MCN 273 Final 2024 Latest Update 2024-2025
Actual Exam from Credible Source with 115
Questions and 100% Verified Detailed Correct
Answers Guaranteed A+ Approved by Professor
_____% of newborns require assessment at birth.
A. 100
B. 10
C. 1
D. 0.1 - CORRECT ANSWER: A. 100
A 19 year old female client has been diagnosed with pelvic inflammatory disease due to
untreated chlamydia. Which of the following instructions should the nurse offer when
caring for the client? Select all that apply.
A. Use an intrauterine device (IUD) for contraception.
B. Complete antibiotic therapy.
C. Increase fluid intake.
D. Limit the number of sex partners. - CORRECT ANSWER: B. Complete antibiotic
therapy
D. Limit the number of sex partners
A 21 year old woman presents to the ED with complaint of acute L lower abdominal pain
and no c/o vaginal discharge. Her last normal menstrual period was approximately 8
weeks ago. Which of the following is the most appropriate diagnostic test?
A. Abdominal-pelvic CT scan
B. Abdominal radiograph
C. CBC
D. hCG level
E. Progesterone level - CORRECT ANSWER: D. hCG level: want to confirm pregnancy
first
,A 33 y/o G2P0 at 8 weeks' gestation has a history of type 1 DM. When explaining about
the importance of glucose control in pregnancy, which should the nurse expect to occur
regarding the client's insulin needs in the third trimester?
A. They will increase.
B. They will decrease.
C. They will remain constant.
D. They will be unpredictable. - CORRECT ANSWER: A. They will increase. Insulin
needs decrease during the first trimester due to estrogen and progesterone naturally
increasing insulin production. The insulin requirements then increase up to 4X the
normal amount due to hPl being an insulin antagonist. At labor insulin will then decrease
again due to it being a major form of exercise.
A G2 P0010 at 16 weeks GA presents with vaginal bleeding. In order to assess her,
which intervention(s) is/are appropriate? Select all that apply.
A. SVE
B. Speculum exam
C. Ultrasound
D. Laparoscopy
E. Non-stress test - CORRECT ANSWER: B. Speculum exam
C. Ultrasound
Cannot do an NST until 28wk and SVE is contraindicated in a patient who has bleeding
from an unknown source
A G2 P0101 at 32 weeks is complaining of UCs q 6-8 minutes for the past hour. She will
have several assessments completed, including Fetal Fibronectin, SVE, Transvaginal
ultrasound, and a speculum exam. Which test must be performed first?
A. fFN
B. SVE
C. TVUS
D. SSE - CORRECT ANSWER: A. fFN: fetal "glue" that holds the fetal sac to the uterine
lining. You don't want to be a cause for positive test due to other invasive procedures---
,Cannot have an fFN done you have had an SVE or intercourse in last 24hr. If absent
during the 20th and 34th week it is a strong predictor for no preterm labor.
A neonate was born at 41 weeks GA, weighing 4082 gms (9 lbs). Assesing for signs and
symptoms of which of the following conditions should be a priority?
A. Anemia
B. Hypoglycemia
C. Delayed meconium
D. Elevated bilirubin - CORRECT ANSWER: B. Hypoglycemia: less glucose to the brain
(big concern- priority), baby is at risk because it is used to getting a lot of sugar form
mom, therefore they have a lot of insulin to deal with sugar. But, once removed from
environment with all that sugar they have excess insulin and BGL can drop.
A nurse assesses four clients at 32 weeks GA in the prenatal clinic. Which client will
present with the most accurate fundal height related to gestational age?
A. The client who develops polyhydramnios
B. The client with obesity
C. The client who develops hypertension
D. The client with a 70-pound weight gain - CORRECT ANSWER: C. The client who
develops hypertension: complication but does not effect fundal height
A nurse has placed an infant with asphyxia on a radiant warmer. Which of the following
signs indicate that the resuscitation methods have been successful?
A. Heart rate of 90
B. Tremors
C. Bluish trunk
D. Active cry - CORRECT ANSWER: D. Active cry
A nurse is admitting a full-term pregnant client presenting with active vaginal bleeding
and intense abdominal pain. Her VS on admission are T 98.0 F, HR 109, RR 22, BP
150/96. Which problem should the nurse suspect that the client is likely experiencing?
A. Placenta previa
, B. Placenta abruption
C. Placenta accreta
D. Succenturiate placenta - CORRECT ANSWER: B. Placenta abruption: Due to pain,
active bleeding, and BP
A nurse is assessing a client 2 hours postpartum. Her blood pressure is 98/60, pulse is
90, and she has saturated one pad in the last hour. What should be the immediate
nursing action?
A. Massage fundus until firm
B. Prepare the patient for a manual removal of placental fragments
C. Administer Methergine
D. Administer platelets - CORRECT ANSWER: A. Massage fundus until firm
A nurse is caring for a G4P3 at 30 weeks who is contracting Q 1.5-2 minutes with
SROM 2 hours ago. The client's cervix is 8/100/0. Which nursing action is the most
appropriate?
A. Administer a tocolytic agent
B. Provide teaching information on premature infant care
C. Notifying the NICU team of the impending birth
D. Preparing for a C/S - CORRECT ANSWER: C. Notifying the NICU team of the
impending birth: preterm labor
A. too far along in labor to do that
B. not appropriate at this time
D. no reason she could not deliver vaginally
A nurse is caring for an infant born with a high bilirubin level. When planning the infant's
care, what interventions will assist in reducing the bilirubin level? Select all that apply.
