1. The nurse is accessing a pregnant woman. Which signs or symptoms indicate a hydatidiform mole?
a. Rapid fetal heart tones b. abnormally high human chorionic gonadotropin (hCG) levels. c. Slow uterine growth d. lack of symptoms of pregnancy.
2. Which findings will be considered positive signs of pregnancy?
a. Fatigue and skin changes b. Quickening and breast enlargement c. Federal heartbeat and fatal movement on palpation d. Abdominal enlargement and Braxton Hicks contractions.
3. In early pregnancy, some clients complain of abdominal pain or pulling. Identified the area most commonly associated with this pain a. RUQ b. LUQ
c. RLQ d. LLQ.
4. Before a postpartum client is discharged, Ms. Soto RN checks her hormones levels. What happens to the level of hCG during the postpartum period? a. The circulating hCG levels remain high for 2-4 weeks b. The serum hCG level diminishes over 6 weeks c. Circulating hCG disappears within 24 hours d. The serum hCG level remains high on to the client next pregnancy.
5. During assessment for admission to the labor and delivery area, a client with her husband asked whether their sons Carlos ages 8 and Mario ages 10 can witnessed the childbirth. Before answering this question, you should consider which guideline? a. Children and clients should share a support person during the childbirth b. Children should attend childbirth only if it takes place at home c. Children should not attend childbirth because it will frighten them d. Each child attending the childbirth should have a separate support system.
6. As part of postpartum F/U you call in new mother at home a few days after discharge. The client answers the phone begins to cry and tells you that she has feelings of inadequacy and is not coping with the demands of motherhood. Based on this information which of the following assessment will you make?
a. The client’s behavior represents signs of postpartum depression b. The client is acting abnormally, and her physician needs to be notified c. The home assessment is necessary to assure the well-being of the mother and the baby d. This is a spec the behavior for a client 3-7 days postpartum.
7. A client is to have an epidural block to relieve labor pain. Ms. Soto RN anticipates that the anesthesiologists will inject the anesthetic agent into the a. Subarachnoid space b. Area between the Subarachnoid space and the dura mater c. Area between the dura mater on the ligament and flavum d. Ligamentun flavum.
8. A primigravid client is admitted to the labor and delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense a. Around the pelvic girdle b. Around the pelvic girdle on the upper legs c. Around the pelvic girdle on the perineum d. At the perineum.
9. Ms. Rosario, a pregnant client comes to the facility for her first prenatal visit. When providing teaching, you should be sure to cover which topic? a. Labor techniques b. Danger signs during pregnancy c. Signs and symptoms of pregnancy d. Test to evaluate for high risk pregnancy.
10. The neonate of the client with type I diabetes mellitus is at a high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is a. Peripheral cyanosis b. Bradycardia c. Lethargic d. Jaundice.
11. Ms. Torres at 26-year-old female comes to the labor and delivery area and tells you: “I believe my membranes have rupture” when obtaining the patient’s history what should you asked about first? a. The time of membrane rupture b. The frequency of contractions c. The presence of back pain d. The presence of bloody show.
12. Ms. Rodriguez plans to breast-feed her healthy full term neonate. You should encourage her to start breast-feeding within 30 minutes of her neonate birth because: a. The neonate will be responsive and eager to suck at this time b. Breast-feeding would inhibit prolactin production c. Her breasts will be firm and filled with colostrum at this time d. Breast-feeding will help the neonate fall asleep.
13. A client who is five weeks pregnant reports nausea and vomiting. The nurse reassured the client that this symptom probably will subside a. 5 to 8 weeks gestation b. 9-12 weeks gestation c. 14-17 weeks gestation d. 18-22 weeks gestation.
14. At 28 weeks of gestation Ms. Rios is admitted to the labor and delivery area with a dx. of preterm labor. An IV infusion of Ritodrine is started, which client outcome reflects their nurses awareness of an adverse effect on this medication? Client remains free….. a. From tachycardia b. From hypertension c. From polyuria d. From hyperreflexia.
15. An alarm signal indicating that a neonate’s security identification band requires attention. The nurse respond immediately and finds that identification bands are no longer on the neonate. Which action should the nurse take next? a. Reprimand the parents for allowing the identification band to come off b. Replace the identification band c. Compare the information on the neonate’s identification bands with that of the mother’s then reattached the identification band to the neonate extremity d. Obtain the neonate’s footprint and compare them with the footprints obtain it at birth to assure proper identification the neonate.
16. A client in the 8th month of pregnancy. To enhance cardiac output I rent a function, the nurse should advise her to use which body position? a. Right lateral b. Left lateral c. Supine d. Semi Fowler.
17. Sandra a 19-year-old female patient has an episiotomy to widen her birth canal. Delivery extends the incision into the anal sphincter. This complication is called a. First-degree laceration b. Second-degree laceration c. Third-degree laceration d. Fourth-degree laceration.
18. Sandra on her third postpartum day complaints of chills and aches. Patient chart shows temperature of 100.6-degree Fahrenheit (38.1 C) for the past 2 days. You then assess for foul smelling yellow lochia. Basing your knowledge what do this finding suggests?
a. Lochia alba b. Lochia serosa c. Localized infection d. Cervical laceration.
