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    Exam Review

    1. A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. The nurse palpates the area and identifies that the swelling crosses the suture line. Which of the following is an appropriate response by the nurse?
      A)"This is a cephalhematoma, which can occur spontaneously.”.
      B)"A caput succedaneum occurs due to compression of blood vessels.”.
      C)"This is erythema toxicum, which is a transient condition.”.
      D)"Mongolian spots can be found on the skin of many newborns.”
    2. An 18-week pregnant patient with a history of premature labor presents with a small amount of fluid leaking from her vagina. Which procedure is most likely indicated to manage cervical insufficiency in this patient?
      A)Cervical cerclage.
      B)Hysteroscopy.
      C)External cephalic version.
      D)Amniocentesis.
    3. A nurse is caring for a client who is grieving the loss of their newborn. Which of the following interventions should the nurse include in the plan of care to facilitate the grieving process?
      A)Explain that the newborn is no longer in pain.
      B)Allow the client to hold or be with their newborn.
      C)Share the nurse's own experiences and feelings.
      D)Avoid calling the newborn by their name.
    4. What is the nutritional importance in pregnancy for a client with anemia?
      A)Increase intake of iron-rich foods.
      B)Low intake of iron-rich foods.
      C)Moderate intake of vitamin C-rich foods.
      D)Suboptimal intake of calcium-rich foods.
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    Exam Review

    1. A client is ordered digoxin 0.125 mg by mouth daily. The available preparation is a liquid in a dropper bottle labeled Digoxin Elixir 500 mcg/20 mL. How many milliliters will be administered? (Do not use trailing zero, round to a whole number)
    2. Calculate the gravity rate for Gentamycin 60 mg/100 mL with secondary tubing (12 gtts/mL) over 60 minutes (Round to a whole number).
    3. A pregnant client diagnosed with placenta previa is admitted to the hospital. What is the most appropriate nursing intervention for this client?
      A)Perform frequent vaginal examinations to assess cervical dilation.
      B)Administer oxytocin to stimulate labor if contractions are absent.
      C)Monitor the fetal heart rate and uterine contractions continuously.
      D)Encourage the client to ambulate frequently to promote circulation.
    4. A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
      A)Remove the dressing to inspect the wound.
      B)Administer oxygen via nasal cannula.
      C)Prepare to insert a central line.
      D)Raise the foot of the bed to a 90° angle.
    Page 2 of 12

    Exam Review

    1. What physical assessment finding is expected in a newborn after a precipitous delivery?
      A)Hypoglycemia.
      B)Meconium stained.
      C)Bruising on the face or head.
      D)Increased muscle tone.
    2. A 37-week pregnant patient diagnosed with genital herpes asks about the potential impacts on delivery. What should the nurse educate the patient regarding the management of herpes during delivery?
      A)A cesarean delivery may be recommended if there are active herpes lesions at the time of labor.
      B)The patient should plan to deliver at home to minimize stress and avoid hospital infections.
      C)The patient should stop taking antiviral medications two weeks before the expected delivery date.
      D)Herpes cannot be transmitted to the baby during delivery if there are no visible lesions.
    3. A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh_o(D) immunoglobulin. Which of the following should be included in the teaching?
      A)It prevents the formation of Rh antibodies in mothers who are Rh negative.
      B)It damages Rh antibodies in mothers who are Rh negative.
      C)It stops the formation of Rh antibodies in newborns who are Rh positive.
      D)It destroys Rh antibodies in newborns who are Rh positive.
    4. A nurse is caring for a client who gave birth 1 hour ago and is experiencing excessive vaginal bleeding. Which of the following medications should the nurse anticipate the provider will prescribe?
      A)Tranexamic acid.
      B)Betamethasone.
      C)Magnesium sulfate.
      D)Terbutaline.
    Page 3 of 12

    Exam Review

    1. A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?
      A)Referred shoulder pain.
      B)Severe nausea and vomiting.
      C)Heavy vaginal bleeding.
      D)Bradycardia.
    2. What are the contraindications for a patient wanting to have a VBAC (Vaginal birth after cesarean)?
      A)History of uterine rupture.
      B)One previous low transverse cesarean section birth.
      C)Low-risk pregnancy.
      D)Previous cesarean section for breech presentation.
    3. A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates the teaching was effective? (Select all that apply.)(SATA)
      A)"I will need to undergo antenatal testing, including Non-Stress Testing (NST).”.
      B)"I am at risk of developing type 1 diabetes in my lifetime.”.
      C)"I am at increased risk of preterm labor.”.
      D)"I am at risk of postpartum hemorrhage.”.
      E)"I will need to have a consultation with a psychiatrist.”.
    4. What is a potential complication for an infant born at 26 weeks gestation who receives excessive oxygen therapy?
      A)Retinopathy of Prematurity (ROP).
      B)Necrotizing Enterocolitis (NEO).
      C)Congenital Heart Defects.
      D)Pulmonary Hypertension.
    Page 4 of 12

    Exam Review

    1. What is the characteristic appearance of gestational trophoblastic disease (GTD) on ultrasound?
      A)Fluid-filled, grape-like clusters in the placenta.
      B)Multiple small cysts in the ovaries.
      C)Enlargement of the fallopian tubes.
      D)Thickening of the uterine lining.
    2. A patient tells the nurse that she knows all about sexually transmitted infections and proceeds to make the following statements. Which one is the only correct statement that the client makes?
      A)"When a sexually transmitted infection is asymptomatic, it cannot be transmitted to a partner.”.
      B)"It's possible to have a sexually transmitted infection without having any signs or symptoms of infection.”.
      C)"Biologically, both women and men have an equal risk for acquiring sexually transmitted infections from a sexual partner.”.
      D)"Sexually transmitted infections can be passed only from partner to partner during intercourse.”.
    3. A nurse is caring for a client ordered penicillin G benzathine 300,000 units for one dose. The drug comes in a suspension for injection 600,000 units/mL. How many milliliters would be administered? (Use leading zero if it applies, round to the tenth place. Do not use trailing zero) mL
    4. A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?
      A)1 hour following intercourse.
      B)Every morning before arising.
      C)Before going to bed every night.
      D)On days 13 to 17 of her menstrual cycle.
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    Exam Review

    1. A nurse is caring for a patient who has postpartum psychosis. Which of the following actions is the nurse's priority?
      A)Review the client's medical record for a history of bipolar disorder.
      B)Ask the patient if they have thoughts of harming themselves or their infant.
      C)Monitor the infant for indications of failure to thrive.
      D)Reinforce the need to take antipsychotics as prescribed.
    2. A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following post-operative expectations?
      A)"The pain will disappear soon.”.
      B)"Your pain will gradually become less severe.”.
      C)"It's likely that you will have only a tingling sensation.”.
      D)"Phantom pain is mostly psychological.”.
    3. A nurse is caring for a newborn undergoing phototherapy for jaundice. How can the nurse determine that the treatment is effective? The newborn's:
      A)Begins to feed less frequently.
      B)Heart rate decreases significantly.
      C)Skin becomes dry and flaky.
      D)Bilirubin levels decrease to within normal range.
    4. A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is ordered. What is the primary goal for magnesium sulfate therapy?
      A)Decrease the blood pressure.
      B)Decrease proteinuria.
      C)Reduce deep tendon reflexes.
      D)Prevent maternal seizures.
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