Question: A patient is admitted to the hospital in labor with intact membranes. Her history shows a positive test for Group B Streptococcus. Which of the following physician orders would the nurse perform first?
Answer Choices: A. Start Pitocin 20 units in 1000 mL, 3 mu/min
B. Increase the IV rate of the Ringers lactate infusion
C. Administer Ampicillin 2 grams IVPB over 30 minutes
D. Perform urinary catheterization for bladder distention
Answer: C. Administer Ampicillin 2 grams IVPB over 30 minutes
Question: At a prenatal visit, a 39 year-old woman asks why amniocentesis is being suggested this pregnancy when it was not mentioned during her previous two pregnancies 6 and 8 years ago. What would be the nurse’s best response?
Answer Choices: A. The risk of complications from the procedure is reduced after age 35
B. Only pregnant women over 35 risk transmitting inherited conditions
C. It was likely an oversight by the provider in the last two pregnancies
D. At age 35, the risk of genetic abnormalities in the fetus increases
Answer: D. At age 35, the risk of genetic abnormalities in the fetus increases
Question: The assessment findings of a 2 hour old newborn are: Color pink with acrocyanosis noted, HR 152, and RR 48 and unlabored. No structural defects are identified at this time. Which of the following actions would the nurse perform next?
Answer Choices: A. Administer oxygen by nasal cannula
B. Perform a bedside blood glucose
C. Check the infant’s axillary temperature
D. Notify the physician immediately
Answer: C. Check the infant’s axillary temperature
Question: Which of the following is the most likely reason a young pregnant adolescent would experience cephalopelvic disproportion (CPD) when in labor?
Answer Choices: A. The adolescent’s choice of less nutritious food
B. The need for nutrients for fetal and the adolescent’s growth
C. Previous participation in various team sports
D. An underdeveloped pelvis in the adolescent female
Answer: D. An underdeveloped pelvis in the adolescent female
Question: A woman who had been admitted for induction of labor with Pitocin is in active labor positioned on her left side. The nurse notices a fetal heart deceleration that starts after the peak of the contraction, goes to 90 bpm as the contraction is ending and does not return to baseline until 1 minute after the contraction is over. What would be the nurse’s next action?
Answer Choices: A. Initiate a second intravenous access site
B. Turn off the Intravenous Pitocin infusion
C. Adjust the straps for the fetal monitor device
D. Go to the desk and call the woman’s provider
Answer: D. Go to the desk and call the woman’s provider
Question: A woman comes to the clinic because she is experiencing a small to moderate amount of vaginal bleeding. Her history includes that she has been trying to get pregnant, her last menstrual period was 6 weeks ago, and the pregnancy test she did last week was positive. Which of the following actions would the nurse do first?
Answer Choices: A. Measure fundal height with a tape measure
B. Ask her if she is having pelvic pain and cramps
C. Bolus the woman with intravenous normal saline
D. Arrange to obtain specimens for genetic testing
Answer: B. Ask her if she is having pelvic pain and cramps
Question: A woman in active labor received a narcotic analgesic 1 hour ago. Which of the following effects on the fetus is most likely to occur from this medication?
Answer Choices: A. Increase in fetal activity
B. Fetal tachycardia
C. Decrease in fetal activity
D. Fetal bradycardia
Answer: D. Fetal bradycardia
Question: The nurse is interviewing a woman in the first trimester of pregnancy at a prenatal visit. The woman states that she is prone to developing anemia. Which of the following foods that the woman describes she eats most often would the nurse identify as the best source of iron?
Answer Choices: A. Spinach pasta and meat sauce
B. Vegetable soup and oranges
C. Grilled cheese and tomato sandwich
D. White rice with green peas
Answer: A. Spinach pasta and meat sauce
Question: During the pelvic examination, the color of the client’s cervix is purplish-blue. How would the nurse interpret this finding?
Answer Choices: A. She is showing Hegar’s sign
B. She is showing Chadwick’s sign
C. She has suffered perineal trauma
D. She is positively pregnant
Answer: B. She is showing Chadwick’s sign
Question: The nurse is caring for a woman who was just admitted to the hospital to rule out ectopic pregnancy. Which of the following actions would the nurse do first?
Answer Choices: A. Document the time of the client’s last meal
B. Measure the client’s oral temperature
C. Assess level of pain, type and location
D. Draw blood for a complete blood count
Answer: C. Assess level of pain, type and location
Question: Which clinical manifestations are most likely to be identified in a woman with abruptio placenta?
Answer Choices: A. Tachycardia and hypotension
B. Fetal heart rate accelerations
C. Painless scant vaginal bleeding
D. Decreasing fundal height measurement
Answer: A. Tachycardia and hypotension
Question: Which of the following findings on a prenatal visit at 10 weeks gestation may lead the nurse to suspect hydatidiform mole?
Answer Choices: A. Experiencing occasional nausea
B. Fundal height measurement of 16
C. Occasional leg cramps reported
D. Darkening of her nipple noted
Answer: B. Fundal height measurement of 16
Question: A woman who is pregnant with twins at 36 weeks gestation is admitted to the hospital because her blood pressure is 180/100. Her lab results show an elevated level of liver enzymes and a low platelet count. This data indicates that the woman has developed which of the following conditions?
Answer Choices: A. Eclampsia
B. Severe preeclampsia
C. Mild preeclampsia
D. HELLP syndrome
Answer: D. HELLP syndrome
Question: A woman, who delivered a full term infant vaginally and has been discharged, calls the health care provider’s office on the 5th postpartum day and tells the nurse that she is still having some episiotomy pain. The woman reports that she obtains relief from topical medications, but wants to know if there is anything else she can do to promote healing. Which of the following would the nurse suggest?
Answer Choices: A. Avoid sitting as much as possible
B. Perform vaginal irrigation
C. Ambulate as much as possible
D. Use a warm sitz baths daily
Answer: D. Use a warm sitz baths daily
Question: The nurse enters the room of a woman who just delivered vaginally to answer the call light and sees the woman clutching her chest, reporting pain and labored breathing and becoming cyanotic. The nurse suspects the woman is experiencing an amniotic fluid embolus and pushes the emergency alarm in the woman’s room. What would the nurse do next?
Answer Choices: A. Begin oxygen by face mask
B. Start cardiopulmonary resuscitation
C. Leave the room to get equipment
D. Assess the amount of lochia
Answer: A. Begin oxygen by face mask.
Question: Which of the following would the nurse identify as an outcome in the plan of care for a pregnant woman who is experiencing constipation?
Answer Choices: A. The woman will have a bowel movement once or twice a week
B. The woman will consume more fiber and fluids and exercise daily
C. The woman will stop the iron tablets until constipation is relieved
D. The woman will strain to have a bowel movement every day
Answer: B. The woman will consume more fiber and fluids and exercise daily