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NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022
Child Bearing 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. The nurse interprets this as which
of the following?
a)The possibility that the client is carrying twins.
b)Unusual because most multiparous clients do not experience quickening until 30 weeks gestation.
c)Evidence that the client’s estimated date of delivery is probably off by a few weeks.
d)Normal because multiparous clients can experience quickening between 14 and 20 weeks gestation.
A primigravid client at 28 weeks gestation tells the nurse that she and her
husband wish to drive to visit relatives who live several hundred miles
away. Which of the following recommendations by the nurse would be
best?
a)“Try to avoid travelling anywhere in the car during your third trimester.”
b)“Limit the time you spend in the car to a maximum of 4 to 5 hours.”
c)“Taking the trip is okay if you stop every 1 to 2 hours and walk.”
d)“Avoid wearing your seat belt in the car to prevent injury to the fetus.”
When teaching a primigravid client how to do Kegel exercises, the nurse explains that the expected outcome of these exercises is to:
a)Prevent vulvar edema.
b)Alleviate lower back discomfort.
c)Strengthen the perineal muscles.
d)Strengthen the abdominal muscles.
A primigravid client at 36 weeks gestation tells the nurse that she has been experiencing insomnia for the past 2 weeks. Which of the NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022 Page | 2
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022
following suggestions would be most helpful?
a)Practice relaxation techniques before bedtime.
b)Drink a cup of hot chocolate before bedtime.
c)Drink a small glass of wine with dinner.
d)Exercise for 30 minutes just before bedtime.
A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IV
piggyback. The pharmacy sends the IV to the unit labelled magnesium sulfate 20g/500 ml normal saline. To deliver the correct dose, the nurse should set the pump to deliver how many milliliters per hour? ml.
The primary health care provider prescribes 1,000 ml of Ringer’s Lactate intravenously over an 8 hour period for a 29 year old primigravid client at 16 weeks gestation with hyperemesis. The drip factor is 12 gtts/mL. The nurse should administer the IV infusion at how many drops per minute?
gtts/min.
At which of the following locations would the nurse expect to palpate the fundus of a primiparous client immediately after delivery of a neonate?
a)Halfway between the umbilicus and the symphysis pubis.
b)At the level of the umbilicus.
c)Just below the level of the umbilicus.
d)Above the level of the umbilicus.
Four hours after delivering a viable neonate by spontaneous vaginal delivery under epidural anesthesia, the client states she needs to urinate. The nurse should next:
a)Catheterize the client to obtain an accurate measurement.
b)Palpate the bladder to determine distention.
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022 Page | 3
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022
c)Assess the fundus to see if it is at the midline.
d)Measure the first two voiding and record the amount.
In preparation for discharge, the nurse discusses sexual issues with a primiparous client who had a routine virginal delivery with a midline episiotomy. The nurse should instruct the client that she can resume sexual
intercourse:
a)In 6 weeks when the episiotomy is completely healed.
b)After a postpartum check by the health care provider.
c)Whenever the client is feeling amorous and desirable.
d)When lochia flow and episiotomy pain have stopped.
While caring for a multiparous client 4 hours after vaginal delivery of a term neonate, the nurse notes that the mother’s temperature is (37.20 C), the pulse is 66bpm, and the respirations are 18 breaths/min. Her fundus is firm, midline, and at the level of the umbilicus. The nurse should:
a)Continue to monitor the client’s vital signs.
b)Assess the client’s lochia for large clots.
c)Notify the client’s physician about the findings.
d)Offer the mother an ice pack for her forehead.
A 39 year old multigravida client asks the nurse for information about female sterilization with a tubal ligation. Which of the following client statements indicates effective teaching?
a)“My fallopian tubes will be tied off through a small abdominal incision.”
b)“Reversal of a tubal ligation is easily done, with a pregnancy success rate of 80%.”
c)“After this procedure, I must abstain from intercourse for at least 3 weeks.”
d)“Both of my ovaries will be removed during the tubal ligation procedure.”
A multigravida client will be using medroxyprogesterone acetate (Depo-
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022 Page | 4
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022
Provera) as a family planning method. After the nurse instructs the client about this method, which of the following client statements indicates effective teaching?
a)“This method of family planning requires monthly injections.”
b)“I should have my first injection during my menstrual cycle.”
c)“One possible adverse effect is absence of menstrual period.”
d)“This drug will be given by subcutaneous injections.”
When developing a teaching plan for an 18 year old client who asks about treatments for sexually transmitted diseases, the nurse should explain that:
a)Acyclovir (Zovirax) can be used to cure herpes genitalis.
b)Chlamydia trachomatis infections are usually treated with penicillin.
c)Ceftriaxone sodium (Rochephin) may be used to treat Neisseria gonorrhoeae infections.
d)Metronidazole (Flagyl) is used to treat condylomata acuminate.
A primigravid client at 16 weeks gestation has had an amniocentasis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching?
a)“I need to call if I start to leak fluid from my vagina.”
b)“If I start bleeding, I will need to call back.”
c)“If my baby does not move, I need to call my health care provider.”
d)“If I start running a fever, I should let the office know.”
When measuring the fundal height of a primigravid client at 20 weeks gestation, the nurse will locate the fundal height at which of the following points?
a)Halfway between the client’s symphysis pubis and umbilicus.
b)At about the level of the client’s umbilicus.
c)Between the client’s umbilicus and xiphoid process.
NURSING 1234 Nursing Council (CXC) Past Paper MCQ Answers 100%Correct/Verified Assured Success Re-Updated 2022
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