NURS 226 – Exam 6 – Study Guide & Practice Questions
Which statement reflects a Rh-negative mother and the risk for fetal isoimmunization?
SELECT ALL THAT APPLY
A) The patient will receive RhoGAM after a miscarriage
B) The nurse will plan to administer RhoGAM after an amniocentesis
C) The mother of a fetus with Rh-negative blood does not require RhoGAM
D) Regardless if RhoGAM is administered, all fetuses born to an RH negative mother are at risk
for isoimmunization
E) Administration of RhoGAM after the first delivery of a Rh- positive infant will protect
subsequent fetuses from isoimmunization - correct answer ✔✔A) The patient will receive
RhoGAM after a miscarriage
B) The nurse will plan to administer RhoGAM after an amniocentesis
C) The mother of a fetus with Rh-negative blood does not require RhoGAM
E) Administration of RhoGAM after the first delivery of a Rh- positive infant will protect
subsequent fetuses from isoimmunization
Which effect is the primary reason that a patient with severe preeclampsia is administered
magnesium sulfate?
A) To prevent seizures
B) To promote diuresis
C) To decrease blood pressure
,D) To increase blood flow to the placenta - correct answer ✔✔A) To prevent seizures
Which laboratory finding will the nurse expect for a patient with anasarca associated with
preeclampsia?
A) Protein in the urine
B) Elevated hematocrit
C) Elevated liver enzymes
D) Increased uric acid levels - correct answer ✔✔A) Protein in the urine
Which clinical finding is associated with an inevitable abortion in a patient at 10 weeks of
gestation?
A) Spotting
B) Cervical dilation
C) A decreased in uterine size
D) Rising levels of beta-human chorionic gonadotropin - correct answer ✔✔B) Cervical dilation
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement by the
woman indicates a correct understanding of the test?
A) "I will need to have a full bladder for the test to be done accurately."
B) "I should have by husband drive me home after the test because I may be nauseated."
C) "This test will help determine if the baby has Down syndrome or a neural tube defect."
D) "This test will observe for fetal activity and an acceleration of the fetal heart rate to
determine the well-being of the baby." - correct answer ✔✔D) "This test will observe for fetal
activity and an acceleration of the fetal heart rate to determine the well-being of the baby."
,Which medication is the drug of choice for a patient with a history of herpes simplex 2 in late
pregnancy to prevent an outbreak at delivery?
A) Ceftriaxone
B) Valacyclovir
C) Clindamycin
D) Metronidazole - correct answer ✔✔B) Valacyclovir
When preparing the examination room for a patient who is 36 weeks pregnant, which
additional assessment would the nurse anticipate?
A) Tuberculosis screen
B) Group B streptococcus swab
C) Swab for chlamydia and gonorrhea
D) Blood test for HIV and hepatitis B and C - correct answer ✔✔B) Group B streptococcus swab
Which type of anemia is common in pregnancy?
A) Sickle cell anemia
B) Megaloblastic anemia
C) Iron-deficiency anemia
D) Beta-thalassemia minor - correct answer ✔✔C) Iron-deficiency anemia
Which action would the nurse take when a laboring patient with a preexisting cardiac disease
begins experiencing tachycardia, tachypnea, and exhaustion?
A) Notifying the health care provider
, B) Repeating vital signs every 5 minutes
C) Administering 1000 mL of normal saline intravenously
D) Placing the patient in the reverse Trendelenburg position - correct answer ✔✔A) Notifying
the health care provider
Which information regarding the effects of pregnancy on maternal diabetes is accurate?
A) A decreased in placental hormones contributes to insulin resistance
B) Women with diabetes are at risk for hypoglycemia during early pregnancy
C) There are very significant changes in metabolic rates and energy needs in early pregnancy
D) The fetus uses few amino acids, delaying the switch from carbohydrate metabolism to
gluconeogenesis - correct answer ✔✔B) Women with diabetes are at risk for hypoglycemia
during early pregnancy
Which factor would adversely affect fetal oxygenation?
SELECT ALL THAT APPLY
A) Maternal obesity
B) Placental abruption
C) Iron-deficiency anemia
D) Gestational hypertension
E) Umbilical cord compression - correct answer ✔✔B) Placental abruption
C) Iron-deficiency anemia
D) Gestational hypertension
Which statement reflects a Rh-negative mother and the risk for fetal isoimmunization?
