPVA2isA2theA2leadingA2causeA2ofA2throatA2cancer
4.A2HPVA2canA2causeA2cervicalA2cancer
5.A2HPVA2isA2normalA2floraA2inA2mostA2humans
6.A2HPVA2canA2beA2treatedA2withA2pennicillinA2-A2Ans--1,3,4
AA2nurseA2isA2assessingA2aA2pregnantA2clientA2inA2theA23rdA2trimesterA2ofA2pregnancyA2wh
oA2wasA2admittedA2toA2theA2maternityA2uniteA2withA2aA2suspectedA2diagnosisA2ofA2abruptio
A2placentae.A2WhichA2ofA2theA2followingA2assessmentA2findingsA2wouldA2theA2nurseA2expe
ctA2toA2noteA2ifA2thisA2conditionA2isA2present?
A.A2absenceA2ofA2abdominalA2pain
B.A2aA2softA2abdomen
C.A2uterineA2tenderness/pain
D.A2painless,A2brightA2redA2vaginalA2bleedingA2-A2Ans--C
TheA2mainA2reasonA2forA2anA2expectedA2increasedA2needA2forA2ironA2inA2pregnancyA2is
A.A2theA2motherA2mayA2haveA2physiologicA2anemiaA2dueA2toA2theA2increasedA2needA2forA2
RBCA2massA2asA2wellA2asA2theA2fetalA2requiresA2aboutA2350-400A2mgA2ofA2ironA2toA2grow
B.A2TheA2motherA2mayA2sufferA2anemiaA2becauseA2ofA2poorA2appetite
C.A2TheA2fetusA2hasA2anA2increasedA2needA2forA2RBCA2whichA2theA2motherA2mustA2supply
D.A2TheA2motherA2mayA2haveA2aA2problemA2ofA2digestionA2becauseA2ofA2picaA2-A2Ans--A
AA2G4P3A2isA2admittedA2toA2theA2L&DA2suiteA2atA236A2weeks'A2gestation.A2SheA2hasA2aA2h
xA2ofA2C/
SA2andA2complainsA2ofA2severeA2abdominalA2painA2thatA2startedA2lessA2thanA21A2hrA2earlie
r.A2WhenA2theA2nurseA2palpatesA2tetanicA2contractions,A2theA2clientA2againA2complainsA2of
A2severeA2pain.A2AfterA2theA2clientA2vomits,A2sheA2statesA2thatA2theA2painA2isA2muchA2bette
, rA2andA2thenA2passesA2out.A2WhichA2isA2theA2probableA2causeA2ofA2herA2signsA2andA2symp
toms?
A.A2hysteriaA2compoundedA2byA2theA2flu
B.A2placentalA2abruption
C.A2UterineA2rupture
D.A2dysfunctionalA2laborA2-A2Ans--C
AA2pregnantA2clientA2isA2receivingA2magnesiumA2sulfateA2forA2theA2managementA2ofA2pree
clampsia.A2AA2nurseA2determinesA2theA2clientA2isA2experiencingA2toxicityA2fromA2theA2medi
cationA2ifA2whichA2ofA2theA2followingA2isA2notedA2onA2assessment?
