MCN 273 FINAL EXAM: YOUR A+ GUIDE THROUGH
QUESTIONS AND ANSWERS.
The nurse frequently assesses the respiratory status of an infant delivered by cesarean based
on the understanding that the newborn is at increased risk for TTN because of which of the
following?
A. Inability to clear fluids
B. Immature respiratory control
C. Deficiency of surfactant: RDS premies
D. Smaller respiratory passages
A. Inability to clear fluids
A nursing student has read that cleft lip is diagnosed at birth based on appearance and that
cleft palate is diagnosed in which of the following ways?
A. X-ray
B. Alpha-fetoprotein levels
C. Palpating the palate with a gloved finger
D. Ultrasound
C. Palpating the palate with a gloved finger
In addition to Rachel's elevated blood pressure, what further information should the nurse
obtain to determine if Rachel is becoming preeclamptic?
A. Presence of headaches
B. Blood glucose level
C. Proteinuria
D. Edema in lower extremeties.
C. Proteinuria
Rachel is quite concerned by the discussion of preeclampsia. Both she and her husband
Angelo immediately wants to know what the risk is to their babies. After teaching about fetal
risks of preeclampsia, you know that Rachel needs additional instruction after she says
preeclampsia can lead to which of the following:
A. Hydrocephalic infant
B. Abruptio placentae
C. Intrauterine growth restriction
D. Poor placental perfusion
A. Hydrocephalic infant: associated with spina bifida and neural tube defects
Rachel is admitted to labor and delivery for observation, betamethasone therapy, and lab
work Which findings would support a diagnosis of pre-eclampsia? Select all that apply
, A. Elevated liver enzymes
B. Decreased platelets
C. Elevated bile salts
D. Decreased urine output
E. Elevated BUN
A. Elevated liver enzymes
B. Decreased platelets
D. Decreased urine output
E. Elevated BUN
Why is betamethason administered?
to mothers going into preterm labor, with anticipated delivery in order to give babies the best
chance at lung maturity.
Before proceeding with an induction, Dr. Tito performs and ultrasound to determine fetal
position. Which presentations will allow for a vaginal delivery? Select all that apply.
A. Baby A Vertex/Baby B Breech
B. Baby A Vertex/Baby B Vertex
C. Baby A Breech/Baby B Vertex
D. Baby A Breech/Baby B Breech
A. Baby A Vertex/Baby B Breech
B. Baby A Vertex/Baby B Vertex
Rachel's cervix is checked, her SVE is 0/50/-3 with a firm consistency and posterior position.
What is her Bishop score?
1: not favorable. A score of 5 or less indicates the that an IOL will be unsuccessful and should
undergo cervical rippening
Dr. Tito discusses some options for Rachel regarding cervical ripening. Which plan of care is
appropriate?
A. Begin pitocin infusion at 10 mu/min
B. Administer cytotec and prepidil gel intracervically via a diaphragm
C. Place a CRIB (foley bulb) intracervically and begin low dose pitocin
D. Place cervidil insert and remove after 4 hours
C. Place a CRIB (foley bulb) intracervically and begin low dose pitocin
A. cervix is not ripe enough
B. both prostaglandins so contraindicated to use together
D. cervidil must be placed for 12hr
Rachel has a CRIB placed and low-dose Pitocin is started. She also has a magnesium sulfate
infusion started. The nurse explains to her and Angelo that the magnesium sulfate acts as
QUESTIONS AND ANSWERS.
The nurse frequently assesses the respiratory status of an infant delivered by cesarean based
on the understanding that the newborn is at increased risk for TTN because of which of the
following?
A. Inability to clear fluids
B. Immature respiratory control
C. Deficiency of surfactant: RDS premies
D. Smaller respiratory passages
A. Inability to clear fluids
A nursing student has read that cleft lip is diagnosed at birth based on appearance and that
cleft palate is diagnosed in which of the following ways?
A. X-ray
B. Alpha-fetoprotein levels
C. Palpating the palate with a gloved finger
D. Ultrasound
C. Palpating the palate with a gloved finger
In addition to Rachel's elevated blood pressure, what further information should the nurse
obtain to determine if Rachel is becoming preeclamptic?
A. Presence of headaches
B. Blood glucose level
C. Proteinuria
D. Edema in lower extremeties.
C. Proteinuria
Rachel is quite concerned by the discussion of preeclampsia. Both she and her husband
Angelo immediately wants to know what the risk is to their babies. After teaching about fetal
risks of preeclampsia, you know that Rachel needs additional instruction after she says
preeclampsia can lead to which of the following:
A. Hydrocephalic infant
B. Abruptio placentae
C. Intrauterine growth restriction
D. Poor placental perfusion
A. Hydrocephalic infant: associated with spina bifida and neural tube defects
Rachel is admitted to labor and delivery for observation, betamethasone therapy, and lab
work Which findings would support a diagnosis of pre-eclampsia? Select all that apply
, A. Elevated liver enzymes
B. Decreased platelets
C. Elevated bile salts
D. Decreased urine output
E. Elevated BUN
A. Elevated liver enzymes
B. Decreased platelets
D. Decreased urine output
E. Elevated BUN
Why is betamethason administered?
to mothers going into preterm labor, with anticipated delivery in order to give babies the best
chance at lung maturity.
Before proceeding with an induction, Dr. Tito performs and ultrasound to determine fetal
position. Which presentations will allow for a vaginal delivery? Select all that apply.
A. Baby A Vertex/Baby B Breech
B. Baby A Vertex/Baby B Vertex
C. Baby A Breech/Baby B Vertex
D. Baby A Breech/Baby B Breech
A. Baby A Vertex/Baby B Breech
B. Baby A Vertex/Baby B Vertex
Rachel's cervix is checked, her SVE is 0/50/-3 with a firm consistency and posterior position.
What is her Bishop score?
1: not favorable. A score of 5 or less indicates the that an IOL will be unsuccessful and should
undergo cervical rippening
Dr. Tito discusses some options for Rachel regarding cervical ripening. Which plan of care is
appropriate?
A. Begin pitocin infusion at 10 mu/min
B. Administer cytotec and prepidil gel intracervically via a diaphragm
C. Place a CRIB (foley bulb) intracervically and begin low dose pitocin
D. Place cervidil insert and remove after 4 hours
C. Place a CRIB (foley bulb) intracervically and begin low dose pitocin
A. cervix is not ripe enough
B. both prostaglandins so contraindicated to use together
D. cervidil must be placed for 12hr
Rachel has a CRIB placed and low-dose Pitocin is started. She also has a magnesium sulfate
infusion started. The nurse explains to her and Angelo that the magnesium sulfate acts as
