NUR 2513 MATERNAL CHILD EXAM 1 AND 2 |
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NUR 2513 MATERNAL CHILD EXAM 1
A nurse is caring for a primiparous woman who is 7 weeks gestation and
asks the nurse when she can expect to experience quickening. How should
the nurse respond to this client?
1. this will occur in the last trimester of pregnancy
2. this will occur between the sixteenth to twentieth (16 to 20) weeks of
pregnancy.
3. this will occur at the end of the first trimester of pregnancy
4. this will occur when the uterus begins to rise out of the pelvis ------
CORRECT ANSWER----------------this will occur between the 16-20 weeks
of pregnancy
A nurse is caring for the following clients on the obstetrical unit. The nurse
recognizes it is safe to administer tocolytic therapy to which of the following
clients?
1. a client that is experiencing fetal death at 34 weeks gestation
2. a client who is experiencing preterm labor at 29 weeks gestation
3. a client who is experiencing braxton-hicks contractions at 37 weeks
gestation
4. a client who has a post-term pregnancy at 41 weeks gestation ------
CORRECT ANSWER---------------- a client who is experiencing preterm
labor at 29 weeks gestation
,A nurse is completing a health history for a client who is at 6 weeks of
gestation. The client informs the nurse that she smokes one pack of
cigarettes per day. The nurse should advise the client that smoking places
the client's newborn at risk for which of the following complications?
1. hearing loss
2. diabetes types 1
3. intrauterine growth restriction
4. congenital heart defects ------CORRECT ANSWER----------------
intrauterine growth restrictions
A nurse is measuring the fundal height of a client who is at 21 weeks
gestation. At which location should the nurse expect to palpate the fundus?
1. 3 cm above the umbilicus
2. slight above the umbilicus
3. 3 cm below the umbilicus
4. halfway between the symphysis pubis and umbilicus ------CORRECT
ANSWER----------------slightly above the umbilicus
A nurse is reviewing a prescription for ferrous sulfate with a client who is at
12 weeks gestation. Which of the following statements by the client
indicates understanding of the teaching?
1. i will take this pill with my breakfest
2. i will take this medication with a glass of milk
3. i plan to add more calcium-rich foods to my diet while taking this
medication
4. i plan to drink more orange juice while taking this pill ------CORRECT
ANSWER----------------i plan to drink more orange juice while taking this pill
A nurse on the labor and delivery floor admits a client who is 38 weeks
gestation and reports heavy, red vaginal bleeding. The bleeding started
spontaneously in the morning and is not accompanied by contractions. The
client is not in distress and she states that she can "feel the baby moving."
An ultrasound is scheduled stat. The nurse should explain to the client that
the purpose of the ultrasound is to determine which of the following?
, 1. placenta placement
2. gestational age
3. fetal lung maturity
4. fetal measurement for dating ------CORRECT ANSWER----------------
placenta placement
A pregnant client is being admitted for severe preeclampsia. Which room
location should the charge nurse assign this client on the obstetrical unit?
1. near the nursery
2. near the elevator
3. near the nurses station
4. near the waiting room ------CORRECT ANSWER---------------near the
nurses station
A pregnant client is concerned her baby is going to drown in the uterus
because of the fluid. How should the nurse respond about fetal respiration?
1. your baby receives oxygen from the amniotic fluids
2. the baby does not have breathing movements until delivery
3. the amniotic fluid does not enter the baby's lungs during pregnancy
4. oxygen is provided to the baby though the placenta ------CORRECT
ANSWER----------------oxygen is provided to the baby through the placenta
A pregnant client's blood type is O-negative. Following the birth of her
baby, the cord blood was tested and found to be B-positive. The nurse
administers her Rho(D) immune globulin. What is the purpose of
administering Rho(D) immune globulin?
1. promote maternal D antibody formation
2. prevent maternal D antibody formation
3. stimulate maternal D immune antigens
4. prevent fetal Ph blood formation ------CORRECT ANSWER----------------
prevent maternal D antibody formation
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