NSG 504 Questions With Complete Solutions
A. "I am sorry. This must be difficult for you." Correct Answers
A 34-year old client comes to the emergency room with
cramping and vaginal bleeding. She has missed two menstraul
periods. Which of the following statements by the nurse is most
appropriate when the client is diagnosed with an incomplete
abortion?
A. "I am sorry. This must be difficult for you."
B. "The doctor will clean out your womb with a D and C."
C. "Were you really wating to be pregnant right now?"
D. "You'll still be able to have children after this is over."
A. 2 station Correct Answers To provide safe care for the
woman, the nurse understands that which condition is a
contraindication for an amniotomy?
A. 2 station
B. Dilation less than 3 cm
C. Right occiput posterior position
D. Cephalic presentation
A. An infant laryngoscope and suction catheters. Correct
Answers A client's amniotic fluis is greenish-tinged. The fetal
presentation is vertex. Fetal heart rate (FHR) and uterine activity
have remained within normal limits. At the time of delivery the
nurse should anticipate the need for:
A. An infant laryngoscope and suction catheters.
B. Forceps.
,C. A transport isolette.
D. Emergency cesarean set-up.
A. Any activity could increase the risk of recurrence of labor
contractions. Correct Answers What activity guidelines should
be included when teaching a client about home care for preterm
labor?
A. Any activity could increase the risk of recurrence of labor
contractions.
B. Complete bed rest at all times is mandatory.
C. Participate in light activities when there have been no
contractions for 24 hours.
D. Space activities to take place for short intervals no more than
three or four times per day.
A. Are temporary and will disappear. Correct Answers Parents
of a newborn with a forceps-assisted vaginal birth ask about
small reddened areas on the infant's cheeks. The nurse should
tell them that the areas:
A. Are temporary and will disappear.
B. Are typical of all vaginal births.
C. Will be reported to the physician.
D. May lead to a serious infection.
A. Assess the fetal heart rate. Correct Answers A woman'e
membranes rupture during a contraction. The priority nursing
action is to:
A. Assess the fetal heart rate.
,B. Note the color of the discharge.
C. Check the woman's vital signs.
D. Determine whether the fluid has a foul odor.
A. central nervous system is very irritable. Correct Answers
Clonus indicates that the
A. central nervous system is very irritable.
B. renal blood flow is severely reduced.
C. lungs are filling with interstitial fluid.
D. muscles are the foot are inflamed.
A. Cesarean delivery after 24 hours labor and failure to progress.
Correct Answers What factor in a client's history places the
client at risk for postpartal endometritis?
A. Cesarean delivery after 24 hours labor and failure to progress.
B. External fetal monitoring during labor.
C. Ruptured membranes 4 hours prior to delivery.
D. Spontaneous vaginal delivery after 8 hours labor
A. Cesarean delivery after 24 hours labor and failure to progress.
Correct Answers What factor in a client's history places the
client at risk for postpartal endometritis?
A. Cesarean delivery after 24 hours labor and failure to progress.
B. External fetal monitoring during labor.
C. Ruptured membranes 4 hours prior to delivery.
D. Spontaneous vaginal delivery after 8 hours labor.
, A. contractions abruptly stop during labor. Correct Answers
The nurse should suspect uterine rupture if:
A. contractions abruptly stop during labor.
B. labor progresses unusually quickly.
C. fetal tachycardia occurs.
D. the woman becomes dyspneic.
A. Dehydration stimulates secretion from the posterior pituitary.
Correct Answers Why is adequate hydration important when
uterine activity occurs before pregnancy is at term?
A. Dehydration stimulates secretion from the posterior pituitary.
B. Fluid and electrolyte imbalance can interfere with the activity
of the uterine pacemakers.
C. Dehydration decreases circulating blood volume, which leads
to uterine ischemia.
D. Fluid needs are increased because of increased metabolic
activity occurring during contractions.
A. Determine the blood type of the father. Correct Answers The
initial laboratory results for a primigravida indicate a
hemoglobin of 12g/dl, hematocrit of 36 percent, and a blood
group and type pf A, Rh-negative. What would be the priority
nursing action to promote a healthy pregnancy for this client and
her fetus?
