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    Exam Review

    1. For each body system below, specify the potential manifestations that the client may experience. Match each body system with the potential manifestation. Body System Potential Manifestation A. General ▾ Body aches B. Head, ears, eyes, nose, and throat ▾ Headache C. Gastrointestinal ▾ Nausea D. Breast ▾ Pain
      Dropdown 1:
      Option 1: Body aches
      Option 2: Headache
      Option 3: Nausea
      Option 4: Pain
      Dropdown 2:
      Option 1: Body aches
      Option 2: Headache
      Option 3: Nausea
      Option 4: Pain
      Dropdown 3:
      Option 1: Body aches
      Option 2: Headache
      Option 3: Nausea
      Option 4: Pain
      Dropdown 4:
      Option 1: Body aches
      Option 2: Headache
      Option 3: Nausea
      Option 4: Pain
    2. Complete the following sentence using the lists of options.
      A)The nurse should prescribe intramuscular ceftriaxone to decrease the risk of ophthalmia neonatorum in a newborn.
      B)The nurse should identify ceftriaxone as a suitable medication for bacterial infections.
      C)The nurse should use intramuscular ceftriaxone to treat gonorrhea effectively.
      D)The nurse should select intramuscular ceftriaxone for prophylaxis against postpartum infections.
    3. A nurse conducts a physical exam of a client who reports feeling well.Findings include:
      A)General: No acute distress.
      B)Cardiovascular: No murmur or rub.
      C)Respiratory: Bilateral breath sounds clear.
      D)Abdomen: Fundal height 38 cm.
      E)Genitourinary: Purulent cervical discharge.
    4. For each body system below, specify the potential complications that can occur. Match the body system with the potential complications. Body System Potential Complication Neurologic ▾ Seizures Musculoskeletal ▾ Hypotonia Head, ears, eyes, nose, and throat ▾ Hearing loss  
      Dropdown 1:
      Option 1: Seizures
      Option 2: Hypotonia
      Option 3: Hearing loss
      Dropdown 2:
      Option 1: Seizures
      Option 2: Hypotonia
      Option 3: Hearing loss
      Dropdown 3:
      Option 1: Seizures
      Option 2: Hypotonia
      Option 3: Hearing loss
    Page 1 of 13

    Exam Review

    1. A newborn born two hours ago at 36 weeks gestation has noted findings.(SATA)
      A)Bruising noted over occiput.
      B)Yellowish hue on sclera and skin blanching.
      C)Transcutaneous bilirubin level 12.5 mg/dL (less than 12 mg/dL).
      D)Phototherapy initiated at 08:45. . .
    2. A client reports an intermittent dark brown vaginal discharge for the past three days.
      A)The nurse should assess the client for signs of molar pregnancy.
      B)The nurse should evaluate the risk for hypovolemic shock due to blood loss.
      C)The nurse should ensure appropriate laboratory testing for the diagnosis of choriocarcinoma.
      D)The nurse should prioritize preparing the client for suction and curettage.
    3. Drag words from the choices below to fill in each blank in the following sentence.
      A)The nurse should plan to discuss with the client the risk for hypothyroidism.
      B)The nurse should include fallopian tube rupture as a potential complication.
      C)The nurse should explain hypovolemic shock as a life-threatening risk.
      D)The nurse should elaborate on the development of an invasive mole.
    4. A nurse in the labor and delivery triage unit reviews the electronic medical record (EMR) of a client reporting severe abdominal pain. Which of the following findings is most consistent with abruptio placenta?
      A)Low uterine tone with mild vaginal bleeding.
      B)Rigid uterine tone with dark vaginal bleeding.
      C)Soft uterine tone with painless vaginal bleeding.
      D)Low uterine tone with absence of vaginal bleeding.
    Page 2 of 13

