Practice questions Flashcards
A pregnant client is laying on her back for an abdominal assessment. Which of the following is likely to occur?
a. supine hypotension
b. inadvertent hypertension
c. temporary increase in fetal movement
d. nothing, as long as the head of the bed is elevated
A
The last vaginal exam was recorded as 3cm, 30% effaced, and -2. What is the interpretation of this assessment?
a.cervicx is effaced 3cm, dilated 30%, presenting part is 2cm above ischial spines
b. cervix is 3cm dilated, effaced 30%, presenting part is 2cm above the ischial spines
c. cervix is effaced 3cm, dilated 30%, presenting part is 2cm below ischial spines
B
A G1P0 mother is 6cm dilated after 10 hours of labor. She is frustrated and asks the nurse why her labor isn’t progressing ‘normally’. The nurse knows which of the following to be true?
a. first stage of labor for a primigravida can last an average of 12 hours
b. first stage of labor for a multigravida can last an average of 12 hours
c. first stage of labor for a primigravida usually takes less than 10 hours
A
The nurse would be concerned about which of the following examples of amniotic fluid observed on a laboring woman’s pad?
a. cloudy
b. white flecks
c. a large gush
A
Which of the following is a positive sign of pregnancy?
a. presence of fetal heart tones
b. braxton hicks contractions
c. amenorrhea
A
Which of the following demonstrates that a 28 week pregnant client understands the importance of fetal movement counting?
a. I should count my baby’s movements every hour while awake until i get 6 movements
b. I should drink juice and lay down for 1 hour if i notice decreased movement
c. I should rest on my side and feel for 6 movements within 2 hours if i notice decreased movement
C
Which action is correct when palpation is used to assess characteristics and pattern of uterine contractions
a. place the palm of the hand on the abdomen below the umbilicus to palpate uterine tone
b. determine the frequency by timing from the end of one contraction to the end of the next contraction
c. evaluate the intensity by pressing the fingertips into the uterine fundus
d. assess uterine contractions every 30 min throughout the first stage of labor
C
During labor, which non-pharmacological interventions could the nurse suggest to cope with labor pain? (select all that apply)
a. counter-pressure
b. water therapy- shower or bath
c. focused breathing techniques
A,B,C
Which is a danger sign of pregnancy at 32 weeks of gestation?
a. constipation
b. alteration in the pattern of fetal movement
c. heartburn
d. edema in the ankles and feet at the end of the day
B
A 39-year-old thinks that she is 8 week pregnant, although she has had irregular menstrual periods all her life. She has a history of smoking one pack a day but says she is trying to cut down. Her lab data is within normal limits. What diagnostic test would be most appropriate at this time?
a. Ultrasound
b. amniocentesis
c. Nonstress test
A
Which is a cause of variable fetal heart rate decelerations?
a. altered fetal cerebral blood flow
b. umbilical cord compression
c. uteroplacental insufficiency
d. fetal hypoxemia
B
The first day of a woman’s LMP was February 14, 2020. What would be her EDB?
a. May 21, 2021
b. November 7, 2020
c. November 21, 2020
d. May 2, 2021
C
Amenorrhea and breast tenderness are classified as:
a. presumptive symptoms of pregnancy
b. positive signs of pregnancy
c. probably signs of pregnancy
A
Fetal heart rate variability of 6-25 bpm is classified as:
a. marked
b. absent
c. moderate
C
A woman is 35 weeks pregnant and presents with a BP of 145/95 and a urine dip of 1+ for protein. 2 weeks ago she was diagnosed with gestational hypertension and today is the first time she has tested positive for protein during this pregnancy. The nurse suspects the patient of having:
a. essential hypertension
b. pre-eclampsia
c. eclampsia
d. resistant hypertension
B
