PREGNANCY EXAM | NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS
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A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic
for the first time. After the physical examination she tells the nurse, "I
can't believe how big I am. Will I get much bigger?" What information
about adolescent growth and development does the nurse need to
know before responding? - ✔✔✔ Correct Answer > Body image is
very important to adolescents, so pregnant teenagers are concerned
about body size.
A pregnant client at 37 weeks' gestation is taught about signs and
symptoms that should be reported immediately to the primary care
provider. The nurse determines that the client understands the
information presented when she states that she will immediately
report: - ✔✔✔ Correct Answer > Leakage of fluid from the vagina
During the postpartum period a client tells a nurse that she has been
having leg cramps. Which foods should the nurse encourage the client
to eat? - ✔✔✔ Correct Answer > Cheese and broccoli
,A woman has just received the news that she is pregnant. She is
ambivalent about the pregnancy because she had planned to go back to
work when her youngest child started school next year. What
developmental task of pregnancy must the woman accomplish in the
first trimester of pregnancy? - ✔✔✔ Correct Answer > Accept that
she is pregnant
A client at 35 weeks' gestation asks a nurse why her breathing has
become more difficult. How should the nurse respond? - ✔✔✔
Correct Answer > "Your diaphragm has been displaced upward."
After a client gives birth, what physiological occurrence indicates to the
nurse that the placenta is beginning to separate from the uterus and is
ready to be expelled? - ✔✔✔ Correct Answer > Appearance of a
sudden gush of blood
What actions are part of nursing care during the fourth stage of labor
for the client with a fourth-degree laceration? (Select all that apply.) -
✔✔✔ Correct Answer > 1 Pain management with oral analgesics
3 Assessment of the site every 15 minutes
5 Application of an ice pack for 20-minute intervals
A client on her first prenatal clinic visit is at 6 weeks' gestation. She asks
how long she may continue to work and when she should plan to quit.
,How should the nurse respond? - ✔✔✔ Correct Answer > "What
activities does your job entail?"
A postpartum client who was receiving an intravenous infusion of
oxytocin (Pitocin) to stimulate labor asks the nurse why it is not being
discontinued now that the baby is born. The nurse responds: - ✔✔✔
Correct Answer > "The oxytocin causes contraction of the uterine
musculature."
-Oxytocin (Pitocin) intensifies contractions of the uterus and promotes
return of the uterus to its prepregnant state.
The nurse is caring for a client in her third trimester who is to undergo
amniocentesis. What should the nurse do to prepare the client for this
test? - ✔✔✔ Correct Answer > Instruct her to void immediately
before the test
A client in her 37th week of gestation calls a nurse in the prenatal clinic
and reports, "My ankles are swollen." What should the nurse
recommend? - ✔✔✔ Correct Answer > Elevating her legs more
frequently during the day
A client at 11 weeks' gestation reports having to urinate more often.
The nurse explains that urinary frequency often occurs because bladder
capacity during pregnancy is diminished by: - ✔✔✔ Correct Answer >
Compression by the enlarging uterus
, A client is admitted in active labor. The nurse, performing Leopold
maneuvers, determines that the fetus is in the left occiput anterior
(LOA) position. Where should the nurse place the transducer of the
electronic fetal monitor? - ✔✔✔ Correct Answer > Left lower
quadrant
A client is scheduled for amniocentesis. What should the nurse do
before the procedure? - ✔✔✔ Correct Answer > Remind the client to
empty her bladder
On a routine prenatal visit the sign or symptom that a healthy
primigravida at 20 weeks' gestation will most likely report for the first
time is: - ✔✔✔ Correct Answer > Quickening
A nurse is assessing a primigravida who was admitted in early labor
after her membranes ruptured. She is at 41 weeks' gestation. Her
contractions are irregular and her cervix is dilated 3 cm. The fetal head
is at station 0 and the fetal heart rate tracing is reactive. How can the
nurse help the client facilitate labor? - ✔✔✔ Correct Answer > Take
a walk around the unit with her
A nurse is preparing a pregnant client for an amniocentesis. What
should nursing care include? - ✔✔✔ Correct Answer > Encouraging
her to void before the test