Midterm Exam P2

Question 1

Nurse is performing assessment to a client who is scheduled for a cesarean delivery. Which assessment finding would indicate the need to contact the physician?
A. Fetal heart rate of 180 beats per minute.
B. White blood cell count of 12,000 cells/mm3
C. Maternal pulse rate of 85 beats per minute
D. Hemoglobin of 11.0 g/dL

Question 2

A nurse has provided discharge instructions to a client who delivered a healthy newborn infant by cesarean delivery. Which statement made by the client indicates the need for further instructions?
A. “I will notify the physician if I develop a fever.”
B. “I will lift nothing heavier than the newborn infant for at least 2 weeks.”
C. “I will begin abdominal exercises immediately”
D. “I will turn on my side and push up with my arms to get out of bed.”

Question 3

A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at -1 station. Which of the following can the nurse best describe the determination of the fetal presenting part?
A. 1 cm above the ischial spine.
B. 1 fingerbreadth below the symphysis pubis.
C. 1 inch below the coccyx.
D. 1 inch below the iliac crest.

Question 4

A pregnant client is admitted in the labor room. An assessment is performed, and the nurse noted that the client’s hemoglobin and hematocrit at low levels. Which of the following will signify that the client is at risk for what possible condition?
A. Anxiety
B. Low self-esteem
C. Hemorrhage
D. Postpartum infection

Question 5

A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. Which of the following can best describe the condition of the patient?
A. Hematoma
B. Placenta previa
C. Uterine atony
D. Placental separation

Question 6

A nurse is caring for a client in the second stage of labor. The client is experiencing uterine contractions every 2 minutes and cries out in pain with each contraction. Which of the following best describe the behavior of the client?
A. Exhaustion.
B. Fear of losing control.
C. Involuntary grunting.
D. Valsalva’s maneuver.

Question 7

The obstetrician did an internal vaginal exam to Mrs. Z. The doctor obtained the diagonal conjugate as 12.5 cm. What is the approximate measurement of her true conjugate?
A. 11
B. 10.5-11cm
C. 9- 10.5cm
D. 10- 11.5cm

Question 8

What is the most common and favorable birthing position?
A. LOP
B. LOA
C. ROA
D. ROP

Question 9

What is the relationship of fetal parts to each other and describes the degree of flexion of the fetus assumes during labor?
A. Fetal lie
B. Fetal attitude
C. Fetal position
D. Fetopelvic relationship

Question 10

Which of the following is the best way Nurse Ann can explain eutocia?
A.” It is the period covering the changes in the reproductive organs during pregnancy.”
B. “It is a coordinated sequence of events involving involuntary uterine contraction.”
C. “It involves the actual expulsion of the products of conception.”
D. “It is voluntary bearing down of mother causes dilation and effacement.”

Question 11

Mrs. Duncan’s LMP is December 20. What term can best describe the pregnancy if she gives birth on August 10 ?
A. Posterm
B. Preterm
C. Term
D. Normal

Question 12

Nurse Mildred is assessing a primipara patient in the OB ward. How many hours should Nurse Mildred wait for patient in labor for primipara patient?
A. 5 -10 Hours
B. 10 -12 Hours
C. 14 - 20 Hours
D. 6 - 8 Hours

Question 13

What does the passenger denotes?
A. Size of the fetal head and its ability to mold to the maternal pelvis
B. the stretchability of the rugae
C. the structure of the maternal pelvis
D. the frequency, duration and strength of uterine contractions

Question 14

Immediately after an amniotomy has been performed. Which of the following should the nurse first assess?
A. For bladder distention
B. For cervical dilatation
C. The maternal blood pressure
D. The fetal heart rate (FHR) patterns

Question 15

Upon history, the first day of her last menstrual period is November 30. Ms. Crew’s estimated date of confinement using Nagele’s rule is:
A. August 6
B. August 7
C. September 6
D. September 7

Question 16

She had reported vomiting her breakfast nearly every morning. The nurse would advise her to:
A. Drink only liquids for breakfast.
B. Eat saltines before arising from bed.
C. Drink coffee before arising from the bed.
D. Sip whole milk with breakfast.

Question 17

During her visit, she asked the nurse about the brown discoloration across her nose and cheeks. The nurse explained that:
A. The discoloration indicates the baby’s gender.
B. The discoloration is abnormal and needs immediate intervention.
C. The discoloration will fade if an antibiotic is taken.
D. The discoloration usually disappears after delivery.

Question 18

She also often experiences leg cramping. The nurse believe that this will be relieved by:
A. Briskly flex and extend your leg.
B. Walk for 30 minutes or until the cramps disappear.
C. Lie in bed with the leg slightly elevated with a pillow on her back.
D. Push upward on the toes and downward on the knees.

Question 19

Which of the following includes the psychological tasks during the second trimester.
A. The couple attends to parenting classes.
B. Reminiscing the moment that her baby suddenly moves.
C. Feeling of ambivalence.
D. The woman willingly offered self to “baby-sit” her niece.

Question 20

The nurse explains to the mother that the umbilical cord usually has:
A. One vein and one artery
B. Two veins and two arteries
C. Two arteries and a vein
D. Two arteries only

Question 21

Maresa feels she is healthy, she asked the nurse why she needs to go to the health center for prenatal care. What benefit should the nurse inform the mother regarding her statement?
A. Discovering any allergies can reduce the risk of preterm labor.
B. It allows for the collection of accurate epidemiologic and demographic data.
C. It provides time for education about pregnancy and birth.
D. It provides important time to interact with a prenatal group.

Question 22

The nurse is reviewing Maresa’s electronic record. While doing so, the nurse asks Maresa to clarify and confirm her surgical history. Why it is important to ask Maresa about past surgery during a pregnancy.
A. Previous use of anesthetics is a risk factor for preterm labor.
B. Adhesions from surgery could potentially limit uterine growth.
C. Previous experience with surgery means that she will likely be comfortable in a hospital setting.
D. Abdominal incisions are associated with potential uterine rupture.

Question 23

A pregnant woman in her first trimester has the following past history, a boy born at 39 weeks gestation alive and well; a girl born at 40 weeks gestation alive and well; and a girl at 33 weeks gestation alive and well. How would the nurse summarize her gravida , para, term, preterm, abortion and live birth?
A. G4 P 4
B. G3 P4 T1 P 0 A0 L4
C. G4 P4 T1 P0 A1 L4
D. G4 P3 T2 P1 A0 L3

Question 24

Maresa ask the nurse, what she can do to make sure that her boyfriend feels involved with her prenatal care, which of the following is the appropriate response of the nurse?
A. Ask for appointments to be scheduled at a time that is convenient to both of you.
B. Be certain that your partner listens to the fetal heart tone at visits as soon as it can be heard.
C. During sonogram ask your partner to view it with you.
D. All may apply

Question 25

The nurse notice that Maresa was rubbing her back at a prenatal visit. She asks how she can keep her backache from becoming worse. Which of the following is the appropriate intervention should the nurse advise Maresa?
A. Limit the use of high heels because they add to the natural lordosis of pregnancy.
B. Walk with head high and pelvic straight.
C. Rest daily with feet elevated.
D. All may apply