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Nursing exam questions with answers 100% tested and verified updated 2024, Exams of Obstetrics

Nursing exam questions with answers 100% tested and verified updated 2024

Typology: Exams

2023/2024

Available from 06/06/2024

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Nursing exam questions with answers 100%

tested and verified updated 2024

  • The first question was figure out the G/P total # pregnancy and para: total #deliveries T/T/P/A/L: T: means total pregnancy, term: 37 weeks and later,pre: before 37, Abortion and total living o Calculate the Estimated date of delivery- o Naegles o Recall last period o Subtract 3 months o Add 7 days o Add one year o
  • What would be the nursing priority when providing teaching to a 16-year-old pregnant client? Nutritional needs/prenatal care- calcium and iron
  • The pregnant woman is experiencing cramping in her lower leg what do you suggest? Dorsiflex the foot toward the body - A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to: Dorsiflex the foot while extending the knee when the cramps occur
  • At what gestational age does the fetus begin to swallow amniotic fluid? 8-11 weeks
  • The patient asks When is the best time to take iron? Empty stomach or at bedtime if upsets in between meals
  • The question was if you see Trisomy XXY in a male fetus? Its Klinefelter syndrome
  • At what gestational age can the baby hear? 18weeks
  • A pregnant woman has a spontaneous abortion at 12-week gestation, and wants to know what caused it, what do you reply? Most cases of spontaneous abortion are due to genetics
  • What is the role of the genetic counseling nurse? Pg 55 -provide appropriate genetics information before, during, and after the initial genetics counseling session; -construct family pedigrees of three or more generations; -clarify the genetics information that family members receive during counseling sessions or from other sources such as the public library, the Internet, or support groups; -help families manage the challenges associated with living with a genetic disorder; -make referrals to support groups and national organizations; -provide long-term follow-up of families affected by genetic conditions
  • The nurse determines that she needs to intervene when the nursing student does what? Attempt a vaginal exam on a woman with placenta previa because they can bleed.
  • A 12-week gestational pregnant woman presents to the hospital with dark red blood and vaginal bleeding (Cullen’s sign) what do you suspect? Placenta abruption
  • The patient is on Mag sulfate and your assessment reveals 0 reflexes (mag is a muscle relaxer) I said call the doctor p664 mag toxicity
  • is of most concern? Weak pulse
  • The mom is having a stress test done and after 20 min it shows no decelerations what does the nurse document? Negative test- 2 or more accelerations of at least 15 bpm lasting at least 15 seconds during a 20 minute period this is considered reactive, if baby heart rate does not go up it is non-reactive
  • What is the nursing priority when measuring fundal height? have patient empty the bladder- From 18-32 weeks the height is measured in cm & w/an empty bladder should be approx. the same as the # of weeks
  • What can be assessed on an ultrasound at 20 weeks gestation? 2nd trimester – to confirm gestational age, confirm viability, detect polyhydramnios/oligohydramnios, detect congenital anomalies, detect IUGR, assess placenta location, use for visualization for amniocentesis
  • At 12 weeks what is the priority before performing an ultrasound? Instruct pt to drink 3 or 4 glasses of water. You want the bladder full on the early ultrasound. A full bladder is not needed if US is done transvaginally instead of abdominally
  • The other ultrasound question was empty the bladder because the woman was further along in pregnancy.. Amniocentesis-Empty bladder (if late) to avoid puncturing bladder
  • What test do you do to confirm Down syndrome? Chorionic Villi Sampling (CVS)
  • The quadruple test is used to diagnose what in a newborn? The quad screen can help estimate your baby's risk of Down syndrome, Edward's syndrome (trisomy 18), and neural tube defects. It works by testing the levels of four substances in your blood: alpha-fetoprotein (AFP), human chorionic gonadotropin, estriol, and inhibin A.
  • What assessment is performed by the health care provider to check for a soft cervix? Goodel test
  • A nurse is caring for 4 pregnant clients, which one should she assess first? I chose the one having pelvic pain
  • The pregnant patient presents to the clinical with no abnormal vital signs or symptoms but has vaginal bleeding, you suspect placenta previa, what is the intervention? a. If under 36 wk- Give steroid, IV, good heart tones i. Bed rest with limited activity (15-30 min at a time 4 times a day) ii. Pelvic rest iii. Monitor pads and linens iv. Mag- if contractions are identified b. If over 36 wks- induce, bad heart tones If placenta lies within 2 cm of cervix and in 3 rd^ trimester Birth is indicated by cesarean if symptoms are present, if asymptomatic, continue with normal birth.
  • The husband of a pregnant client is experiencing symptoms of pregnancy, what do

