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CHS 421 Exam 3.pdf Nevada State College CHS 421

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Question 1 1 pts October 17 September 22 October 29 September 16 A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery? Question 2 1 pts Assisting with labor discomfort by modeling breathing Explaining unusual interventions such as the use of a fetal heart monitor Providing constant reinforcement and education about the labor process and assisting the woman with pushing Teaching the new mother positioning of the infant to assist with breast-feeding

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1/7/2019 Quiz: Exam #3


Exam #3
Started: Jan 7 at 3:55pm

Quiz Instruc ons
This exam covers Module 3 Material.

You will have 120 minutes to complete the exam



Question 1 1 pts


A pregnant woman reports to the nurse that the first day of her last menstrual period was
January 22. Using Nägele’s rule, which of the following dates would be the most accurate
estimated date of delivery?


October 17

September 22

October 29

September 16




Question 2 1 pts


A nurse is caring for a woman during the fourth stage of labor. Which of the following best
describes an action the nurse would take during this stage?


Assisting with labor discomfort by modeling breathing

Explaining unusual interventions such as the use of a fetal heart monitor

Providing constant reinforcement and education about the labor process and
assisting the woman with pushing

Teaching the new mother positioning of the infant to assist with breast-feeding




https://nsc.instructure.com/courses/2460333/quizzes/5259411/take 1/34

,1/7/2019 Quiz: Exam #3



Question 3 1 pts


A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which
of the following changes in weight from pre-pregnancy would require the nurse to take
additional action?


11 pound increase

20 pound increase

14 pound increase

6 pound increase




Question 4 1 pts


A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of
the following findings would be of concern to the nurse?


The woman drinks about 1 gallon of water a day.

The woman does not like vegetables.

The woman works out at the gym daily.

The woman usually eats three meals a day in addition to two snacks a day.




Question 5 1 pts


A woman who is 23 weeks pregnant is concerned because her baby is moving less than
it was a few weeks ago. Which of the following statements would be the most appropriate
response by the nurse?


“At this point in your pregnancy, the baby moves less frequently because of lack of
space in the uterus.”

https://nsc.instructure.com/courses/2460333/quizzes/5259411/take 2/34

,1/7/2019 Quiz: Exam #3

“Your infant is in distress. We should call an ambulance.”

“You need to be more active; take a dance class once a week.”

“You probably counted incorrectly.”




Question 6 1 pts


Which of the following best describes an abnormality in structure or function that occurs
during fetal development?


Genetic defect

Chromosomal defect

Congenital defect

Embryonic defect




Question 7 1 pts


A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is
single. Which finding would be of most concern to the nurse?


There is an area rug in the living room.

She has a 1-year-old child.

She has a pet cat.

The bedroom is located on the second floor.




Question 8 1 pts



https://nsc.instructure.com/courses/2460333/quizzes/5259411/take 3/34

, 1/7/2019 Quiz: Exam #3




A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that
she will be screened for group B Streptococcus during today’s visit. Which of the
following statements would be made by the nurse when providing client education about
this screening test?


“Screening for group B Streptococcus will help us identify if you have been exposed
to this or any other infections during your pregnancy.”

“This screening is necessary to determine if there is any Rh blood group
incompatibility between you and your unborn child.”

“This screening will help us to determine if your unborn infant will be susceptible to
respiratory distress when he or she is born.”

“Screening for group B Streptococcus is necessary as this infection can cause
complications with pregnancy and to the unborn infant.”




Question 9 1 pts


A woman is Rh negative and the father of her baby is Rh negative. The woman states
that her friend told her that she would need a “shot” to keep her baby alive. Which of the
following statements would be the best response by the nurse?


“Yes, you will need the injection because this is your first pregnancy. You will not
need it with subsequent pregnancies.”

“No, you will not need the injection because you are White. Rh incompatibility affects
only Black women.”

“Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72
hours after birth.”

“Because the father of the baby is also Rh negative, your baby will not inherit Rh
positive blood cells and you will not need the injection.”




Question 10 1 pts



https://nsc.instructure.com/courses/2460333/quizzes/5259411/take 4/34

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