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Maternity Exam 1 with correct answers
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Maternity Exam 1 with correct answers
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Maternity Exam 1 with correct answers1. nnAn nnantenatal nnclient nnis nninforming nnthe nnnurse nnof nnher nnprenatal nnsigns nnand nnsymptoms. nnWhich nnof
nnthe nnfollowing nnfindings nnwould nnthe nnnurse nndetermine nnare nnpresumptive nnsigns nnof nnpregnancy? nnSelect
nnall nnthat nnapply.
1. nnAmenorrhea.
2. nnBreast nntenderness. nn
3. nnQuickening.
4. nnFrequent nnurination. nn
5. nnUterine nngrowth. nn- nncorrect nnanswer-1
2
3
4
2. nnThe nnnurse nnis nnassessing nnthe nnlaboratory nnreport nnof nna nn40-week nngestation nnclient. nnWhich nnof nnthe
nnfollowing nnvalues nnwould nnthe nnnurse nnexpect nnto nnfind nnelevated nnabove nnprepregnancy nnlevels?
1. nnGlucose.
2. nnFibrinogen. nn
3. nnHematocrit. nn
4. nnBilirubin nn- nncorrect nnanswer-2. nnFibrinogen nnlevels nnwill nnbe nnelevated nnslightly nnin nna nn40-week
nnpregnant nnwoman nnbecause nncoagulation nnfactors nnlike nnfib- nnrinogen nnincrease nnto nnhelp nnprevent nnex-
nncessive nnblood nnloss nnduring nndelivery.
3. nnWhen nnanalyzing nnthe nnneed nnfor nnhealth nnteaching nnof nna nnprenatal nnmultigravida, nnthe nnnurse nnshould
nnask nnwhich nnof nnthe nnfollowing nnquestions?
1. nn"What nnare nnthe nnages nnof nnyour nnchildren?" nn
2. nn"What nnis nnyour nnmarital nnstatus?"
3. nn"Do nnyou nnever nndrink nnalcohol?"
4. nn"Do nnyou nnhave nnany nnallergies?" nn- nncorrect nnanswer-3. nnThis nnquestion nnis nnimportant nnto nnask nnin
nnorder nnto nndetermine nna nnprenatal nnclient's nnhealth nnteaching nnneeds.
,4. nnA nnwoman nnwhose nnprenatal nnweight nnwas nn105 nnlb nnweighs nn109 nnlb nnat nnher nn12-week nnvisit. nnWhich
nnof nnthe nnfollowing nncomments nnby nnthe nnnurse nnis nnappropriate nnat nnthis nntime?
1. nn"We nnexpect nnyou nnto nngain nn1 nnlb nnper nnweek, nnso nnyour nnweight nnis nna nnlittle nnlow nnat nnthis nntime."
2. nn"Most nnwomen nngain nnno nnweight nnduring nnthe nnfirst nntrimester, nnso nnI nnwould nnsuggest nnyou
eat nnfewer nndesserts nnfor nnthe nnnext nnfew nnweeks."
3. nn"You nnentered nnthe nnpregnancy nnwell nnunderweight, nnso nnwe nnshould nncheck nnyour nndiet nnto
make nnsure nnyou nnare nngetting nnthe nnnutrients nnyou nnneed."
4. nn"Your nnweight nngain nnis nnexactly nnwhat nnwe nnwould nnexpect nnit nnto nnbe nnat nnthis nntime." nn- nncorrect
nnanswer-4. nn"Your nnweight nngain nnis nnexactly nnwhat nnwe nnwould nnexpect nnit nnto nnbe nnat nnthis nntime." nn
The nnweight nngain nnis nnwithin nnnormal nnfor nnthe nnfirst nntrimester.
5. nnBecause nnnausea nnand nnvomiting nnare nnsuch nncommon nncomplaints nnof nnpregnant nnwomen, nnthe nnnurse
nnprovides nnanticipatory nnguidance nnto nna nn6-week nngestation nnclient nnby nntelling nnher nnto nndo nnwhich nnof
nnthe nnfollowing?
1. nnAvoid nneating nngreasy nnfoods.
