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NUR 353 Exam 1 Questions With Complete Solutions
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NUR 353 Exam 1 Questions With Complete Solutions
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NUR 353 Exam 1 Questions With Complete Solutions___ of fetal movements are associated with FHR accelerations.
Correct Answers 90%
-caine Correct Answers Local anesthetic
# of times a woman has been pregnant (including current
pregnancy) Correct Answers Gravida
# of times a woman has given birth, longer than 20 weeks
gestation Correct Answers Parity
2/3 of this lining of the uterus is shed during menstruation.
Correct Answers Endometrium
A 20-year-old woman comes for preconceptual counseling. She
wants to get pregnant soon. Which of the following health-
promoting habits would have the highest priority at this time?
a. Immediate tobacco cessation
b. Getting daily exercise
c. Stopping all caffeine
d. Avoidance of sweets Correct Answers A (Psychosocial
factors affecting pregnancy include smoking, excessive use of
caffeine, alcohol and drug abuse, psychological status including
impaired mental health, an addictive lifestyle, spouse abuse, and
noncompliance with cultural norms. Immediate tobacco
cessation would be the highest priority because continued
smoking could be teratogenic if the woman should become
pregnant. Smoking causes vasoconstriction which restricts the
,amount of oxygen and nutrients to the rapidly growing fetus.
Daily exercise promotes health but would not be the highest
priority among these factors. Stopping caffeine and avoiding
sweets are important and can be addressed after tobacco
cessation.)
A 26-year old multigravida is 14 weeks' pregnant and is
scheduled for an alpha-fetoprotein test. She asks the nurse,
"What does the alpha-fetoprotein test indicate?" The nurse bases
a response on the knowledge that this test can detect:
A. Kidney defects
B. Cardiac defects
C. Neural tube defects
D. Urinary tract defects Correct Answers C
A bluish discoloration of the cervix, vagina, and labia resulting
from increased blood flow. It can be observed as early as 6 to 8
weeks after conception, and its presence is an early sign of
pregnancy. Correct Answers Chadwick's sign
A BPP is what two things combined? Correct Answers NST +
Ultra
A client arrives at a prenatal clinic for the first prenatal
assessment. The client tells a nurse that the first day of her last
menstrual period was September 19th, 2013. Using Naegele's
rule, the nurse determines the estimated date of confinement as:
A. July 26, 2013
B. June 12, 2014
,C. June 26, 2014
D. July 12, 2014 Correct Answers C
A client experiences a large gush of fluid from her vagina while
walking in the hallway of the birthing unit. Which of the
following actions should the nurse take first?
a. Check the amniotic fluid for meconium.
b. Monitor FHR for distress.
c. Dry the client and make her comfortable.
d. Monitor uterine contractions. Correct Answers B (The
greatest risk to the client and fetus is umbilical cord prolapse,
leading to fetal distress following rupture of membranes. The
first action by the nurse is to monitor the FHR for clinical
findings of distress. A is something the nurse should assess for,
but this is not the first action the nurse should take. The nurse
should provide comfort by drying the client following rupture of
the membranes, but this is not the first action the nurse should
take. The nurse monitors the client's uterine contraction pattern
after rupture of the membranes, but this is not the first action the
nurse should take.)
A client who is gravida 1, para 0 is admitted in labor. Her cervix
is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1
station. The nurse is aware that the fetus' head is:
A. Not yet engaged
B. Entering the pelvic inlet
C. Below the ischial spines
, D. Visible at the vaginal opening Correct Answers C (A station
of +1 indicates that the fetal head is 1 cm below the ischial
spines.)
A female patient comes to the clinic at 8 weeks' gestation. She
lives in a house beneath electrical power lines, which is located
near an oil field. She drinks two caffeinated beverages a day, is a
daily beer drinker, and has not stopped eating sweets. She takes
a multivitamin and exercises daily. She denies drug use. Which
finding in the history has the greatest implication for this
patient's plan of care?
a. Electrical power lines are a potential hazard to the woman and
her fetus.
b. Living near an oil field may mean the water supply is
polluted.
c. Drinking alcohol should be avoided during pregnancy because
of its teratogenic effects.
d. Eating sweets may cause gestational diabetes or miscarriage.
Correct Answers C (Stages of development include the ovum,
the embryo, and the fetus. The embryonic period lasts from the
beginning of the fourth week to the end of the eighth week of
gestation. Teratogenicity is a major concern because all external
and internal structures are developing in the embryonic period.
During pregnancy, a woman should avoid exposure to all
potential toxins, especially alcohol, tobacco, radiation, and
infectious agents. Living beneath power line or near an oil field
is not teratogenic in itself. Stopping sweets can be addressed
after the alcohol cessation is addressed.)
A fertilized egg Correct Answers Zygote
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