MATERNITY 1: reproductive 1; antepartum 47; labor/delivery 25
EXAM QUESTIONS AND CORRECT ANSWERS VERIFIED 100%
A client is at 20 weeks gestation. The client reports having to "run to the
bathroom all the time," "it hurts to pee," and my urine "smells bad." Which
statement by the nurse is the most appropriate?
1. "Drink cranberry juice to relieve the symptoms."
2. "Make sure to wipe from the front to the back after voiding."
3. "Most women have urinary frequency at this stage and it is normal."
4. "You may need to be checked for a urinary tract infection."
4
A client comes to the clinic indicating that a home pregnancy test was
positive. The client's last menstrual period (LMP) was September 7. Today is
December 7. Which of the following are true statements for this client? Select
all that apply.
1. According to Naegele's Rule, the expected date of delivery (EDD) is June 14
2. Auscultation of the fetal heart rate is possible
3. Fundal height should be 24 cm above the symphysis pubis
4. The client should be feeling fetal movement
5. Urinary frequency is a common sign
1,2,5
Maternity 1 #22 - Drag and Drop
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A pregnant client at 35 weeks gestation has brisk, painless vaginal bleeding.
The health care provider suspects placenta previa. The nurse should prepare
for which procedures? Select all that apply.
1. Administration of corticosteroids
2. Blood draw for hemoglobin
3. Electronic fetal monitoring
4. Forceps delivery
,5. Pelvic ultrasound
6. Vaginal examination
2,3,5
A laboring client weighing 187 lb is 5 cm dilated and having contractions every
2-3 minutes. The client rates the pain at 7 out of 10. Nalbuphine hydrochloride
10 mg/70 kg IV push × 1 is prescribed by the health care provider. Nalbuphine
hydrochloride 10 mg/1 mL is available. How many milliliters does the nurse
administer? Record your answer using one decimal place.
Answer: (mL)
1.2
The nurse in the operating room is preparing for an emergency dilation and
curettage post vaginal delivery for placenta accreta. What information is most
important when reviewing this client's chart?
1. Client has been NPO and has no metal on the body
2. Client has stable vital signs and has signed consent
3. Client has type and crossmatch on file and at least 2 patent large-bore IV
sites
4. Client is on oxygen and has a patent IV site
3
A 37-weeks-pregnant woman comes to the emergency department with a
fractured ankle. Which assessment finding is most concerning and requires
the nurse to follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L)
1
Four clients in labor are requesting pain medication from the nurse. Which
client can safely receive an opioid agonist-antagonist analgesic intravenous
(IV) push at this time?
1. Gravida 1, 2 cm dilated, 50% effaced, contractions 7-10 minutes apart, crying
2. Gravida 1, 6 cm dilated, 75% effaced, contractions 2-4 minutes apart, has
history of heroin use
3. Gravida 2, 5 cm dilated, 100% effaced, contractions 3-4 minutes apart,
, moaning and shaking
4. Gravida 4, 10 cm dilated, 100% effaced, contractions 2-3 minutes apart,
wants to push
3
A client is at 24 weeks gestation and preeclampsia-eclampsia syndrome is
suspected. Which of the following are significant signs/symptoms criteria
related to this syndrome? Select all that apply.
1. 2+ pitting pedal edema
2. 300 mg/24 hr (0.3 g/day) protein in urine
3. Frequent urination
4. Headache, blurry vision
5. Hemoglobin 10 g/dL (100 g/L)
2,4
A diabetic woman has a precipitous delivery in the emergency department.
Which initial neonate assessment finding is the priority and requires a nursing
response?
1. Apgar score of 7 at 1 minute
2. Apical heart rate of 160/min
3. Circumoral duskiness
4. Jitteriness
4
A pregnant client in the third trimester completes an intake form for a clinic
visit. Which signs and symptoms are priority problems for the nurse to
evaluate? Select all that apply.
1. Frequent urination with dysuria and nocturia
2. Fullness in both ears and nasal stuffiness
3. Headache and blurred vision
4. Nonmalodorous, copious, clear vaginal discharge
5. Yellowish discharge from both nipples
1,3,4
A pregnant client comes for a routine first prenatal examination. According to
the last menstrual period, the estimated gestational age is 14 weeks. Where
would the nurse expect to palpate the uterine fundus in this client?
