1. A client LMP began July 5. Her EDD should be which of the following?
A. January 2
B. March 28
C. April 12
D. October 12
~ Answer: C
Rationale: 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.
2. A client is pregnant with her third child. Medical history of the client indicates
a previous precipitate labor and birth. Which of the following interventions
would NOT be expected during labor of the present pregnancy?
A. Use of magnesium sulfate
B. Close monitoring of the fetus for hypoxia
C. The nurse stays at the bedside constantly or as much as possible
,D. amnioinfusion will be performed
~ Answer: D
Rationale: Amnioinfusion is instillation of fluid into the amniotic sac within the
uterus totreat oligohydraminios. This is not done to prevent precipitate labor
and birth.
3. Which of the following prenatal laboratory test values would the nurse
consider assignificant?
A. Hematocrit 33.5%
B. Rubella titer less than 1:8
C. White blood cells 8,000/mm3
D. One hour glucose challenge test 110 g/dL
~ Answer: B
Rationale: A rubella titer should be 1:8 or greater. Thurs, a finding of a titer less
than 1:8 is significant, indicating that the client may not possess immunity to
rubella. A hematocrit of 33.5% a white blood cell count of 8,000/mm3, and a 1
hour glucose challenge test of 110 g/dl are with normal parameters.
4. During which of the following phase of the menstrual cycle is it ideal for
implantation ofa fertilized egg to occur?
A. ischemic phase
B. mentrual phase
C. proliferative phase
D. secretory phase
~ Answer: D
,5. The LPN is preparing to administer Solu-medrol 40 mg mixed in 150 mL of
sodiumchloride via intravenous piggyback. The medication is to be
administered over 30 minutes. Using the tubing with a drop factor of 15
ggts/mL, what would the LPN calculate the rate to be in drops per minute?
A. 40
B. 50
C. 75
D. 150
~ Answer: C
6. The nurse knows that there are psychological maternal changes that occurs
during pregnancy in a primigravida patient. Select all the normal psychological
maternalchanges that happens throughout pregnancy.
A. Ambivalence
B. Breast tenderness
C. Emotional lability
D. Body image changes
E. Bonding or relationship with the fetus
• Nausea and vomiting
• Syncope
• Urinary frequency
~ Answer: A, C, D, E
7. Which of the following represents the average amount of weight gained
duringpregnancy?
A. 12 to 2 lbs
B. 15 to 25 lbs
, C. 25 to 35 lbs
D. 25 to 40 lbs
~ Answer: C
Rationale: The average amount of weight gained during pregnancy is 25 to 35
lb. This weight gain consists of the following: fetus - 7.5 lb; placenta and
membrane - 1.5 lb; amniotic fluid - 2 lb; uterus - 2.5 lb; breasts - 3 lb; and
increased blood volume - 2 to 4 lb;extravascular fluid and fat - 4 to 9 lb. A gain
of 12 to 22 lb is insufficient, whereas a weight gain of 15 to 25 lb is marginal. A
weight gain of 25 to 40 lb is considered excessive.
8. A 36 weeks gestation pregnant woman is complaining of urinary urgency and
frequency. The nurse explained that the enlarging fetus is pressing the bladder
which causes frequenturination. This is normally occuring during the first and
third trimesters of pregnancy. The nurse advices the patient to do the following
measures to prevent urinary frequency. Select all the necessary measures that
the nurse can provide to the patient.
A. Drink 2 quarts of fluid during the day
B. Engaging in a regular exercise
C. Performing Kegel exercises
D. Soaking in a warm sitz bath
E. Limiting fluid intake during the evening
~ Answer: A, C, E
9. The LPN has initiated the administration of vancomycin via IV piggyback . In
which of the following situations should the nurse recognize that the client may
be experiencing afatal reaction to this medication?
A. The client start coughing
B. The client complains of pain at the intravenous catheter insertion site
C. The nurse hears the client snoring from the hall
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