NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is reviewing the differences between placenta previa and abruptio placentae with a group of nursing students. Which of the following statements accurately differentiates placenta previa from abruptio placentae?
      A)"Placenta previa usually results in a higher risk of maternal hypertension, while abruptio placentae is commonly associated with a low-risk pregnancy."
      B)"Placenta previa is characterized by sudden onset of severe abdominal pain and uterine tenderness, while abruptio placentae is associated with painless bleeding."
      C)"Placenta previa typically presents with severe pain and contractions, whereas abruptio placentae involves painless bleeding without contractions."
      D)"Placenta previa involves the placenta partially or completely covering the cervix, whereas abruptio placentae involves the premature separation of the placenta from the uterine wall."
    2. The nurse is reviewing fetal and maternal circulation with a group of nursing students. Which statement by a student demonstrates a need for further clarification?
      A)"The placenta is the site of gas exchange for the fetus."
      B)"The umbilical arteries carry deoxygenated blood from the fetus to the placenta."
      C)"The fetal heart pumps blood to both the placenta and the developing organs."
      D)"Maternal and fetal blood mix to allow for nutrient and oxygen exchange."
    3. A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?
      A)Retained placental fragments
      B)Uterine atony
      C)Puerperal infection
      D)Thrombophlebitis
    4. A nurse is caring for a client in the first trimester of pregnancy and discovers that the client lacks immunity to rubella based on her blood work. When is the recommended time for administering rubella immunization?
      A)During the next attempt to get pregnant
      B)Immediately after delivery
      C)During the third trimester of pregnancy
      D)During the first trimester of pregnancy
    Page 1 of 8

    Exam Review

    1. A nurse is reviewing the different signs of pregnancy with a client who is in her first trimester. Which of the following symptoms should the nurse classify as a positive sign of pregnancy?
      A)Fetal movement felt by provider
      B)Positive pregnancy test
      C)Hegar's sign
      D)Breast tenderness and nausea
    2. Which assessment findings might raise the nurse's suspicion of endometriosis in the client they are evaluating?(SATA)
      A)Unexplained weight gain
      B)Pain during menstrual period
      C)Pain during intercourse
      D)Infertility
    3. A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
      A)"It halts cervical dilation."
      B)"It increases the fetal heart rate."
      C)"It promotes fetal lung maturity."
      D)"It is used to stop preterm labor contractions."
    4. A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
      A)Observe an area of redness on the breast of a client who is 1 day postpartum.
      B)Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.
      C)Monitor vital signs during admission of a client who has gestational hypertension.
      D)Change the initial perineal pad of a client who just transferred from labor and delivery.
    Page 2 of 8

    Exam Review

    1. G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) Complete the following sentence using the drop-down options. The nurse's greatest concern is the client's risk of developing ▾ HELLP syndrome and related to ▾ thrombocytopenia and ▾ elevated liver enzymes.
      Dropdown 1:
      Option 1: HELLP syndrome
      Option 2: preeclampsia
      Option 3: eclampsia
      Dropdown 2:
      Option 1: proteinuria
      Option 2: thrombocytopenia
      Option 3: hypertension
      Dropdown 3:
      Option 1: edema
      Option 2: visual disturbances
      Option 3: elevated liver enzymes
    2. G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) As the nurse, you can identify whether the following findings are indicative of preeclampsia, preeclampsia with severe features, or neither. Select at least one answer in each row.
      PreeclampsiaPreeclampsia with Severe FeaturesPreeclampsia with Severe Features
      Negative for protein on a urine dipstick:✓
      Blood pressure of 150/96 mmHg✓
      Elevated ALT/AST✓
      Blood pressure of 162/112 mmHg✓
      Seizures✓
    3. G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) Identify which of the following findings is a priority concern or not for the patient.
      Priority ConcernNot a Priority Concern
      Liver function tests✓
      Blood pressure✓
      Heartburn✓
      Headache✓
      Gestational age✓
      Cardiac assessment✓
    4. G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) The nurse will implement the following interventions based on the fetal heart rate.(Select All that Apply.)(SATA)
      A)Discontinue the oxytocin infusion
      B)Notify the health care provider
      C)Assist the patient onto her left side
      D)Administer oxygen at 10L/min via nonrebreather face mask
      E)Stop the magnesium sulfate
      F)Assist with a vaginal exam for cord prolapse
    Page 3 of 8