2. nnDrink nnorange nnjuice nnbefore nnrising.
3. nnDrink nn2 nnglasses nnof nnwater nnwith nneach nnmeal. nn
4. nnEat nn3 nnlarge nnmeals nnplus nna nnbedtime nnsnack. nn- nncorrect nnanswer-1. nnGreasy nnfoods nnshould nnbe
nnavoided
6. nnA nnclient nnenters nnthe nnprenatal nnclinic. nnShe nnstates nnthat nnshe nnmissed nnher nnperiod nnyesterday nnand
nnused nna nnhome nnpregnancy nntest nnthis nnmorning. nnShe nnstates nnthat nnthe nnresults nnwere nnnega- nntive, nnbut
nn"I nnstill nnthink nnI nnam nnpregnant." nnWhich nnof nnthe nnfollowing nnstatements nnwould nnbe nnappropriate nnfor
nnthe nnnurse nnto nnmake nnat nnthis nntime?
1. nn"Your nnperiod nnis nnprobably nnjust nnirregular."
2. nn"We nncould nndo nna nnblood nntest nnto nncheck."
3. nn"Home nnpregnancy nntest nnresults nnare nnvery nnaccurate."
4. nn"My nnrecommendation nnwould nnbe nnto nnrepeat nnthe nntest nnin nnone nnweek." nn- nncorrect nnanswer-2. nn"We
nncould nndo nna nnblood nntest nnto nncheck."
This nnresponse nnis nncorrect. nnSerum nnpreg- nnnancy nntests nnare nnmore nnsensitive nnthan nnurine nntests nnare.
,7. nnA nngravida, nnG1 nnP0000, nnis nnhaving nnher nnfirst nnprenatal nnphysical nnexamination. nnWhich
of nnthe nnfollowing nnassessments nnshould nnthe nnnurse nninform nnthe nnclient nnthat nnshe nnwill nnhave nnthat nnday?
1. nnPap nnsmear.
2. nnMammogram.
3. nnGlucose nnchallenge nntest. nn
4. nnBiophysical nnprofile nn- nncorrect nnanswer-1.
The nnclient nnwill nnhave nna nnPap nnsmear nndone.
8. nnA nn10-week nngravid nnclient nnis nnbeing nnseen nnin nnthe nnprenatal nnclinic. nnFor nnthe nnnurse nncaring nnfor nnthis
nnpatient, nnproviding nnanticipatory nnguidance nnfor nnwhich nnof nnthe nnfollowing nnshould nnbe nna nnpriority?
1. nnPain nnmanagement nnduring nnlabor. nn
2. nnMethods nnto nnrelieve nnbackaches. nn
3. nnBreastfeeding nnpositions.
4. nnCharacteristics nnof nnthe nnnewborn. nn- nncorrect nnanswer-2. nnMethods nnto nnrelieve nnbackaches
It nnis nnappropriate nnfor nnthe nnnurse nnto nnpro- nnvide nnanticipatory nnguidance nnregarding nnmethods nnto
nnrelieve nnback nnpain.
9. nnA nnclient nnasks nnthe nnnurse nnwhat nnwas nnmeant nnwhen nnthe nnphysician nntold nnher nnshe nnhad nna nnposi-
nntive nnChadwick's nnsign. nnWhich nnof nnthe nnfollowing nninformation nnabout nnthe nnfinding nnwould nnbe
nnappropriate nnfor nnthe nnnurse nnto nnconvey nnat nnthis nntime?
1. nn"It nnis nna nnpurplish nnstretch nnmark nnon nnyour nnabdomen."
2. nn"It nnmeans nnthat nnyou nnare nnhaving nnheart nnpalpitations."
3. nn"It nnis nna nnbluish nncoloration nnof nnyour nncervix nnand nnvagina."
4. nn"It nnmeans nnthe nndoctor nnheard nnabnormal nnsounds nnwhen nnyou nnbreathed nnin." nn- nncorrect nnanswer-3.
nn"It nnis nna nnbluish nncoloration nnof nnyour nncervix nnand nnvagina." nn
A nnpositive nnChadwick's nnsign nnmeans nnthat nnthe nnclient's nncervix nnand nnvagina nnare nna nnbluish nncolor. nnIt nnis
nna nnprobable nnsign nnof nnpregnancy.
