Question 1
Upon assessment the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not appreciated. Which of the following is the most possible diagnosis of this condition?
A. Hydatidiform mole
B. Missed abortion
C. Pelvic inflammatory disease
D. Ectopic pregnancy
Upon assessment the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not appreciated. Which of the following is the most possible diagnosis of this condition?
A. Hydatidiform mole
B. Missed abortion
C. Pelvic inflammatory disease
D. Ectopic pregnancy
Answer
A. Hydatidiform mole
Question 2
When a pregnant woman goes into a convulsive seizure, the MOST immediate action of the nurse to ensure safety of the patient is:
A. Apply restraint so that the patient will not fall out of bed
B. Put a mouth gag so that the patient will not bite her tongue and the tongue will not fall back
C. Position the mother on her side to allow the secretions to drain from her mouth and prevent aspiration
D. Check if the woman is also having a precipitate labor
When a pregnant woman goes into a convulsive seizure, the MOST immediate action of the nurse to ensure safety of the patient is:
A. Apply restraint so that the patient will not fall out of bed
B. Put a mouth gag so that the patient will not bite her tongue and the tongue will not fall back
C. Position the mother on her side to allow the secretions to drain from her mouth and prevent aspiration
D. Check if the woman is also having a precipitate labor
Answer
C. Position the mother on her side to allow the secretions to drain from her mouth and prevent aspiration
Question 3
Approximately 15 minutes after delivery of a viable neonate, a multiparous client complains of chills. Which of the following would the nurse do next?
A. Assess the client’s pulse rate.
B. Decrease the rate of intravenous fluid.
C. Provide the client with a warm blanket.
D. Assess the amount of blood loss.
Approximately 15 minutes after delivery of a viable neonate, a multiparous client complains of chills. Which of the following would the nurse do next?
A. Assess the client’s pulse rate.
B. Decrease the rate of intravenous fluid.
C. Provide the client with a warm blanket.
D. Assess the amount of blood loss.
Answer
C. Provide the client with a warm blanket.
Question 4
The nurse prepares a 26 year-old multiparous client at 40 weeks gestation admitted to the hospital labor unit for induction of labor for lumbar epidural anesthesia. Before anesthesia administration, the nurse instructs the client to assume which of the following positions?
A. Lithotomy
B. Side-lying
C. Knee-to-chest
D. Prone
The nurse prepares a 26 year-old multiparous client at 40 weeks gestation admitted to the hospital labor unit for induction of labor for lumbar epidural anesthesia. Before anesthesia administration, the nurse instructs the client to assume which of the following positions?
A. Lithotomy
B. Side-lying
C. Knee-to-chest
D. Prone
Answer
C. Knee-to-chest
Question 5
For a mutigravid client at 39 weeks gestation with suspected HELLP syndrome, the nurse would immediately notify the physician for which of the following laboratory test results?
A. Hyperfibrinogenemia
B. Decreased liver enzyme
C. Thrombocytopenia
D. Hypernatremia
For a mutigravid client at 39 weeks gestation with suspected HELLP syndrome, the nurse would immediately notify the physician for which of the following laboratory test results?
A. Hyperfibrinogenemia
B. Decreased liver enzyme
C. Thrombocytopenia
D. Hypernatremia
Answer
C. Thrombocytopenia
Question 6
When performing Leopold’s maneuver, which of the following, would the nurse ask the client to do to ensure optimal comfort and accuracy?
A. Breathe deeply for 1 minute
B. Empty her bladder.
C. Drink a full glass of water
D. Lie on her left side.
When performing Leopold’s maneuver, which of the following, would the nurse ask the client to do to ensure optimal comfort and accuracy?
A. Breathe deeply for 1 minute
B. Empty her bladder.
C. Drink a full glass of water
D. Lie on her left side.
Answer
B. Empty her bladder.
Question 7
Which of the following would the nurse expect as a common finding for a multiparous client delivering a viable neonate at 41 weeks gestation with the aid of a vaccum extractor?
A. Neonatal scalp edema
B. Uterine separation
C. Maternal lacerations.
D. Neonatal intracranial hemorrhage
Which of the following would the nurse expect as a common finding for a multiparous client delivering a viable neonate at 41 weeks gestation with the aid of a vaccum extractor?
A. Neonatal scalp edema
B. Uterine separation
C. Maternal lacerations.
D. Neonatal intracranial hemorrhage
Answer
A. Neonatal scalp edema
Question 8
A primiparous client who delivered vaginally 8 hours ago at a lying-in clinic desires to take a shower. The nurse anticipates remaining nearby the client to asses for which of the following?
A. Fatigue
B. Fainting
C. Diuresis
D. Bleeding
A primiparous client who delivered vaginally 8 hours ago at a lying-in clinic desires to take a shower. The nurse anticipates remaining nearby the client to asses for which of the following?
A. Fatigue
B. Fainting
C. Diuresis
D. Bleeding
Answer
A. 2 and 5
Question 9
During a home visit, a breast-feeding client asks the nurse what contraceptive method she and her husband should use until she has her 6-week post-partum check-up. Which of the following would be most appropriate for the nurse to explain?
A. Condom with spermicide.
B. Oral contraceptive
C. Rhythm method
D. Cervical cap method.
During a home visit, a breast-feeding client asks the nurse what contraceptive method she and her husband should use until she has her 6-week post-partum check-up. Which of the following would be most appropriate for the nurse to explain?
A. Condom with spermicide.
B. Oral contraceptive
C. Rhythm method
D. Cervical cap method.
Answer
A. Condom with spermicide.
Question 10
A primiparous client with a neonate who is 36 hours old asks the nurse, “Why does my baby spit up a small of amount of formula after feeding?” The nurse explains that the regurgitation is thought to result from which of the following?
A. An immature cardiac sphincter.
B. A defect in the gastrointestinal system.
C. Too frequent burping of the client.
D. Moving the infant during the feeding.
A primiparous client with a neonate who is 36 hours old asks the nurse, “Why does my baby spit up a small of amount of formula after feeding?” The nurse explains that the regurgitation is thought to result from which of the following?
A. An immature cardiac sphincter.
B. A defect in the gastrointestinal system.
C. Too frequent burping of the client.
D. Moving the infant during the feeding.
Answer
A. An immature cardiac sphincter.