A.A2proteinuriaA2ofA2+3
B.A2serumA2magA2levelA2ofA26A2mEq/L
C.A2presenceA2ofA2deepA2tendonA2reflexes
D.A2respirationsA2ofA210A2perA2minuteA2-A2Ans--D
AA2G4P3A2patientA2whoA2hasA2hadA23A2c/
secA2isA2pregnantA2forA2theA24thA2time.A2WhatA2areA2theA2increasedA2risksA2forA2thisA2patie
nt?A2SelectA2allA2thatA2apply
1.A2placentaA2previa
2.A2placentalA2insufficiency
3.A2uterineA2rupture
4.A2placentaA2acreta
5.A2severeA2anemiaA2-A2Ans--1,3,4
MostA2ofA2theA2geneticA2testsA2nowA2offeredA2inA2clinicalA2practiceA2areA2testsA2for:
A.A2single-geneA2disorders
B.A2carrierA2screening
C.A2predictiveA2values
D.A2predispositionalA2testingA2-A2Ans--A
WhenA2examiningA2theA2fetalA2monitorA2stripA2afterA2ruptureA2ofA2theA2membranesA2inA2aA2
laboringA2client,A2theA2nurseA2notesA2variableA2decelerationsA2inA2theA2fetalA2heartA2rate.A2
TheA2nurseA2should:
A.A2stopA2theA2oxytocinA2infusion
B.A2changeA2theA2client'sA2position
C.A2PrepareA2forA2immediateA2delivery
D.A2takeA2theA2client'sA2bloodA2pressureA2-A2Ans--B
GroupA2BA2streptococciA2(GBS)A2areA2partA2ofA2theA2normalA2vaginalA2floraA2inA220%A2toA2
30%A2ofA2healthyA2pregnantA2women.A2GBSA2hasA2beenA2associatedA2withA2poorA2pregna
QUESTIONS AND CORRECT
ANSWERS
AA2nurseA2isA2caringA2forA2aA2clientA2inA2laborA2whoA2isA2receivingA2PitocinA2byA2IVA2infusio
nA2toA2stimulateA2uterineA2contractions.A2WhichA2assessmentA2findingA2wouldA2indicateA2t
oA2theA2nurseA2thatA2theA2infusionA2needsA2toA2beA2discontinued?
A.A2ThreeA2contractionsA2occurringA2withinA2aA210-minuteA2period
B.A2AA2fetalA2heartA2rateA2ofA290A2beatsA2perA2minute
C.A2AdequateA2restingA2toneA2ofA2theA2uterusA2palpatedA2betweenA2contractions
D.A2IncreasedA2urinaryA2outputA2-A2Ans--B
AA2nurseA2isA2providingA2geneticA2counselingA2forA2anA2expectantA2coupleA2whoA2alreadyA
2haveA2aA2childA2withA2trisomyA218.A2TheA2nurseA2should:A2SelectA2one
A.A2TellA2theA2coupleA2theyA2needA2toA2haveA2anA2abortionA2withinA22A2toA23A2weeks
B.A2ExplainA2thatA2theA2fetusA2hasA2aA250%A2chanceA2ofA2havingA2theA2disorder
C.A2DiscussA2optionsA2withA2theA2couple,A2includingA2amniocentesisA2toA2determineA2whet
herA2theA2fetusA2isA2affected
D.A2ReferA2theA2coupleA2toA2aA2psychologistA2forA2emotionalA2supportA2-A2Ans--C
AA2nurseA2isA2caringA2forA2aA2clientA2inA2laborA2andA2isA2monitoringA2theA2fetalA2heartA2patt
erns.A2TheA2nurseA2notesA2theA2presenceA2ofA2episodicA2accelerationsA2onA2theA2electroni
cA2fetalA2monitorA2tracing.A2whichA2ofA2theA2followingA2actionsA2isA2mostA2appropriate?
A.A2TakeA2theA2mother'sA2vitalA2signsA2andA2tellA2theA2motherA2thatA2bedA2restA2isA2require
dA2toA2conserveA2oxygen
B.A2notifyA2theA2physicianA2orA2nurseA2midwifeA2ofA2theA2findings
C.A2RepositionA2theA2motherA2andA2checkA2theA2monitorA2forA2changesA2inA2theA2fetalA2tra
cing
D.A2DocumentA2theA2findingsA2andA2tellA2theA2motherA2thatA2theA2monitorA2indicatesA2fetal
A2well-beingA2-A2Ans--D
,AA2womanA2withA2preeclampsiaA2isA2receivingA2magnesiumA2sulfate.A2TheA2nurseA2assign
edA2toA2careA2forA2theA2clientA2determinesA2thatA2theA2magnesiumA2therapyA2isA2effectiveA
2if:
A.A2seizuresA2doA2notA2occur
B.A2weightA2loss
C.A2ankleA2clonusA2isA2noted
D.A2theA2bloodA2pressureA2decreasesA2-A2Ans--A
RhoGAMA2isA2prescribedA2forA2aA2womanA2followingA2deliveryA2ofA2aA2newbornA2infantA2a
ndA2theA2nurseA2providesA2informationA2toA2theA2womanA2aboutA2theA2purposeA2ofA2theA2
medication.A2TheA2nurseA2determinesA2thatA2theA2womanA2understandsA2theA2purposeA2o
fA2theA2medicationA2ifA2theA2womanA2statesA2thatA2itA2willA2protectA2herA2nextA2babyA2fromA
2whichA2ofA2theA2following?
