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NU 518 Exam 1 Study Questions with All Correct Answers Update

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NU 518 Exam 1 Study Questions with All Correct Answers Update A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she will be able to hear the babys heartbeat. The nurse should reply: a The babys heartbeat is not usually heard until the second trimester. b Th...

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  • September 25, 2024
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NU 518 Exam 1 Study Questions
with All Correct Answers 2024-
2025 Update
A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she
will be
able to hear the babys heartbeat. The nurse should reply:
a The babys heartbeat is not usually heard until the second trimester.
b The babys heartbeat may be heard anywhere from the ninth to the twelfth week.
c It is often difficult to hear the heartbeat at this point, but we can try.
d It is normal to hear the heartbeat at 6 weeks. We may be able to hear it today. -
Answer- B

A patient who is in her first trimester of pregnancy tells the nurse that she is
experiencing
significant nausea and vomiting and asks when it will improve. The nurse should reply:
a Did your mother have significant nausea and vomiting?
b Many women experience nausea and vomiting until the third trimester.
c Usually, by the beginning of the second trimester, the nausea and vomiting improve.
d At approximately the time you begin to feel the baby move, the nausea and vomiting
will subside. - Answer- C

During the examination of a woman in her second trimester of pregnancy, the nurse
notices
the presence of a small amount of yellow drainage from the nipples. The nurse knows
that this is:
a An indication that the womans milk is coming in.
b A sign of possible breast cancer in a pregnant woman.
c Most likely colostrum and considered a normal finding at this stage of the pregnancy.
d Too early in the pregnancy for lactation to begin and refers the woman to a specialist.
- Answer- C

A woman in her second trimester of pregnancy complains of heartburn and indigestion.
When
discussing this with the woman, the nurse considers which explanation for these
problems?
a Tone and motility of the gastrointestinal tract increase during the second trimester.
b Sluggish emptying of the gallbladder, resulting from the effects of progesterone, often
causes heartburn.

,c Lower blood pressure at this time decreases blood flow to the stomach and
gastrointestinal tract.
d Enlarging uterus and altered esophageal sphincter tone predispose the woman to
have heartburn. - Answer- D

A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of
breath as
her pregnancy progresses. The nurse recognizes which statement to be true?
a High levels of estrogen cause shortness of breath.
b Feelings of shortness of breath are abnormal during pregnancy.
c Hormones of pregnancy cause an increased respiratory effort.
d The patient should get more exercise in an attempt to increase her respiratory
reserve. - Answer- C

The nurse auscultates a functional systolic murmur, grade II/IV, on a woman in week 30
of her
pregnancy. The remainder of her physical assessment is within normal limits. The nurse
would:
a Consider this finding abnormal, and refer her for additional consultation.
b Ask the woman to run briefly in place and then assess for an increase in intensity of
the murmur.
c Know that this finding is normal and is a result of the increase in blood volume during
pregnancy.
d Ask the woman to restrict her activities and return to the clinic in 1 week for re-
evaluation. - Answer- C

A woman who is 28 weeks pregnant has bilateral edema in her lower legs after working
8
hours a day as a cashier at a local grocery store. She is worried about her legs. What is
the nurses
best response?
A You will be at risk for development of varicose veins when your legs are
edematous.
B I would like to listen to your heart sounds. Edema can indicate a problem with
your heart.
C Edema is usually the result of too much salt and fluids in your diet. You may
need to cut down on salty foods.
d As your baby grows, it slows blood return from your legs, causing the swelling. This
often occurs with prolonged standing. - Answer- D

When assessing a woman who is in her third trimester of pregnancy, the nurse looks for
the
classic symptoms associated with preeclampsia, which include:
a Edema, headaches, and seizures.
B Elevated blood pressure and proteinuria.
C Elevated liver enzymes and high platelet counts.

,D Decreased blood pressure and edema. - Answer- B

The nurse knows that the best time to assess a womans blood pressure during an initial
prenatal visit is:
a At the end of the examination when she will be the most relaxed.
B At the beginning of the interview as a nonthreatening method of gaining
rapport.
C During the middle of the physical examination when she is the most
comfortable.
D Before beginning the pelvic examination because her blood pressure will be
higher after the pelvic examination. - Answer- A

When examining the face of a woman who is 28 weeks pregnant, the nurse notices the
presence of a butterfly-shaped increase in pigmentation on the face. The proper term
for this
finding in the documentation is:
a Striae.
B Chloasma.
C Linea nigra.
D Mask of pregnancy. - Answer- B

Which finding is considered normal and expected when the nurse is performing a
physical
examination on a pregnant woman?
A Palpable, full thyroid
B Edema in one lower leg
C Significant diffuse enlargement of the thyroid
D Pale mucous membranes of the mouth - Answer- A

When auscultating the anterior thorax of a pregnant woman, the nurse notices the
presence of
a murmur over the second, third, and fourth intercostal spaces. The murmur is
continuous but can
be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the
murmur.
The nurse interprets this finding to be:
A Murmur of aortic stenosis.
B Most likely a mammary souffle.
C Associated with aortic insufficiency.
D Indication of a patent ductus arteriosus. - Answer- B

When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32
weeks
pregnant, which of these would be considered a normal finding on a 0 to 4+ scale?
A Absent DTRs
B 2+

, C 4+
D Brisk reflexes and the presence of clonus - Answer- B

When performing an examination of a woman who is 34 weeks pregnant, the nurse
notices a
midline linear protrusion in the abdomen over the area of the rectus abdominis muscles
as the
woman raises her head and shoulders off of the bed. Which response by the nurse is
correct?
A The presence of diastasis recti should be documented.
B This condition should be discussed with the physician because it will most
likely need to be surgically repaired.
C The possibility that the woman has a hernia attributable to the increased
pressure within the abdomen from the pregnancy should be suspected.
D The woman should be told that she may have a difficult time with delivery
because of the weakness in her abdominal muscles. - Answer- A

The nurse is palpating the fundus of a pregnant woman. Which statement about
palpation of
the fundus is true?
A The fundus should be hard and slightly tender to palpation during the first
trimester.
B Fetal movement may not be felt by the examiner until the end of the second
trimester.
C After 20 weeks gestation, the number of centimeters should approximate the
number of weeks gestation.
D Fundal height is usually less than the number of weeks gestation, unless an
abnormal condition such as excessive amniotic fluid is present. - Answer- C

The nurse is palpating the abdomen of a woman who is 35 weeks pregnant and notices
that
the fetal head is facing downward toward the pelvis. The nurse would document this as
fetal:
a Lie.
b Variety.
c Attitude.
d Presentation. - Answer- D

The nurse is palpating the uterus of a woman who is 8 weeks pregnant. Which finding
would
be considered to be most consistent with this stage of pregnancy?
A The uterus seems slightly enlarged and softened.
B It reaches the pelvic brim and is approximately the size of a grapefruit.
C The uterus rises above the pelvic brim and is approximately the size of a
cantaloupe.
D It is about the size of an avocado, approximately 8 cm across the fundus. - Answer- D

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