NU 404 Final Exam
1. When doing a health assessment, at fundus two fingerbreadths below
which location would the nurse expect umbilicus and firm
to palpate the fundus in a client on the
second postpartum day and how should A uterine fundus typically re-
it feel? gresses at a rate of one finger-
breadth a day, so on the second
day postpartum it would be two
fingerbreadths under the umbili-
cus and would feel firm.2
2. The nurse would recommend the use of folic acid
which supplement as a primary preven-
tion strategy to prevent neural tube de-
fects in the future offspring of pregnant
clients?
3. A woman with preterm labor is receiving respiratory rate of 11 breaths per
magnesium sulfate. Which finding would minute
require the nurse to intervene immedi-
ately? Magnesium Sulfate is a cen-
tral nervous system depressant
and signs of toxicity include a
respiratory rate less than 12
breaths/minute, urine output less
than 30 ml/hour, and a de-
creased level of consciousness.
2 + deep tendon reflexes are nor-
mal. Flushing on the chest and
face is a common side effect of
magnesium sulfate and resolves
once the drug is discontinued.
4. A client is experiencing a postpartum Risk factors for postpartum he-
hemorrhage due to uterine atony. Which morrhage due to uterine atony
risk factor would the nurse recognize as include many factors, including
contributory to this specific problem? multiparity.
5. A 12-year-old client expresses concern
to the nurse because the client has not
, NU 404 Final Exam
begun their period yet. The nurse notes "It is normal to begin menstruat-
that the client has grown 6 inches in the ing between the ages of 12 and
past year and a half and is beginning to 15."
develop breast buds. Which response by
the nurse is appropriate?
6. A client, 6 hours postpartum, has a se- maternal mortality rate.
vere postpartum hemorrhage that the
health care providers are unable to con-
trol. The client succumbed to the hem-
orrhage in the intensive care unit. The
client's death would become part of the:
7. How does fetal circulation differ from cir- The umbilical vein carries oxy-
culation after birth? genated blood, while deoxy-
genated blood is carried by the
umbilical arteries.
8. When palpating for fundal height on a placing one hand at the base of
postpartum client, which technique is the uterus, one on the fundus
preferable?
9. A client at 34 weeks' gestation presents Sudden onset of abdominal pain
to labor and delivery with vaginal bleed- and vaginal bleeding with a rigid
ing. Which finding from the obstetric ex- uterus that does not relax are
amination leads the nurse to anticipate signs of a placental abruption
the client is experiencing a placental (abruptio placentae).
abruption (abruptio placentae)?
10. Which instruction would the nurse in- "Try applying warm compresses
clude in the teaching plan for a postpar- to your breasts to encourage the
tum client with mastitis? milk to be released."
11. The fluid-filled, inner membrane sac sur- amnion.
rounding the fetus is which structure?
Chorion is the outer membrane.
12. A client is at the office for their 6-week foul odor
postpartum visit. The client is still experi-
encing mild lochia alba and is concerned
, NU 404 Final Exam
that they have an infection. Which find-
ing would the nurse interpret as support-
ing this suspicion?
13. The nurse is monitoring the client who Bladder distention
is 1 hour postpartum and notes on as-
sessment the uterine fundus is boggy, to
the right, and approximately 2 cm above
the umbilicus. The nurse would conclude
this is most likely related to which poten-
tial complication?
14. The nurse is performing an assessment Fibrin and fibrinogen levels in-
of a pregnant client. Which assessment crease during pregnancy, which
finding requires immediate follow-up by puts the client in a hypercoagu-
the nurse? lable state. These changes along
with the pooling of blood put the
client at risk for deep vein throm-
bosis (DVT). Pain, redness, and
swelling in the calf are symptoms
of DVT and should be followed
up immediately.
15. A nurse measures a pregnant client's 28 weeks' gestation
fundal height and finds it to be 28 cm. The
nurse interprets this to indicate that the
client is at how many weeks' gestation?
16. The nurse is reviewing the functions of It receives sperm, provides an
the ovaries, uterus, clitoris, and vagina exit for menstrual flow, and
with a group of high school students. serves as the birth canal.
What would be the best response by a
high school student about the function
of the vagina?
