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Download this Document for Free Maternity-Nsg Practice Test Part 1 1 .

Wh e n a s s e s s i n g t h e a d e q u a c y o f s p e r m f o r conception to occur, which of the following is the most useful criterion? a.Sperm count b.Sperm motility c.Sperm maturity d.Semen volume 2. A couple who wants to conceive but has beenunsuccessful during the last 2 years has undergonemanydiagnostic procedures. When discussing thesituation with the nurse, one partner states, Weknow several friends in our age group and all of themhave their own child already, Why cant we haveone?. Which of the following would be the mostpertinent nursing diagnosis for this couple? a.Fear related to the unknown b .P a i n r e l a t e d t o n u me r o u s p r o c e d u r e s . c .I n e f f e c t i v e f a mi l y c o p i n g r e l a t e d t o i n f e r t i l i t y. d.Self-esteem disturbance related to infertility. 3. Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester? a . D y s u r i a b.Frequency c.Incontinence d . B u r n i n g 4. Heartburn and flatulence, common in the secondtrimester, are most likely the result of which of the following? a.Increased plasma HCG levels b.Decreased intestinal motility c.Decreased gastric acidity d.Elevated estrogen levels 5. On which of the following areas would the nurse expect to observe chloasma? a.Breast, areola, and nipples b.Chest, neck, arms, and legs c.Abdomen, breast, and thighs d.Cheeks, forehead, and nose

6.A pregnant client states that she waddles when she walks. The nurses explanation is based on which of the following as the cause? a.The large size of the newborn b.Pressure on the pelvic muscles c.Relaxation of the pelvic joints d.Excessive weight gain 7. Which of the following represents the average amount of weight gained during pregnancy? a . 1 2 t o 2 2 l b b . 1 5 t o 2 5 l b c . 2 4 t o 3 0 l b d . 2 5 t o 4 0 l b 8. When talking with a pregnant client who is experiencing aching swollen, leg veins, thenurse would explain that this is most probably theresult of which of the following? a.Thrombophlebitis b .P r e g n a n c y - i n du c e d h yp e r t e n s i o n c .P r e s s u r e o n b l o o d v e s s e l s f r o m t h e e n l a r g i n g u t e r u s d .Th e f o r c e o f g r a v i t y p u l l i n g d o w n o n t h e u t e r u s 9.Cervical softening and uterine souffle are classified as which of the following? a.Diagnostic signs b.Presumptive signs c.Probable signs d.Positive signs 10. Which of the following would the nurse identify as apresumptive sign of pregnancy? a.Hegar sign b.Nausea and vomiting c.Skin pigmentation changes d. Positive serum pregnancy test

11. Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester? a .I n t r o v e r s i o n , e g o c e n t r i s m, n a r c is s i s m b.Awkwardness, clumsiness, and unattractiveness c . An x i e t y, p a s s i vi t y, e x t r o v e r s i o nd .A mb i v a l e n c e , f e a r , f a n t a s i e s 12. During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition? a.Prepregnant period b.First trimester c.Second trimester d.Third trimester 13.Which of the following would be disadvantage of breast feeding? a .I n v o l u t i o n o c c u r s mo r e r a p i d l y b.The incidence of allergies increases due to maternal antibodies c . Th e f a t h e r ma y r e s e n t t h e i n f a n t s d e ma n d s o n t h e mothers body d.There is a greater chance for error during preparation 14. Which of the following would cause a false-positive result on a pregnancy test? a . Th e t e s t wa s p e r f o r me d l e s s t h a n 1 0 d a ys a f t e r a n abortion b .Th e t e s t wa s p e r f o r me d t o o e a r l y o r t o o l a t e i n t h e pregnancy c . Th e u r i n e s a mp l e wa s s t o r e d t o o l o n g a t r o o m temperature d .A s p o n t a n e o u s a b o r t i o n o r a mi s s e d a b o r t i o n i s impending 15.FHR can be auscultated with a fetoscope as early aswhich of the following? a.5 weeks gestation b.10 weeks gestation c.15 weeks gestation d.20 weeks gestation 16.A client LMP began July 5. Her EDD should be whichof the following? a . J a n u a r y 2 b . M a r c h 2 8 c . A p r i l 1 2 d.October 12