you tell him? Its normal Couvade symptoms- sympathetic pregnancy

  • The ideal glucose level for a pre-gestational diabetic client? 60- 98
  • She presented a client with all these abnormal labs, the only one I saw that stood out was LDH of 100..I chose HELLP syndrome but Im still not sure if I was right HELPP : Hemolysis -Elevated Liver enzymes (AST, ALT &/or LDH) LDH- 160-450 for babies -Low Platelet count
  • The client with a pregestational BMI of 17 is expected to gain how many pounds and be in normal range? Recommended for women under 18.5 BMI is 28-40 pounds
  • The nursing interventions and priorities for a mom delivering at 41 weeks gestation??
  • The nurse is providing education for a client who was exposed to Rubella and tells her what is her baby most at risk for when born? Hearing loss Fetal: congenital heart defects, IUGR, blind, deaf
  • When mom is RH negative and baby is positive, at what trimester (or week) is it safe to give Rhogam? 28 weeks
  • What symptoms would lead you to believe that a patient with mild preeclampsia has now escalated to severe preeclampsia? Severe Preclampsia: BP over 160/110 4 hours apart
  • At what weeks (or trimester) does the glucose need increase and decrease for a diabetic mom? Note that mom’s body becomes more insulin resistant in 2nd & 3rd trimester
  • How is the diagnosis of gestational diabetes made? 3hour fasting glucose
  • Pregnant woman who is considered at risk for preterm labor, what do you advise her not to do? a. Hydrate! Drink 3 glasses of water – decreases uterine irritability b. Empty bladder c. Lay on lef t side – increases perfusion to uterus d. If cramping or s/s go away, good. If not, notify provider, check for cervical change. If cervical change, admit to hospital and try to calm uterus, then send home i. If pt has to take mag sulfate, will remain in hospital because pt can only receive this IV e. Lifestyle modifications i. Home care (w/ uterine activity monitoring) ii. Bed rest/pelvic rest
  • Why do you tell the patient to stay away from cat litter? it can cause toxoplasmosis
  • The amniotic fluid is determined to be 300 cc, what is the baby most at risk for? Renal problems (more than 2liters is GI problems)
  • The amniotic fluid serves what purpose? I said waste reservoir and oral fluids or Insulate and protect the fetus
  • The pt with a cervical cerclage is now going into labor, what does the nurse do? Cut the stiches
  • The corticosteroid question was on this test. it’s used to increase surfactant for the fetus

Steroids given to mom in preterm labor help increase surfactant production and speed maturation of lungs.

  • What do you advise the woman who previously had a baby with a neural tube defect? Take Folic Acid
  • The doctor prescribes an ultrasound on a lady to be done every 2 weeks, she is 32 weeks pregnant and I didn’t see any abnormal labs, what is the doctor suspicious of?? I had no clue but put he was checking for fetal growth- A person who is at 32 weeks' gestation should measure 32 cm of fundal height. When a discrepancy between fundal height and measurement exists, the purpose of serial ultrasounds is to monitor fetal growth.
  • What is the confirming symptom for HELLP syndrome? I said 2 elevated BPs 6hours apart--- Epigastric pain, flu like s/s
  • A mom with HIV is wondering if she can her meds while pregnant? Yes, they are not harmful for the fetus
  • The doctor performs an amniocentesis on a patient, what is the nursing priority immediately after? Assess fetal heart rate, Monitoring uterine activity. 20 to 30 minutes of fetal monitoring is performed after the amniocentesis. VERBATIM The telephone triage nurse in the prenatal clinic receives the following calls. Which telephone call would require immediate notification of the health care provider?
  1. Patient reports leaking vaginal fluid at 34 weeks’ gestation.
  2. Patient reports nausea and vomiting at 8 weeks’ gestation.
  3. Patient reports pedal edema at 39 weeks’ gestation.
  4. Patient reports vaginal itching at 20 weeks’ gestation A 30-year-old gravida 6, para 5 woman at 12 weeks’ gestation has just begun prenatal care, and her initial laboratory work reveals that she has tested positive for human immunodeficiency virus (HIV) infection. What would be priority evidence-based nursing education for this patient today?
  5. Medication for HIV infection is safe and can greatly reduce transmission of HIV to the infant.
  6. Breast feeding is still recommended due to the great benefits to the infant.
  7. Pregnancy is known to accelerate the course of HIV disease in the mother.
  8. Cesarean section is not recommended because of the increased risk of HIV transmission with the bleeding at surgery

