NUR 235 Test 1 - Questions With Correct Solutions
(100% Accurate)
What would be most appropriate desired outcome for a pregnant woman who
is homeless and comes to the clinic for her first prenatal visit at 26 weeks
gestation in a state of obvious malnutrition?
A. the woman will eat 3 nutritious meals daily.
B. the woman will get a job a buy a home.
C. the woman will give her baby to a family that can support it.
D. the woman will return to the clinic on a weekly basis. Right Ans - A. The
woman will eat 3 nutritious meals daily.
A Hispanic woman arrives at the clinic for the first prenatal visit. She does not
speak English. Which actions provide the best care?? SATA.
A. Call a translator for accurate history.
B. Assume she is low literacy and explain things in simple terms.
C. Ask about cultural practices that she would expect to be part of pregnant
and labor & delivery.
D. Avoid asking questions about future use of birth control as her husband will
forbid it.
E. Ask her where she is currently working to assess work hazards or
teratogens. Right Ans - A, C, E.
a Native American woman gave birth to a baby girl 12 hours ago. The nurse
notes that the woman keeps her baby in the bassinet except for feeding and
states that she will wait until she is home to breastfeed. The nurse recognizes
that this behavior is a reflection of:
A. embarrassment
B. Delayed attachment
C. Disappointment that baby is a girl.
D. A belief that babies should not be fed colostrum Right Ans - D. A belief
that babies should not be fed colostrum.
Fundus Right Ans - dome shaped top of uterus.
,Cervix Right Ans - Narrow, lower end, opens to vagina.
Fallopian Tubes Right Ans - fertilization occurs here.
These are smooth before menarche and later become nodular. Right Ans -
Ovaries
Prolactin Right Ans - stimulates milk production
Oxytocin Right Ans - pushes baby out, pushes milk out - "milk let down"
Spinnbarkeit Right Ans - change in cervical mucous
BBT (basal body temp) Right Ans - increases with ovulation. Take first
thing before getting out of bed.
Mittelschmerz Right Ans - cramps experienced for about a day during
ovulation
GIFT Right Ans - gamete in fallopian tube
ZIFT Right Ans - zygote in fallopian tube
IVF Right Ans - uterus bypass tubes
What day does ovulation/implantation occur? Right Ans - Day 14
corpus luteum Right Ans - high levels of progesterone
ischemic Right Ans - No baby?!?!?!
Estrogen and Progesterone rapidly decrease - necrosis develops.
Secretory Right Ans - from ovulation until 3 days prior to next menstrual
period. Progesterone increases
Menstrual Cycle Right Ans - 1-5
Proliferative Phase Right Ans - Building up, Days 5-14
, Most common method of abortion Right Ans - vacuum aspiration
medical abortion. Up to how many weeks? What meds? Right Ans - up to 9
weeks
Methotrexate, Misoprostol, Mifepristone.
second trimester abortion Right Ans - dilation and evacuation
may use laminaria
What to teach following abortion Right Ans - s/s of infection, retained
products, excessive vaginal bleeding. No vaginal insertion 1-3 weeks,
bleeding/cramping 1-2 weeks. Avoid strenuous activity for a few days.
Primary infertility Right Ans - never achieved pregnancy
Secondary Infertility Right Ans - Pregnant before and unable to conceive
again.
Who do we look at first with infertility? What do we do? Why? Right Ans -
Men. Semen analysis because it is cheaper and quicker results.
Meds to stimulate ovulation: Right Ans - Clomiphene Citrate - risk for
multiples by 20%
autosomal dominant inheritance Right Ans - 50%
recessive inheritance Right Ans - 25%
Fertilization Right Ans - 3 to 4 days to travel to uterus
Implantation Right Ans - occurs around days 5 or 6.
Implantation bleeding can be mistaken for period
How much ml is in the amniotic sac? Right Ans - 800-1200 ml
Function of amniotic sac? Right Ans - constant temperature, cushion,
freedom of movement, allows symmetrical growth.