10. nnA nnclient nnenters nnthe nnprenatal nnclinic. nnShe nnstates nnthat nnshe nnbelieves nnshe nnis nnpregnant. nnWhich
nnof nnthe nnfollowing nnhormone nnelevations nnwill nnindicate nna nnhigh nnprobability nnthat nnthe nnclient nnis
nnpregnant?
1. nnChorionic nngonadotropin. nn
, 2. nnOxytocin.
3. nnProlactin.
4. nnLuteinizing nnhormone. nn- nncorrect nnanswer-1. nnChorionic nngonadotropin nn
High nnlevels nnof nnthe nnhormone nnchorionic nngonadotropin nnin nnthe nnbloodstream nnand nnurine nnof nnthe
nnwoman nnis nna nnprobable nnsign nnof nnpregnancy.
11. nnA nn16-year-old, nnG1 nnP0000, nnis nnbeing nnseen nnat nnher nn10-week nngestation nnvisit. nnShe nntells nnthe
nnnurse nnthat nnshe nnfelt nnthe nnbaby nnmove nnthat nnmorning. nnWhich nnof nnthe nnfollowing nnresponses nnby nnthe
nnnurse nnis nnappropriate?
1. nn"That nnis nnvery nnexciting. nnThe nnbaby nnmust nnbe nnvery nnhealthy." nn2. nn"Would nnyou nnplease nndescribe
nnwhat nnyou nnfelt nnfor nnme?"
3. nn"That nnis nnimpossible. nnThe nnbaby nnis nnnot nnbig nnenough nnyet." nn4. nn"Would nnyou nnplease nnlet nnme nnsee
nnif nnI nncan nnfeel nnthe nnbaby?" nn- nncorrect nnanswer-2. nn"Would nnyou nnplease nndescribe nnwhat nnyou nnfelt nnfor
nnme?"
The nnnurse nnshould nnquery nnthe nnyoung nnwoman nnabout nnwhat nnshe nnfelt
12. nnA nn20-year-old nnclient nnstates nnthat nnthe nnat-home nnpregnancy nntest nnthat nnshe nntook nnthis nnmorn- nning
nnwas nnpositive. nnWhich nnof nnthe nnfollowing nncomments nnby nnthe nnnurse nnis nnappropriate nnat nnthis nntime?
1. nn"Congratulations, nnyou nnand nnyour nnfamily nnmust nnbe nnso nnhappy." nn
2. nn"Have nnyou nntold nnthe nnbaby's nnfather nnyet?"
3. nn"How nndo nnyou nnfeel nnabout nnthe nnresults?"
4. nn"Please nntell nnme nnwhen nnyour nnlast nnmenstrual nnperiod nnwas." nn- nncorrect nnanswer-3. nn"How nndo nnyou
nnfeel nnabout nnthe nnresults?" nn
It nnis nnimportant nnfor nnthe nnnurse nnto nnask nnthe nnyoung nnwoman nnhow nnshe nnfeels nnabout nnbeing nnpregnant.
nnShe nnmay nndecide nnnot nnto nncontinue nnwith nnthe nnpregnancy
13. nnA nnclient nnis nnin nnthe nn10th nnweek nnof nnher nnpregnancy. nnWhich nnof nnthe nnfollowing nnsymptoms nnwould
nnthe nnnurse nnexpect nnthe nnclient nnto nnexhibit?
1. nnBackache. nn2. nnDyspnea. nn3. nnFatigue. nn4. nnDiarrhea. nn- nncorrect nnanswer-3. nnFatigue nn
Most nnwomen nncomplain nnof nnfatigue nnduring nnthe nnfirst nntrimester
14. nnThe nnmidwife nnhas nnjust nnpalpated nnthe nnfundal nnheight nnat nnthe nnlocation nnnoted nnon nnthe nnpic- nnture
nnbelow. nnIt nnis nnlikely nnthat nnthe nnclient nnis nnhow nnmany nnweeks nnpregnant?
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