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    Exam Review

    1. A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider, which is documented as -1. The presenting part is 1 cm below the ischial spines. The cervix is effaced 1 cm. Which of the following interpretations of this finding should the nurse make?
      A)The presenting part is 1 cm above the ischial spines.
      B)The cervix is 1 cm dilated.
      C)The fetal head is engaged.
      D)The client is in the second stage of labor.
    2. The nurse observes the patient bearing down with contractions and crying out, "The baby is coming.”. What is the best nursing intervention?
      A)Stay with the woman and use the call bell to get help.
      B)Send the woman's partner to locate a registered nurse.
      C)Find the physician.
      D)Assist with deep breathing to slow the labor process.
    3. The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development?
      A)Craniofacial deformities.
      B)Neural tube defects.
      C)Structural heart defects.
      D)Limb deformities.
    4. A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, "Will I be able to deliver vaginally?" What explanation by the nurse is the most appropriate?
      A)There is no reason why you cannot have a vaginal delivery.
      B)A cesarean section is performed when the mother has a total placenta previa.
      C)Yes, you can deliver vaginally until 36 weeks.
      D)A vaginal delivery can be attempted but if bleeding occurs, a cesarean section will be done.
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    Exam Review

    1. A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?(SATA)
      A)Drink a full glass of fluid at the beginning of each meal.
      B)Eat a bland diet and avoid concentrated sweets.
      C)Have crackers handy at the bedside and eat a few before getting out of bed.
      D)Eat three well-balanced meals per day and limit snacks.
    2. When the nurse tells a pregnant woman that she needs 1200 mg of calcium daily during pregnancy, the woman responds, "I don't like milk.”. What dietary adjustments could the nurse recommend?(SATA)
      A)Increase intake of organ meats.
      B)Include molasses and whole-grain breads in the diet.
      C)Eat more green leafy vegetables.
      D)Choose more fresh fruits, particularly citrus fruits.
    3. A woman's prepregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy?
      A)28 to 40 pounds.
      B)15 to 25 pounds.
      C)10 to 20 pounds.
      D)25 to 35 pounds.
    4. A nurse is calculating the intake of a client during the past 9 hours. The client's intake includes lactated Ringer's intravenous (IV) infusion at 150 mL/hour, cefazolin 2 grams IV intermittent bolus in 100 mL of 0.9 —
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    Exam Review

    1. A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately?
      A)Urticaria.
      B)Diarrhea.
      C)Blurred vision.
      D)Backache.
    2. In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/minute from a rate of 160 beats/minute earlier in the pregnancy. What is the nurse's first action?
      A)Ask if the patient has taken a sedative.
      B)Record the rate as a normal finding.
      C)Notify the physician.
      D)Turn the patient to her right side.
    3. A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which is the most favorable pelvic type for vaginal birth?
      A)Anthropoid.
      B)Gynecoid.
      C)Platypelloid.
      D)Android.
    4. The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. Which laboring patient should the nurse attend to first?
      A)A 18-year-old primigravida with a fetal breech presentation.
      B)A 16-year-old primigravida with a twin pregnancy.
      C)A 35-year-old multigravida with a history of precipitate birth.
      D)A 25-year-old multigravida with a history of a previous cesarean section.
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    Exam Review

    1. What is the focus of current maternity practice?
      A)Hospital births for the majority of women.
      B)A quality family experience for each patient.
      C)The traditional family unit.
      D)Separation of labor rooms from delivery rooms.
    2. What is the most common site for fertilization?
      A)Area of the fallopian tube farthest from the ovary.
      B)Upper portion of the uterus.
      C)Lower segment of the uterus.
      D)Outer third of the fallopian tube near the ovary.
    3. A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments?
      A)Every 3 weeks until the 6th month (24 weeks), then every 2 weeks until delivery.
      B)Every 4 weeks until the 7th month (28 weeks), after which appointments will become more frequent.
      C)Every 2 to 3 weeks for the entire pregnancy.
      D)Monthly until the 8th month.
    4. What is the best nursing action to implement when late decelerations occur?
      A)Reposition the patient to supine.
      B)Decrease flow of intravenous (IV) fluids.
      C)Prepare to increase oxytocin drip.
      D)Increase oxygen to 10 L/minute.
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    Exam Review

    1. A nurse observes a fetal monitor strip showing a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
      A)Uteroplacental insufficiency.
      B)A well-oxygenated fetus.
      C)Compression of the umbilical cord.
      D)Compression of the fetal head.
    2. A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
      A)The client requires a rubella immunization following delivery.
      B)The client is immune to the rubella virus.
      C)The client is not experiencing a rubella infection at this time.
      D)The client requires a rubella vaccination at this time.
    3. What contraction duration and interval does the nurse recognize could result in fetal compromise?
      A)Duration shorter than 30 seconds, interval longer than 75 seconds.
      B)Duration longer than 90 seconds, interval shorter than 60 seconds.
      C)Duration longer than 60 seconds, interval shorter than 90 seconds.
      D)Duration shorter than 90 seconds, interval longer than 120 seconds.
    4. A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction?
      A)Breathe into a brown paper bag.
      B)Use rapid-paced breathing.
      C)Hold her breath and push.
      D)Blow in short breaths.
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    Exam Review

    1. An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand describes this condition?
      A)Low-lying placenta.
      B)Total placenta previa.
      C)Partial placenta previa.
      D)Marginal placenta previa.
    2. Of what is the normal umbilical cord comprised?
      A)1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus.
      B)2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus.
      C)2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.
      D)1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus.
    3. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus's hips are flexed and the knees are extended. How would the nurse record this presentation?
      A)Double footing.
      B)Buttocks presentation.
      C)Complete breech.
      D)Frank breech.
    4. A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) .
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