MATERNITY
1 A pregnant client is scheduled for an amniocentesis. Which of the following is the best instructions for the client?
1- A fever is expected following the procedure. 2- Strict bed rest is required after the procedure.
3- An informed consent will need to be signed before the procedure....
a pregnant client is scheduled for an amniocentesi
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Chamberlain College Of Nursing
MATERNAL A 327 (MATERNALA327)
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MATERNITY
1 A pregnant client is scheduled for an amniocentesis. Which of the following is the best
instructions for the client?
1- A fever is expected following the procedure.
2- Strict bed rest is required after the procedure.
3- An informed consent will need to be signed before the procedure.
4- Hospitalization will be necessary for 24 hours after the procedure.
2 When preparing a client for an amniocentesis procedure, the nurse
should: 1- Instruct the client to drink 1 L of fluid.
2- Ask the client to void first.
3- Prepare her arm for starting an IV.
4- Place the client on her left side with knee flexed.
3 A 21 years old woman at least 16 weeks gestation undergoes an amniocentesis. The client
asks the nurse what the physician will learn from this procedure. The nurse’s response should be
based on an understanding that which of the following conditions can be detected by this test?
1- Tetralogy of Fallot.
2- Talipes equinovarus.
3- Hemolytic disease of the newborn.
4- Cleft lip and plate.
4 An examination reveals that a client is 8 weeks pregnant and is in apparent good health. What
would be routine prenatal laboratory studies for this client. Select all that apply.
1- Complete blood count.
2- RH and type.
3- Urinalysis.
4- Oral glucose tolerance test.
5- Rubella titer.
6- Amniocentesis.
5 Which of the following hematocrit’s values is considered normal in a pregnant
woman? 1- 51%
2- 18%
3- 34%
4- 48%
6 A first trimester primigravida is diagnosed with anemia. The nurse should suspect that this
anemia is a result of:
1- Mother’s increased blood volume.
2- Mother’s decreased blood volume.
3- Fetal blood volume increase.
4- Increase in iron absorption.
1
,7 The client’s prenatal lab findings have been returned. Which of the following would indicate
a need for further follow-up related to potential development of erythroblastosis fetalis?
1- Blood type O.
2- RH negative.
3- Blood type A
4- Rh positive.
8 The nurse is monitoring the lab results of a pregnant client. The nurse would determine that
the WBC is normal if which of the following results were present?
1- 3000 to 8000 cells/mm3.
2- 5000 to 15 000 cells/mm3.
3- 7000 to 11 000 cells/mm3.
4- 2000 to 5000 cells/mm3.
9 The nurse is reviewing results from a client’s initial prenatal visit and notes that the urine
contained an increased number of white blood cells, nitrites and greater than 10 000 bacteria/ml
of urine. These findings lead the nurse to suspect which of the following?
1- Renal insufficiency.
2- Contamination of the urine with amniotic fluid.
3- Urinary tract infection (UTI).
4- Nothing unusual, this is a normal finding in pregnancy.
10 A nurse is using Naegele’s rule to calculate a pregnant woman’s estimated date of delivery.
The woman tells the nurse that her last period began on June17-2016,and ended 6 days later. The
nurse would compute the estimated date of delivery to be:
1- March 10, 2016.
2- March 15, 2016.
3- March 24, 2017.
4- March 29, 2017.
11 A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse
that the first day of her last menstrual period was Sep 19, 2015. Using Naegele’s rule, the nurse
determines the estimated date as:
1- July 26, 2016.
2- June 12, 2017.
3- June 26, 2016.
4- July 12, 2017.
12 A client comes to the clinic for her first prenatal visit and reports that July 10 was the first
day of her last menstrual period. Using Naegele’s rule, the nurse calculates the estimated date of
birth for the client to be. Write in a numerical answer using format month-day, ex July 10= 07-10
13 A 26 years old woman has missed her menstrual period. The client’s last menstrual period
began May 8 and ended May 12. The nurse determines that her EDC is:
1- Feb 1st.
2- Feb 15.
3- Feb 19.
4- March 2nd.
14 A client reports that her last menstrual period was Nov 10. She asks the nurse: “When will
my babe be due?” What is the best answer?
1- July 3rd
2
, 2- August 30
3- “Around the middle of September.
4- “The first or second week of August”.
15 A woman is pregnant for the four time. She had one elective abortion in the first trimester, a
daughter who was born at 40 week’s gestation, and a son who was born at 36 week’s gestation.
G=
T=
P=
A=
L=
16 Following confirmation of pregnancy, the client has come into the clinic for her first prenatal
visit. She reports having a 5 years old child who was born at 40 week’s gestation, a set of 3 years
old triplets who were born at 34 weeks gestation, and a first trimester abortion when she was in
college. On her medical record, the nurse would make which of the following entries?
G=
T=
P=
A=
L=
17 The nurse is assessing a woman who is 10 weeks pregnant. Her obstetric history includes a
previous spontaneous abortion at 14 weeks gestation and a pregnancy that ended at 38 weeks
gestation with the birth of a still-born girl. How would the nurse do her gravidity and paring
using the GTPAL system?
1- 2-0-1-1-1
2- 2-0-1-1-0
3- 3-0-1-1-0.
4- 3-1-0-1-0.
18 A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has
been pregnant twice before, the first delivery produced a viable baby girl at 39 weeks 3 years
ago: the second pregnancy produced a viable baby by at 36 weeks 2 years ago. Both children are
living and well. Using the GTPAL system to record her obstetrical history, the nurse should
record:
1- Gravida 3, para 3.
2- Gravida 3, para 2.
3- Gravida 2, para 3.
4- Gravida 2, para 2.
19 The physician has documented the presence of Goodell’s sign. The nurse knows that this sign
indicates:
1- A softening of the cervix.
2- A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.
3- The presence of human chorionic gonadotropin in the urine.
5- The presence of fetal movement.
3
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