SELECT ALL THAT APPLY
A) The patient will receive RhoGAM after a miscarriage
B) The nurse will plan to administer RhoGAM after an amniocentesis
C) The mother of a fetus with Rh-negative blood does not require RhoGAM
D) Regardless if RhoGAM is administered, all fetuses born to an RH negative mother are at risk
for isoimmunization
E) Administration of RhoGAM after the first delivery of a Rh- positive infant will protect
subsequent fetuses from isoimmunization - correct answer ✔✔A) The patient will receive
RhoGAM after a miscarriage
B) The nurse will plan to administer RhoGAM after an amniocentesis
C) The mother of a fetus with Rh-negative blood does not require RhoGAM
E) Administration of RhoGAM after the first delivery of a Rh- positive infant will protect
subsequent fetuses from isoimmunization
Which effect is the primary reason that a patient with severe preeclampsia is administered
magnesium sulfate?
A) To prevent seizures
B) To promote diuresis
C) To decrease blood pressure
,D) To increase blood flow to the placenta - correct answer ✔✔A) To prevent seizures
Which laboratory finding will the nurse expect for a patient with anasarca associated with
preeclampsia?
A) Protein in the urine
B) Elevated hematocrit
C) Elevated liver enzymes
D) Increased uric acid levels - correct answer ✔✔A) Protein in the urine
Which clinical finding is associated with an inevitable abortion in a patient at 10 weeks of
gestation?
A) Spotting
B) Cervical dilation
C) A decreased in uterine size
D) Rising levels of beta-human chorionic gonadotropin - correct answer ✔✔B) Cervical dilation
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement by the
woman indicates a correct understanding of the test?
A) "I will need to have a full bladder for the test to be done accurately."
B) "I should have by husband drive me home after the test because I may be nauseated."
C) "This test will help determine if the baby has Down syndrome or a neural tube defect."
D) "This test will observe for fetal activity and an acceleration of the fetal heart rate to
determine the well-being of the baby." - correct answer ✔✔D) "This test will observe for fetal
activity and an acceleration of the fetal heart rate to determine the well-being of the baby."
,Which medication is the drug of choice for a patient with a history of herpes simplex 2 in late
pregnancy to prevent an outbreak at delivery?
A) Ceftriaxone
B) Valacyclovir
C) Clindamycin
D) Metronidazole - correct answer ✔✔B) Valacyclovir
When preparing the examination room for a patient who is 36 weeks pregnant, which
additional assessment would the nurse anticipate?
A) Tuberculosis screen
B) Group B streptococcus swab
C) Swab for chlamydia and gonorrhea
D) Blood test for HIV and hepatitis B and C - correct answer ✔✔B) Group B streptococcus swab
Which type of anemia is common in pregnancy?
A) Sickle cell anemia
B) Megaloblastic anemia
C) Iron-deficiency anemia
D) Beta-thalassemia minor - correct answer ✔✔C) Iron-deficiency anemia
Which action would the nurse take when a laboring patient with a preexisting cardiac disease
begins experiencing tachycardia, tachypnea, and exhaustion?
A) Notifying the health care provider
, B) Repeating vital signs every 5 minutes
C) Administering 1000 mL of normal saline intravenously
D) Placing the patient in the reverse Trendelenburg position - correct answer ✔✔A) Notifying
the health care provider
Which information regarding the effects of pregnancy on maternal diabetes is accurate?
A) A decreased in placental hormones contributes to insulin resistance
B) Women with diabetes are at risk for hypoglycemia during early pregnancy
C) There are very significant changes in metabolic rates and energy needs in early pregnancy
D) The fetus uses few amino acids, delaying the switch from carbohydrate metabolism to
gluconeogenesis - correct answer ✔✔B) Women with diabetes are at risk for hypoglycemia
during early pregnancy
Which factor would adversely affect fetal oxygenation?
SELECT ALL THAT APPLY
A) Maternal obesity
B) Placental abruption
C) Iron-deficiency anemia
D) Gestational hypertension
E) Umbilical cord compression - correct answer ✔✔B) Placental abruption
C) Iron-deficiency anemia
D) Gestational hypertension
