Senior Seminar Maternity Quiz 3 | Questions with complete solutions
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Course
Maternity
Institution
Maternity
Senior Seminar Maternity Quiz 3 | Questions with complete solutions The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement by the student indicates an understanding of the ductus venosus? 1. "It connects the pulmonary artery to the...
The nursing instructor asks the student to describe fetal circulation, specifically the
ductus venosus. Which statement by the student indicates an understanding of the
ductus venosus?
1. "It connects the pulmonary artery to the aorta."
2. "It is an opening between the right and left atria."
3. "It connects the umbilical vein to the inferior vena cava."
4. "It connects the umbilical artery to the inferior vena cava."
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as
soon as it can be determined. The nurse informs the client that she should be able to
find out the sex at 12 weeks' gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac
4. The internal differences in males and females become apparent
The nurse is performing an assessment on a client who is at 38 weeks' gestation and
notes that the FHR is 174 bpm. On the basis of this finding, what is the priority nursing
action?
1. Document the finding
2. Check the monitor's heart rate
3. Notify the HCP
4. Tell the client that the fetal heart rate is normal
The nurse is conducting a prenatal class on the female reproductive system. When a
client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days,
what is the nurse's best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone and FSH."
A couple comes to the family planning clinic and asks about sterilization procedures.
Which question by the nurse should determine whether this method of family planning
would be most appropriate?
,1. "did you ever have surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have DM?"
4. "Do either of you have problems with high blood pressure?"
The nurse should make which statement to a pregnant client found to have a gynecoid
pelvis?
1. "Your type of pelvis has a narrow pubic arch."
2. "Your type of pelvis is the most favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but it has a short diameter."
4. "You will need a cesarean section because this type of pelvis is not favorable for a
vaginal birth."
A 55-year-old male client confides in the nurse that he is concerned about his sexual
function. What is the nurse's best response?
1. "How often do you have sexual relations?"
2. "Please share with me more about your concerns."
3. "You are still young and have nothing to be concerned about."
4. "You should not have a decline in testosterone until you are in your 80s."
The nurse is providing instructions to a pregnant client who is scheduled for an
amniocentesis. What instructions should the nurse provide?
1. Strict bed rest is required after the procedure
2. Hospitalization is necessary for 24 hours after the procedure
3. An informed consent needs to be signed before the procedure
4. A fever is expected after the procedure because of the trauma to the abdomen
A pregnant client in the first trimester calls the nurse at a health care clinic and reports
that she has noticed a thin, colorless vaginal drainage. The nurse should make which
statement to the client?
1. "Come to the clinic immediately."
2. "The vaginal discharge may be bothersome, but it is a normal occurrence."
3. "Report to the ED at the maternity center immediately."
4. "Use tampons if the discharge is bothersome, but be sure to change the tampons
every 2 hours."
A nonstress test is performed on a client who is pregnant, and the results of the test
indicate non-reactive findings. The health care provider prescribes a contraction stress
test, and the results are documented as negative. How should the nurse document this
finding?
, 1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for c-section
The nurse in a health care clinic is instructing a pregnant client how to perform "Kick
counts." Which statement by the client indicates a need for further instruction?
1. "I will record the number of movements or kicks."
2. "I need to lie flat on my back to perform the procedure."
3. "If I count fewer than 10 kicks in a 2-hour period, I should count the kicks again over
the next 2 hours."
4. "I should place my hands on the largest part of my abdomen and concentrate on the
fetal movements to count the kicks."
The nurse is performing an assessment of a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal height in cm and notes the fundal height is 30
cm. How should the nurse interpret this finding?
1. The client is measuring large for gestational age
2. The client is measuring small for gestational age
3. The client is measuring normal for gestational age
4. More evidence is needed to determine size for gestational age
A pregnant client is seen for a regular prenatal visit and tells the nurse that she is
experiencing irregular contractions. The nurse determines that she is experiencing
Braxton Hicks contraction. On the basis of this finding, which nursing action is
appropriate?
1. Contact the HCP
2. Instruct the client to maintain bed rest for the remainder of the pregnancy
3. Inform the client that these contractions are common and may occur throughout the
pregnancy
4. Call the maternity unit and inform them that the client will be admitted in a preterm
labor condition.
A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the
first day of her last normal menstrual period was October 19, 2018. Using Nagele's rule,
which expected date of delivery should the nurse document in the client's chart?
1. July 12, 2019
2. July 26, 2019
3. August 12, 2019
4. August 26, 2019
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