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    Exam Review

    1. A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:
      A)Uterine atony.
      B)Lacerations of the genital tract.
      C)Perineal hematoma.
      D)Infection of the uterus.
    2. The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect?
      A)Maternal hypertension.
      B)Maternal tachycardia.
      C)Fetal bradycardia.
      D)No known adverse effect.
    3. A 30-year-old postpartum client has continuous seepage of blood from the vagina. Palpation of her uterus reveals a firm uterus, 1 cm below the umbilicus. A nurse would monitor this client closely for which condition?
      A)Retained placental fragments.
      B)Cervical laceration.
      C)Uterine atony.
      D)Urinary tract infection.
    4. Which of the following is an example of a newborn reflex?
      A)Crying.
      B)Grasping.
      C)Talking.
      D)Walking.
    Page 1 of 19

    Exam Review

    1. A nurse is caring for a client 2 hours following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-minute period. Which of the following actions should the nurse take first?
      A)Check the consistency of the client's uterine fundus.
      B)Prepare to administer oxytocic medication.
      C)Increase the client's fluid intake.
      D)Have the client use the bedpan to urinate.
    2. The nurse assesses a preterm infant in the NICU. What signs should be reported to the physician? (Select the 3 correct answers.)(SATA)
      A)Superficial scalp veins.
      B)Vomiting.
      C)Bulging fontanelles.
      D)Transparent skin.
      E)Paleness.
    3. A postpartum woman has been diagnosed with postpartum psychosis. Which of the following actions should the nurse perform?
      A)Maintain client on strict bed rest.
      B)Restrict visitation to her partner.
      C)Carefully monitor toileting.
      D)Supervise all infant care.
    4. A group of students are reviewing the causes of postpartum hemorrhage. The students demonstrate understanding of the information when they identify which of the following as the most common cause?
      A)Uterine atony.
      B)Labor augmentation.
      C)Uterine inversion.
      D)Cervical or vaginal lacerations.
    Page 2 of 19

    Exam Review

    1. The licensed physician orders amoxicillin 500 mg po q hours for a child weighing 44 lbs. The recommended daily oral dosage is 25-50 mg/kg/24 h in divided doses q hours.
    2. The licensed physician orders amoxicillin 500 mg po q hours for a child weighing 44 lbs. Amoxicillin is supplied in 250 mg capsules. The recommended daily oral dosage is 25-50 mg/kg/24 h in divided doses q hours. Based on the calculated safe range, is this dose safe?
      A)𝐬𝐚𝐟𝐞
      B)𝐮𝐧𝐬𝐚𝐟𝐞
    3. Which of the following is a possible cause of a musty odor in urine?
      A)Dehydration.
      B)Consumption of alcohol.
      C)Consumption of blackberries.
      D)PKU (Phenylketonuria).
    4. As part of an in-service program, a nurse is describing a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse correctly identifies this as postpartum:
      A)Bipolar disorder.
      B)Blues.
      C)Depression.
      D)Psychosis.
    Page 3 of 19

    Exam Review

    1. While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?
      A)Maternal pulse rate of 100 beats per minute.
      B)Maternal blood pressure of 120/70 millimeters of mercury.
      C)Persistent fetal bradycardia below 100 beats per minute.
      D)Decrease in intensity of uterine contractions.
    2. A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching?
      A)"I will adjust the harness straps every day.”.
      B)"I will check my baby's skin three times each day.”.
      C)"I will place the diaper over the harness.”.
      D)"I will gently massage lotion on his skin around the harness clasps.”.
    3. A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia.Which of the following responses should the nurse make?
      A)"Urinary tract infections are associated with increased lochia.”.
      B)"Lochia can pool in the vagina while you lie in bed.”.
      C)"The amount of lochia increases during the postpartum period.”.
      D)"You might have retained fragments of your placenta.”.
    4. What characteristics are typical in a child diagnosed with Down syndrome? (Select the 4 correct answers.)(SATA)
      A)Simian creases.
      B)Curved, small fingers.
      C)Wide-spaced front teeth.
      D)Protruding tongue.
      E)Lose-set eyes.
    Page 4 of 19

    Exam Review

    1. Which of these conditions usually occurs in preterm infants and requires immediate administration of surfactant through an endotracheal tube at the time of birth?
      A)Cystic fibrosis.
      B)Bronchopulmonary edema.
      C)Pneumothorax.
      D)Respiratory distress syndrome.
    2. Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following?
      A)Thrombophlebitis.
      B)Uterine subinvolution.
      C)Retained placental fragments.
      D)Hypertension.
    3. Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?
      A)Assessing the infant for signs of trauma.
      B)Applying a cold pack to the infant's scalp.
      C)Administering prophylactic antibiotic agents to the infant.
      D)Measuring the circumference of the infant's head.
    4. A pregnant woman presents in labor at term, having had no prenatal care. After birth, her infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic. On the basis of her infant's physical findings, this woman should be asked about her use of which substance during pregnancy?
      A)Marijuana.
      B)Heroin.
      C)Cocaine.
      D)Alcohol.
    Page 5 of 19

    Exam Review

    1. A nurse is performing a postpartum assessment 30 minutes after a vaginal delivery. Which of the following actions indicates that the nurse is performing the assessment correctly?
      A)The nurse performs a sterile vaginal speculum examination.
      B)The nurse measures the fundal height in relation to the symphysis pubis.
      C)The nurse assesses the client's perineum for edema and ecchymoses.
      D)The nurse monitors the client's central venous pressure.
    2. Which client status is an acceptable indication for oxytocin induction of labor?
      A)Past 42 weeks of gestation.
      B)Polyhydramnios.
      C)History of long labors.
      D)Multiple fetuses.
    3. A nurse administers RhoGAM to an Rh-negative client after delivery of an Rh-positive newborn based on the understanding that this drug will prevent her from:
      A)Developing AB antigens in her blood.
      B)Developing Rh sensitivity.
      C)Becoming Rh-positive.
      D)Becoming pregnant with an Rh-positive fetus.
    4. A primipara tells the nurse, "My afterpains get worse when I am breastfeeding.”. What is the most appropriate nursing response?
      A)Afterpains are more intense with your first baby.
      B)A change of position when you're breastfeeding might help.
      C)Breastfeeding releases a hormone that causes your uterus to contract.
      D)I'll get you some aspirin to relieve the cramping that you feel.
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