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    Exam Review

    1. A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?
      A)Apply an external fetal monitor.
      B)Complete a vaginal exam.
      C)Perform a rectal exam.
      D)Apply ice to the perineal area.
    2. A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?
      A)"A client should avoid consuming undercooked meat while pregnant
      B)"Obtain an immunization against rubella early in pregnancy
      C)“Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.”
      D)"A client should avoid crowded places during pregnancy."
    3. A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
      A)Prior to giving birth
      B)Prior to discharge from the hospital after giving birth
      C)When she does not desire future pregnancies
      D)Two weeks before attempting pregnancy again
    4. A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?
      A)5
      B)3
      C)4
      D)2
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    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?
      A)"Initiate depot medroxyprogesterone 14 days after the client's first day of her menstrual cycle."
      B)"Administer depot medroxyprogesterone every 6 to 8 weeks."
      C)"Give the medication intramuscularly.
      D)"Massage the site after you administer the medication."
    2. Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?
      A)G1. TO. PO. AO L
      B)G2, TO, P1. AD. L
      C)G3, TO, PO, AO, LO
      D)G2, T1, PO, AO, L1
    3. A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
      A)Maternal hypertension
      B)Maternal battering
      C)Maternal cigarette smoking
      D)Maternal cocaine use
    4. A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?
      A)Replace the device once per year
      B)Replace the device every 3 years
      C)Replace the device after a 20% weight loss.
      D)Replace the device after a urinary tract infection.
    Page 2 of 5

    Exam Review

    1. A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
      A)This test will screen for neural tube defects.
      B)This test will screen for ABO incompatibility.
      C)This test will screen for fetal maturity.
      D)This test will screen for gestational diabetes.
    2. A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
      A)Quickening
      B)Chloasma
      C)Lightening
      D)Ballottement
    3. A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
      A)Facial edema
      B)Urinary frequency
      C)Mood swings
      D)Decreased energy
    4. A nurse is caring for a client who is at 38 weeks of gestation and has a positive contraction stress test. Which of the following actions should the nurse take?
      A)Prepare the client for admission to the hospital
      B)Document the findings as expected in the client records.
      C)Repeat the contraction stress test in 24 hr.
      D)Check the client's cervix for dilation.
    Page 3 of 5

    Exam Review

    1. A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
      A)The client will be asked to stimulate her nipples for 5 min during the test.
      B)The client will receive an ultrasound prior to the test.
      C)An IV will be initiated prior to the test.
      D)An external fetal monitor will be used to monitor the FHR.
    2. A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
      A)February 11
      B)April 27
      C)February 27
      D)April 11
    3. A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?
      A)1 hr after vaginal intercourse
      B)Immediately after getting into bed at night
      C)Only on days 13 to 17 of her menstrual cycle
      D)Every morning before arising
    4. A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
      A)Bright red vaginal bleeding without pain
      B)Intermittent abdominal pain following passage of bloody mucus
      C)Abdominal pain with minimal red vaginal bleeding
      D)Severe abdominal pain with increasing fundal height
    Page 4 of 5

    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?
      A)"This test determines if kernicterus will occur in the newborn."
      B)"This test detects Rh-positive antibodies in the mother's blood."
      C)This test detects Rh-negative antibodies in a newborn who is Rh-positive."
      D)"This test determines the presence of maternal antibodies in the newborn's blood."
    2. A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?
      A)Placenta previa
      B)Newborn hypoglycemia
      C)Oligohydramnios
      D)Small for gestational age newborn
    3. A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?
      A)Give herself a hypertonic enema the day before the procedure.
      B)Wash her abdomen with soap and water the morning of the procedure.
      C)Empty her bladder immediately prior to the procedure.
      D)Refrain from eating breakfast the day of the procedure.
    4. A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
      A)"This is a positive sign of pregnancy.
      B)"This is a possible sign of pregnancy."
      C)"This is a presumptive sign of pregnancy."
      D)"This is a probable sign of pregnancy"
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