Quiz 2: Nursing Care Of The Client With Specific Health Needs

27 Questions  I  By PNweekend
Please take the quiz to rate it.

Health Quizzes & Trivia
Select the correct response from list supplied. Multiple response or True/False options may be required.

  
Changes are done, please start the quiz.


Questions and Answers

Removing question excerpt is a premium feature

Upgrade and get a lot more done!
  • 1. 
    During the intrapartum period, a nurse is caring for a laboring client with sickle cell disease. The nurse ensures that the client receives appropriate intravenous (IV) fluid intake and oxygen consumption to primarily:
    • A. 

      Stimulate the labor process

    • B. 

      Avoid the necessity of a cesarean delivery

    • C. 

      Prevent dehydration and hypoxemia

    • D. 

      Eliminate the need for analgesics


  • 2. 
    A nurse in the labor room is assisting in caring for a client in the active stage of labor. The nurse is told that the fetal patterns show a late deceleration on the monitor strip. Based on this finding, the nurse prepares for which appropriate nursing action?
    • A. 

      Placing the mother in a supine position.

    • B. 

      Documenting the findings and continuing to monitor the fetal patterns.

    • C. 

      Administering oxygen via face mask.

    • D. 

      Increasing the rate of the intravenous (IV) oxytocin infusion


  • 3. 
    A licensed practical nurse (LPN) is assisting in gathering information on a client who is scheduled for a cesearean delivery. Which of the following findings would indicate a need to contact the registered nurse (RN)?
    • A. 

      Fetal heart rate of 180 beats per minute

    • B. 

      White blood cell count of 12,000 /mm3

    • C. 

      Maternal pulse rate of 85 beats per minute

    • D. 

      Hemoglobin of 11 g/dL


  • 4. 
    A nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which of the following nursing actions is appropriate?
    • A. 

      Encourage the client's coach to continue breathing techniques.

    • B. 

      Encourage the client to continue pushing with each contraction.

    • C. 

      Continue monitoring the fetal heart rate.

    • D. 

      Notify the registered nurse (RN).


  • 5. 
    A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at minus one station. The nurse determines that the fetal presenting part is:
    • A. 

      1 cm above the ischial spines.

    • B. 

      1 fingerbreadth below the symphysis pubis.

    • C. 

      1 inch below the coccyx

    • D. 

      1 inch below the iliac crest


  • 6. 
    The nurse is monitoring a client in labor whose membranes rupture spontaneously. The initial nursing action is to:
    • A. 

      Take the client's blood pressure.

    • B. 

      Provide peripads to the client.

    • C. 

      Note the amount, color, and odor of the amniotic fluid.

    • D. 

      Determine the fetal heart rate.


  • 7. 
    A nurse assisting the labor room is preparing to care for a client with hypertonic dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the client is to:
    • A. 

      Monitor the oxytocin (Pitocin) infusion closely.

    • B. 

      Provide pain relief measures.

    • C. 

      Prepare the client for amniotomy.

    • D. 

      Promote ambulation every 30 minutes


  • 8. 
    A nurse has assisting in developing a plan of care for the client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which nursing intervention as the highest priority?
    • A. 

      Keeping the significant other informed of the progress of labor.

    • B. 

      Providing comfort measures.

    • C. 

      Monitoring fetal status

    • D. 

      Changing the client's position frequently


  • 9. 
                 A nurse is assisting in preparing a plan of care for a client who just delivered a dead fetus. The appropriate initial intervention in meeting the emotional needs of the client and her spouse is which of the following?
    • A. 

      Encourage the client to talk about the dead fetus.

    • B. 

      Allow the client and spouse to hold the baby.

    • C. 

      Allow the family members to name the baby.

    • D. 

      Gather data from the client and spouse about the perception of the event.


  • 10. 
    A nurse is assisting in caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy (DIC). Which of the following findings is least likely associated with DIC
    • A. 

      Swelling of the calf of one leg.

    • B. 

      Prolonged clotting times.

    • C. 

      Decreased platelet count

    • D. 

      Petechiae, oozing from injection sites, and hematuria


  • 11. 
    A client is undergoing an amniocentesis at 16 weeks gestation to detect the presence of biochemical or chromosomal abnormalities. The nurse instructs the client:
    • A. 

      That the bladder must be full during the exam

    • B. 

      That the bladder must be empty during the exam.

    • C. 

      She will be given RhoGAM because she is Rh positive

    • D. 

      Not to eat or drink anything 4 to 6 hours before the exam


  • 12. 
    While assisting with the measurement of fundal height, the client at 36 weeks gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is most likely due to:
    • A. 

      A full bladder

    • B. 

      Emotional instability

    • C. 

      Insufficient iron intake

    • D. 

      Compression of the vena cava


  • 13. 
    A contraction stress test is scheduled for a client. The woman asks the nurse about the test. The most accurate description of the test includes which of the following?
    • A. 

      "Uterine contractions are stimulated by Leopold's maneuvers."

    • B. 

      "An internal fetal monitor is attached and you will walk on a treadmill until contractions begin."

    • C. 

      "The uterus is stimulated to contract by either small amounts of oxytocin (Pitocin) or by nipple stimulation."

    • D. 

      "Small amounts of oxytocin (Pitocin) are administered during internal fetal monitoring to stimulate uterine contractions.


  • 14. 
    A nurse has a teaching session with a malnourished client regarding iron supplementation to prevent anemia during pregnancy. Which of the following statements, if made by the client, would indicate successful learning?
    • A. 

      "Iron supplements will give me diarrhea."

    • B. 

      "The iron is needed for the red blood cells."

    • C. 

      "Meat does not provide iron and should be avoided."

    • D. 

