NR 327 Exam 1 Review Latest Update
Which routine nursing assessment is contraindicated for a patient admitted with
suspected placenta previa?
Determining cervical dilation and effacement
3 multiple choice options
The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for
preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?
Glucosuria
3 multiple choice options
The priority nursing intervention when admitting a pregnant patient who has
experienced a
bleeding episode in late pregnancy is to
assess fetal heart rate and maternal vital signs.
3 multiple choice options
Rh incompatibility can occur if the patient is Rh-negative and the
fetus is Rh-positive
3 multiple choice options
What assessment in a client diagnosed with preeclampsia that is receiving magnesium
sulfate would reflect a therapeutic level of medication?
Normal deep tendon reflexes
3 multiple choice options
The nurse is observing the duration of a client's labor contractions. The nurse would
perform which following action to document the duration of the labor contraction?
Time from the beginning of one contraction to the beginning of the next contraction
3 test choices
Which physiologic event is the most indicative sign that true labour has started?
, Dilation and effacement of the cervix
3 test choices
To assess whether the client is in true labor, the nurse would monitor for a change in
dilation of the cervix.
3 multiple choice options
If a fetus is in cephalic presentation and its position is right occiput anterior, the nurse
should auscultate for the fetal heart rate in which quadrant of the maternal abdomen?
Left lower
3 multiple choice options
A patient who is 16 weeks pregnant with her first baby asks how long it will be before
she
feels the baby move. Which is the nurse's best answer?
"Within the next month you should start to feel fluttering sensations."
In addition to providing for the exchange of gases and nutrients, the placenta
synthesizes
many of the hormones needed to sustain a normal pregnancy, including which of the
following? (Select all that apply.)
- Estrogen
- Progesterone
- Human Chorionic Gonadotropin (hCG)
A nurse is teaching prenatal education classes to several expectant parents. What
information should the nurse provide when discussing the purpose of amniotic fluid?
(Select all that apply.)
- Cushions the fetus
-Provides buoyancy for fetal movement
-Provides a constant temperature for the fetus
The patient is a first trimester and is complaining of nausea and vomiting. The patient
remarks, "Why is this happening?" What is the best response by the nurse?
"It may be due to hormonal changes"
Which routine nursing assessment is contraindicated for a patient admitted with
suspected placenta previa?
Determining cervical dilation and effacement
3 multiple choice options
The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for
preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?
Glucosuria
3 multiple choice options
The priority nursing intervention when admitting a pregnant patient who has
experienced a
bleeding episode in late pregnancy is to
assess fetal heart rate and maternal vital signs.
3 multiple choice options
Rh incompatibility can occur if the patient is Rh-negative and the
fetus is Rh-positive
3 multiple choice options
What assessment in a client diagnosed with preeclampsia that is receiving magnesium
sulfate would reflect a therapeutic level of medication?
Normal deep tendon reflexes
3 multiple choice options
The nurse is observing the duration of a client's labor contractions. The nurse would
perform which following action to document the duration of the labor contraction?
Time from the beginning of one contraction to the beginning of the next contraction
3 test choices
Which physiologic event is the most indicative sign that true labour has started?
, Dilation and effacement of the cervix
3 test choices
To assess whether the client is in true labor, the nurse would monitor for a change in
dilation of the cervix.
3 multiple choice options
If a fetus is in cephalic presentation and its position is right occiput anterior, the nurse
should auscultate for the fetal heart rate in which quadrant of the maternal abdomen?
Left lower
3 multiple choice options
A patient who is 16 weeks pregnant with her first baby asks how long it will be before
she
feels the baby move. Which is the nurse's best answer?
"Within the next month you should start to feel fluttering sensations."
In addition to providing for the exchange of gases and nutrients, the placenta
synthesizes
many of the hormones needed to sustain a normal pregnancy, including which of the
following? (Select all that apply.)
- Estrogen
- Progesterone
- Human Chorionic Gonadotropin (hCG)
A nurse is teaching prenatal education classes to several expectant parents. What
information should the nurse provide when discussing the purpose of amniotic fluid?
(Select all that apply.)
- Cushions the fetus
-Provides buoyancy for fetal movement
-Provides a constant temperature for the fetus
The patient is a first trimester and is complaining of nausea and vomiting. The patient
remarks, "Why is this happening?" What is the best response by the nurse?
"It may be due to hormonal changes"