1. 14 cm above the symphysis pubis
EXAM QUESTIONS AND CORRECT ANSWERS VERIFIED 100%
A client is at 20 weeks gestation. The client reports having to "run to the
bathroom all the time," "it hurts to pee," and my urine "smells bad." Which
statement by the nurse is the most appropriate?
1. "Drink cranberry juice to relieve the symptoms."
2. "Make sure to wipe from the front to the back after voiding."
3. "Most women have urinary frequency at this stage and it is normal."
4. "You may need to be checked for a urinary tract infection."
4
A client comes to the clinic indicating that a home pregnancy test was
positive. The client's last menstrual period (LMP) was September 7. Today is
December 7. Which of the following are true statements for this client? Select
all that apply.
1. According to Naegele's Rule, the expected date of delivery (EDD) is June 14
2. Auscultation of the fetal heart rate is possible
3. Fundal height should be 24 cm above the symphysis pubis
4. The client should be feeling fetal movement
5. Urinary frequency is a common sign
1,2,5
Maternity 1 #22 - Drag and Drop
http://author.udutu.com/myudutu/preview/previewcourse.aspx?CourseID=1374
91&ScreenID=4348592
c
A pregnant client at 35 weeks gestation has brisk, painless vaginal bleeding.
The health care provider suspects placenta previa. The nurse should prepare
for which procedures? Select all that apply.
1. Administration of corticosteroids
2. Blood draw for hemoglobin
3. Electronic fetal monitoring
4. Forceps delivery
,5. Pelvic ultrasound
6. Vaginal examination
2,3,5
A laboring client weighing 187 lb is 5 cm dilated and having contractions every
2-3 minutes. The client rates the pain at 7 out of 10. Nalbuphine hydrochloride
10 mg/70 kg IV push × 1 is prescribed by the health care provider. Nalbuphine
hydrochloride 10 mg/1 mL is available. How many milliliters does the nurse
administer? Record your answer using one decimal place.
Answer: (mL)
1.2
The nurse in the operating room is preparing for an emergency dilation and
curettage post vaginal delivery for placenta accreta. What information is most
important when reviewing this client's chart?
1. Client has been NPO and has no metal on the body
2. Client has stable vital signs and has signed consent
3. Client has type and crossmatch on file and at least 2 patent large-bore IV
sites
4. Client is on oxygen and has a patent IV site
3
A 37-weeks-pregnant woman comes to the emergency department with a
fractured ankle. Which assessment finding is most concerning and requires
the nurse to follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L)
1
Four clients in labor are requesting pain medication from the nurse. Which
client can safely receive an opioid agonist-antagonist analgesic intravenous
(IV) push at this time?
1. Gravida 1, 2 cm dilated, 50% effaced, contractions 7-10 minutes apart, crying
2. Gravida 1, 6 cm dilated, 75% effaced, contractions 2-4 minutes apart, has
history of heroin use
3. Gravida 2, 5 cm dilated, 100% effaced, contractions 3-4 minutes apart,
, moaning and shaking
4. Gravida 4, 10 cm dilated, 100% effaced, contractions 2-3 minutes apart,
wants to push
3
A client is at 24 weeks gestation and preeclampsia-eclampsia syndrome is
suspected. Which of the following are significant signs/symptoms criteria
related to this syndrome? Select all that apply.
1. 2+ pitting pedal edema
2. 300 mg/24 hr (0.3 g/day) protein in urine
3. Frequent urination
4. Headache, blurry vision
5. Hemoglobin 10 g/dL (100 g/L)
2,4
A diabetic woman has a precipitous delivery in the emergency department.
Which initial neonate assessment finding is the priority and requires a nursing
response?
1. Apgar score of 7 at 1 minute
2. Apical heart rate of 160/min
3. Circumoral duskiness
4. Jitteriness
4
A pregnant client in the third trimester completes an intake form for a clinic
visit. Which signs and symptoms are priority problems for the nurse to
evaluate? Select all that apply.
1. Frequent urination with dysuria and nocturia
2. Fullness in both ears and nasal stuffiness
3. Headache and blurred vision
4. Nonmalodorous, copious, clear vaginal discharge
5. Yellowish discharge from both nipples
1,3,4
A pregnant client comes for a routine first prenatal examination. According to
the last menstrual period, the estimated gestational age is 14 weeks. Where
would the nurse expect to palpate the uterine fundus in this client?
1. 14 cm above the symphysis pubis