A. Hydration
B. Increase water intake
C. Early feedings
D. Administer vitamin supplements
Actual Exam from Credible Source with 115
Questions and 100% Verified Detailed Correct
Answers Guaranteed A+ Approved by Professor
_____% of newborns require assessment at birth.
A. 100
B. 10
C. 1
D. 0.1 - CORRECT ANSWER: A. 100
A 19 year old female client has been diagnosed with pelvic inflammatory disease due to
untreated chlamydia. Which of the following instructions should the nurse offer when
caring for the client? Select all that apply.
A. Use an intrauterine device (IUD) for contraception.
B. Complete antibiotic therapy.
C. Increase fluid intake.
D. Limit the number of sex partners. - CORRECT ANSWER: B. Complete antibiotic
therapy
D. Limit the number of sex partners
A 21 year old woman presents to the ED with complaint of acute L lower abdominal pain
and no c/o vaginal discharge. Her last normal menstrual period was approximately 8
weeks ago. Which of the following is the most appropriate diagnostic test?
A. Abdominal-pelvic CT scan
B. Abdominal radiograph
C. CBC
D. hCG level
E. Progesterone level - CORRECT ANSWER: D. hCG level: want to confirm pregnancy
first
,A 33 y/o G2P0 at 8 weeks' gestation has a history of type 1 DM. When explaining about
the importance of glucose control in pregnancy, which should the nurse expect to occur
regarding the client's insulin needs in the third trimester?
A. They will increase.
B. They will decrease.
C. They will remain constant.
D. They will be unpredictable. - CORRECT ANSWER: A. They will increase. Insulin
needs decrease during the first trimester due to estrogen and progesterone naturally
increasing insulin production. The insulin requirements then increase up to 4X the
normal amount due to hPl being an insulin antagonist. At labor insulin will then decrease
again due to it being a major form of exercise.
A G2 P0010 at 16 weeks GA presents with vaginal bleeding. In order to assess her,
which intervention(s) is/are appropriate? Select all that apply.
A. SVE
B. Speculum exam
C. Ultrasound
D. Laparoscopy
E. Non-stress test - CORRECT ANSWER: B. Speculum exam
C. Ultrasound
Cannot do an NST until 28wk and SVE is contraindicated in a patient who has bleeding
from an unknown source
A G2 P0101 at 32 weeks is complaining of UCs q 6-8 minutes for the past hour. She will
have several assessments completed, including Fetal Fibronectin, SVE, Transvaginal
ultrasound, and a speculum exam. Which test must be performed first?
A. fFN
B. SVE
C. TVUS
D. SSE - CORRECT ANSWER: A. fFN: fetal "glue" that holds the fetal sac to the uterine
lining. You don't want to be a cause for positive test due to other invasive procedures---
,Cannot have an fFN done you have had an SVE or intercourse in last 24hr. If absent
during the 20th and 34th week it is a strong predictor for no preterm labor.
A neonate was born at 41 weeks GA, weighing 4082 gms (9 lbs). Assesing for signs and
symptoms of which of the following conditions should be a priority?
A. Anemia
B. Hypoglycemia
C. Delayed meconium
D. Elevated bilirubin - CORRECT ANSWER: B. Hypoglycemia: less glucose to the brain
(big concern- priority), baby is at risk because it is used to getting a lot of sugar form
mom, therefore they have a lot of insulin to deal with sugar. But, once removed from
environment with all that sugar they have excess insulin and BGL can drop.
A nurse assesses four clients at 32 weeks GA in the prenatal clinic. Which client will
present with the most accurate fundal height related to gestational age?
A. The client who develops polyhydramnios
B. The client with obesity
C. The client who develops hypertension
D. The client with a 70-pound weight gain - CORRECT ANSWER: C. The client who
develops hypertension: complication but does not effect fundal height
A nurse has placed an infant with asphyxia on a radiant warmer. Which of the following
signs indicate that the resuscitation methods have been successful?
A. Heart rate of 90
B. Tremors
C. Bluish trunk
D. Active cry - CORRECT ANSWER: D. Active cry
A nurse is admitting a full-term pregnant client presenting with active vaginal bleeding
and intense abdominal pain. Her VS on admission are T 98.0 F, HR 109, RR 22, BP
150/96. Which problem should the nurse suspect that the client is likely experiencing?
A. Placenta previa
, B. Placenta abruption
C. Placenta accreta
D. Succenturiate placenta - CORRECT ANSWER: B. Placenta abruption: Due to pain,
active bleeding, and BP
A nurse is assessing a client 2 hours postpartum. Her blood pressure is 98/60, pulse is
90, and she has saturated one pad in the last hour. What should be the immediate
nursing action?
A. Massage fundus until firm
B. Prepare the patient for a manual removal of placental fragments
C. Administer Methergine
D. Administer platelets - CORRECT ANSWER: A. Massage fundus until firm
A nurse is caring for a G4P3 at 30 weeks who is contracting Q 1.5-2 minutes with
SROM 2 hours ago. The client's cervix is 8/100/0. Which nursing action is the most
appropriate?
A. Administer a tocolytic agent
B. Provide teaching information on premature infant care
C. Notifying the NICU team of the impending birth
D. Preparing for a C/S - CORRECT ANSWER: C. Notifying the NICU team of the
impending birth: preterm labor
A. too far along in labor to do that
B. not appropriate at this time
D. no reason she could not deliver vaginally
A nurse is caring for an infant born with a high bilirubin level. When planning the infant's
care, what interventions will assist in reducing the bilirubin level? Select all that apply.
A. Hydration
B. Increase water intake
C. Early feedings
D. Administer vitamin supplements
