Reference no: EM133848811
Questions
1. While teaching the patient about how to use the Standard Days method of birth control which finding would the RN teach the patient to recognize?
Body temperature
Mittelschmerz
Fertile phase
2. A patient asks the RN how gestational diabetes mellitus affects the developing fetus. What is the appropriate response by the RN?
The fetus has an increase in pulmonary surfactant production because of hyperinsulinemia.
The fetus has a decreased size because hypoinsulinemia acts as a growth inhibitor.
The fetus must increase insulin production because insulin does not cross the placenta.
3. The nurse is providing nutritional counseling to a client who is a Native American and is currently 16 weeks' gestation. Which teaching point is most appropriate to include?
Protein sources other than meat
Foods with low sodium content
Sources of calcium other than milk
4. A primigravida at 10-weeks' gestation reports vaginal bleeding, passage of tissue and mild uterine cramping. Cervical dilation is noted when examined. Which intervention would the registered nurse perform?
Prepare the woman for an emergent cerclage.
Prepare the woman for dilatation and curettage.
Prepare to administer a tocolytic agent.
5. Which assessment finding would the RN anticipate finding on a client who is 36 weeks pregnant with hydramnios?
Maternal hypertension
Facial edema
Tense uterus
6. A 2-month-old is brought into the emergency room. Which factor leads the RN to suspect abusive head trauma?
Large bruises on body
Sunken fontanels
Retinal hemorrhage
7. A pregnant couple learn that their fetus has a genetic anomaly that will affect cognitive and musculoskeletal development. What is the first detail the RN needs to address to help the couple make an informed decision?
Assist the couple in identifying their values
Discuss different options of pregnancy termination
Suggest appropriate support groups for the couple
8. A woman who is 32 weeks' gestation presents to the labor and delivery unit with moderate, painless vaginal bleeding. Which is the priority nursing intervention?
Prepare for emergent Cesarean section
Assess for ruptured membranes
Initiate continuous fetal monitoring
9. A woman has a new prescription for a low-dose combination birth control pill. Which information would the RN include while teaching the woman about what to do if a dose is forgotten?
Wear a pad for the next week because vaginal bleeding may be experienced.
Take it as soon as remembered, even if that means taking two pills in one day.
Skip that pill and refrain from intercourse for the remainder of the month.
10. The triage nurse at the OB-GYN office has messages from all these clients. Which call should be returned first?
The client at 34 weeks gestation who has a persistent low backache
The client at 32 weeks gestation who has a runny nose and loose cough
The client at 36 weeks gestation who has edematous feet and ankles
11. A male client who has been prescribed sildenafil for erectile dysfunction calls the health clinic to report that he takes the medication orally, waits for an erection to occur and nothing happens.
Which fact should form the basis of the RN's response?
In clinical trials, the drug was only effective 15% of the time.
If taken with a high-fat meal, the medication is more effective.
In the absence of sexual stimulation, the medication will not cause an erection.
12. The RN is caring for a client who underwent a transurethral resection of the prostrate 8 hours ago. Which intervention is most effective in lessening the chance of hemorrhage?
Administer Finasteride 5 mg orally
Maintain freely flowing urine into the drainage bag
Report all clot formation in the drainage to the surgeon
13. Which piece of information needs to be included in a teaching plan by the RN when teaching a patient about a bilateral tubal ligation?
The incision will be made endocervically.
The procedure can easily be reversed.
Libido will remain the same after the procedure.
14. Which gravid patient is best for the charge nurse to assign to a new RN with no OB experience?
38-week patient with complete previa.
34-week patient with no fetal heart rate.
9-week patient with hyperemesis receiving IV therapy.
15. The RN is seeing all of these first trimester pregnant clients in the outpatient clinic. Which client is the priority for a consultation with a dietician?
The client who has had recent bariatric surgery
The client who is lactose intolerant
The client who is a life-long vegetarian
16. The registered nurse is providing teaching to the client about the use of oral danazol for the treatment of endometriosis. Which statement by the client indicates that teaching was effective?
"My breasts may become bigger."
"I will stop having periods."
"I need to use alternate methods of birth control."
17. These statements were made by members of an interprofessional team meeting to discuss a plan of care for a pregnant client who has a known opioid addiction. Which statement reflects current evidence to promote better birth outcomes?
"We need to inform law enforcement officials as required by law."
"We need to encourage the client to enroll in a voluntary drug treatment program."
"We need to monitor the fetus closely since we cannot mandate treatment."
18. A Registered Nurse is aware that the 2020 National Patient Safety Goals address the issue of subfertility. Which nursing intervention is most likely to reduce the proportion of women with impaired fertility?
Encourage patient to have intercourse daily.
Refer women over age 45 for fertility assessment.
Teach patient about safer sex practices.
19. Which assessment finding in an 8-week gestation patient should the RN bring to the attention of the nurse midwife?
Body mass index of 17 kg/mm2
Blood pressure of 100/60 mm/Hg
Hemoglobin of 13.2 g/dL
20. A client who already has a 3-year-old child states to the RN that she took an at-home pregnancy test, which was positive. Which response by the nurse would be most appropriate?
"We need to retest you as the home kits are not accurate."
"How are you feeling about the news?"
"When was your last period so we can calculate your due date?"
21. A pregnant client is seen in the office for symptoms of a Urinary Tract Infection (UTI). The client confesses that she has stopped drinking fluids during the day so her boss would not reprimand her for the number of times she uses the restroom. Which response is the most
appropriate for the RN?
"You have the right to use the restroom as you need during your pregnancy."
"Drink cranberry juice every day to help prevent another UTI."
"Try performing Kegal exercises several times a day to strengthen the bladder."
22. A pregnant client has been diagnosed with hydramnios. What additional testing should the client have?
Serum blood glucose
Maternal cardiac ultrasound
24-hour urine for protein
23. The registered nurse assesses the gravid patient's fundal height to be at the xiphoid process. The registered nurse is aware that the following fetal change is likely to be occurring during this stage of the pregnancy?
Eyes begin to open and close.
Body stores of glycogen are deposited.
Spinal column is fully formed.
24. The patient's last menstrual period began on June 19. Which would the registered nurse calculate to be the patient's estimated date of birth?
March 26
February 26
March 12