      "My body has all the iron it needs, and I don't need to take supplements."


  • 15. 
    During a prenatal visit, a nurse is explaining dietary management to a client with diabetes mellitus. The nurse determines that the teaching has been effective when the client states:
    • A. 

      "I can eat more sweets now, because I need more calories."

    • B. 

      "I need more fat in my diet so that the baby can gain enough weight."

    • C. 

      "I need to eat a high-protein, low carbohydrate diet now to control my blood glucose."

    • D. 

      "I need to increase the fiber in my diet to control my blood glucose and prevent constipation."


  • 16. 
    A nurse is monitoring a pregnant client with gestational hypertension who is at risk for pre-eclampsia. The nurse checks the client for which classic signs of preeclampsia? (Select all that apply)
    • A. 

      Proteinuria

    • B. 

      Hypertension

    • C. 

      Low-grade fever

    • D. 

      Generalized edema

    • E. 

      Increased respiratory rate


  • 17. 
    A nurse is collecting data from a pregnant client with a history of heart disease. The nurse is checking for venous congestion. The nurse inspects which of the following areas, knowing that venous congestion is most commonly noted here?
    • A. 

      Vulva

    • B. 

      Fingers

    • C. 

      Around the eyes

    • D. 

      Aound the abdomen


  • 18. 
    A nurse is caring for a pregnant client who was diagnosed with acquired immunodeficiency syndrome (AIDS). The client asks the nurse if she will be able to breast-feed the infant after delivery. Which response by the nurse is appropriate?
    • A. 

      "Breast-feeding is contraindicated."

    • B. 

      "Breast-feeding is allowed as long as the mother is taking zidovudine (AZT)"

    • C. 

      "Breast-feeding is allowed as long as the infant is not showing signs of human immunodeficiency virus (HIV) infection."

    • D. 

      "Breast-feeding is allowed as long as the infant receives an immunization for HIV."


  • 19. 
    A blood glucose measurement is performed on a pregnant client. The results indicate that her blood glucose is elevated. Which of the following would the nurse anticipate to be prescribed for the mother?
    • A. 

      An oral hypoglycemic agent

    • B. 

      NPH insulin on a daily basis

    • C. 

      A 3-hour glucose tolerance test

    • D. 

      A sliding scale Regular insulin dose


  • 20. 
    A nonstress test is prescribed for a pregnant client, and the client asks the nurse about the procedure. Which of the following information will the nurse provide to the client?
    • A. 

      "The test is an invasive procedure and requires that you sign an informed consent."

    • B. 

      "The test will take about 2 hours and will require close monitoring for 2 hours after the procedure is completed."

    • C. 

      "An ultrasound transducer that records fetal heart activity is secured over the abdomen where the fetal heart is heard most clearly."

    • D. 

      "The fetus is challenged by uterine contractions to obtain the necessary information."


  • 21. 
    A pregnant client who is anemic tells the nurse that she is concerned about what her baby's condition will be following delivery. Which nursing response would best support the client?
    • A. 

      "You will not have any problems if you follow all the advice the doctor has given you."

    • B. 

      "Your baby will need to spend a few days in the neonatal intensive care unit following delivery."

    • C. 

      "Don't worry about your baby, complications are rare."

    • D. 

      "The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure that you are providing the best nutrition and growth potential."


  • 22. 
    A nurse is teaching a pregnancy client about the warning signs in pregnancy and prepares a list of the warning signs that indicate the need to notify the physician. Which of the following would be included on the list? (Select all that apply)
    • A. 

      Visual disturbances

    • B. 

      Rapid weight gain

    • C. 

      Generalized or facial edema

    • D. 

      Irregular, painless contractions

    • E. 

      Vaginal bleeding


  • 23. 
    A nurse is assigned to care for a client who is in early labor. When collecting data from the client, it is most important for the nurse to first determine which of the following?
    • A. 

      Baseline fetal heart rate

    • B. 

      Intensity of contractions

    • C. 

      Maternal blood pressure

    • D. 

      Frequency of contractions


  • 24. 
    A primigravida's membranes rupture spontaneously. The nurse's first action is to:
    • A. 

      Determine the fetal heart rate

    • B. 

      Prepare for immediate delivery

    • C. 

      Monitor the contraction pattern

    • D. 

      Note the amount, color, and odor of the amniotic fluid


  • 25. 
    The nurse is assigned to assist with caring for a client who has been admitted to the labor unit. The client is 9 cm dilated and is experiencing precipitous labor. A priority nursing action is to:
    • A. 

      Prepare for an oxytocin infusion.

    • B. 

      Keep the client in a side-lying position.

    • C. 

      Prepare the client for epidural anesthesia.

    • D. 

      Encourage the client to start pushing with the contractions


  • 26. 
    A nurse is assigned with caring for a client with abruptio placentae who is experiencing vaginal bleeding. The nurse collects data from the client knowing that abruptio placentae is accompanied by which additional finding?
    • A. 

      Soft abdomen on palpation

    • B. 

      Uterine tenderness on palpation

    • C. 

      No complaints of abdominal pain

    • D. 

      Lack of uterine irritability or tetanic contractions


  • 27. 
    A nurse is collecting data from a client who has been diagnosed with placenta previa. Choose the findings that the nurse would expect to note. (Select all that apply)
    • A. 

      Uterine rigidity

    • B. 

      Fundal height may be greater than expected for gestational age

    • C. 

      Severe abdominal pain

    • D. 

      Bright red vaginal bleeding

    • E. 

      Soft, relaxed, nontender uterus


Back to top

Removing ad is a premium feature

Upgrade and get a lot more done!
Take Another Quiz
We have sent an email with your new password.