1. A 17yo primigravida has gained 4lbs since her last prenatal visit. Her BP 140/92. Most
important nursing action is to:
A- caution her to avoid salty foods & return 2 weeks
B- advise to cut down on fast foods that are high in fat
C- recommend her to stay home from school to reduce stress.
D- assess weight gain, location of edema, & urine for protein
•
•
Preeclampsia Edema starts in the face & goes down. Face edema last to go away
UTI causes proteinuria
2. A woman with preeclampsia is being Tx with bedrest & IV magnesium sulfate. The drug
classification of this medication is:
A- Tocolytic
B- Anticonvulsant
C- Antihypertensive
D- diuretic
3. A client with pregnancy induced HTN/Preeclampsia at 33 weeks gestation, is admitted
complaining of pounding HA, visual changes, & epigastric pain. Nursing care is based on the
knowledge that these signs indicate:
A- Anxiety due to hospitalization
B- Worsening disease and impending convulsion
C- Effects of magnesium sulfate
D- Gastrointestinal upset
4. Rh incompatibility can occur if the woman is Rh-negative and her:
A- Fetus is Rh positive
B- Husband is Rh negative
C- Fetus is Rh negative
D- Husband & fetus are both Rh negative
5. Which data found on a client’s health Hx would place her at risk for an ectopic pregnancy?
A- Use of oral contraceptive for 5 years
B- Recurrent pelvic infections
C- Ovarian cyst 2 years ago
D- Heavy menstrual flow of 4 days duration
6. Which routine nursing assessment is contraindicated for a client admitted with suspected
placenta previa?
A- Monitoring FHR & maternal VS
B- Observe vaginal bleeding or leakage of amniotic fluid
C- Determining frequency, duration, intensity of contraction
D- Determining cervical dilation & effacement
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•
Risk for bleeding of placenta
7. The primary symptom present in abruptio placentae that distinguish it from placenta previa:
A- Vaginal bleeding
B- ROM
C- Presence of abdominal pain
D- Changes in maternal VS
8. Which assessment in a client Dx with pregnancy induced HTN who is taking magnesium
sulfate would indicate a therapeutic level of medication?
A- Urine output 20 ml/hr
B- Normal DTR
C- RR 10-12
D- Drowsiness
9. The only known cure for preeclampsia is:
A- Magnesium sulfate
B- Anti HTN medication
C- Delivery of fetus
D- Administer ASA every day of pregnancy
10. The priority nursing intervention when admitting a pregnant woman who has experienced a
bleeding episode is to:
A- Assess FHR & maternal VS
B- Perform a venipuncture for Hg & Hct levels
C- Place clean disposable pads to collect any drainage
D- Monitor Uterine contractions
11. Which factor is most important in diminishing maternofetal/neonatal complications in a
pregnant woman with diabetes?
A- The woman stable emotional & psychological status
B- Evaluation of retinopathy by an ophthalmologist
C- Total protein secretion & creatinine clearance with normal limits
D- Degree of glycemic control before and during the pregnancy
12. A pregnant woman with premature ROM is at higher risk of postpartum infection. Which
intrapartum assessment data MOST indicates a potential infection?
A- FHR 150 bpm
B- Maternal temp 99F
C- Cloudy amniotic fluid with strong odor
D- Lowered maternal pulse & decreased RR
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13. A woman with polyhydramnios was admitted to L&D recovery postpartum (LDRP) suite. Her
membranes rupture, fluids is clear & odorless, but FHR indicates bradycardia & variable
decelerations. What action should be taken net?
A- Perform vaginal examination
B- Perform Leopold’s maneuver
C- Appy warm saline soaks to the vagina
D- Place women in high-fowler position
14. After birth complicated by a shoulder dystocia, the infants Apgar score were 7 at 1 min and
9 at 5 mins. The infant is now crying vigorously the nurse in the birthing room should:
A- Give supplemental oxygen with a small face mask
B- Encourage the parents to hold the infant
C- Palate the infant’s clavicles
D- Perform a compete newborn assessment
15. Which nursing action must be initiated first when there is evidence of prolapsed cord?
A- Notify the physician
B- Apply a scale electrode
C- Prepare the mother for an emergency C section
D- Reposition the mother with her hips higher than her head
16. The nurse is in the process of assessing the comfort level of her postpartum client. Excess
bleeding is not obvious however the new mother complains of deep severe pelvic pain. The RN
has noted both skin & VS changes. This client may have a formed a(N)
A- Vaginal laceration
B- Hematoma
C- Decreased pain tolerance
D- Uterine infection
•
Decrease BP & tachycardia can occur in a hematoma
17. In caring for the post-term infant, thermoregulation can be a concern, especially in an infant
who also has a:
A- HCT level of 58%
B- WBC count of 15,000 cells/mm3
C- RBC count of 5 million
D- Blood glucose level of 25 mg/dl
18. The nurse performs a fundal assessment on a woman and suspects that her bladder is
distended for to the following indication:
A- There is spontaneous voiding when you press down on her fundus
B- Her fundus is above the umbilicus displaced to the right
C- When the bladder is distended the mother feels the urge to void
D- Her fundus is at the umbilicus displaced to the left.
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19. A primipara client gave birth vaginally to a healthy newborn girl 24hrs ago. The nurse
palates the client’s fundus, expecting it to be:
A- 2 fingerbreadths above the umbilicus
B- At the level of the umbilicus
C- 2 fingerbreadths below the umbilicus
D- 4 fingerbreadths below the umbilicus
20. The nurse who suspects that a client has early signs of ectopic pregnancy should be
observing her for symptoms including which of the following. SATA.
A- Pelvic pain
B- Abdominal pain
C- Unanticipated heavy bleeding
D- Vaginal spotting or light bleeding
E- Missed period
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