When does a nurse anticipate RhoGAm be administered to a woman? A- Direct Coombs Test is positive B- Direct Coombs Test is negative C- Indirect Coombs Test is positive D- Indirect Coombs Test is negative A direct coombs test is performed on a blood sample from the newborn. A Positive direct coombs test means the mom has developed antibodies to fetal red blood cells; it also indicates that either the baby has a different blood type, or has the same blood type but with a different rhesus status A 30-year-old woman with type 1 diabetes mellitus comes to the clinic for preconception care. What is the priority education for her at this time?

  1. Her insulin requirements will likely increase during the second and third trimesters of pregnancy.
  2. Infants of diabetic mothers can be macrosomic, which can result in more difficult delivery and higher likelihood of cesarean section.
  3. Breast feeding is highly recommended, and insulin use is not a contraindication.
  4. Achievement of optimal glycemic control at this time is of utmost importance in preventing congenital anomalies A pregnant woman at 12 weeks' gestation tells you that she is a vegetarian. What would be the first appropriate nursing action?
  5. Recommend vitamin B12 and iron supplementation.
  6. Recommend consumption of protein drinks daily. 3. Obtain a 24-hour diet recall history.
  7. Determine the reason for her vegetarian diet.

A 25-year-old G2P1 patient has come to the obstetric triage room at 32 weeks reporting painless vaginal bleeding. You are providing orientation for a new RN on the unit. Which statement by the new RN to the patient would require your prompt intervention?

  1. "I'm going to check your vital signs."
  2. "I'm going to apply a fetal monitor to check the baby's heart rate and to see if you are having contractions."
  3. "I'm going to perform a vaginal examination to see if your cervix is dilated."
  4. "I'm going to feel your abdomen to check the position of the baby." A 23-year-old G1P0 patient at 10 weeks states that she exercises 5 days a week. You have discussed exercise in pregnancy with her. Which statement by the patient indicates that more teaching of evidence-based principles is needed?
  5. "I will continue to exercise 5 days a week."
  6. "I will reduce my exercise at this time in my pregnancy to reduce the risk of miscarriage but will increase it in the second trimester."
  7. "I will drink more fluid before and after exercising."
  8. "I will stop playing football while I am pregnant." In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor, what finding would alert the nurse to possible side effects? a. Urine output of 160 mL in 4 hours b. Deep tendon reflexes 2+ and no clonus c. Respiratory rate of 16 breaths/min d. Serum magnesium level of 10 mg/dL The nurse is discussing dietary concerns with pregnant teens. Which of the following choices are convenient for teens yet nutritious for both the mother and fetus? Select all that apply.
  9. milkshake or yogurt with fresh fruit or granola bar
  10. chicken nuggets with tater tots
  11. cheese pizza with spinach and mushroom topping
  1. peanut butter with crackers and a juice drink
  2. buttery light popcorn with diet cola
  3. cheeseburger, pickle, and ketchup Ans: 1, 2, 3 A primigravid client at 15 weeks’ gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching?
  4. “I need to call if I start to leak fluid from my vagina.”
  5. “If I start bleeding, I will need to call back.”
  6. “If my baby does not move, I need to call my health care provider.”
  7. “If I start running a fever, I should let the office know.” The first recognition of fetal movements by the multigravida may occur as early as the 14th to 16th week of gestation. The primigravida may not notice these sensations until week 18 or later. A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hrs. On assessment the nurse finds the following vital signs: temperature of 37.3° C, pulse rate of 88 beats/min, RR of 10 breaths/min, BP of 148/90, absent deep tendon reflexes, and no ankle clonus. The client complains, "I'm so thirsty and warm." The nurse: A) Discontinues the magnesium sulfate infusion. B) Administers oxygen. C) Calls for a stat magnesium sulfate level. D) Prepares to administer hydralazine. The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the Pitocin infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a platelet count of 90,000, an elevated aspartate transaminase (AST) level, and decreased serum haptoglobin. The nurse notifies the physician because the laboratory results are indicative of: A) Eclampsia. B) Idiopathic thrombocytopenia.

