NURSING EXAM 1 | RASMUSSEN
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This document covers maternal-child nursing topics such as fetal heart rate monitoring, prenatal care,
contraception, obstetrical complications, labor and delivery, and normal cardiovascular system changes
during pregnancy. The provided questions and detailed explanations offer a comprehensive review of
maternal-child nursing concepts for exam preparation , including the assessment of fetal heart rates,
nutritional intake during pregnancy, and the use of non-pharmacologic methods of pain control. By utilizing
this document, students can study, review, and understand key concepts to enhance their knowledge and
prepare for exams in maternal-child nursing.
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EXAM QUESTIONS
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, QUESTION 1
The nurse is evaluating the FHR rhythm strip and determines the heart rate amplitude varies with a rate
15 to 20 bpm. What does this assessment finding indicate to the nurse about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
CORRECT ANSWER
C. Variability is moderate
RATIONALE: The nurse is evaluating the FHR (fetal heart rate) rhythm strip, and the heart rate amplitude varying with a
rate of 15 to 20 bpm indicates moderate variability because this range is typically considered normal and indicative of a
healthy fetal heart rate pattern. A moderate variability is a sign of a well-oxygenated fetus and is often seen in normal fetal
heart rate patterns during labor.
QUESTION 2
What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy?
A. Ask the client to describe a healthy diet
B. Ask client to describe her total intake for a week
C. Assess clients skin for hydration and color
D. Ask her to describe her intake for the last 24 hours
CORRECT ANSWER
D. Ask her to describe her intake for the last 24 hours
RATIONALE: This question requires the nurse to accurately assess the woman's usual food intake during her pregnancy,
which is crucial for identifying potential nutritional deficiencies or imbalances. Asking her to describe her intake for the last
24 hours is the most effective approach because it allows the nurse to gain a detailed understanding of the client's recent
eating habits, providing a more accurate representation of her usual food intake.
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, QUESTION 3
The nurse is teaching a client on the use of a diaphragm for contraception. Which of the following client
statement indiciates the client needs for further teaching.
A. I need to use my finger to remove the diaphragm
B. I should remove the diaphragm 6 hours after intercourse
C. I should stop using a diaphragm if i get an infection of my cervix
D. I need to have the diaphragm checked if my weight changes by 30lb
CORRECT ANSWER
D. I need to have the diaphragm checked if my weight changes by 30lb
RATIONALE: A diaphragm's proper fit is crucial for effective contraception, and a significant weight change can alter the
diaphragm's fit, compromising its effectiveness. The client's statement about needing a diaphragm check after a 30lb
weight change indicates a lack of understanding of the importance of regular diaphragm fitting and possible adjustment to
maintain its proper fit and effectiveness.
QUESTION 4
A nurse is caring for the following clients on the obstetrical unit. The nurse recognizes it is safe to
administer tocolytic therapy to which of the following clients?
A. Client that is experiencing fetal death at 34 weeks gestation
B. Client who is experiencing preterm labor at 29 weeks gestation
C. A client who is experiencing Braxton-hicks contractions at 37 weeks gestation
D. A client who has a post-term pregnancy at 41 weeks gesttation
CORRECT ANSWER
B. Client who is experiencing preterm labor at 29 weeks gestation
RATIONALE: Tocolytic therapy is a medication used to delay or suppress preterm labor, which is labor that occurs before 37
weeks of gestation. Option B is the correct answer because a client experiencing preterm labor at 29 weeks gestation is a
candidate for tocolytic therapy to prevent preterm birth and give the fetus a better chance of survival and development
outside the womb.
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, QUESTION 5
A prenatal nurse is caring for a woman who desires an unmedicated birth. Which of the following options
for non-phamacologic methods of pain control in labor.
A. Epidural
B. Hydrotherapy
C. Massage
D. Birthball
E. Prudendal block
F. Breathing patterns
CORRECT ANSWER
B. Hydrotherapy
C. Massage
D. Birthball
F. Breathing patterns
RATIONALE: The correct answer is because these options (B. Hydrotherapy, C. Massage, D. Birthball, and F. Breathing
patterns) are non-pharmacologic methods of pain control in labor, meaning they don't involve medication, which aligns with
the woman's desire for an unmedicated birth. In contrast, options A. Epidural, E. Prudendal block are pharmacologic
methods, which involve medication, and are thus not suitable for an unmedicated birth.
QUESTION 6
The nurse is reviewing the results of an abnormal pap smear with a 27-year old female. When explaining
to the client the risk for and causes of cervical cancer, which of the following statements should be
included in her teaching?
A. Approximately 70% of cervical cancers are caused by HPV.
B. Approx. 70% of cervical cancers result from HPV
C. You have a bacterial infection that will require 14 days of antibiotics
D. Cervical cancer is cause by HPV, we can treat the infection with a course of antiviral medications
CORRECT ANSWER
B. Approx. 70% of cervical cancers result from HPV
RATIONALE: This statement is correct because the human papillomavirus (HPV) is established as a primary cause of
cervical cancer, with approximately 70% of cases linked to this virus. The accurate phrasing "result from" instead of "caused
by" is significant, as it emphasizes that HPV infection is the underlying factor leading to cervical cancer, rather than the
infection itself being the disease.
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