    Exam Review

    1. Based on the clients assessment on 2/11 at 1200, indicate if the client's condition is improving, worsening or not related based on the condition.
      ImprovementWorseningUnrelated
      Deep tendon reflexes (DTR)✓
      Creatinine✓
      client denies pain✓
      Vaginal exam✓
      Blood pressure✓
      Decreased sensation in legs✓
    2. A teenager presents to the clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)(SATA)
      A)Penicillin
      B)Perineal care of genital lesions
      C)Use of barrier protection
      D)Gardasil injection
      E)Hand washing
    3. A nurse is assessing a postpartum client for signs of postpartum depression. Which of the following symptoms is most indicative of postpartum depression rather than normal postpartum adjustment?
      A)Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively
      B)Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood
      C)Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn
      D)Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby
    4. A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
      A)Fetal heart rate (FHR)
      B)Bowel sounds
      C)Respiratory rate
      D)Temperature
    Page 4 of 8

    Exam Review

    1. A male client reports to the nurse that he took sildenafil for erectile dysfunction but did not achieve an erection. Which of the following considerations should the nurse evaluate to determine possible reasons for the lack of response?
      A)The client's level of sexual stimulation
      B)If taken with a high fat meal, the medication is more effective
      C)The client's recent consumption of caffeine
      D)If client took an additional dose to achieve an erection
    2. Exhibits Select a condition, the assessment cues, and anticipated solutions for this client.
    3. A nurse is caring for a client at the first prenatal visit who has a BMI of 23.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
      A)"The recommendation for you is about 15 to 25 pounds."
      B)"A gain of about 25 to 35 pounds is recommended for you."
      C)"A gain of about 1 pound per week is the best pattern for you."
      D)"It would be best if you gained about 11 to 20 pounds."
    4. While caring for a client in labor, which assessment finding best indicates fetal well-being to the nurse?
      A)Presence of late decelerations with each contraction during monitoring
      B)Increased fetal movement between contractions
      C)Fetal heart rate of 160 beats per minute with moderate variability
      D)Fetal heart rate consistently below 120 beats per minute with no accelerations
    Page 5 of 8

    Exam Review

    1. A nurse is monitoring a client who is receiving magnesium sulfate for severe preeclampsia. The client asks, "How will I know if the medication is working?" Which response by the nurse is most appropriate?
      A)"We will monitor your blood pressure to see if it decreases."
      B)"We will check for a reduction in swelling and fluid retention."
      C)"We will assess for a decrease in seizure activity and improved reflexes."
      D)"You should feel less pain and have fewer headaches."
    2. 35-year-old postpartum client. Select the condition, risk factors and assessment findings that the client may be experiencing.
    3. A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?
      A)Swelling and redness in one breast, accompanied by flu-like symptoms
      B)A white patch on a nipple
      C)Symmetrical breast swelling with a sudden increase in milk production
      D)Bilateral breast tenderness and engorgement with no fever
    4. The client arrives at the emergency room following a sexual trafficking incident. She is experiencing significant pain but has difficulty swallowing pills. The provider prescribes 15 mL of Codeine with acetaminophen oral elixir to be taken by mouth once. Pharmacy Formulary Codeine with acetaminophen oral elixir available: 2.4 mg/mL of codeine 24 mg/mL of acetaminophen Complete the following sentence using the drop-down options. The client is prescribed ▾ 15 mL mL of codeine and acetaminophen elixir. She will receive ▾ 36 mg  mg of codeine and ▾ 360 mg mg of acetaminophen based on the formulary concentration.
      Dropdown 1:
      Option 1: 15 mL
      Option 2: 10 mL
      Option 3: 20 mL
      Dropdown 2:
      Option 1: 36 mg
      Option 2: 24 mg
      Option 3: 48 mg
      Dropdown 3:
      Option 1: 360 mg
      Option 2: 240 mg
      Option 3: 480 mg
    Page 6 of 8