Exam (elaborations)

OB nclex Exam 1 Practice Questions & Answers, 100% Accurate. Graded A

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Uploaded on February 4, 2023
Number of pages 14
Written in 2022/2023
Type Exam (elaborations)
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ob nclex exam 1 practice questions amp answers
100 accurate graded a a pregnant clients mother is worried that her daughter is not big enough at 20 weeks of gestation the nurse pal

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OB nclex Exam 1 Practice Questions &
Answers, 100% Accurate. Graded A

A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation.
The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus.
Which should the nurse report to the client and her mother? - ✔✔-"The body of the uterus is at the
belly button level, just where it should be at this time."

While the vital signs of a pregnant client in her third trimester are being assessed, the client complains
of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? - ✔✔-Have the client
turn to her left side and recheck her blood pressure in 5 minutes. Blood pressure is affected by positions
during pregnancy. The supine position may cause occlusion of the vena cava and descending aorta.
Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels
and quickly corrects supine hypotension.

A pregnant client has come to the emergency department with complaints of nasal congestion and
epistaxis. Which is the correct interpretation of these symptoms by the health care provider? - ✔✔-
Estrogen causes increased blood supply to the mucous membranes and can result in congestion and
nosebleeds

Which suggestion is appropriate for the pregnant client who is experiencing heartburn? - ✔✔-use Tums
or Alkamints to obtain relief, as directed by the healthcare provider

While providing education to a primiparous client regarding the normal changes of pregnancy, what is
important for the nurse to explain about Braxton Hicks contractions? - ✔✔-these occur throughout
pregnancy, but you may not feel them until the third trimester

What is the reason for vascular volume increasing by 40-60% during pregnancy? - ✔✔-provides
adequate perfusion of the placenta

Physiologic anemia often occurs during pregnancy because of: - ✔✔-dilution of hemoglobin
concentration

, What is a positive sign of pregnancy?

a. amenorrhea

b. breast changes

c. fetal movement felt by the woman

d. visualization of fetus by ultrasound - ✔✔-visualization of fetus by ultrasound

A client is currently pregnant. She has a 5 year old son and a 3 year old daughter. She had one other
pregnancy that terminated at 8 weeks. What is her gravida and para? - ✔✔-gravida = 4

para = 2

A client's last menstrual period was June 10. What is her estimated date of birth? - ✔✔-March 17

Why should a woman in her first trimester of pregnancy expect to visit her health care provider every 4
weeks? - ✔✔-the conditions of the expectant mother and fetus can be monitored

A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?"
What is the nurse's best response? - ✔✔-"It may be due to changes in hormones."

Which advice to the client is one of the most effective methods for preventing venous stasis? - ✔✔-rest
often with the feet elevated

A client notices that the doctor writes "positive Chadwick's sign" on her chart. She asks the nurse what
this means. The nurse's best response is: - ✔✔-"It refers to the bluish color of the cervix in pregnancy."

What is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant again? -
✔✔-gravida = 2

para = 1

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