G2a Summer 2015
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- 1.A pregnant patient asks the nurse Kate if she can take castor oil for her constipation. How should the nurse respond?
- A.
“Yes, it produces no adverse effect.”
- B.
“No, it can initiate premature uterine contractions.”
- C.
“No, it can promote sodium retention.”
- D.
“No, it can lead to increased absorption of fat-soluble vitamins.”
- 2.A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following?
- A.
Activity limited to bed rest
- B.
Platelet infusion
- C.
Immediate cesarean delivery
- D.
Labor induction with oxytocin
- 3.After 3 days of breast-feeding, a postpartal patient reports nipple soreness. To relieve her discomfort, the nurse should suggest that she:
- A.
Apply warm compresses to her nipples just before feedings
- B.
Lubricate her nipples with expressed milk before feeding
- C.
Dry her nipples with a soft towel after feedings
- D.
Apply soap directly to her nipples, and then rinse
- 4.For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied?
- A.
The membranes must rupture
- B.
The fetus must be at 0 station
- C.
The cervix must be dilated fully
- D.
The patient must receive anesthesia
- 5.A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the nurse that the teaching was effective?
- A.
Back
- B.
Abdomen
- C.
Fundus
- D.
Perineum
- 6.Normal lochial findings in the first 24 hours post-delivery include:
- A.
Bright red blood
- B.
Large clots or tissue fragments
- C.
A foul odor
- D.
The complete absence of lochia
- 7.Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss?
- A.
Low room humidity
- B.
Low room humidity
- C.
Cools incubator walls
- D.
Cool room temperature
- 8.
- A.
Oxytoxin causes water intoxication
- B.
Oxytocin causes excessive thirst
- C.
Oxytoxin is toxic to the kidneys
- D.
Oxytoxin has a diuretic effect
- 9.The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage?
- A.
Active phase
- B.
Complete phase
- C.
Latent phase
- D.
Transitional phase
- 10.
- A.
Active phase
- B.
Latent phase
- C.
Expulsive phase
- D.
Transitional phase
- 11.A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?
- A.
Endometritis
- B.
Endometriosis
- C.
Salpingitis
- D.
Pelvic thrombophlebitis
- 12.A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several cloth. What is the primary nursing diagnosis for this patient?
- A.
Knowledge deficit
- B.
Fluid volume deficit
- C.
Anticipatory grieving
- D.
Pain
- 13.
- A.
Feeding the neonate a maximum of 5 minutes per side on the first day Feeding the neonate a maximum of 5 minutes per side on the first day
- B.
Wearing a supportive brassiere with nipple shields
- C.
Breast-feeding the neonate at frequent intervals
- D.
Decreasing fluid intake for the first 24 to 48 hours
- 14.
- A.
Decreased peristalsis
- B.
Increase heart rate
- C.
Dry mucous membranes
- D.
Nausea and Vomiting
- 15.Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision?
- A.
Notify the neonate’s pediatrician immediately
- B.
Check the diaper and circumcision again in 30 minutes
- C.
Secure the diaper tightly to apply pressure on the site
- D.
Apply gently pressure to the site with a sterile gauze pad
- 16.Which one do you like?
- A.
Option 1
- B.
Option 2
- C.
Option 3
- D.
Option 4
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