Practice Test II- Maternal And Child Health (Practice Mode)- Www.Rnpedia.Com
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- 1.For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?
- A.
Decrease the incidence of nausea
- B.
Maintain hormonal levels
- C.
Reduce side effects
- D.
Prevent drug interactions
- 2.When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
- A.
Spermicides
- B.
Diaphragm
- C.
Condoms
- D.
Vasectomy
- 3.When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?
- A.
Diaphragm
- B.
Female condom
- C.
Oral contraceptives
- D.
Rhythm method
- 4.For which of the following clients would the nurse expect that an intrauterine device would not be recommended?.
- A.
Woman over age 35
- B.
Nulliparous woman
- C.
Promiscuous young adult
- D.
Postpartum client
- 5.A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?
- A.
Daily enemas
- B.
Laxatives
- C.
Increased fiber intake
- D.
Decreased fluid intake
- 6.Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?
- A.
10 pounds per trimester
- B.
1 pound per week for 40 weeks
- C.
½ pound per week for 40 weeks
- D.
A total gain of 25 to 30 pounds
- 7.The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Nagele’s rule, the nurse determines her EDD to be which of the following?
- A.
September 27
- B.
October 21
- C.
November 7
- D.
December 27
- 8.When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestationand I lost a baby at about 8 weeks,” the nurse should record her obstetrical history as which of the following?.
- A.
G2 T2 P0 A0 L2
- B.
G3 T1 P1 A0 L2
- C.
G3 T2 P0 A0 L2
- D.
G4 T1 P1 A1 L2
- 9.When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?
- A.
Stethoscope placed midline at the umbilicus
- B.
Doppler placed midline at the suprapubic region
- C.
Fetoscope placed midway between the umbilicus and the xiphoid process
- D.
External electronic fetal monitor placed at the umbilicus
- 10.When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?
- A.
Dietary intake
- B.
Medication
- C.
Exercise
- D.
Glucose monitoring
- 11.A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the priority when assessing the client?
- A.
Glucosuria
- B.
Depression
- C.
Hand/face edema
- D.
Dietary intake
- 12.A client 12 weeks’ pregnant come to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation. The nurse would document these findings as which of the following?
- A.
Threatened abortion
- B.
Imminent abortion
- C.
Complete abortion
- D.
Missed abortion
- 13.Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
- A.
Risk for infection
- B.
Pain
- C.
Knowledge Deficit
- D.
Anticipatory Grieving
- 14.Before assessing the postpartum client’s uterus for firmness and position in relation to the umbilicus and midline, which of the following should the nurse do first?
- A.
Assess the vital signs
- B.
Administer analgesia
- C.
Ambulate her in the hall
- D.
Assist her to urinate
- 15.Which of the following should the nurse do when a primipara who is lactating tells the nurse that she has sore nipples?
- A.
Tell her to breast feed more frequently
- B.
Administer a narcotic before breast feeding
- C.
Encourage her to wear a nursing brassiere
- D.
Use soap and water to clean the nipples
- 16.The nurse assesses the vital signs of a client, 4 hours’ postpartum that are as follows: BP 90/60; temperature 100.4ºF; pulse 100 weak, thready; R 20 per minute. Which of the following should the nurse do first?
- A.
Report the temperature to the physician
- B.
Recheck the blood pressure with another cuff
- C.
Assess the uterus for firmness and position
- D.
Determine the amount of lochia
- 17.The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?
- A.
A dark red discharge on a 2-day postpartum client
- B.
A pink to brownish discharge on a client who is 5 days postpartum
- C.
Almost colorless to creamy discharge on a client 2 weeks after delivery
- D.
A bright red discharge 5 days after delivery
- 18.A postpartum client has a temperature of 101.4ºF, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following should the nurse assess next?
- A.
Lochia
- B.
Breasts
- C.
Incision
- D.
Urine
- 19.Which of the following is the priority focus of nursing practice with the current early postpartum discharge?
- A.
Promoting comfort and restoration of health
- B.
Exploring the emotional status of the family
- C.
Facilitating safe and effective self-and newborn care
- D.
Teaching about the importance of family planning
- 20.Which of the following actions would be least effective in maintaining a neutral thermal environment for the newborn?
- A.
Placing infant under radiant warmer after bathing
- B.
Covering the scale with a warmed blanket prior to weighing
- C.
Placing crib close to nursery window for family viewing
- D.
Covering the infant’s head with a knit stockinette
- 21.A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following?
- A.
Talipes equinovarus
- B.
Fractured clavicle
- C.
Congenital hypothyroidism
- D.
Increased intracranial pressure
- 22.During the first 4 hours after a male circumcision, assessing for which of the following is the priority?
- A.
Infection
- B.
Hemorrhage
- C.
Discomfort
- D.
Dehydration
- 23.The mother asks the nurse. “What’s wrong with my son’s breasts? Why are they so enlarged?” Whish of the following would be the best response by the nurse?
- A.
“The breast tissue is inflamed from the trauma experienced with birth”
- B.
“A decrease in material hormones present before birth causes enlargement,”
- C.
“You should discuss this with your doctor. It could be a malignancy”
- D.
“The tissue has hypertrophied while the baby was in the uterus”
- 24.Immediately after birth the nurse notes the following on a male newborn: respirations 78; apical hearth rate 160 BPM, nostril flaring; mild intercostalretractions; and grunting at the end of expiration. Which of the following should the nurse do?
- A.
Call the assessment data to the physician’s attention
- B.
Start oxygen per nasal cannula at 2 L/min.
- C.
Suction the infant’s mouth and nares
- D.
Recognize this as normal first period of reactivity
- 25.The nurse hears a mother telling a friend on the telephone about umbilical cord care. Which of the following statements by the mother indicates effective teaching?
- A.
“Daily soap and water cleansing is best”
- B.
‘Alcohol helps it dry and kills germs”
- C.
“An antibiotic ointment applied daily prevents infection”
- D.
“He can have a tub bath each day”
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