C) Disseminated intravascular coagulation (DIC). D) HELLP syndrome. A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse? A) A dipstick value of 3+ for protein in her urine B) Pitting pedal edema at the end of the day C) Blood pressure (BP) increase to 138/86 mm Hg D) Weight gain of 0.5 kg during the past 2 weeks A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: A) Stay with the client B) Insert an oral airway. C) Administer oxygen by mask. D) Suction the mouth to prevent aspiration. A woman with severe preeclampsia has been receiving magnesium sulfate by IV infusions for 8 hrs. The nurse assesses the woman and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats/min, RR of 24 breaths/min, BP of 175/112 mm Hg, 3+ deep tendon reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for: A) Hydralazine. B) Magnesium sulfate bolus. C) Diazepam. D) Calcium gluconate. The nurse is caring for a woman who is at 24 weeks of gestation with suspected severe preeclampsia. Which signs and symptoms would the nurse expect to observe? Select all that apply. A) Decreased urinary output and irritability B) Transient headache and +1 proteinuria

C) Ankle clonus and epigastric pain D) Platelet count of less than 100,000/mm3 and visual problems E) Seizure activity and hypotension Ans: A, C, D A primigravida asks the nurse about signs she can look for that would indicate that the onset of labor is getting closer. The nurse should describe: A. Weight gain of 1 to 3 pounds. B. Quickening. C. Fatigue and lethargy. D. Bloody show. A nonstress test is performed, and the health care provider documents "accelerations lasting less than 15 seconds throughout fetal movement." The nurse interprets these findings as: a. Normal b. Reactive c. Nonreactive d. Inconclusive A reactive NST is a normal, or negative, result and indicates a healthy fetus. The result requires 2 or more fetal heart rate accelerations of at least 15 beats/min lasting at least 15 seconds from the beginning of the acceleration to the end, in association with fetal movement, during a 20- min period. A nonreactive test is an abnormal test, showing no accelerations or accelerations of less than 15 beats/min or lasting less than 15 seconds during a 40-min observation. A nurse is providing nutritional counseling to pregnant client with a history of cardiac disease. What does the nurse advise the client to eat? a. Water and pretzels b. Low-fat cheese omelet c. Nachos and fried chicken

d. Apple and whole-grain toast A nurse is preparing to perform the Leopold maneuvers on a pregnant client. The nurse should first: a. Locate the fetal heart tone b. Position the woman supine c. Ask the client to empty her bladder d. Count the fetal heart rate for 1 minute A nurse is performing an assessment of a client who is at 20 weeks of gestation. The nurse asks the client to void, then measures the fundal height in centimeters. Which approximate measurement does the nurse expect to see? a. 20 cm b. 28 cm c. 32 cm d. 40 cm A nurse performing an assessment of a pregnant client prepares to auscultate the fetal heart sounds, using a Doppler ultrasound stethoscope. By which week of gestation are fetal heart sounds audible with the use of this device? a. 4 weeks b. 6 weeks c. 8 weeks d. 12 weeks A nurse is performing assessments every 30 min on a client who is receiving magnesium sulfate for preeclampsia. Which finding would prompt the nurse to contact the health care provider? Urine output of 20 mL Deep tendon reflexes of 2+

Respirations of 10 breaths/min Fetal heart tone of 116 beats/min A pregnant client is seen in the clinic for the first time. This is the client's first pregnancy, and the client tells the nurse that she has diabetes mellitus. The nurse provides instruction to the client regarding health care during pregnancy. Which statements by the client indicate the need for further instruction? Select all that apply A. "I need to follow the prescribed diabetic diet." B. "I need to limit my exercise while I'm pregnant." C. "I need to report signs of infection to my health care provider." D. "My insulin requirements may change while I'm pregnant." E. "I'll come back for a prenatal visit every month during my first trimester." Ans: B, E Exercise is necessary for the pregnant diabetic client to help maintain control of her diabetes. The prenatal visit schedule for clients with a history of diabetes mellitus is more frequent than the normal prenatal course. In the first and second trimesters, prenatal visits should be scheduled every 1 to 2 weeks. The remaining statements are correct A multigravida asks a nurse when she will be able to start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be noted as early as: 8 to 10 weeks of gestation 11 to 13 weeks of gestation 14 to 16 weeks of gestation 18 to 20 weeks of gestation The first recognition of fetal movements by the multigravida may occur as early as the 14th to 16th week of gestation. The primigravida may not notice these sensations until week 18 or later. A 1-hour oral glucose tolerance test is performed on a pregnant client, with a result of 155 mg/dL (8.6 mmol/L). The nurse tells the client that: Daily NPH insulin will be needed Her glucose level is within normal limits

