NUR230/254 E1 maternity practice !!!
1. The nurse is preparing to teach a client about the cardiovascular changes that occur during
pregnancy. Which of the following decreases or remains unchanged?
○ a. Heart rate
○ b. Blood pressure
○ c. Cardiac output
○ d. Blood volume
2. The nurse has provided dietary teaching for a pregnant client who has iron deficiency anemia.
Which of the following meal options selected by the client indicates that teaching has been
effective?
○ a. Grilled steak, creamed spinach, and an apple
○ b. Baked chicken breast and macaroni salad
○ c. Oatmeal, whole-wheat toast, and jelly
○ d. Grilled cheese sandwich and tomato soup
3. The nurse is caring for a client who is pregnant. The first day of the last menstrual period was
October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery (EDD) as:
○ a. June 4
○ b. July 4
○ c. July 18
○ d. June 18
4. The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of the
following hemoglobin (Hgb) levels should the nurse expect to find in the client’s chart?
○ a. 7 g/dL
○ b. 9 g/dL
○ c. 12 g/dL
○ d. 16 g/dL
5. The nurse is caring for a client who is at 38 weeks gestation and in a supine position for a pelvic
examination. The client reports feeling dizzy and nauseated, and upon assessment, her skin feels
damp and cool. Which of the following actions should the nurse take first?
○ a. Turn the client on her side
○ b. Elevate the client’s legs 20 degrees above her hips
○ c. Take the client’s blood pressure (BP)
○ d. Assess the client’s respiratory rate (RR)
6. The nurse is caring for a client who is a primigravida in her third trimester and is experiencing
shortness of breath when walking up stairs. Which of the following statements by the nurse is
appropriate?
○ a. “You will feel much better once the baby is born.”
○ b. “This can be uncomfortable; try taking breaks and use good posture.”
○ c. “If you lie on your left side, it will relieve your shortness of breath.”
○ d. “You should immediately report this difficulty breathing to your primary health care
provider (PHCP).”
1
, 7. The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which
findings from the box below are probable signs of pregnancy?
1. Amenorrhea
2. Braxton-Hicks contractions
3. Hearing fetal heart tones
4. Breast tenderness
5. Positive pregnancy test
6. Visualizing the fetus
○ a. 1, 2, 4
○ b. 2, 5, 6
○ c. 1, 4, 5
○ d. 2, 4, 5
8. The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural
influences should the nurse consider first when providing nutritional care?
○ a. Food preferences and methods of preparation
○ b. The client’s family and social support systems
○ c. Socioeconomic status of the client
○ d. Weight gain so far in the pregnancy
9. The nurse is talking to a client who is 18 weeks pregnant about preparing her 7-year-old daughter
for the new sibling. Which of the following recommendations is best for the nurse to make based
on the child’s age?
○ a. “Wait to discuss the birth of the baby until your daughter asks about it.”
○ b. “Teach your daughter how to hold and talk to a baby using her favorite doll.”
○ c. “Use your pregnancy as a way to begin to discuss basic human sexuality.”
○ d. “Tell your daughter the story of her own birth.”
10. A nurse is teaching a client about symptoms to report during her pregnancy. Which of the
following statements by the client indicates a correct understanding of the teaching?
○ a. “If I have any vaginal bleeding before 20 weeks, I should report it.”
○ b. “I’ll report increased frequency of urination during the third trimester.”
○ c. “If I feel tired after resting, I should report it.”
○ d. “I’ll report if I experience lower back pain during the third trimester.”
11. The nurse is caring for a client who is at 15 weeks gestation and has an immune rubella titer.
Which of the following actions is appropriate for the nurse to take?
○ a. Convey to the client that she needs to wait until after delivery to have an MMR vaccine
○ b. Suggest that the client receive a rubella vaccine at this visit
○ c. Tell the client that she has immunity at this time
○ d. Plan to immunize the client when she reaches the third trimester
2
1. The nurse is preparing to teach a client about the cardiovascular changes that occur during
pregnancy. Which of the following decreases or remains unchanged?
○ a. Heart rate
○ b. Blood pressure
○ c. Cardiac output
○ d. Blood volume
2. The nurse has provided dietary teaching for a pregnant client who has iron deficiency anemia.
Which of the following meal options selected by the client indicates that teaching has been
effective?
○ a. Grilled steak, creamed spinach, and an apple
○ b. Baked chicken breast and macaroni salad
○ c. Oatmeal, whole-wheat toast, and jelly
○ d. Grilled cheese sandwich and tomato soup
3. The nurse is caring for a client who is pregnant. The first day of the last menstrual period was
October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery (EDD) as:
○ a. June 4
○ b. July 4
○ c. July 18
○ d. June 18
4. The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of the
following hemoglobin (Hgb) levels should the nurse expect to find in the client’s chart?
○ a. 7 g/dL
○ b. 9 g/dL
○ c. 12 g/dL
○ d. 16 g/dL
5. The nurse is caring for a client who is at 38 weeks gestation and in a supine position for a pelvic
examination. The client reports feeling dizzy and nauseated, and upon assessment, her skin feels
damp and cool. Which of the following actions should the nurse take first?
○ a. Turn the client on her side
○ b. Elevate the client’s legs 20 degrees above her hips
○ c. Take the client’s blood pressure (BP)
○ d. Assess the client’s respiratory rate (RR)
6. The nurse is caring for a client who is a primigravida in her third trimester and is experiencing
shortness of breath when walking up stairs. Which of the following statements by the nurse is
appropriate?
○ a. “You will feel much better once the baby is born.”
○ b. “This can be uncomfortable; try taking breaks and use good posture.”
○ c. “If you lie on your left side, it will relieve your shortness of breath.”
○ d. “You should immediately report this difficulty breathing to your primary health care
provider (PHCP).”
1
, 7. The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which
findings from the box below are probable signs of pregnancy?
1. Amenorrhea
2. Braxton-Hicks contractions
3. Hearing fetal heart tones
4. Breast tenderness
5. Positive pregnancy test
6. Visualizing the fetus
○ a. 1, 2, 4
○ b. 2, 5, 6
○ c. 1, 4, 5
○ d. 2, 4, 5
8. The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural
influences should the nurse consider first when providing nutritional care?
○ a. Food preferences and methods of preparation
○ b. The client’s family and social support systems
○ c. Socioeconomic status of the client
○ d. Weight gain so far in the pregnancy
9. The nurse is talking to a client who is 18 weeks pregnant about preparing her 7-year-old daughter
for the new sibling. Which of the following recommendations is best for the nurse to make based
on the child’s age?
○ a. “Wait to discuss the birth of the baby until your daughter asks about it.”
○ b. “Teach your daughter how to hold and talk to a baby using her favorite doll.”
○ c. “Use your pregnancy as a way to begin to discuss basic human sexuality.”
○ d. “Tell your daughter the story of her own birth.”
10. A nurse is teaching a client about symptoms to report during her pregnancy. Which of the
following statements by the client indicates a correct understanding of the teaching?
○ a. “If I have any vaginal bleeding before 20 weeks, I should report it.”
○ b. “I’ll report increased frequency of urination during the third trimester.”
○ c. “If I feel tired after resting, I should report it.”
○ d. “I’ll report if I experience lower back pain during the third trimester.”
11. The nurse is caring for a client who is at 15 weeks gestation and has an immune rubella titer.
Which of the following actions is appropriate for the nurse to take?
○ a. Convey to the client that she needs to wait until after delivery to have an MMR vaccine
○ b. Suggest that the client receive a rubella vaccine at this visit
○ c. Tell the client that she has immunity at this time
○ d. Plan to immunize the client when she reaches the third trimester
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