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NUR 321 Exam 2 Practice Questions
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NUR 321 Exam 2 Practice Questions
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NUR 321 Exam 2 Practice QuestionsA 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1C. level
of 13%. At this time the nurse should be most concerned about which of the following
possible fetal outcomes? - ANS-Congenital anomalies
A client has not received any medication during her labor. She is having frequent
contractions every 1 to 2 minutes and has become irritable with her coach and no
longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm
dilated and 90% effaced. The nurse interprets these findings as indicating: -
ANS-Transition phase of the first stage of labor
A client is admitted to the labor and birthing suite in early labor. On review of her
medical record, the nurse determines that the client's pelvic shape as identified in the
antepartal progress notes is the most favorable one for a vaginal delivery. Which pelvic
shape would the nurse have noted? - ANS-Gynecoid
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
Which finding would the nurse interpret as indicating a therapeutic level of medication? -
ANS-Deep tendons reflexes 2+
A client states, "I think my waters broke! I felt this gush of fluid between my legs." The
nurse tests the fluid with Nitrazine paper and confirms membrane rupture if the paper
turns: - ANS-Blue
A client who is HIV-positive is in her second trimester and remains asymptomatic. She
voices concern about her newborn's risk for the infection. Which of the following
statements by the nurse would be most appropriate? - ANS-"Antiretroviral medications
are available to help reduce the risk of transmission."
A client with hyperemesis gravidarum is admitted to the facility after being cared for at
home without success. Which of the following would the nurse expect to include in the
client's plan of care? - ANS-Nothing by mouth
A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid
with a contraction. Which of the following would the nurse do next? - ANS-Check the
fetal heart rate.
, A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal
station as: - ANS--2
A group of nursing students are preparing a presentation for their class about measures
to prevent toxoplasmosis. Which of the following would the students be least likely to
include? (Select all that apply.) - ANS-Cooking all meat to an internal temperature of
140 F
A group of nursing students are reviewing information about cesarean birth. The
students demonstrate understanding of the information when they identify which of the
following as an appropriate indication? (Select all that apply.) - ANS-Active genital
herpes infection, placenta previa, previous cesarean birth, fetal distress
A group of nursing students are reviewing information about methods used for cervical
ripening. The students demonstrate understanding of the information when they identify
which of the following as a mechanical method? - ANS-Laminaria
A group of nursing students are reviewing the various medications used for pain relief
during labor. The students demonstrate understanding of the information when they
identify which agent as the most commonly used opioid? - ANS-Meperidine
A group of students are reviewing information about sexually transmitted infections and
their effect on pregnancy. The students demonstrate understanding of the information
when they identify which infection as being responsible for ophthalmia neonatorum? -
ANS-Gonorrhea
A neonate born to a mother who was abusing heroin is exhibiting signs and symptoms
of withdrawal. Which of the following would the nurse assess? (Select all that apply.) -
ANS-Hypertonicity, excessive sneezing, tremors
A nurse has been invited to speak at a local high school about adolescent pregnancy.
When developing the presentation, the nurse would incorporate information related to
which of the following? (Select all that apply.) - ANS-Peer pressure to become sexually
active, latinas as having the highest teen birth rate, loss of self-esteem as a major
impact
A nurse is assessing a pregnant woman who has come to the clinic. The woman reports
that she feels some heaviness in her thighs since yesterday. The nurse suspects that
the woman may be experiencing preterm labor based on which additional assessment
findings? - ANS-Dysuria
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