Exam (elaborations) NURS 1102 PASSPOINT ANTEPARTUM

NURS 1102 PASSPOINT ANTEPARTUM Question 1 See full question A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client that she can expect to feel the fetus move at which time? You Selected:  Between 18 and 20 weeks' gestation Correct response:  Between 18 and 20 weeks' gestation Explanation: Remediation: Question 2 See full question A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her psychosocial transition during pregnancy? You Selected:  The month of her due date Correct response:  Support from her partner Explanation: Remediation: Question 3 See full question A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. She tells the nurse she doesn't know whether she's ready to have a baby, even though this was a planned pregnancy. Which response should the nurse offer? You Selected:  "You're feeling ambivalent, which is normal during the first trimester." Correct response:  "You're feeling ambivalent, which is normal during the first trimester." Explanation: Remediation: Question 4 See full question A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate? NURS 1102 PASSPOINT ANTEPARTUM You Selected:  The fetus isn't in distress at this time. Correct response:  The fetus isn't in distress at this time. Explanation: Remediation: Question 5 See full question During a nonstress test (NST), a nurse notes three fetal heart rate (FHR) increases of 20 beats/minute, each lasting 20 seconds. These increases occur only with fetal movement. What does this finding suggest? You Selected:  The fetus is not in distress at this time. Correct response:  The fetus is not in distress at this time. Explanation: Remediation: Question 6 See full question A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find: You Selected:  a history of pelvic inflammatory disease. Correct response:  a history of pelvic inflammatory disease. Explanation: Remediation: Question 7 See full question A nurse uses Nitrazine paper to determine whether a pregnant client's membranes have ruptured. If the membranes have ruptured, the paper will turn which color? You Selected:  Blue Correct response:  Blue Explanation: Question 8 See full question At 32 weeks' gestation, a client is admitted to the facility with a diagnosis of gestational hypertension. Based on this diagnosis, the nurse expects the assessment to reveal: You Selected:  3+ edema in the lower extremities. Correct response:  3+ edema in the lower extremities. Explanation: Remediation: Question 9 See full question A nurse is reviewing a client's prenatal history. Which finding indicates a genetic risk factor? You Selected:  The client was exposed to rubella at 36 weeks' gestation. Correct response:  The client has a child with cystic fibrosis. Explanation: Remediation: Question 10 See full question A client who's 2 months pregnant complains of urinary frequency and says she gets up several times at night to go to the bathroom. She denies other urinary symptoms. How should the nurse intervene? You Selected:  Explain that urinary frequency is expected during the first trimester. Correct response:  Explain that urinary frequency is expected during the first trimester. Explanation: Remediation: Question 11 See full question A client, 38 weeks pregnant, arrives in the emergency department complaining of contractions. To help confirm that she's in true labor, the nurse should assess for: You Selected:  changes in cervical effacement and dilation after 1 to 2 hours. Correct response:  changes in cervical effacement and dilation after 1 to 2 hours. Explanation: Remediation: Question 12 See full question During a routine prenatal visit, a pregnant client reports constipation, and the nurse teaches her how to relieve it. Which statement indicates the client's understanding of the nurse's instructions? You Selected:  "I'll limit fluid intake to four 8-oz (240 mL) glasses." Correct response:  "I'll increase my intake of unrefined grains." Explanation: Remediation: Question 13 See full question A pregnant client arrives in the emergency department and states, "My baby is coming." The nurse sees a portion of the umbilical cord protruding from the vagina. Why should the nurse apply manual pressure to the baby's head? You Selected:  To slow the delivery process Correct response:  To relieve pressure on the umbilical cord Explanation: Remediation: Question 14 See full question A nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns that this woman smokes one pack of cigarettes per day. The first step the nurse should take to help the woman stop smoking is to: You Selected:  assess the client's readiness to stop. Correct response:  assess the client's readiness to stop. Explanation: Remediation: Question 15 See full question A nurse is caring for a 16-year-old pregnant adolescent. The client is taking an iron supplement. What should this client drink to increase the absorption of iron? You Selected:  A glass of orange juice. Correct response:  A glass of orange juice. Explanation: Remediation: Question 16 See full question A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is defined as: You Selected:  the inability to conceive after 1 year of unprotected attempts. Correct response:  the inability to conceive after 1 year of unprotected attempts. Explanation: Question 17 See full question An obstetric ultrasound reveals that the client's fetus has spina bifida. The mother is concerned about raising a child with a congenital abnormality and she starts to cry. Which response by the nurse is best? You Selected:  Sit at her bedside and allow the client to express her feelings. Correct response:  Sit at her bedside and allow the client to express her feelings. Explanation: Remediation: Question 18 See full question A client who is 18 weeks pregnant is losing weight. She tells a nurse that she's out of work and, after paying bills, has no money to buy healthy food. The nurse should offer the client information about: You Selected:  Women, Infants, and Children (WIC). Correct response:  Women, Infants, and Children (WIC). Explanation: Remediation: Question 19 See full question Which instruction should a nurse include in an injury-prevention plan for a pregnant client? You Selected:  "Take rest periods during the day." Correct response:  "Take rest periods during the day." Explanation: Remediation: Question 20 See full question During routine prenatal screening, a nurse tells a client that her blood sample will be used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates? You Selected:  "This test will screen for spina bifida, Down syndrome, or other genetic defects." Correct response:  "This test will screen for spina bifida, Down syndrome, or other genetic