17.Which of the following fundal heights indicates less than 12 weeks gestation when the date of the LMP isunknown? a.Uterus in the pelvis b.Uterus at the xiphoid c.Uterus in the abdomen d.Uterus at the umbilicus 18.Which of the following danger signs should bereported promptly during the antepartum period? a.Constipation b.Breast tenderness c.Nasal stuffiness d.Leaking amniotic fluid 19. Which of the following prenatal laboratory test values would the nurse consider as significant? a.Hematocrit 33.5% b.Rubella titer less than 1:8 c.White blood cells 8,000/mm3 d .On e h o u r g l u c os e c h a l l e n g e t e s t 1 1 0 g / d L 20. Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor? a . Oc c u r r i n g a t i r r e g u l a r i n t e r v a l s b.Starting mainly in the abdomen c.Gradually increasing intervals d .I n c r e a s i n g i n t e n s i t y wi t h wa l k i n g 21. During which of the following stages of labor would the nurse assess crowning? a.First stage b.Second stage c.Third stage d.Fourth stage 22.

Barbiturates are usually not given for pain relief during active labor for which of the following reasons? a.The neonatal effects include hypotonia, hypothermia,generalized drowsiness, and reluctance to feed for thefirst few days. b.These drugs readily cross the placental barrier, causingdepressive effects in the newborn 2 to 3 hours afterintramuscular injection. c.They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate duringlabor. d.Adverse reactions may include maternal hypotension,allergic or toxic reaction or partial or total respiratoryfailure 23. Which of the following nursing interventionswould the nurse perform during the third stage of labor? a.Obtain a urine specimen and other laboratory tests. b .As s e s s u t e r i n e c o n t r a c t i o n s e v e r y 3 0 mi n u t e s . c .C o a c h f o r e f f e c t i v e c l i e n t p u s h i n g d .P r o mo t e p a r e n t - n e wb o r n i n t e r a c t i o n . 24.Which of the following actions demonstrates the nurses understanding about the newborns thermoregulatory ability? a.Placing the newborn under a radiant warmer. b .S u c t i o n i n g wi th a b u l b s yr i n g e c.Obtaining an Apgar score d .I n s p e c t i n g t h e n e wb o r n s u mb i li c a l c o r d 25.Immediately before expulsion, which of the following cardinal movements occur? a . D e s c e n t b . F l e x i o n c . E x t e n s i o n d.External rotation 26.Before birth, which of the following structures connects the right and left auricles of the heart? a.Umbilical vein b.Foramen ovale c.Ductus arteriosus d.Ductus venosus

27.Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn? a . M u c u s b.Uric acid crystals c . B i l i r u b i n d.Excess iron 28.When assessing the newborns heart rate, which of the following ranges would be considered normal if the newborn were sleeping? a.80 beats per minute b.100 beats per minute c.120 beats per minute d.140 beats per minute 29.Which of the following is true regarding the fontanelsof the newborn? a . Th e a n t e r i o r i s t r i a n g u l a r s h a p e d ; t h e p o s t e r i o r i s diamond shaped. b.The posterior closes at 18 months; the anterior closes at 8 to 12 weeks. c . Th e a n t e r i o r i s l a r g e i n s i z e wh e n c o mp a r e d t o t he posterior fontanel. d.The anterior is bulging; the posterior appears sunken. 30.Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood? a .B l i n k , c o u g h , r o o t i n g , a n d g a g b.Blink, cough, sneeze, gag c .R o o t i n g , s n e e z e , s w a l l o wi n g , a n d c o u g h d .S t e p p i n g , b l i n k, c o u g h , a n d s n e e z e 31.Which of the following describes the Babinski reflex? a. The newborns toes will hyperextend and fan apart fromdorsiflexion of the big toewhen one side of foot isstroked upward from the ball of the heel and across theball of the foot. b.The newborn abducts and flexes all extremities and maybegin to cry when exposed to sudden movement or loudnoise. c.The newborn turns the head in the direction of stimulus, opens the mouth, and begins to suck when cheek, lip, orcorner of mouth is touched. d.The newborn will attempt to crawl forward with botharms and legs when he is placed on his abdomen on aflat surface 32.Which of the following statements best describeshyperemesis gravidarum?