A daily oral hypoglycemic agent will be prescribed Additional tests will likely be performed to confirm gestational diabetes A maternal 1-hour blood glucose test may be prescribed as a screen for gestational diabetes. If it is increased (140 mg/dL [7.8 mmol/L] or greater), a 3-hour glucose-tolerance test may be recommended to confirm the presence of gestational diabetes. Oral hypoglycemics and insulin would not be prescribed solely on the basis of an increased maternal 1-hour glucose level. Additionally, oral hypoglycemic agents are contraindicated during pregnancy. A result of less than 140 mg/dL (7.8 mmol/L) indicates no need for further glucose testing and continued routine prenatal care. A pregnant woman experiencing nausea and vomiting should: a. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. b. Eat small, frequent meals (every 2 to 3 hours). c. Increase her intake of high-fat foods to keep the stomach full and coated. d. Limit fluid intake throughout the day. A pregnant woman experiencing nausea and vomiting should avoid consuming fluids early in the day or when nauseated but should compensate by drinking fluids at other times. She should reduce her intake of fried and other fatty foods. To prevent gastrointestinal (GI) upset, clients should be instructed to take iron supplements: a. On a full stomach b. At bedtime c. After eating a meal d. With milk A pregnant woman's diet history indicates that she likes the following. The nurse encourages this woman to consume more of which food in order to increase her calcium intake? a. Fresh apricots b. Canned clams c. Spaghetti with meat sauce

d. Canned sardines A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 19. The nurse knows that this woman's total recommended weight gain during pregnancy should be at least: a. 20 kg (44 lb) b. 16 kg (35 lb) c. 12.5 kg (27.5 lb) d. 10 kg (22 lb) A client at 28 weeks gestation is admitted to the labor and birth unit. Which test might be used to assess the client's fetal status?

  1. Amniocentesis
  2. Contraction stress test (CST)
  3. Ultrasound for physical structure 4) Biophysical profile (BPP) Biophysical profile would be used to assess the client's fetal status at 28 weeks gestation. Ultrasound for physical structure is limited to identifying the growth and development of the fetus, and does not assess for other parameters of fetal well-being. Contraction stress test is appropriate in the third trimester. Amniocentesis tests for lung maturity, not overall status. A prenatal client in her second trimester is admitted to the maternity unit with painless, bright red vaginal bleeding. What test might the physician order?
  4. Contraction stress test (CST)
  5. Alpha-fetoprotein (AFP)
  6. Amniocentesis
  7. Ultrasound An ultrasound for placenta location to rule out placenta previa would be ordered for a client who presents with painless, bright red vaginal bleeding. Alpha-fetoprotein (AFP) is a test used to screen for neural tube defects. A contraction stress test is ordered in the third trimester to

evaluate the respiratory function of the placenta. Amniocentesis is a procedure used for genetic diagnosis or, in later pregnancy, for lung maturity studies. Which activities are included in the role of a nurse practicing in the field of genetics? (Select all that apply.) A. Assessing the responses of family members to a genetic disorder b. Performing genetic testing, such as amniocentesis c. Constructing a family pedigree of three or more generations d. Advising a pregnant mother whose fetus has a genetic disorder to have an abortion e. Offering parents information about genetics ANS: A, C, E Assessing the responses of family members, constructing a family pedigree, and offering parents information about genetics are activities that a genetics nurse would carry out in caring for a family undergoing genetic counseling. Physicians perform amniocentesis, but the nurse may assist in this procedure. Being aware of their own values and beliefs and refraining from attempting to influence the family are important responsibilities for nurses. The nurse must respect the right of the individual or family to make autonomous decisions. The nurse is assessing a client who is having a non-stress test (NST) at 41-weeks gestation. The nurse determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring. What action should the nurse take? Ask the client if she has felt any fetal movement. A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select all that apply) a. Dark, red vaginal bleeding b. Lower back pain c. Premature rupture of membranes d. Increased uterine irritability e. A rigid abdomen