defects." Explanation: Remediation: Question 21 See full question For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which assessment findings would alert the nurse to suspect hypermagnesemia? You Selected:  decreased deep tendon reflexes Correct response:  decreased deep tendon reflexes Explanation: Remediation: Question 22 See full question When assessing a 34-year-old multigravid client at 34 weeks' gestation experiencing moderate vaginal bleeding, which symptom would most likely alert the nurse that placenta previa is present? You Selected:  painless vaginal bleeding Correct response:  painless vaginal bleeding Explanation: Remediation: Question 23 See full question When developing the collaborative plan of care with the health care provider (HCP) for a multigravid client at 10 weeks' gestation with a history of cardiac disease who was being treated with digitalis therapy before this pregnancy, the nurse should instruct the client about which modifications regarding the client's drug therapy regimen? You Selected:  switching to a different medication Correct response:  continuation of the same dosage Explanation: Remediation: Question 24 See full question A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum. The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of which hormone? You Selected:  progesterone Correct response:  estrogen Explanation: Remediation: Question 25 See full question Using Nägele's rule for a client whose last normal menstrual period began on May 10, the nurse determines that the client's estimated date of childbirth is what date? You Selected:  February 17 Correct response:  February 17 Explanation: Remediation: Question 26 See full question A 20-year-old married client with a positive pregnancy test states, “Is it really true? I can not believe I am going to have a baby!” Which response by the nurse would be most appropriate at this time? You Selected:  "Would you like some booklets on the pregnancy experience?" Correct response:  "Yes it is true. How does that make you feel?" Explanation: Remediation: Question 27 See full question A primigravid client asks the nurse if she can continue to have a glass of wine with dinner during her pregnancy. Which statement would be the nurse's best response? You Selected:  "You should abstain from drinking alcoholic beverages." Correct response:  "You should abstain from drinking alcoholic beverages." Explanation: Remediation: Question 28 See full question A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her previous pregnancies tells the nurse that she has already felt the baby move. How does the nurse interpret this finding? You Selected:  normal because multiparous clients can experience quickening between 14 and 20 weeks' gestation Correct response:  normal because multiparous clients can experience quickening between 14 and 20 weeks' gestation Explanation: Remediation: Question 29 See full question When performing Leopold's maneuvers, which action would the nurse ask the client to perform to ensure optimal comfort and accuracy? You Selected:  empty her bladder Correct response:  empty her bladder Explanation: Remediation: Question 30 See full question A 36-year-old primigravid client at 22 weeks' gestation without any complications to date is being seen in the clinic for a routine visit. The nurse should assess the client's fundal height to: You Selected:  estimate the fetal growth. Correct response:  estimate the fetal growth. Explanation: Remediation: Question 31 See full question A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, "What does that mean?" The nurse explains that a reactive nonstress test indicates which of the following about the fetus? You Selected:  Fetal well-being at this point in the pregnancy. Correct response:  Fetal well-being at this point in the pregnancy. Explanation: Remediation: Question 32 See full question A 32-year-old female client visits the family planning clinic and requests an intrauterine device for contraception. When assessing the client, a history of which problem would be most important to determine? You Selected:  pelvic inflammatory disease Correct response:  pelvic inflammatory disease Explanation: Remediation: Question 33 See full question A 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed with blocked fallopian tubes due to pelvic inflammatory disease. When helping the client explore infertility treatment options, what is most appropriate for this client? You Selected:  zygote intrafallopian transfer (ZIFT) Correct response:  in vitro fertilization (IVF) Explanation: Remediation: Question 34 See full question The nurse is caring for a primigravida at about 9 weeks' gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says: You Selected:  “Nausea and vomiting can be decreased if I eat a few crackers before arising." Correct response:  “Nausea and vomiting can be decreased if I eat a few crackers before arising." Explanation: Question 35 See full question The primary health care provider (HCP) prescribes intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which medication would be most important for the nurse to have readily available? You Selected:  calcium gluconate Correct response:  calcium gluconate Explanation: Remediation: Question 36 See full question A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that she "has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which condition? You Selected:  hyperglycemia Correct response:  hypokalemia Explanation: Remediation: Question 37 See full question The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with preeclampsia to the labor and birth area. Which client care rooms is most appropriate for this client? You Selected:  a darkened private room as close to the nurses' station as possible Correct response:  a darkened private room as close to the nurses' station as possible Explanation: Remediation: Question 38 See full question A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe preeclampsia. While caring for the client, the nurse observes that the client is beginning to have a seizure. Which action should the nurse do first? You Selected:  Pad the side rails of the client's bed. Correct response:  Call for immediate assistance in the client's room. Explanation: Remediation: Question 39 See full question The health care provider prescribes clomiphene citrate for a woman who has been having difficulty getting pregnant. When teaching the client about this drug, the nurse should discuss what potential adverse effects? You Selected:  increase in fibrocystic breast disease Correct response:  chance of multiple gestation. Explanation: Remediation: Question 40 See full question A pregnant client tells the nurse that she has been