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    Exam Review

    1. The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?
      A)Listen to the fetal heart rate.
      B)Assess the client’s recent food and fluid intake.
      C)Check the client’s blood pressure and pulse.
      D)Turn the client to a lateral position.
    2. A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.
      A)Amenorrhea.1
      B)Goodell’s sign.2
      C)Quickening.3
      D)Lightening.4
    3. A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?
      A)You should not eat or drink for 8 hours before the test.
      B)It is a screening test so it does not actually diagnose anomalies.
      C)Since you have no chronic illnesses, your test results should be fine.
      D)You will be on bed rest for 4 hours after the test.
    4. The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?
      A)The type of contraceptive being used by the patient and her partner.
      B)The number of past pregnancies the patient has had.
      C)The patient’s age of menarche.
      D)History of iodine allergy.
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    Exam Review

    1. A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?
      A)Ballottement.
      B)Goodell’s sign.
      C)Lightening.
      D)Chadwick’s sign.
    2. The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?
      A)Client at 6 weeks gestation reporting frequent urination.
      B)Client at 25 weeks gestation reporting menstrual-like cramps.
      C)Client at 30 weeks gestation reporting leg cramps while reclining.
      D)Client at 36 weeks gestation reporting a reddened, pruritic lower abdominal rash.
    3. A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .
    4. The nurse is teaching parents about antepartum testing. Which statements should the nurse include?(SATA)
      A)Amniocentesis may be used to assess if you have preeclampsia.
      B)A non-stress test may be used to measure fetal heart rate.
      C)Chorionic villus sampling may be done to assess for neural tube defects.
      D)You may need to fill up your bladder prior to an ultrasound.
      E)Oral Glucose tolerance testing will measure fetal activity at certain intervals.
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    Exam Review

    1. The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:(SATA)
      A)Avoid fried and spicy foods.
      B)Lie down soon after eating.
      C)Eat dry crackers before getting out of bed in the morning.
      D)Avoid overfilling your stomach.
    2. A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?
      A)A high-protein, low-carbohydrate diet may help keep your weight gain under control.
      B)You are eating for two now, but breastfeeding can help you lose excess weight later.
      C)Gaining 1 lb (0.5 kg) per week in this stage of pregnancy is important and expected.
      D)You can exercise daily, so you don’t have to worry about weight gain.
    3. At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:
      A)Sexually transmitted infections.
      B)Glucose.
      C)Ketones.
      D)Testosterone levels.
    4. Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?
      A)21-day pills mixed type.
      B)Mixed type- estrogen and progesterone.
      C)Estrogen-only.
      D)Progesterone only.
    Page 3 of 7

    Exam Review

    1. The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:
      A)Two or more fetal heart rate accelerations within a 20-minute period.
      B)No late decelerations of the fetal heart rate.
      C)Late decelerations are present with a minimum of 50% of the contractions.
      D)Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds.
    2. A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?
      A)A 33-year-old client who is pregnant and experiencing dysuria.
      B)A 29-year-old client who is pregnant and experiencing nausea.
      C)A 41-year-old client who is pregnant and experiencing no fetal movement.
      D)A 35-year-old client who is pregnant and experiencing a cough.
    3. A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?
      A)Screening for group B streptococcus B-hemolytic (GBS).
      B)Performing a complete physical assessment.
      C)Measuring fundal height.
      D)Performing a urinalysis.
    4. A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?(SATA)
      A)Slower satiety.
      B)Nausea.
      C)Vomiting.
      D)Constipation.
      E)Urinary frequency.
      F)Nocturia.
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    Exam Review

    1. A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?(SATA)
      A)Linea nigra.
      B)Eczema.
      C)Striae gravidarum.
      D)Psoriasis.
      E)Chloasma.
    2. The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?
      A)Ultrasonography.
      B)Human chorionic gonadotropin (HCG) levels.
      C)Nagele’s rule.
      D)Fundal height.
    3. A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?
      A)Enlarged uterus.
      B)Positive fetal cardiac activity on ultrasound.
      C)Auscultation of fetal heart tones.
      D)Amenorrhea.
    4. A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?(SATA)
      A)Calculate the estimated date of birth.
      B)Obtain the client’s personal and family medical history.
      C)Obtain information about prior pregnancies.
      D)Check the client’s urine with a reagent strip.
      E)Schedule the client for prenatal laboratory testing.
      F)Discuss chorionic villus sampling with the client.
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    Exam Review

    1. Which statement below accurately describes the role of the ductus arteriosus?
      A)The ductus arteriosus helps connect the umbilical artery to the inferior vena cava.
      B)The ductus arteriosus only carries oxygenated blood from the left side of the heart to the right side.
      C)The ductus arteriosus is found between the right and left atrium.
      D)In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus.
    2. Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?
      A)"If your HIV testing comes back positive, your baby will be infected."
      B)"You may notice dark urine and a metallic taste caused by ceftriaxone."
      C)"After you take the azithromycin, do not consume any calcium-rich foods."
      D)"Let's discuss some options for notifying your sexual partners."
    3. Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.(SATA)
      A)Chlamydia
      B)Pre-eclampsia
      C)Gonorrhea
      D)Pyelonephritis
    4. Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?(SATA)
      A)Vaginal discharge
      B)Breast tenderness
      C)Nausea
      D)Fatigue
      E)Burning with urination
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