Care of Childbearing Family NACE |! |! |! |! |!
Practice Exam with precise detailed |! |! |! |! |!
answers
After a client received an epidural anesthesia, a nurse should make which of
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these assessments first? |! |!
· Determine whether the client has bladder distention
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· Determine whether the client has sensory impairment in the legs
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· Determine the frequency of the client's contractions
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Determine the clients blood pressure - Correct answer ✔The nurse should
|! |! |! |! |! |! |! |! |! |! |!
determine the client's blood pressure first. Since epidural anesthesia may
|! |! |! |! |! |! |! |! |! |!
cause the blood pressure to drop, it is important to ensure there is adequate
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
blood flow to the baby. The other options may be subsequent assessments the
|! |! |! |! |! |! |! |! |! |! |! |! |!
nurse would make, but should not be the first assessment.
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The client who is 16 weeks pregnant attends the antepartal clinic. She makes
|! |! |! |! |! |! |! |! |! |! |! |! |!
all of these comments to a nurse. Which of these comments by this client
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
requires FURTHER discussion by the nurse? |! |! |! |! |!
· I drink about 2.5 quarts of fluids every day
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· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the time I deliver
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· I had a problem with hemorrhoids with my other pregnancy, so now I eat a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
large serving of bran every evening
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· I'm being careful to eat mostly salt-free and to use no salt in my cooking -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔The fourth statement requires further discussion. Sodium
|! |! |! |! |! |! |! |! |!
requirements increase during pregnancy. However, the sodium provided by |! |! |! |! |! |! |! |! |!
,the average diet is likely to be adequate for expectant mothers. Use of
|! |! |! |! |! |! |! |! |! |! |! |! |!
additional salt is rarely warranted. |! |! |! |!
A nurse teaches pregnancy exercises to a group of pregnant women. The
|! |! |! |! |! |! |! |! |! |! |! |!
nurse should include an explanation that pelvic rock will be helpful at any
|! |! |! |! |! |! |! |! |! |! |! |! |!
time in their lives should the women develop which of these conditions?
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· Hemorrhoids
|!
· Intestinal flatus
|! |!
· Lower back pain
|! |! |!
· Leg cramps - Correct answer ✔Pelvic rock helps to relieve lower back pains.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Pelvic rocking helps to relieve a sore back by stretching the lower back
|! |! |! |! |! |! |! |! |! |! |! |! |!
muscles. Pelvic rocking also helps stimulate the digestive system, realigns the
|! |! |! |! |! |! |! |! |! |! |!
uterus, and keeps the stomach muscles toned.
|! |! |! |! |! |!
A client who is in active labor has a vaginal examination which reveals she is
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
5cm dilated and 100% effaced at a -1 station. At the peak of a contraction, the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
amniotic fluid ruptures. Which of these actions should a nurse take first?
|! |! |! |! |! |! |! |! |! |! |! |!
· Records the findings and notify the provider
|! |! |! |! |! |! |!
· Change the linen and make the client comfortable
|! |! |! |! |! |! |! |!
· Check the perineal area and assess for crowning
|! |! |! |! |! |! |! |!
· Assess the fetal heart rate and check for regularity - Correct answer ✔After
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
rupture of the membranes, there is a danger of cord prolapse; therefore, the
|! |! |! |! |! |! |! |! |! |! |! |! |!
nurse should assess the fetal heart rate for regularity. Variable decelerations
|! |! |! |! |! |! |! |! |! |! |!
can occur as a result of cord compression secondary to cord prolapse. There is
|! |! |! |! |! |! |! |! |! |! |! |! |!
also a risk for infection after membrane rupture.
|! |! |! |! |! |! |! |!
, After teaching a class about relieving leg cramps during pregnancy, a nurse
|! |! |! |! |! |! |! |! |! |! |! |!
evaluates the effectiveness of the instructions. Which of these comments, if
|! |! |! |! |! |! |! |! |! |! |!
made by the participants, would require FURTHER instruction?
|! |! |! |! |! |! |!