a.Severe anemia leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medicalproblems. b.Severe nausea and vomiting leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems. c.Loss of appetite and continuous vomiting that commonlyresults in dehydration and ultimately decreasingmaternal nutrients d .S e v e r e n a u s e a a n d d i a r r h e a t h a t c a n c a u s e gastrointestinal irritation and possibly internal bleeding 33.Which of the following would the nurse identify as a classic sign of PIH? a.Edema of the feet and ankles b.Edema of the hands and face c.Weight gain of 1 lb/week d.Early morning headache 34.In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy tests? a.Threatened b . I m m i n e n t c . M i s s e d d.Incomplete 35.Which of the following factors would the nurse suspect as predisposing a client to placenta previa? a.Multiple gestation b.Uterine anomalies c.Abdominal trauma d.Renal or vascular disease 36.Which of the following would the nurse assess in aclient experiencing abruptio placenta? ght red, painless vaginal bleedingncealed or external dark red b l e e d i n g a l p a b l e f e t a l o u t l i n e f t a n d n o n t e n d e r a b d o m e n the following is described as premature, usually with severe. P l a c e n t a p r e v i a topic pregnancycompetent cervixruptio p l a c e n t a e the following may happen if the uterusd by oxytocin during theak contraction prolonged to more than 70 secondsetanic contractions prolonged to more than 90 secondsr e a s e d p a i n wi t h b r ig h t r e d

v a g i n a l b l e e d i n g r e a s e d r e s t l e s s n e s s a n d a n x i e t y ing a client for cesarean delivery, whichruct the mothers support person to remain in thea n g e f o r a s t a f f me mb e r o f t h e a n e s t h e s i a i f y p r e o p e r a t i v e t e a c h i n g t o me e t t h e n e e d s o f e i t he r in the surgery, expected outcome, and kind of the following best describes preterm labor?r that begins after 20 weeks gestation and beforer that begins after 15 weeks gestation and beforer that begins after 24 weeks gestation and beforer that begins after 28 weeks gestation and beforeOM occurs, which of the following providese c h o r i o n a n d a mn i o n r u p t u r e 4 h o ur s b e f o r e t h e removes the fetus most effective defense againstng care is based on fetal viability and gestationalis associated with malpresentation and possiblythe following factors is the underlying cause. N u r t i o n a l . M e c h a n i c a l n v i r o n m e n t a l . M e d i c a l erine rupture occurs, which of the followingm i t i n g h y p o v o l e m i c shocktaining blood specimensstituting complete bed r e s t s e r t i n g a u r i n a r y c a t h e t e r the following is the nurses initial actioni n mo n i t o r i n g ma t e r n a l v i t a l s i g n s a nd F HR c e t h e c l i e n t i n a k n e e c h e s t p o s i t i o n i n b e d the physician and prepare the client for deliverya sterile warm saline dressing to the exposed cord h of the following amounts of blood lossr e t h a n 2 0 0 m l . M o r e t h a n 3 0 0 m l r e t h a n 4 0 0 m l r e t h a n 5 0 0 m l f the following is the primary predisposingmic infection from nosocomial sources localizing in mic infection occurring randomly and localizing ine mp o r a r y u r i n a r y r e t e n t i o n d u e t o d e c r e a s e d t injury caused by overdistention, stasis, andh of the following best describesmmation and clot formation that result when bloodmmation and blood clots that eventually becomemmation and blood clots that eventually become mmation of the vascular endothelium with clotthe following assessment findings would thelf pain, tenderness and redness along the veins, fever, malaise, occurring 2 weeks after deliveryle pain the presence of Homans sign, and swelling s, fever, stiffness, and pain occurring 10 to 14 daysthe following are the most commonlyency, urgency, dehydration, nausea, chills, and ria, frequency, urgency dysuria, hematuria, feverdration, hypertension, dysuria, suprapubic pain,ever, chills, flank pain nausea, vomiting, dysuria, the following best reflects the frequency of w e e n 1 0 % a n d 4 0% o f a l l n e w mo t h e r s r e p o r t s o me we e n 3 0 % a nd 5 0 % o f a l l n e w mo t h e r s r e p o r t s o me we e n 5 0 % a n d 8 0 % o f a l l n e w mo t h e r s r e p o r t s o me we e n 2 5 % a n d 7 0 % o f a l l n e w mo t h e r s r e p o r t s o me View Answers and Rationale., and semen volume are all significant, but, isight gain has no effect on gait... Thrombophlebitis is an. Other probable signs include. The second trimester is a