Ans: A, D, E A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. Upon her arrival at the hospital, what would be the first expected diagnostic procedure? A. Contraction stress test B. Amniocentesis for fetal lung maturity C. Ultrasound for placental location D. Internal fetal monitoring Which patient is most appropriate to administer RhoGam? A primigradvida A client has labor induced at 41 weeks’ gestation. The physician orders Oxytocin to be started at 2 milliunits per minute at 0500, and increased by 2 milliunits per minute every 30 minutes. The nurse adds 20 Units of oxytocin to 1000 mL normal saline. How many mL/HR would the nurse administered at 0530? a. 9 b. 2 c. 6 d. 3 Ultrasound is used in the second trimester for which of the following reasons? A. Visualization during chorionic villus sampling B. Confirm viability C. Assess placental placement D. Amniotic fluid volume assessment Rule out ectopic pregnancy The physician orders: magnesium sulfate 4 gram loading dose to infuse over 30 minutes; then a maintenance dose of 1 gram per hour via continuous infusion. The pharmacy has sent 1000 ml of 0.9 % sodium chloride with 80 grams of magnesium sulfate. How many ml/hr the nurse set the pump of the loading dose? A. 13 ml/hr B. 100 ml/hr C. 25 ml/hr D. 50 ml/hr

The physician orders: magnesium sulfate 4-gram loading dose to infuse over 30 minutes at 0500 and a maintenance dose of 1 gram per hour via continuous infusion. The pharmacy has sent 1000 Ml of sodium chloride with 80 grams of magnesium sulfate. How many Ml/HR will the pump be running at 0700? A. 50 B. 25 C. 100 D. 12. A nurse is examining a pregnant client at 6 weeks. Which of the following would the nurse expect upon pelvic examination? Select all that apply A. Softening of the lower uterine segment B. Softening of the cervical tip C. Bluish vaginal mucosa and cervix D. Uterus the size of a grapefruit E. Fetus descending into pelvis The nurse is administering a CST to a pregnant client. The monitor shows contraction occurring every 3 minutes. The fetal heart rate has a baseline of approximately 120 bmp without any deceleration. How would the nurse document these results? B. Negative C. Unsatisfactory D. Positive E. Satisfactory A multipara who is 26 weeks pregnant has decided to change her method of exercise. What new activity would indicate that she understand how to exercise appropriately in late pregnancy? A. Playing cards B. Ice skating C. Tennis D. Swimming A client is a diagnosed with Gestational Diabetes Mellitus at 24 weeks. She has no other medical problem. What is the initial plan of care for this client? Select all that apply

E. Implementing an exercise program F. Implementing bi-weekly non stress testing G. Maintaining fasting glucose levels at 60-99mg/dl H. Maintaining carbohydrates levels at 60 % of caloric intake I. Implementing insulin therapy. A client has labor induced at 41 weeks gestation. The physician orders Oxytocin to be started at 2 milliunits per minute at 0500 and increased by 2 milliunits per minute every 30 minutes. Pharmacy sends 20 units of Oxytocin in 1000 ml LR. How many ml/hr would the nurse initially set the infusion pump? J. 12 ml K. 200 ml L. 0.2 ml D. 6 ml A 27-year-old pregnant woman has a preconception BMI of 22. Which of the following weight gain should be included in the nurse’s teaching? A. 11.5 kg (25 pounds) B. 9kg (20 pounds) C. 7 kg ( 11lbs) D. 18 kg (40 pounds) When assessing a pregnant woman at 28 weeks of gestation who has cardiac disease, what is the priority assessment findings that should be report to the provider? E. Rapid pulse that is irregular and weak F. Wheezing with inspiration and expiration G. Supine hypotension H. Dry, hacking cough The nurse is performing triage in the antenatal clinic. Which telephone call would require immediate notification of the provider? A. A patient who reports pedal edema at 39 weeks gestation. B. A patient reports vaginal itching at 20 weeks gestation. C. A patient reports leaking vaginal fluid at 34 weeks gestation.