· When I get a leg cramps in the middle of the night, my husband presses on
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
my knee and pushes my foot toward my leg
|! |! |! |! |! |! |! |!
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
First, I stand and bear weight on my leg in the middle of the night
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
· I take a heating pad to bed with me so that I can use it if I get a leg cramp
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
in the middle of the night
|! |! |! |! |!
· When I get a leg cramp while sitting at my desk, I flex my knee and extend
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
my foot - Correct answer ✔The fourth comment would require further
|! |! |! |! |! |! |! |! |! |! |!
education. With leg cramps, the leg should be straightened and toes should
|! |! |! |! |! |! |! |! |! |! |! |!
be flexed toward the shin.
|! |! |! |!
A client who is scheduled for a cesarean delivery has the following written
|! |! |! |! |! |! |! |! |! |! |! |! |!
preoperative orders. Which should the nurse question? |! |! |! |! |! |!
· Nothing by mouth after midnight
|! |! |! |! |!
· Atropine sulfate 0.4mg IM on call
|! |! |! |! |! |!
· Indwelling urinary catheter to be inserted in the morning
|! |! |! |! |! |! |! |! |!
· Cleansing enema this evening - Correct answer ✔The order for a cleansing
|! |! |! |! |! |! |! |! |! |! |! |! |!
enema in the evening should be discussed with the physician. A cleansing
|! |! |! |! |! |! |! |! |! |! |! |!
enema is not usually done prior to a cesarean section.
|! |! |! |! |! |! |! |! |!
A client who is G1P0 is receiving IV oxytocin injection for labor
|! |! |! |! |! |! |! |! |! |! |! |!
augmentation. Because of the effects of Pitocin, a nurse should assess the |! |! |! |! |! |! |! |! |! |! |! |!
client for which of these adverse effects of Pitocin?
|! |! |! |! |! |! |! |!
· Bradypnea and diarrhea
|! |! |!
Practice Exam with precise detailed |! |! |! |! |!
answers
After a client received an epidural anesthesia, a nurse should make which of
|! |! |! |! |! |! |! |! |! |! |! |! |!
these assessments first? |! |!
· Determine whether the client has bladder distention
|! |! |! |! |! |! |!
· Determine whether the client has sensory impairment in the legs
|! |! |! |! |! |! |! |! |! |!
· Determine the frequency of the client's contractions
|! |! |! |! |! |! |!
Determine the clients blood pressure - Correct answer ✔The nurse should
|! |! |! |! |! |! |! |! |! |! |!
determine the client's blood pressure first. Since epidural anesthesia may
|! |! |! |! |! |! |! |! |! |!
cause the blood pressure to drop, it is important to ensure there is adequate
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
blood flow to the baby. The other options may be subsequent assessments the
|! |! |! |! |! |! |! |! |! |! |! |! |!
nurse would make, but should not be the first assessment.
|! |! |! |! |! |! |! |! |!
The client who is 16 weeks pregnant attends the antepartal clinic. She makes
|! |! |! |! |! |! |! |! |! |! |! |! |!
all of these comments to a nurse. Which of these comments by this client
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
requires FURTHER discussion by the nurse? |! |! |! |! |!
· I drink about 2.5 quarts of fluids every day
|! |! |! |! |! |! |! |! |!
· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the time I deliver
|! |! |!
· I had a problem with hemorrhoids with my other pregnancy, so now I eat a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
large serving of bran every evening
|! |! |! |! |!
· I'm being careful to eat mostly salt-free and to use no salt in my cooking -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔The fourth statement requires further discussion. Sodium
|! |! |! |! |! |! |! |! |!
requirements increase during pregnancy. However, the sodium provided by |! |! |! |! |! |! |! |! |!
,the average diet is likely to be adequate for expectant mothers. Use of
|! |! |! |! |! |! |! |! |! |! |! |! |!
additional salt is rarely warranted. |! |! |! |!
A nurse teaches pregnancy exercises to a group of pregnant women. The
|! |! |! |! |! |! |! |! |! |! |! |!
nurse should include an explanation that pelvic rock will be helpful at any
|! |! |! |! |! |! |! |! |! |! |! |! |!
time in their lives should the women develop which of these conditions?
|! |! |! |! |! |! |! |! |! |! |!