    Exam Review

    1. A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy.Which of the following interventions should the nurse include?
      A)Check the newborn's temperature every 8 hours.
      B)Apply moisturizing lotion to the newborn's skin every 4 hours.
      C)Reposition the newborn every 2 to 3 hours.
      D)Give the newborn 1 oz of glucose water every 4 hours.
    2. A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection.Which of the following medications should the nurse plan to administer?
      A)Ampicillin.
      B)Azithromycin.
      C)Ceftriaxone.
      D)Acyclovir.
    3. A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline.Which of the following findings is a contraindication for administration of this medication?
      A)Heart disease.
      B)Cervical dilation of 2 cm.
      C)Gestational age of 34 weeks.
      D)Allergy to penicillin.
    4. A nurse is providing teaching to a client about the Papanicolaou (Pap) test.Which of the following information should the nurse include in the teaching?
      A)"A yearly Pap test is recommended until 70 years of age.”.
      B)"Pap tests are discontinued following removal of the ovaries.”.
      C)"Avoid having sexual intercourse for 24 hours prior to the Pap test.”.
      D)"Viral infections can be detected by a Pap test.”.
    Page 3 of 13

    Exam Review

    1. A nurse is caring for a client who is receiving oxytocin to augment labor.The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring.Which of the following is an indication that the nurse should discontinue the infusion?
      A)Contraction frequency every 3 minutes.
      B)Contraction duration of 100 seconds.
      C)Fetal heart rate of 118/min.
      D)Fetal heart rate with moderate variability.
    2. A nurse on a postpartum unit is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?
      A)A client who gave birth 1 day ago and needs Rh(D) immune globulin.
      B)A client who gave birth 3 days ago and reports breast fullness.
      C)A client who gave birth 12 hours ago and reports an increase in urinary output.
      D)A client who gave birth 8 hours ago and is saturating a perineal pad every hour.
    3. A nurse is assessing a client who is at 31 weeks of gestation.Which of the following findings should the nurse identify as an indication of a potential prenatal complication?
      A)Periodic tingling of fingers.
      B)Absence of clonus.
      C)Leg cramps.
      D)Blurred vision.
    4. A nurse is caring for a client who is in labor and has an epidural for pain control.Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
      A)Polyuria.
      B)Hypertension.
      C)Pruritus.
      D)Dry mouth.
    Page 4 of 13

    Exam Review

    1. A nurse is assessing a newborn whose mother had gestational diabetes mellitus.Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
      A)Jitteriness.
      B)Hypertonia.
      C)Acrocyanosis of the hands.
      D)Generalized petechiae.
    2. A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding.The client has a history of cocaine use.The nurse should identify that the client is likely experiencing which of the following complications?
      A)Abruptio placentae.
      B)Hydatidiform mole.
      C)Preterm labor.
      D)Placenta previa.
    3. A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features.Which of the following actions should the nurse take?
      A)Restrict protein intake to less than 40 g/day.
      B)Initiate seizure precautions for the client.
      C)Encourage the client to ambulate twice per day.
      D)Initiate an infusion of 0.9% sodium chloride at 150 mL/hr. . .
    4. A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test.Which of the following statements should the nurse plan to make?
      A)"You will receive a medication through an IV for this test.”.
      B)"You should expect the test to take about 30 minutes.”.
      C)"You should not eat or drink for 4 hours prior to the test.”.
      D)"This test will help determine if your baby's lungs are mature.”.
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding.Which of the following actions should the nurse plan to take first?
      A)Elevate the client's legs to a 30° angle.
      B)Insert an indwelling urinary catheter.
      C)Massage the client's fundus.
      D)Initiate an infusion of oxytocin.
    2. A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis.Which of the following instructions should the nurse include?
      A)"Retract the foreskin until you feel resistance.”.
      B)"Use a cotton swab to clean under the foreskin.”.
      C)"Apply petroleum jelly to the foreskin.”.
      D)"Wash the penis once per day with soap and water.”.
    3. A nurse is assessing a client who gave birth 1 week ago.The client states, "I don't know what's wrong.I love my baby, but I feel so let down and I seem to cry for no reason.”. The nurse should identify that the client is experiencing which of the following emotional responses to birth?
      A)Postpartum depression.
      B)Taking-in phase.
      C)Postpartum blues.
      D)Taking-hold phase.
    4. A nurse is caring for a client who is in active labor.The nurse notes early decelerations of the FHR on the fetal monitor tracing.The nurse should identify that which of the following conditions causes early decelerations in the FHR?
      A)Fetal hypoxemia.
      B)Uteroplacental insufficiency.
      C)Cord compression.
      D)Head compression.
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