Exam (elaborations)
NSG 3111 - final exam review questions with complete solutions
- Course
- NSG 3111
- Institution
- Ottawa University
NSG 3111 - final exam review questions with complete solutions
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NSG 3111 - final exam review questions with completesolutions
a 22-year-old patient pregnant with a single fetus has a
preconception body mass index (BMI) of 24. when she was seen
in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4
lb) since conception. how would the nurse interpret this?
A) this weight gain indicates that the patient's infant is at risk for
intrauterine growth restriction (IUGR)
B) this weight gain indicates possible gestational hypertension
C) this weight gain cannot be evaluated until the patient has
been observed for several more weeks
D) the patient's weight gain is appropriate for this stage of
pregnancy Correct Answer D) the patient's weight gain is
appropriate for this stage of pregnancy
a 3.8-kg infant was delivered vaginally at 39 weeks after a 30-
minute second stage. there was a nuchal cord. after birth the
infant is noted to have petechiae over the face and upper back.
information given to the infant's parents should be based on the
knowledge that petechiae
A) result from increased blood volume
B) should always be further investigated
C) are benign if they disappear within 48 hours of birth
D) usually occur with forceps delivery Correct Answer C) are
benign if they disappear within 48 hours of birth
a 30-year-old patient with diabetes is 6 weeks pregnant. the
nurse should include which information when teaching about
diet during pregnancy?
A) eat three meals a day and no snacks
,B) avoid bedtime snacks to prevent elevated blood glucose
overnight
C) eat at the same time every day and never skip meals or
snacks
D) folic acid supplementation should be 1 mg/day throughout
the pregnancy
E) the amount of refined sugar needs to be increased to meet
fetal demand Correct Answer C) eat at the same time every day
and never skip meals or snacks
a 40-year-old patient with a high body mass index (BMI) is 10
weeks pregnant. which diagnostic tool would be most
appropriate at this time?
A) transvaginal ultrasound
B) biophysical profile
C) amniocentesis
D) maternal serum alpha-fetoprotein (MSAFP) Correct Answer
A) transvaginal ultrasound
a 65-year-old woman, G6T2P4L6, is complaining of increasing
stress incontinence and pelvic pressure and fullness. pelvic
examination reveals a bulging in the anterior vaginal wall. this
woman is most likely experiencing:
A) cystocele
B) rectocele
C) uterine prolapse
D) bartholin gland swelling Correct Answer A) cystocele
a client's cousin gave birth to an infant with a congenital heart
anomaly. the client asks the nurse when such anomalies occur
,during development. which response by the nurse is most
accurate?
A) "it depends on what caused the defect"
B) "they usually occur in the first 2 weeks of development"
C) "they occur between the third and fifth weeks of
development"
D) "we don't really know when such defects occur" Correct
Answer C) "they occur between the third and fifth weeks of
development"
a community women's health nurse knows that which groups of
people are considered vulnerable populations? (select all that
apply.)
A) indigenous women
B) adolescent girls
C) homeless women and their families
D) refugee women
E) white Canadians Correct Answer A) indigenous women
B) adolescent girls
C) homeless women and their families
D) refugee women
a couple has been counselled for genetic anomalies. They ask
the nurse, "what is karyotyping?" The nurse's best response is:
A) "karyotyping will reveal if the baby's lungs are healthy and
mature"
B) "karyotyping will reveal if your baby will develop normally"
C) "karyotyping will detect any physical deformities the baby
has"
D) "karyotyping will provide information about the gender of
the baby, and the number and structure of the chromosomes"
, Correct Answer D) "karyotyping will provide information about
the gender of the baby, and the number and structure of the
chromosomes"
a labour and birth nurse should be aware of which fact about the
amniotic fluid?
A) a volume of less than 300 mL is associated with
gastrointestinal malformations
B) a volume of more than 2 L is associated with fetal renal
abnormalities
C) it serves as a source of oral fluid and as a repository for waste
from the fetus
D) the volume remains about the same throughout the term of a
healthy pregnancy Correct Answer C) it serves as a source of
oral fluid and as a repository for waste from the fetus
a labouring patient becomes anxious during the transition phase
of the first stage of labour and develops a rapid and deep
respiratory pattern. the patient complains of feeling dizzy and
light-headed. the nurse's immediate response would be to:
A) help the patient breathe into a paper bag
B) administer a sedative
C) encourage the patient to breathe more slowly
D) turn the patient on her side. Correct Answer A) help the
patient breathe into a paper bag
a labouring woman's amniotic membranes have just ruptured.
the immediate action of the nurse would be to:
A) inspect the characteristics of the fluid
B) assess the fetal heart rate (FHR) pattern
C) perform a vaginal examination
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