· Hemorrhoids
|!
· Intestinal flatus
|! |!
· Lower back pain
|! |! |!
· Leg cramps - Correct answer ✔Pelvic rock helps to relieve lower back pains.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Pelvic rocking helps to relieve a sore back by stretching the lower back
|! |! |! |! |! |! |! |! |! |! |! |! |!
muscles. Pelvic rocking also helps stimulate the digestive system, realigns the
|! |! |! |! |! |! |! |! |! |! |!
uterus, and keeps the stomach muscles toned.
|! |! |! |! |! |!
A client who is in active labor has a vaginal examination which reveals she is
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
5cm dilated and 100% effaced at a -1 station. At the peak of a contraction, the
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
amniotic fluid ruptures. Which of these actions should a nurse take first?
|! |! |! |! |! |! |! |! |! |! |! |!
· Records the findings and notify the provider
|! |! |! |! |! |! |!
· Change the linen and make the client comfortable
|! |! |! |! |! |! |! |!
· Check the perineal area and assess for crowning
|! |! |! |! |! |! |! |!
· Assess the fetal heart rate and check for regularity - Correct answer ✔After
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
rupture of the membranes, there is a danger of cord prolapse; therefore, the
|! |! |! |! |! |! |! |! |! |! |! |! |!
nurse should assess the fetal heart rate for regularity. Variable decelerations
|! |! |! |! |! |! |! |! |! |! |!
can occur as a result of cord compression secondary to cord prolapse. There is
|! |! |! |! |! |! |! |! |! |! |! |! |!
also a risk for infection after membrane rupture.
|! |! |! |! |! |! |! |!
, After teaching a class about relieving leg cramps during pregnancy, a nurse
|! |! |! |! |! |! |! |! |! |! |! |!
evaluates the effectiveness of the instructions. Which of these comments, if
|! |! |! |! |! |! |! |! |! |! |!
made by the participants, would require FURTHER instruction?
|! |! |! |! |! |! |!
· When I get a leg cramps in the middle of the night, my husband presses on
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
my knee and pushes my foot toward my leg
|! |! |! |! |! |! |! |!
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
First, I stand and bear weight on my leg in the middle of the night
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
· I take a heating pad to bed with me so that I can use it if I get a leg cramp
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
in the middle of the night
|! |! |! |! |!
· When I get a leg cramp while sitting at my desk, I flex my knee and extend
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
my foot - Correct answer ✔The fourth comment would require further
|! |! |! |! |! |! |! |! |! |! |!
education. With leg cramps, the leg should be straightened and toes should
|! |! |! |! |! |! |! |! |! |! |! |!
be flexed toward the shin.
|! |! |! |!
A client who is scheduled for a cesarean delivery has the following written
|! |! |! |! |! |! |! |! |! |! |! |! |!
preoperative orders. Which should the nurse question? |! |! |! |! |! |!
· Nothing by mouth after midnight
|! |! |! |! |!
· Atropine sulfate 0.4mg IM on call
|! |! |! |! |! |!
· Indwelling urinary catheter to be inserted in the morning
|! |! |! |! |! |! |! |! |!
· Cleansing enema this evening - Correct answer ✔The order for a cleansing
|! |! |! |! |! |! |! |! |! |! |! |! |!
enema in the evening should be discussed with the physician. A cleansing
|! |! |! |! |! |! |! |! |! |! |! |!
enema is not usually done prior to a cesarean section.
|! |! |! |! |! |! |! |! |!
A client who is G1P0 is receiving IV oxytocin injection for labor
|! |! |! |! |! |! |! |! |! |! |! |!
augmentation. Because of the effects of Pitocin, a nurse should assess the |! |! |! |! |! |! |! |! |! |! |! |!
client for which of these adverse effects of Pitocin?
|! |! |! |! |! |! |! |!
· Bradypnea and diarrhea
|! |! |!