19. After admission to the labor and delivery area a client undergoes routine tests: CBC, U/A, VDR and gonorrhea culture. The gonorrhea culture is positive, although the client lacks s/s of this disease. What is the significance of this findings? Maternal gonorrhea may cause…. a. A neural tube defect in the fetus b. An eye infection in the neonate c. Acute liver changes in the fetus d. Anemia in the neonate.
20. You are providing care for client in her first stage of labor. What is the shortest but most difficult part of this stage? a. Active phase b. Complete phase c. Latent phase d. Transitional phase.
21. Marianna is an only pregnant patient. Today during her visit expresses that she isn’t taking her prenatal vitamins because it makes her nauseated. In addition to telling Marianna how important taking the vitamins are you should advise her to: a. Switch brands b. Take your vitamins on a full stomach c. Take the vitamin with orange juice for better absorption d. Take the vitamins first thing in the morning.
22. Adela is a 22-year-old female G1 PO. During the first 24 hours after delivery, patient doesn’t show consistent interests in her neonate. Basing your knowledge how should you interpret this behavior? The client is… a. Experiencing postpartum depression b. Questioning her role as a mother c. Showing the expected behavior for the taking in period d. Failing to attach to the neonate.
23. A 12 hour all baby born neonate has a continuous Grade II murmur with no thrill. The splitting of S2 doubles her with inspiration immediately after birth is no longer present. The neonate heart rate is 150 beats/minutes. Basing these assessments findings how should the neonate be transported to the parents? a. Maria Hospital volunteered assigned to the nursery to transport the neonate and isolate incubator b. Wanda and nursing assistant should transport the neonate in a bassinet/cradle c. Ana an LPN should transport the neonate with an oxygen hood to administer oxygen during transport d. Lourdes, RN should transport the neonate in a warm isolate with cardiac monitor and oxygen saturation monitor.
24. Ms. Caraballo RN currently works with the OB- GYN. Clinic is teaching Maritza a 28 y/o female how to use a diaphragm. Which instruction should the nurse provide? a. Insert the diaphragm 4 hours before intercourse b. Leave the diaphragm in place for at least 6 hours after intercourse c. Remove the diaphragm immediately after intercourse d. You may use the diaphragm without spermicidal jelly or cream.
25. Annabelle is a 29-year-old female G2 P1 patient is currently progressing through pregnancy but she developed constipation. Based on your knowledge what is the primary cause of this problem during pregnancy?
a. Decreased appetite b. Inadequate fluid intake c. Prolonged gastric emptying d. Reduce intestinal motility.
26. Carla is a 27-year-old female currently with a GA of 15 2/7 is scheduled for serum alpha-fetoprotein (AFP). Which maternal history find them best explained the need for this test? a. FHx of spina bifida in a sister b. FHx of Down syndrome on the father’s side c. Hx of gestational diabetes during a previous pregnancy d. Hx of spotting during the first month of the current pregnancy.
27. You are preparing to administer an IM injection of prophylactic vitamin K to a normal full-term neonate. Which needle should you use? a. 25G 1” needle b. 25G 5/8” needle c. 22G 1” needle d. 22G 5/8” needle.
28. Just after delivery you measure and neonate axillary temperature at 94.1 Fahrenheit (34.5 C). Based on the results what would be your next course of action?
a. Rewarm the neonate gradually b. Rewarm the neonate rapidly c. Observe the neonate at least hourly d. Notify the physician what the neonate temperature is within physiological levels.
29. A client comes to the office for her first prenatal visit. Patient reports that January 19 was the first day of patient LMP. According to Nagel’s rule what they should the nurse record as the EDD?
a. October 26 current year b. October 26 of next year c. October 19 current year d. Observational jaundice.
30. A 20-year-old female who admits uses heroin delivers a neonate at 32 weeks gestation. Which neonatal assessment is most important for you to perform?
a. Auscultation of breast sounds for signs of pulmonary problems b. Careful observation of respiratory effort because of the neonate prematurity c. Evaluation for signs of drug withdrawals d. Observational jaundice.
31. While caring for 32-year-old female in the labor and delivery room you observed late the decelerations. It`s characterized by and indicates which of the following a. U-shaped the celebration of current after the first half of the contraction indicating utero placental insufficiency b. U-shaped the celebration offering after the contractions indicating utero placental insufficiency c. V-shaped the celebration offering after the contractions indicating utero placental insufficiency d. Deep U-shaped the celebration occurring before the contraction indicating head compression.
32. Ms. Santos RN in the OB/GYN ward entered the room 502. Patient is a 28-year-old female G2 P2 s/p vaginally delivery room to administer patient morning medications. The patient/client is in the bathroom. Based on this Ms. Santos should:
a. Leave the medication at the bedside b. Leave the medication after telling the family member to administer it c. Leave the medication and return shortly to administer it d. Wait for the patient/client to return to bed, then leave the medications at the bedside.
