NUR 230, NUR 231, NUR 254 Exam 1A – Galen College of Nursing (Concepts of Nursing: The Childbearing/Child Caring Family)

The nurse is preparing to teach a client about the cardiovascular changes that occur during pregnancy. Which of the following decreases or remains unchanged? The nurse has provided dietary teaching for a client who has iron deficiency anemia. Which client selection indicates effective teaching? The nurse is caring for a client who is pregnant. The first day of the last menstrual period was October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery. The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of the following hemoglobin (Hgb) levels should the nurse expect to find in the client’s chart? The nurse is caring for a client who is at 38 weeks gestation and in a supine position for a pelvic examination. The client reports feeling dizzy and nauseated, and upon assessment her skin feels damp and cool. Which of the following actions should the nurse take first? The nurse is caring for a primigravida in her third trimester and is experiencing shortness of breath when walking up stairs. Which of the following statements by the nurse is appropriate? The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which findings from the box below are probable signs of pregnancy? The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural influences should the nurse consider first when providing nutritional care? The nurse is talking to a client who is 18 weeks pregnant about preparing her 7-year-old daughter for the new sibling. Which of the following recommendations is best for the nurse to make based on the child’s age? A nurse is teaching a client about symptoms to report during her pregnancy. Which of the following statements by the client indicates a correct understanding of the teaching? The nurse is caring for a client who is at 15 weeks gestation and has an immune rubella titer. Which of the following actions is appropriate for the nurse to take? The nurse is teaching a client who is in the 10th week of pregnancy about morning sickness. Which of the following should the nurse include in the teaching? The nurse is teaching a pregnant client about possible complications of pregnancy. Which of the following client statements requires follow-up by the nurse? The nurse is collecting data from a client who is confirmed pregnant. The client tells the nurse that she has had five pregnancies: twins, one pregnancy delivered at 31 weeks, and one pregnancy delivered at 18 weeks. Which of the following is the correct way to document the client's gravidity, term births, preterm births, abortions, and living children (GTPAL)? The nurse is caring for assigned clients. Which of the following assessment findings should the nurse recognize as consistent with a client in the second stage of labor? The nurse is caring for a client who received an epidural 10 minutes ago. The client now reports dizziness, lightheadedness, and nausea. After checking the client's blood pressure, which of the following actions should the nurse take? The nurse is caring for a client who is in labor and has spontaneous rupture of membranes with a large amount of clear fluid noted. Which of the following, if observed by the nurse, indicates cord compression? The nurse is preparing to teach a group of primipara clients about active relaxation techniques for pain control. Which of the following statements by a client requires follow-up by the nurse? The nurse is caring for a client whose membranes ruptured 8 hours ago. Which of the following actions should the nurse take? The nurse is preparing an educational staff meeting about maternal behavior during the early phase of labor. Which of the following behaviors should the nurse include in the teaching plan? The nurse is teaching a client about the causes of indicated preterm labor. Which causes identified by the client from the box below indicate teaching has been effective? The nurse is teaching a client in active labor who is experiencing significant back pain with each contraction about how to relieve the back pain. Which of the following client statements indicates that further teaching is necessary? The nurse is assessing the contractions of a client on a fetal monitor. The client had the following activity according to the monitor. Which of the following is the correct assessment to document regarding the frequency of the contractions? The nurse working in the labor unit has become aware of the following client situations. Which of the following clients should the nurse assess first? The nurse working in the labor and delivery unit is caring for a client whose membranes have just ruptured. After assessing the fetal heart rate (FHR), which of the following actions is the priority? The nurse is teaching a newly hired nurse about signs to expect in the first phase of the first stage of labor. Which of the following signs referenced by the newly hired nurse indicates a need for further teaching? The nurse is caring for clients who have oxytocin prescribed to induce labor. Which of the following clients requires follow-up with the primary health care provider (PHCP)? The nurse has performed a vaginal exam on a client and notes that the fetal head is at the level indicated in the image below. Which of the following should the nurse document? The nurse is planning a staff development conference about indications for labor induction. Which of the following statements, if made by a participant, indicates a correct understanding of the conference? A client who has had a cesarean birth asks the nurse about the possibility of a vaginal birth after cesarean (VBAC). Which of the following is a contraindication to VBAC? The nurse is caring for a client who is in active labor. Which of the following observed by the nurse indicates head compression? The nurse is caring for a client in labor and observes the fetal monitor strip below. Which of the following is the correct assessment to document regarding fetal decelerations? The nurse is caring for a female client of Chinese culture. The client is 6 cm dilated and the nurse notes facial grimacing and both hands clutching the bed linens. The nurse offered pain medication, but the client refused. Which of the following interventions should the nurse implement to assist with decreasing the client’s pain? The nurse is caring for a group of clients who are in the third trimester of pregnancy. Which of the following clients should the nurse assess first? The nurse is explaining the 3-hour oral glucose tolerance test (OGTT) to a client during a prenatal visit. Which of the following statements by the nurse is appropriate to include in the teaching? The nurse is assessing a client who is 32 weeks pregnant. Which of the following client reports is a priority for the nurse to follow up? The nurse is developing a teaching plan for a primigravida client at 30 weeks gestation who has preeclampsia and is being cared for at home. Which of the following should the nurse instruct the client to report to the primary health care provider (PHCP) immediately? The nurse is caring for multiple clients in labor. Which of the following clients should the nurse assess first? The nurse is caring for a primigravida client who is in early labor and has ruptured membranes. The client has a blood pressure (BP) of 168/102 mmHg, her face and hands are swollen, and she has 3+ protein in her urine. Which of the following medications should the nurse expect to be initially prescribed for this client? The nurse is caring for a group of clients at 39 weeks gestation. Which of the following clients should the nurse recognize is experiencing a possible abruptio placentae? The nurse is caring for an 8-month pregnant client. The nurse assesses the fetal position shown in the image below. Which of the following is the correct description for the image? The nurse is caring for a client who is at 38 weeks gestation and arrives at the emergency department in active labor. Which of the following should the nurse expect to assess upon examination? The nurse is teaching a pregnant client who has diabetes mellitus about insulin needs during pregnancy. Which of the following statements by the nurse is correct? The nurse is admitting a client at 38 weeks gestation who is in labor and has a complete placenta previa. Which of the following prescriptions requires the nurse to follow up with the primary health care provider (PHCP)? The nurse is caring for a pregnant client at 32 weeks gestation. The client reports occasional contractions and bright red vaginal bleeding. Which of the following conditions does the nurse expect the client is experiencing? The nurse is caring for a client who is a primipara, 6 cm dilated, 75% effaced, and 0 station. Which of the following stages of labor is the client experiencing? The nurse working in an outpatient clinic is assessing primigravida clients. Which of the following client findings should the nurse report to the primary health care provider (PHCP)? The nurse is caring for a client admitted with preeclampsia and receiving magnesium sulfate intravenously. The client becomes drowsy, lethargic, and develops respirations of 11. Which of the following prescriptions should the nurse expect to administer? The nurse is caring for a client admitted with preeclampsia. Upon entering the client's room, the nurse notes the client is in bed and disoriented with muscular twitching. Which of the following actions should the nurse expect to initially implement? The nurse is teaching a client who is being discharged following a cerclage procedure. Which of the following statements by the client indicates a correct understanding of the teaching?