17. A client who has just given a blood sam- There are only three document-
ple for pregnancy testing in the health ed or positive signs of pregnan-
care provider's office asks the nurse cy: 1) demonstration of a fetal
what method of confirming pregnan- heart separate from the client's,
cy is the most accurate. The nurse ex- 2) fetal movements felt by an ex-
1. When doing a health assessment, at fundus two fingerbreadths below
which location would the nurse expect umbilicus and firm
to palpate the fundus in a client on the
second postpartum day and how should A uterine fundus typically re-
it feel? gresses at a rate of one finger-
breadth a day, so on the second
day postpartum it would be two
fingerbreadths under the umbili-
cus and would feel firm.2
2. The nurse would recommend the use of folic acid
which supplement as a primary preven-
tion strategy to prevent neural tube de-
fects in the future offspring of pregnant
clients?
3. A woman with preterm labor is receiving respiratory rate of 11 breaths per
magnesium sulfate. Which finding would minute
require the nurse to intervene immedi-
ately? Magnesium Sulfate is a cen-
tral nervous system depressant
and signs of toxicity include a
respiratory rate less than 12
breaths/minute, urine output less
than 30 ml/hour, and a de-
creased level of consciousness.
2 + deep tendon reflexes are nor-
mal. Flushing on the chest and
face is a common side effect of
magnesium sulfate and resolves
once the drug is discontinued.
4. A client is experiencing a postpartum Risk factors for postpartum he-
hemorrhage due to uterine atony. Which morrhage due to uterine atony
risk factor would the nurse recognize as include many factors, including
contributory to this specific problem? multiparity.
5. A 12-year-old client expresses concern
to the nurse because the client has not
, NU 404 Final Exam
begun their period yet. The nurse notes "It is normal to begin menstruat-
that the client has grown 6 inches in the ing between the ages of 12 and
past year and a half and is beginning to 15."
develop breast buds. Which response by
the nurse is appropriate?
6. A client, 6 hours postpartum, has a se- maternal mortality rate.
vere postpartum hemorrhage that the
health care providers are unable to con-
trol. The client succumbed to the hem-
orrhage in the intensive care unit. The
client's death would become part of the:
7. How does fetal circulation differ from cir- The umbilical vein carries oxy-
culation after birth? genated blood, while deoxy-
genated blood is carried by the
umbilical arteries.
8. When palpating for fundal height on a placing one hand at the base of
postpartum client, which technique is the uterus, one on the fundus
preferable?
9. A client at 34 weeks' gestation presents Sudden onset of abdominal pain
to labor and delivery with vaginal bleed- and vaginal bleeding with a rigid
ing. Which finding from the obstetric ex- uterus that does not relax are
amination leads the nurse to anticipate signs of a placental abruption
the client is experiencing a placental (abruptio placentae).
abruption (abruptio placentae)?
10. Which instruction would the nurse in- "Try applying warm compresses
clude in the teaching plan for a postpar- to your breasts to encourage the
tum client with mastitis? milk to be released."
11. The fluid-filled, inner membrane sac sur- amnion.
rounding the fetus is which structure?
Chorion is the outer membrane.
12. A client is at the office for their 6-week foul odor
postpartum visit. The client is still experi-
encing mild lochia alba and is concerned
, NU 404 Final Exam
that they have an infection. Which find-
ing would the nurse interpret as support-
ing this suspicion?
13. The nurse is monitoring the client who Bladder distention
is 1 hour postpartum and notes on as-
sessment the uterine fundus is boggy, to
the right, and approximately 2 cm above
the umbilicus. The nurse would conclude
this is most likely related to which poten-
tial complication?
14. The nurse is performing an assessment Fibrin and fibrinogen levels in-
of a pregnant client. Which assessment crease during pregnancy, which
finding requires immediate follow-up by puts the client in a hypercoagu-
the nurse? lable state. These changes along
with the pooling of blood put the
client at risk for deep vein throm-
bosis (DVT). Pain, redness, and
swelling in the calf are symptoms
of DVT and should be followed
up immediately.
15. A nurse measures a pregnant client's 28 weeks' gestation
fundal height and finds it to be 28 cm. The
nurse interprets this to indicate that the
client is at how many weeks' gestation?
16. The nurse is reviewing the functions of It receives sperm, provides an
the ovaries, uterus, clitoris, and vagina exit for menstrual flow, and
with a group of high school students. serves as the birth canal.
What would be the best response by a
high school student about the function
of the vagina?
17. A client who has just given a blood sam- There are only three document-
ple for pregnancy testing in the health ed or positive signs of pregnan-
care provider's office asks the nurse cy: 1) demonstration of a fetal
what method of confirming pregnan- heart separate from the client's,
cy is the most accurate. The nurse ex- 2) fetal movements felt by an ex-
