Nursing 1235 MCN 2 RLE P1 Long Exam-University of Notre Dame
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Nursing 1235
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Nursing 1235
Nursing 1235
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MCN 2 RLE P1 Long Exam
MULTIPLE CHOICE
Read and analyze each statement and select the best answer.
6. After reviewing a client's history, which factor would the nurse identify as placing her
at risk for gestational hypertension? *
1 point
A. Mother had gestational hypertension during pregnancy.
B. Client has a twin sister.
C. Sister-in-law had gestational hypertension.
D. This is the client's second pregnancy.
42. A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment
process? *
1 point
A. “You will need to see a genetic counselor as part of the assessment.”
B. “It is usually the woman who is having trouble, so the man doesn’t have to be involved."
C. “The man is the easiest to assess, and the provider will usually begin there.”
D. “Think about adopting first because there are many babies that need good homes.”
12. A woman is admitted to the hospital with a second episode of bleeding from a placenta previa. Which intervention is indicated? *
1 point
A. Use a scalp electrode to record fetal heart rate.
B. Get the client out of bed to empty her bladder before surgery.
C. Obtain a complete blood count (CBC) and an order for packed red blood cell
D. Perform frequent vaginal examination to record cervical changes
24. With any malpresentation, the nurse must be practically alert for: *
1 point
A. Polyhydramnios
B. Prolapsed umbilical cord
C. fetal distress
D. Meconium stained amniotic fluid
Other:
34. One of the first symptoms of puerperal infection to assess for in the postpartum woman is: *
1 point
A. Fatigue continuing for longer than 1 week. B. Pain with voiding.
C. Profuse vaginal bleeding with ambulation.
D. Temperature of 38° C or higher on 2 successive days starting 24 hours after birth.
36. The nurse had completed a postpartum assessment on a patient who gave birth to
her first child 12 hours ago. She is nauseated, but has not vomited in the last 2 hours. Her fundus was boggy, and firmed with massage to 1 FB ↓ U, moderately heavy lochia
rubra, perineum ecchymotic and edematous, and pain rating 6 on scale of 1–10. Her partner is present and supportive. Breastfeeding has been successful three times. Which nursing diagnosis has the highest priority for this patient? *
1 point
A. Acute pain related to perineal trauma
B. Risk for deficient fluid volume related to uterine bleeding and nausea
C. Readiness for enhanced family coping
D. Knowledge deficit related to newborn care
22. A client is admitted in active labor. The nurse auscultates fetal heart tones above the umbilicus. This should lead the nurse to alert the physician to the possibility of: *
1 point
A. breech presentation
B. face presentation
C. abruption placenta
D. placenta previa
Other:
40. On the second day postpartum, the patient experiences engorgement. To relieve her discomfort, the nurse should encourage the patient to: *
1 point
A. Remove her bra.
B. Apply heat to her breasts.
C. Apply ice packs to her breasts.
D. Limit breastfeeding to twice daily.
46. A woman who has agreed to carry a pregnancy to term for a subfertile couple *
1 point
A. Surrogate Embryo Transfer
B. Surrogate Mothers
C. Gamete intrafallopian transfer
D. In vitro fertilization
23. A client’s fetus is in frank breech position. How is this fetus arranged? *
1 point
A. the occiput is directed diagonally and posterior
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