period of well-, or introversion. At times thed.. Thurs, a. During the, cervical dilation and effacement, and lack of an antagonist makes.ranquilizers are associated with neonatal effectsscular injection. Regionaln interaction by placing the. Mucus wouldat 8 to 12 weeks. Neither fontanell pressure, or sunken, which may indicate, which, if it continues, can deplete the, with no cervical dilation. An, usually with severetent cervix is a conductiond by painful dilation of the cervical osn birth, the depth and breadth of . The nurse is, expected outcome, and type of anesthetic to, not 4 hours, before labor. Obtaining,rrhage is defined as blood loss of . Epidemic and,,r e a s e t h e i n c i d e n c e o f n a u s e a i n t a i n h o r m o n a l levelse d u c e s i d e effectsp er mi ci d es . D i a p h r a g m . C o n d o m s . V a s e c t o m y . D i a p h r a g m . F e m a l e c o n d o m oman over age 3 5 lliparous womanomiscuous young adult ostpartum client. D a i l y e n e m a s . L a x a t i v e s creased fiber i n t a k e c r e a s e d f l u i d i n t a k e p o u n d s p e r t r i m e s t e r o u n d p e r we e k for 40 weekso u n d p e r w e e k f o r 4 0 w e e k s tal gain of 25 to 30 pounds. S e p t e m b e r 2 7 . O c t o b e r 2 1 . N o v e m b e r 7.December 27.G2 T2 P0 A0 L2.G3 T1 P1 A0 L 2 . G 3 T 2 P 0 A 0 L 2 . G 4 T 1 P 1 A 1 L 2 g to listen to the fetal heart rate atoscope placed midline at the umbilicusler placed midline at the suprapubic regionetoscope placed midway between the umbilicusnal electronic fetal monitor placed at theping a plan of care for a client newlyi e t a r y i n t a k e . M e d i c a t i o n . E x e r c i s e u c o s e m o n i t o r i n g at 24 weeks gestation has gained 6. G l u c o s u r i a . D e p r e s s i o n . H a n d / f a c e e d e m a e t a r y i n t a k e reatened abortionmi n e n t a b o r t i o n mp l e t e a b o r t i o n s s e d a b o r t i o n e following would be the priorityosis for a client with an ectopics k f o r i n f e c t i o n . P a i n o w l e d g e D e f i c i t ticipatory Grieving sess the vital signsminister a n a l g e s i a b u l a t e h e r i n t h e h a l l s i s t h e r t o u r i n a t e a who is lactating tells the nurse that sheell her to breast feed more frequentlyinister a narcotic before breast feedingo u r a g e h e r t o w e a r a n u r s i n g b r a s s i e r e o a p a n d w a t e r t o c l e a n t h e n i p p l e s dport the temperature to the physiciancheck the blood pressure with another cuff ss the uterus for firmness and positione r mi n e t h e a mo u n t o f l o c h i a . L o c h i a . B r e a s t s . I n c i s i o n . U r i n e moting comfort and restoration of healthoring the emotional status of the familyacilitating safe and effective self-and newborneaching about the importance of family planningng infant under radiant warmer after bathingring the scale with a warmed blanket prior tong crib close to