(100% Accurate)
What would be most appropriate desired outcome for a pregnant woman who
is homeless and comes to the clinic for her first prenatal visit at 26 weeks
gestation in a state of obvious malnutrition?
A. the woman will eat 3 nutritious meals daily.
B. the woman will get a job a buy a home.
C. the woman will give her baby to a family that can support it.
D. the woman will return to the clinic on a weekly basis. Right Ans - A. The
woman will eat 3 nutritious meals daily.
A Hispanic woman arrives at the clinic for the first prenatal visit. She does not
speak English. Which actions provide the best care?? SATA.
A. Call a translator for accurate history.
B. Assume she is low literacy and explain things in simple terms.
C. Ask about cultural practices that she would expect to be part of pregnant
and labor & delivery.
D. Avoid asking questions about future use of birth control as her husband will
forbid it.
E. Ask her where she is currently working to assess work hazards or
teratogens. Right Ans - A, C, E.
a Native American woman gave birth to a baby girl 12 hours ago. The nurse
notes that the woman keeps her baby in the bassinet except for feeding and
states that she will wait until she is home to breastfeed. The nurse recognizes
that this behavior is a reflection of:
A. embarrassment
B. Delayed attachment
C. Disappointment that baby is a girl.
D. A belief that babies should not be fed colostrum Right Ans - D. A belief
that babies should not be fed colostrum.
Fundus Right Ans - dome shaped top of uterus.
,Cervix Right Ans - Narrow, lower end, opens to vagina.
Fallopian Tubes Right Ans - fertilization occurs here.
These are smooth before menarche and later become nodular. Right Ans -
Ovaries
Prolactin Right Ans - stimulates milk production
Oxytocin Right Ans - pushes baby out, pushes milk out - "milk let down"
Spinnbarkeit Right Ans - change in cervical mucous
BBT (basal body temp) Right Ans - increases with ovulation. Take first
thing before getting out of bed.
Mittelschmerz Right Ans - cramps experienced for about a day during
ovulation
GIFT Right Ans - gamete in fallopian tube
ZIFT Right Ans - zygote in fallopian tube
IVF Right Ans - uterus bypass tubes
What day does ovulation/implantation occur? Right Ans - Day 14
corpus luteum Right Ans - high levels of progesterone
ischemic Right Ans - No baby?!?!?!
Estrogen and Progesterone rapidly decrease - necrosis develops.
Secretory Right Ans - from ovulation until 3 days prior to next menstrual
period. Progesterone increases
Menstrual Cycle Right Ans - 1-5
Proliferative Phase Right Ans - Building up, Days 5-14
, Most common method of abortion Right Ans - vacuum aspiration
medical abortion. Up to how many weeks? What meds? Right Ans - up to 9
weeks
Methotrexate, Misoprostol, Mifepristone.
second trimester abortion Right Ans - dilation and evacuation
may use laminaria
What to teach following abortion Right Ans - s/s of infection, retained
products, excessive vaginal bleeding. No vaginal insertion 1-3 weeks,
bleeding/cramping 1-2 weeks. Avoid strenuous activity for a few days.
Primary infertility Right Ans - never achieved pregnancy
Secondary Infertility Right Ans - Pregnant before and unable to conceive
again.
Who do we look at first with infertility? What do we do? Why? Right Ans -
Men. Semen analysis because it is cheaper and quicker results.
Meds to stimulate ovulation: Right Ans - Clomiphene Citrate - risk for
multiples by 20%
autosomal dominant inheritance Right Ans - 50%
recessive inheritance Right Ans - 25%
Fertilization Right Ans - 3 to 4 days to travel to uterus
Implantation Right Ans - occurs around days 5 or 6.
Implantation bleeding can be mistaken for period
How much ml is in the amniotic sac? Right Ans - 800-1200 ml
Function of amniotic sac? Right Ans - constant temperature, cushion,
freedom of movement, allows symmetrical growth.