A.A2developingA2physiologicalA2jaundice
B.A2HavingA2RhA2positiveA2blood
C.A2DevelopingA2aA2rubellaA2infection
D.A2BeingA2affectedA2byA2RhA2incompatibilityA2-A2Ans--D
AA2nurseA2isA2monitoringA2aA2clientA2inA2labor.A2TheA2nurseA2suspectsA2umbilicalA2cordA2c
ompressionA2ifA2whichA2ofA2theA2followingA2isA2notedA2onA2theA2externalA2monitorA2tracingA
2duringA2aA2contraction?
A.A2earlyA2decelerations
B.A2variableA2decelerations
C.A2lateA2decelerations
D.A2tachycardiaA2-A2Ans--B
TheA2viralA2STIA2thatA2affectsA2mostA2peopleA2inA2theA2UnitedA2StatesA2todayA2is:
A.A2herpesA2simplexA2virusA2typeA22
B.A2humanA2papillomavirus
C.A2HumanA2immunodeficiencyA2virus
D.A2cytomegalovirusA2-A2Ans--B
TheA2patientA2wasA2threeA2monthsA2pregnantA2andA2hadA2aA2pregnancyA2loss.A2BecauseA
2theA2clientA2isA2RhA2negative,A2theA2nurseA2must:
A.A2makeA2certainA2theA2clientA2doesA2notA2receiveA2RhoGAM,A2sinceA2theA2gestationA2onl
yA2lastedA212A2weeks
B.A2NotA2giveA2RhoGAM,A2sinceA2itA2isA2notA2usedA2withA2theA2birthA2ofA2aA2stillborn
C.A2MakeA2certainA2sheA2receivesA2RhoGAMA2onA2herA2firstA2clinicA2visit
,D.A2AdministerA2RhoGAMA2withinA272A2hoursA2-A2Ans--D
TheA2nurseA2isA2workingA2withA2aA2populationA2agesA212-
18A2years,A2bothA2maleA2andA2female.A2InA2teachingA2thisA2groupA2aboutA2HPVA2selectA2fr
omA2theA2belowA2topicsA2thatA2areA2trueA2andA2shouldA2beA2included.
1.A2femalesA2shouldA2getA2theA2HPVA2seriesA2ofA2vaccinesA2atA2agesA29-
26A2yearsA2ofA2age
2.A2malesA2doA2notA2requireA2theA2vaccine
3.A2HPVA2isA2theA2leadingA2causeA2ofA2throatA2cancer
4.A2HPVA2canA2causeA2cervicalA2cancer
5.A2HPVA2isA2normalA2floraA2inA2mostA2humans
6.A2HPVA2canA2beA2treatedA2withA2pennicillinA2-A2Ans--1,3,4
AA2nurseA2isA2assessingA2aA2pregnantA2clientA2inA2theA23rdA2trimesterA2ofA2pregnancyA2wh
oA2wasA2admittedA2toA2theA2maternityA2uniteA2withA2aA2suspectedA2diagnosisA2ofA2abruptio
A2placentae.A2WhichA2ofA2theA2followingA2assessmentA2findingsA2wouldA2theA2nurseA2expe
ctA2toA2noteA2ifA2thisA2conditionA2isA2present?