D. A patient reports nausea and vomiting at 8 weeks gestation. A nurse is developing a plan care for a pregnant client who is complaining of interment episodes of constipation. Which of the following is the priority teaching? E. Consume a low-roughage diet. F. Take a mild stool softener daily in the evening C. Drink 8-10 glasses of water per day. D. Use a fleet enema when the episodes occur. A client has labor induced at 41 week’s gestation. The physician orders Oxytocin to be started at 2 millinunits per minute at 0500, and increased by 2 milliunits per minute every 30 minutes. The nurse adds 20 units of Oxytocin to 1000 mL LR. At 0705, how many ml/hr will the pump be programmed? A. 6 ml/hr B. 14 ml/hr C. 30 ml/hr D. 24 ml/hr The nurse is caring for the following patients. Which client warrants intervention by the nurse? C. The client who has a white blood count of 11,500 mm#. D. The client with a hematocrit and hemoglobin levels of 11/33. C. The client who has 3+ protein in her urine. D. The client who has a fasting blood glucose level of 110 mg/dl. Which of the following activities are included in the role of a nurse practice in the field of genetic. Select all that apply A. Performing genetic testing, such as amniocentesis B. Constructing a family pedigree of three or more generations C. Assessing the responses of family members to a genetic disorder D. Offering parents information about genetics E. Advising a pregnant mother whose fetus has a genetic disorder to have an abortion. Which of the following assessment findings indicates that bedrest has been successful? A. Weight loss B. Decrease in plasma protein C. 3 + patellar reflexes D. 2 + proteinuria

A pregnant woman comes to the ER with complaints of sudden onset of localized pain with abdominal pain and contraction with late deceleration. What is the immediate nursing management? A. Cervical exam B. Magnesium sulfate C. Start large bore IV line D. Indwelling catheter E. NST weekly What adverse outcomes are adolescent at higher risk for? A. Gestational Diabetes B. Low-birth weight C. Chronic disease D. High-birth-weight babies The nurse caring for a client with Class II heart disease focuses in minimizing stress on the heart. Then nurse teaches the client hemodynamic changes reach their maximum at which of the following weeks? A. 34-36 weeks B. 24-26 weeks C. 36-38 weeks D. 28-32 weeks Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. What information should be included in the teaching for your client? A. She will start differentiating herself from the fetus B. She might experience ambivalence about pregnancy C. She will enjoying the role as a nurturer. D. She needs to prepare for the reality of parenthood. Which of the following would the nurse schedule for a client who is 24 weeks pregnant? A. Triple screen B. 1 hour glucose tolerance test C. GBS testing D. Fetal assessment

E. Blood pressure During pregnancy the woman can receive which of the following immunization? A. Mumps B. Tetanus C. Rubella D. Influenza E. Varicella A woman, 35 week’s gestation, has a blood pressure of 148/92. She has edema of the hands, DTR’s 2+, her urine protein is 1+, and hemoglobin is 11 gm/dl. What is the anticipated plan of care? B. Corticosteroids B. Daily kicks counts C. Oral antihypertensive medication D. Delivery of the infant What would be the recommended pattern of weekly gain in kg for a woman with a BMI of 22? A. 0.3 kg B. 0.5 kg C. 0.4 kg D. 0.2 kg Then nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurement are now at 26 cm. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnostic of IUGR? A. Amniocentesis B. Daily fetal movement counts C. Doppler blood flow analysis D. Contraction stress test.

B. Blood pressure C. VDRL/RPR Test A client has come in for her initial prenatal visit. What activities would the nurse prepare to complete during this visit? Select all that apply A. Glucose challenge test D. ECG test E. Domestic violence screening What is the appropriate management for an 8-week gestation client who has slight bleeding, mild cramping with a closed cervix? A. Keep the woman NPO and prepare her for D & C B. Teach the client she can try to get pregnant again in about one month C. Place the woman on bedrest for at least one week and then reevaluate her. D. Bedrest, pad counts and pelvic bed rest. A 30-year-old pregnant client who is 18 weeks gestation. Which of the following screenings test should be suggested to her? A. Chorionic villi sampling B. Maternal serum alpha-fetoprotein screening C. Biophysical profile D. Screening for diabetes mellitus. A client asks, “when is the best time to take my iron supplement?” What is the nurse’s best response? A. Take your iron in between meals B. Take your iron at dinner C. Take your iron after a meal D. Take your iron first thing in the morning A nurse is caring for a client who has a positive quadruple screen for Downs’s syndrome at 16 weeks. What is the test used to confirm diagnostic? A. Amniocentesis B. Chorionic Villus Sampling C. Nuchal translucency testing D. Level 2 ultrasounds