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Nursing exam questions with answers 100% tested and verified updated 2024
Typology: Exams
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you tell him? Its normal Couvade symptoms- sympathetic pregnancy
Steroids given to mom in preterm labor help increase surfactant production and speed maturation of lungs.
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?
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?
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?
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