Question: The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)
Answer Options: Fetal heart rate heard by examiner by doppler. Palpation of fetal outline. Visualization of the fetus on ultrasound or x-ray. Verification of fetal movement by the health care provider. Positive hCG test. Amenorrhea.
Answer: Fetal heart rate heard by examiner by doppler, Visualization of the fetus on ultrasound or x-ray, Verification of fetal movement by the health care provider
Question: A pregnant woman has been receiving a magnesium sulfate infusion as treatment for severe preeclampsia for the last 24 hours. On assessment, the nurse finds the following vital signs: temperature of 37.3°C, pulse rate of 88 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no ankle clonus. The patient complains, “I’m so drowsy and I feel really hot.” What immediate action should the nurse perform?
Answer Options: calls for a stat magnesium sulfate level. administers oxygen. discontinues the magnesium sulfate infusion. prepares to administer hydralazine.
Answer: discontinues the magnesium sulfate infusion.
Question: Magnesium sulfate is given to women with preeclampsia and eclampsia to:
Answer Options: treat high blood pressure in pregnant women. shorten the duration of labor. relax smooth muscle and prevent convulsions. prevent a boggy uterus and lessen lochial flow.
Answer: relax smooth muscle and prevent convulsions.
Question: After a precipitous birth, the mother has a heavy flow of lochia rubra. The nurse encourages the woman to breastfeed her newborn. The primary purpose of this activity at this time is to:
Answer Options: facilitate maternal-newborn interaction. stimulate the uterus to contract. prevent neonatal hypoglycemia. initiate the lactation cycle.
Answer: stimulate the uterus to contract.
Question: A laboring woman is lying in the supine position. The baby begins to show signs of fetal distress on the fetal monitor. The most appropriate nursing action at this time is to:
Answer Options: have her turn to her left side. elevate her feet and legs by placing a pillow under her knees. start q 15 minute Blood Pressures. prepare the patient for an emergency cesarian section.
Answer: have her turn to her left side.
Question: A pregnant woman experiencing nausea and vomiting should:
Answer Options: drink a large amount of fluids in the morning or any time she is nauseated and taper off so that she isn’t drinking much later in the day. eat small, frequent meals (every 2 to 3 hours). Avoid over filling the stomach. increase her intake of high-fat foods to keep the stomach full and coated. avoid snacking. Only eat if extremely hungry.
Answer: eat small, frequent meals (every 2 to 3 hours). Avoid over filling the stomach.
Question: Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that:
Answer Options: with good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. the most common cause of perinatal loss of a diabetic woman’s pregnancy is fetal congenital malformations. Infants born of diabetic mothers (IDM) are not at any increased risk for respiratory distress syndrome (RDS). Infants born to diabetic mothers should have an easy transition to extrauterine life.
Answer: the most common cause of perinatal loss of a diabetic woman’s pregnancy is fetal congenital malformations.
Question: During the preconception phase, the nurse should teach about which infectious diseases as risk factors for maternal complications? (Select all that apply.)
Answer Options: Diabetes Rubella Hepatitis B Anemia HIV/AIDS
Answer: Rubella, Hepatitis B, HIV/AIDS
Question: A new mom delivered her baby 2 months ago. The baby’s father calls into the office to report that his wife is angry. She is confused and having conversations with herself. What is the appropriate response that the nurse should make?
Answer Options: Please take your wife to the nearest emergency room for evaluation. Please bring your wife to the office for medication. Your wife needs outpatient care. Your wife needs behavioral therapy.
Answer: Please take your wife to the nearest emergency room for evaluation.
Question: The nurse is developing a dietary teaching plan for a pregnant patient on a vegetarian diet. The nurse should provide the patient with which examples of protein-containing foods? (Select all that apply.)
Answer Options: Dried beans Cheese Peanut butter Spinach Eggs
Answer: Dried beans, Cheese, Peanut butter, Eggs
Question: The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.)
Answer Options: Cigarette smoke Toxoplasmosis Vitamin C Acetaminophen Herpes
Answer: Cigarette smoke, Toxoplasmosis, Herpes
Question: The nurse-midwife is teaching a group of women who are pregnant, including instruction on Kegel exercises. Which statement by a participant would indicate a correct understanding of the instruction?
Answer Options: I will only see results if I perform 100 Kegel exercises each day. I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises. I should only perform Kegel exercises in the sitting position. I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results.
Answer: I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises.
Question: When obtaining a reproductive health history from a female patient, the nurse should:
Answer Options: limit the time spent on exploration of intimate topics. avoid asking questions that may embarrass the patient. use only accepted medical terminology when referring to body parts and functions. provide for privacy during the interview.
Answer: provide for privacy during the interview.
Question: The nurse is calculating the estimated date of confinement (EDD) using Negele’s rule for a client whose last menstrual period started on December 1. Which date is most accurate?
Answer Options: September 8 August 1 August 10 September 3
Answer: September 8
Question: A woman is 14 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:
Answer Options: “You should have felt the baby move by now.” “Within the next month or so, you should start to feel fluttering sensations.” “The baby is moving; however, you can’t feel it yet.” “It will be several months before the baby begins to move.”
Answer: “Within the next month or so, you should start to feel fluttering sensations.”
Question: Since 1950, U.S. health care spending has grown from an average of 4.5 percent of GDP to an estimated forecast of ___ percent of GDP in 2020.
Answer Options: a. 10, b. 25, c. 12, d. 18, e. 5
Answer: d. 18
Question: The optimal level of output may be defined as that level of output where:
Answer Options: a. the marginal benefit of the last unit purchased equals its marginal cost., b. marginal benefit exceeds marginal cost by the greatest amount., c. average benefit exceeds average cost by the greatest amount., d. it is impossible to define optimal in any meaningful way., e. total benefit equals total cost.
Answer: a. the marginal benefit of the last unit purchased equals its marginal cost.
Question: Which of the following does NOT contribute to wasteful spending in medical care?
Answer Options: a. Excessive administration costs, b. Fraud and abuse, c. Price transparency, d. Overtreatment, e. Lack of coordination of care
Answer: c. Price transparency
Question: Even in the US, approximately, what percent of medical care is purchased through insurance, government programs or other third party insurers?
Answer Options: a. 100, b. 60, c. 90, d. 50, e. 75
Answer: c. 90
Question: Assuming that a market is perfectly competitive and in a state of equilibrium, which of the following statements is always true when the price changes?
Answer Options: a. Consumer surplus increases., b. Consumer surplus decreases., c. Producer surplus decreases., d. Social welfare decreases., e. Producer surplus increases.
Answer: b. Consumer surplus decreases.
Question: The dead-weight loss from an excise tax:
Answer Options: a. is of little concern to policy makers since all excise taxes are “sin” taxes., b. is the difference between consumer surplus and producer surplus., c. is the lost surplus that results from higher prices and lower output resulting from the tax., d. is greater if demand is perfectly inelastic., e. is caused by a shift in consumer preferences when the tax is raised.
Answer: c. is the lost surplus that results from higher prices and lower output resulting from the tax.
Question: Suppose the market for hospital outpatient treatment is in equilibrium when a price ceiling is set below the equilibrium price. What do you expect to happen?
Answer Options: a. Quantity demanded will decrease., b. A shortage will develop., c. Quantity supplied will increase., d. A surplus will develop., e. The number of outpatient visits will rise.
Answer: b. A shortage will develop.