A.A2absenceA2ofA2abdominalA2pain
B.A2aA2softA2abdomen
C.A2uterineA2tenderness/pain
D.A2painless,A2brightA2redA2vaginalA2bleedingA2-A2Ans--C
TheA2mainA2reasonA2forA2anA2expectedA2increasedA2needA2forA2ironA2inA2pregnancyA2is
A.A2theA2motherA2mayA2haveA2physiologicA2anemiaA2dueA2toA2theA2increasedA2needA2forA2
RBCA2massA2asA2wellA2asA2theA2fetalA2requiresA2aboutA2350-400A2mgA2ofA2ironA2toA2grow
B.A2TheA2motherA2mayA2sufferA2anemiaA2becauseA2ofA2poorA2appetite
C.A2TheA2fetusA2hasA2anA2increasedA2needA2forA2RBCA2whichA2theA2motherA2mustA2supply
D.A2TheA2motherA2mayA2haveA2aA2problemA2ofA2digestionA2becauseA2ofA2picaA2-A2Ans--A
AA2G4P3A2isA2admittedA2toA2theA2L&DA2suiteA2atA236A2weeks'A2gestation.A2SheA2hasA2aA2h
xA2ofA2C/
SA2andA2complainsA2ofA2severeA2abdominalA2painA2thatA2startedA2lessA2thanA21A2hrA2earlie
r.A2WhenA2theA2nurseA2palpatesA2tetanicA2contractions,A2theA2clientA2againA2complainsA2of
A2severeA2pain.A2AfterA2theA2clientA2vomits,A2sheA2statesA2thatA2theA2painA2isA2muchA2bette
, rA2andA2thenA2passesA2out.A2WhichA2isA2theA2probableA2causeA2ofA2herA2signsA2andA2symp
toms?
A.A2hysteriaA2compoundedA2byA2theA2flu
B.A2placentalA2abruption
C.A2UterineA2rupture
D.A2dysfunctionalA2laborA2-A2Ans--C
AA2pregnantA2clientA2isA2receivingA2magnesiumA2sulfateA2forA2theA2managementA2ofA2pree
clampsia.A2AA2nurseA2determinesA2theA2clientA2isA2experiencingA2toxicityA2fromA2theA2medi
cationA2ifA2whichA2ofA2theA2followingA2isA2notedA2onA2assessment?
A.A2proteinuriaA2ofA2+3
B.A2serumA2magA2levelA2ofA26A2mEq/L
C.A2presenceA2ofA2deepA2tendonA2reflexes
D.A2respirationsA2ofA210A2perA2minuteA2-A2Ans--D
AA2G4P3A2patientA2whoA2hasA2hadA23A2c/
secA2isA2pregnantA2forA2theA24thA2time.A2WhatA2areA2theA2increasedA2risksA2forA2thisA2patie
nt?A2SelectA2allA2thatA2apply
1.A2placentaA2previa
2.A2placentalA2insufficiency
3.A2uterineA2rupture
4.A2placentaA2acreta
5.A2severeA2anemiaA2-A2Ans--1,3,4
MostA2ofA2theA2geneticA2testsA2nowA2offeredA2inA2clinicalA2practiceA2areA2testsA2for:
A.A2single-geneA2disorders
B.A2carrierA2screening
C.A2predictiveA2values
D.A2predispositionalA2testingA2-A2Ans--A
WhenA2examiningA2theA2fetalA2monitorA2stripA2afterA2ruptureA2ofA2theA2membranesA2inA2aA2
laboringA2client,A2theA2nurseA2notesA2variableA2decelerationsA2inA2theA2fetalA2heartA2rate.A2
TheA2nurseA2should:
A.A2stopA2theA2oxytocinA2infusion
B.A2changeA2theA2client'sA2position
C.A2PrepareA2forA2immediateA2delivery
D.A2takeA2theA2client'sA2bloodA2pressureA2-A2Ans--B
GroupA2BA2streptococciA2(GBS)A2areA2partA2ofA2theA2normalA2vaginalA2floraA2inA220%A2toA2
30%A2ofA2healthyA2pregnantA2women.A2GBSA2hasA2beenA2associatedA2withA2poorA2pregna