A. Determine the blood type of the father.
B. Encourage the client to eat more dark-green leafy vegetables.
C. Provide information on weight-gain during pregnancy.
D. Suggest an iron supplement in addition to prenatal vitamins.
A. "I am sorry. This must be difficult for you." Correct Answers
A 34-year old client comes to the emergency room with
cramping and vaginal bleeding. She has missed two menstraul
periods. Which of the following statements by the nurse is most
appropriate when the client is diagnosed with an incomplete
abortion?
A. "I am sorry. This must be difficult for you."
B. "The doctor will clean out your womb with a D and C."
C. "Were you really wating to be pregnant right now?"
D. "You'll still be able to have children after this is over."
A. 2 station Correct Answers To provide safe care for the
woman, the nurse understands that which condition is a
contraindication for an amniotomy?
A. 2 station
B. Dilation less than 3 cm
C. Right occiput posterior position
D. Cephalic presentation
A. An infant laryngoscope and suction catheters. Correct
Answers A client's amniotic fluis is greenish-tinged. The fetal
presentation is vertex. Fetal heart rate (FHR) and uterine activity
have remained within normal limits. At the time of delivery the
nurse should anticipate the need for:
A. An infant laryngoscope and suction catheters.
B. Forceps.
,C. A transport isolette.
D. Emergency cesarean set-up.
A. Any activity could increase the risk of recurrence of labor
contractions. Correct Answers What activity guidelines should
be included when teaching a client about home care for preterm
labor?
A. Any activity could increase the risk of recurrence of labor
contractions.
B. Complete bed rest at all times is mandatory.
C. Participate in light activities when there have been no
contractions for 24 hours.
D. Space activities to take place for short intervals no more than
three or four times per day.
A. Are temporary and will disappear. Correct Answers Parents
of a newborn with a forceps-assisted vaginal birth ask about
small reddened areas on the infant's cheeks. The nurse should
tell them that the areas:
A. Are temporary and will disappear.
B. Are typical of all vaginal births.
C. Will be reported to the physician.
D. May lead to a serious infection.
A. Assess the fetal heart rate. Correct Answers A woman'e
membranes rupture during a contraction. The priority nursing
action is to:
A. Assess the fetal heart rate.
,B. Note the color of the discharge.
C. Check the woman's vital signs.
D. Determine whether the fluid has a foul odor.
A. central nervous system is very irritable. Correct Answers
Clonus indicates that the
A. central nervous system is very irritable.
B. renal blood flow is severely reduced.
C. lungs are filling with interstitial fluid.
D. muscles are the foot are inflamed.
A. Cesarean delivery after 24 hours labor and failure to progress.
Correct Answers What factor in a client's history places the
client at risk for postpartal endometritis?
A. Cesarean delivery after 24 hours labor and failure to progress.
B. External fetal monitoring during labor.
C. Ruptured membranes 4 hours prior to delivery.
D. Spontaneous vaginal delivery after 8 hours labor
A. Cesarean delivery after 24 hours labor and failure to progress.
Correct Answers What factor in a client's history places the
client at risk for postpartal endometritis?
A. Cesarean delivery after 24 hours labor and failure to progress.
B. External fetal monitoring during labor.
C. Ruptured membranes 4 hours prior to delivery.
D. Spontaneous vaginal delivery after 8 hours labor.
, A. contractions abruptly stop during labor. Correct Answers
The nurse should suspect uterine rupture if:
A. contractions abruptly stop during labor.
B. labor progresses unusually quickly.
C. fetal tachycardia occurs.
D. the woman becomes dyspneic.
A. Dehydration stimulates secretion from the posterior pituitary.
Correct Answers Why is adequate hydration important when
uterine activity occurs before pregnancy is at term?
A. Dehydration stimulates secretion from the posterior pituitary.
B. Fluid and electrolyte imbalance can interfere with the activity
of the uterine pacemakers.
C. Dehydration decreases circulating blood volume, which leads
to uterine ischemia.
D. Fluid needs are increased because of increased metabolic
activity occurring during contractions.
A. Determine the blood type of the father. Correct Answers The
initial laboratory results for a primigravida indicate a
hemoglobin of 12g/dl, hematocrit of 36 percent, and a blood
group and type pf A, Rh-negative. What would be the priority
nursing action to promote a healthy pregnancy for this client and
her fetus?
A. Determine the blood type of the father.
B. Encourage the client to eat more dark-green leafy vegetables.
C. Provide information on weight-gain during pregnancy.
D. Suggest an iron supplement in addition to prenatal vitamins.