33. A medication order is placed for 22-year-old G1 P1 who was admitted due to UTI infection and it reads Ceftin 1 g Q 12 hours IV. This medication order is an example of: a. A PRN order b. A single order c. A STAT order d. A standing order.
34. You are providing care to Lisa a 42-year-old females/p TAH-BSO with the following medication order; 1000 ml D5NS; run 150 ML/hour IV in the supply unit you have available on your supply unit: IV bag 1000 mL D5NS. Approximately how many hours with the IV run? a. 19 b. 91 c. 10 d. 8 e. 7.
35. On assessing the laboratory report of a client who is 12 weeks pregnant the nurse observes that the client’s level of serum ferritin is low. Which condition does the nurse suspect in the client? a. Tetany b. Anemia c. Renal failure d. Hypertension.
36. When planning a diet with a pregnant woman what is the nurse first action? a. Teach the woman about My Plate b. Review the woman’s current dietary intake c. Caution the woman to avoid large doses of vitamins especially those that are fat-soluble d. Instruct the woman to limit the intake of fatty foods.
37. The nurse is caring for female client who recently had an abortion after learning that the fetus had a neural to be defect. The client wants to conceive again and asked the nurse for advice. Was suggesting his best to prevent neural to be defects in future pregnancies?
a. Take 15 mg of iron every day b. Take 46 g of protein every day c. Take 4 mg of folie acid everyday d. Take 1300 mg of calcium every day.
38. A pregnant client has severe and persistent vomiting. The client has lost weight, is dehydrated and has electrolytes abnormalities. Which condition does that nurse suspect that the client has? a. Tetany b. Glossitis c. Hypocalcemia d. Hyperemesis gravidum.
39. Some men experience pregnancy like symptoms, such as nausea, weight gain and other physical symptoms. What is this phenomenon called? a. Quickening b. Labor syndrome c. Couvade syndrome d. Pregnancy syndrome.
40. While examining the breasts of a pregnant client the nurse observed that the client has inverter nipples. What does the nurse interpret from this finding? The client… a. Had a breast reduction surgery in the past b. Has to apply iodine tincture on the nipples c. Has number breast changes during pregnancy d. Baby will probably have difficulty latching.
41. A pregnant client complains of constipation. While checking the client history the nurse learns that the client is taken RRs supplements. What instruction does the nurse gives the client to relieve constipation?
a. Drink mineral oil before going to bed b. Take us to softener before going to bed c. Drink 6 to 8 glasses of water every day d. Discontinue taking iron supplements.
42. The nurse is assessing the fundal height of a pregnant client. During the assessment the nurse observed that the client has difficulty breathing and is sweating profusely. After recording the heart rate and blood pressure of the client the nurse changes the client’s position. What is the rational for this nursing intervention? The client has…
a. Excess body weight b. Gestational hypertension c. Supine hypotension d. Respiratory tract infection.
43. An expectant father confides in the nurse that his pregnant wife 10 weeks of gestation is driving him crazy. One minute she seemed happy and the next minute she’s crying over nothing at all. Is there something wrong with her? What is the nurse best response? a. This is normal behavior as you begin to subside by the second trimester b. She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know. c. This is called emotional liability and is related to hormones changes in anxiety during pregnancy. The most swings will eventually subside as she adjusts to being pregnant. d. You seem impatient with her. Perhaps this is precipitating her behavior.
44. The nurse observes that the newborn has milky secretions from the nipples. What is the reason for this findings? a. High levels of maternal insulin b. High levels of maternal estrogen c. Low levels of maternal thyroxine d. Low levels of maternal progesterone.
45. What should the nurse be aware of regarding infertility?
a. Infertility is perceived differently by woman and men b. Infertility has a relatively stable prevalence among the overall population and throughout woman’s potential reproductive years c. Infertility is more likely the result of physical flow in the woman denting her male partner d. Infertility is the same thing as us to sterility.
46. A man and a woman who have not achieved a successful pregnancy are scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed? a. Semen analysis b. Testicular biopsy c. Endometrial biopsy d. Hysterosalpingogram.
47. A pregnant client in the first trimester has developed witnessing complications and undergoes a medical abortion. The nurse finds from the client blood reports that the client is Rh negative. What is a priority action by the nurse?
a. Initiate methotrexate therapy after the abortion b. Instruct the client to use douches after the abortion c. Administer Rho(D) immune globulin after the abortion d. Administer nonsteroidal anti-inflammatory drugs.
48. The nurse is assessing a client who is taken oral contraceptives and reports severe pain in the legs. What symptoms should the nurse primary assess for in the client? a. Severe muscle spasm b. Thrombus formation c. High creatinine levels d. Hyperglycemic events.
49. Which contraceptive methods provide protection against sexual transmitted infections?
a. Intrauterine device b. Oral contraceptives c. Tubal litigation d. Male/female condoms.
50. Which infection is prevented with the Cervarix and Gardasil vaccine?
a. Bacterial vaginosis b. Vulvovaginal candidiasis c. Pelvic inflammatory disease d. Human papillomavirus.
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