FINAL PRACTICE EXAMS FOR

FINAL PRACTICE EXAMS FOR MATERNAL CHILD NURSING CARE TEST 1 Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and the basis for many tests. A maternity nurse should be aware that: - CORRECT ANSWER-higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravity and parity using GTPAL system? - CORRECT ANSWER-3-1-0- 1-0 The fetal circulatory shunt that diverts blood away from the right atrium and into the left atrium is called the: - CORRECT ANSWER-Foramen Ovale You are obtaining a health history from a client during her first prenatal visit. She recalls that the first day of her last period was September 5, 2017. Based upon this information you estimate her due date to be: - CORRECT ANSWER-June 12, 2018 Regarding fluid intake during pregnancy, which of the following recommendations is most accurate? - CORRECT ANSWER-2-3 liters Which hematocrit (Hit) and hemoglobin (Hgb) results represent(s) the lowest acceptable values for a woman in the third trimester of pregnancy? - CORRECT ANSWER-33% Hct, 11g/dL Hgb A woman who is pregnant for the first time and has reached the stage of fetal viability is called a: - CORRECT ANSWER-Primipara In order to reassure and educate pregnant clients about changes in their blood pressure, maternity nurses should be aware that: - CORRECT ANSWER-compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter stage of term pregnancy. Of the following, which is considered normal for pregnancy? - CORRECT ANSWERKetonuria In order to provide the best information to a couple regarding prenatal genetic testing, maternity nurses should be aware that: - CORRECT ANSWER-Maternal serum screening can determine whether a pregnant woman is at risk of carrying a fetus with Down syndrome At approximately ----- weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110g. - CORRECT ANSWER-28 Maternity nurses should understand that the fetal lungs: - CORRECT ANSWER-are considered mature when the lecithin/sphingomyelin (L/S) ratio is 2:1 Known human teratogens are (Select all that apply) - CORRECT ANSWER-Rubella Radiation Hormones produced by the placenta are (select all that apply): - CORRECT ANSWEREstrogen Progesterone Human chorionic gonadotropin (hCG) During a first trimester visit scheduled at 8 weeks of pregnancy, you are providing genetic counseling for an expectant couple who have had a previous child with trisomy 18. You should: - CORRECT ANSWER-Discuss options with the couple, including amniocentesis to determine whether the fetus is affected. During a 28 week prenatal appointment, your client reports that she feels her baby kick when she reads aloud to him, but she is not sure if this is just her imagination. Which is most appropriate? - CORRECT ANSWER-a baby in utero does respond to the mother's voice In regards to multi-fetal pregnancy, maternity nurse should be aware that: - CORRECT ANSWER-twin pregnancies often end in prematurity A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations. Which immunizations should she receive at this point in her pregnancy? - CORRECT ANSWER-Tetanus Diphtheria Hepatitis B An important criteria for choosing a nurse-midwife to provide obstetric care is: - CORRECT ANSWER-a low-risk pregnancy When educating a client with a body mass index (BMI) of 20 regarding her recommended weight gain during pregnancy, the nurse should advise her weight gain