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    Exam Review

    1. A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)(SATA)
      A)Fetal weight
      B)Fetal urine
      C)Fetal tone
      D)Fetal position
      E)Fetal movement
      F)Fetal breathing
    2. A 32-year-old female is currently 11 weeks pregnant. She has no living children. She reports that she had two miscarriages at 9 and 12 weeks gestation. What is her GTPAL
      A)G3 TO PO A2 LO
      B)G3 TO PO A3 LO
      C)G3 T1 P2 A0 L4
      D)G3 TI P2 AO LO
    3. A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?
      A)Notify social services.
      B)Ask the parents what caused the bruises.
      C)Ask the toddler what caused the bruises.
      D)Notify the provider.
    4. A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
      A)Quickening
      B)Ballottement
      C)Lightening
      D)Nesting
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    Exam Review

    1. A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?
      A)"It really doesn't matter exactly how much weight you gain, as long as your diet is healthy."
      B)"The recommendation for you is about 15 to 25 pounds."
      C)"You should gain 11 to 20 pounds."
      D)"A gain of about 25 to 35 pounds is best for you and for your baby."
    2. A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?
      A)At a non-palpable depth
      B)At the umbilicus
      C)2 cm below the umbilicus
      D)Just above the symphysis pubis
    3. The germ layers of the embryo are: (Select all that apply.)(SATA)
      A)Endoderm
      B)Mesoderm
      C)Ectoderm
      D)Epidermis
      E)Hypodermis
    4. In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?
      A)Second stage, active phase
      B)First stage, active phase
      C)First stage, latent phase
      D)Second stage, latent phase
    Page 2 of 5

    Exam Review

    1. A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
      A)"There is no way to predict how long it will last for each individual client, so you'll just have to wait and see."
      B)"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
      C)"Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome."
      D)"No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."
    2. The ingestion of nonfood substances during pregnancy that can lead to iron deficiency anemia and other nutritional deficiencies and requires follow-up is known as?
      A)Polyphagia
      B)Polydipsia
      C)Pica
      D)Polyuria
    3. A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)(SATA)
      A)Avoid sitting for long periods of time during the flight to prevent swelling and discomfort.
      B)Wear compression stockings during the flight to prevent blood clots.
      C)Avoid using seat belts during the flight to prevent pressure on the abdomen.
      D)Take frequent walks and do leg exercises during the flight to promote circulation.
      E)Avoid using electronic devices during the flight to reduce radiation exposure. Take a high dose of vitamin C before the flight to boost the immune system.
    4. During a prenatal class, a client reports she has an identical twin. What is the classification of twins who share the same chromosomal material?
      A)Fraternal
      B)Dizygotic
      C)Trizygotic
      D)Monozygotic
    Page 3 of 5

    Exam Review

    1. A woman asks the nurse during a prenatal office visit, "What pain relief method is best during labor?" What answer by the nurse best answers the question?
      A)"Epidurals are best because they provide complete pain relief."
      B)"Most women need IV pain medications at some point during labor."
      C)"It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently."
      D)"There is no one best way. However, natural childbirth is best for the baby."
    2. Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)(SATA)
      A)Quickening
      B)Amenorrhea
      C)Ballottement
      D)Increased urination
      E)Positive pregnancy test via blood work
    3. A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)(SATA)
      A)Ask the client to empty their bladder
      B)Perform fundal massage
      C)Nothing, this is an expected finding
      D)Ambulate the client in the hallway
      E)Give pain medications
    4. A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?
      A)"We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well."
      B)"We will draw blood to evaluate the baby's risk of genetic problems."
      C)"I am looking at the ultrasound to see if the baby has any congenital anomalies."
      D)"If the baby moves 5 times in 15 minutes, then the baby is healthy."
    Page 4 of 5

    Exam Review

    1. A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?
      A)"You will need to discuss this with the provider."
      B)"There are specific pain management options that you need to use."
      C)"It is better to use pain management options that have been researched."
      D)"We will work with you to incorporate the practices that are safe for you and your fetus."
    2. A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?
      A)16 cm
      B)26 cm
      C)30 cm
      D)12 cm
    3. A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?
      A)Hypnosis, imagery, and slow chest breathing
      B)Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary
      C)Effleurage, ambulation, and frequent position changes
      D)Counterpressure with a fist or tennis ball to the lower back
    4. A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?
      A)6 cm dilated and 80% effaced
      B)8 cm dilated and 100% effaced
      C)5 cm dilated and 70% effaced
      D)Unmeasurable
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