Fundamental Concepts in Nursing (Arizona State University)
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1) A 36-year-old male client loses all function from his waist down after sustaining a
spinal cord injury after falling off the roof of his house. The nurse asks the client how
this injury will affect the different aspects of his life. The client replies, "It won't." This
reaction exemplifies that the client is at what stage of the grieving process?
Possible correct answers:
Denial, denial
Feedback
Clients usually responds to the loss by following the stages of the grieving process. The paralyzed condition
of the client is his loss. The client is denying that this loss will affect him or his life.*##**##*
Unanswere
d 94% got this correct
2) During a prenatal visit, the nurse checks the fetal heart rate of a client in the third
trimester of pregnancy. The nurse determines that the FHR is normal if which of the
following heart rates is noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
Unanswered 94% got this correct
3) During a prenatal visit, the nurse checks the fetal heart rate of a client in the third
trimester of pregnancy. The nurse determines that the FHR is normal if which of
the following heart rates is noted?
80 beats per minute
100 beats per minute
150 beats per minute
180 beats per minute
Unanswere
d 92% got this correct
4) Which of the following urinary symptoms does the pregnant woman most frequently experience
during the first trimester?
Dysuria
Frequency
Incontinence
Burning urination
Feedback
Pressure and irritation of the bladder by the growing uterus during the first trimester is responsible for causing
urinary frequency. Dysuria, incontinence, and burning are symptoms associated with urinary tract infections.
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Unanswered 92% got this correct
5) A client LMP began July 5. Her EDD should be which of the following?
January 2
March 28
April 12
October 12
Feedback
To determine the EDD when the date of the client’s LMP is known use Nagele rule. To the first day of the
LMP, add 7 days, subtract 3 months, and add 1 year (if applicable) to arrive at the EDD as follows: 5 +
7 = 12 (July) minus 3 = 4 (April). Therefore, the client’s EDD is April 12.
Unanswere
d 89% got this correct
6) A 25-year-old client with diabetes type I visits the clinic to discuss her and her
husband's desire to start a family. This diabetic client
Should be discouraged from becoming pregnant
Has a greater risk of complications during pregnancy
Should be informed about treatment for infertility
Will be able to carry out a completely normal pregnancy
Feedback
Clients with DM are at greater risk for developing maternal and fetal complications during pregnancy.
Unanswered 89% got this correct
7) The nurse is caring for a primigravida at about 2 months and 1 week gestation.
After explaining self-care measures for common discomforts of pregnancy, the
nurse determines that the client understands the instructions when she says:
“Nausea and vomiting can be decreased if I eat a few crackers before arising”
“If I start to leak colostrum, I should cleanse my nipples with soap and water”
“If I have a vaginal discharge, I should wear nylon underwear”
“Leg cramps can be alleviated if I put an ice pack on the area”
Feedback
Eating dry crackers before arising can assist in decreasing the common discomfort of nausea and
vomiting. Avoiding strong food odors and eating a high-protein snack before bedtime can also help.
Unanswere
d 88% got this correct
8) A client suspects that she is pregnant and visits the clinic. Of the following changes
caused by pregnancy, which is the only positive sign that the client is pregnant?
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