nursery window for familyring the infants head with a knit stockinetten who has an asymmetrical Moro reflexa l i p e s e q u i n o v a r u s r a c t u r e d c l a v i c l e g e n i t a l h yp o t h yr o i d i s m c r e a s e d i n t r a c r a n i a l p r e s s u r e e first 4 hours after a male circumcision,. I n f e c t i o n . H e m o r r h a g e . D i s c o m f o r t . D e h y d r a t i o n breast tissue is inflamed from the trauma A decrease in material hormones present beforeou should discuss this with your doctor. It couldtissue has hypertrophied while the baby wasthe assessment data to the physicianst oxygen per nasal cannula at 2 L/min.t i o n t h e i n f a n t s mo u t h a n d n a r e s cognize this as normal first period of reactivityaily soap and water cleansing is bestohol helps it dry and kills germsAn antibiotic ointment applied daily preventse c a n h a v e a t u b b a t h e a c h d a y t. How many ounces of 20 cal/ozal needs?. 2 o u n c e s . 3 o u n c e s . 4 o u n c e s . 6 o u n c e s e s p i r a t o r y p r o b l e m s trointestinal p r o b l e ms t e g u m e n t a r y p r o b l e m s i m i n a t i o n p r o b l e m s rom the xiphoid process to the umbilicusrom the symphysis pubis to the xiphoid processrom the symphysis pubis to the fundusr o m t h e f u n d u s t o t h e u mb i l i c u s severe preeclampsia is admitted witha i l y w e i g h t s i z u r e p r e c a u t i o n s g h t l a t e r a l p o s i t i o n i n g r e s s r e d u c t i o n m primipara asks the nurse, WhenAn yt i me yo u b o t h wa n t t o . As soon as choose a contraceptive method.n the discharge has stopped and the incisionAfter your 6 weeks examination.eparing to administer the vitamin K e l t o i d m u s c l e terior femoris muscleastus lateralis muscle uteus m a x i m u s m u s c l e ming a pelvic examination, the nurse. C l i t o r i s a r o t i d g l a n d . S k e n e s g l a n d r t h o l i n s g l a n d o differentiate as a female, the hormonalease in maternal estrogen secretionease in maternal androgen secretionr e t i o n o f a n d r o g e n b y t h e f e t a l g o n a d etion of estrogen by the fetal gonadeks gestation calls complaining of aking 1 teaspoon of bicarbonate of soda in an 8 -g a few low-sodium crackers before gettingoiding the intake of liquids in the morning hoursg six small meals a day instead of thee largee documents positive ballottement in thel p a b l e c o n t ra c t i o n s o n t h e a b d o me n ssive movement of the unengaged fetuse t a l k i c k i n g f e l t b y t h e c l i e n t rgement and softening of the uteruselvic exam the nurse notes a purpleaxton-Hicks signadwicks signo o d e ll s s i g n Donalds s i g n renatal class, the nurse explains theinate pain and give the expectant parentsduce the risk of fetal distress by increasing acilitate relaxation, possibly reducing themi n a t e p a i n s o t h a t l e s s a n a l g e s i a a n d 4 hours of active labor, the nurse notes thatining an order to begin IV oxytocin

infusioninistering a light sedative to allow the patientparing for a cesarean section for failure toeasing the encouragement to the patient whenravida at 38 weeks gestation is admitteds every 7 to 10 minutes. Which of thet e r n a l v i t a l s i g n e t a l h e a r t r a t e n t r a c t i o n m o n i t o r i n g r v i c a l d i l a t i o n e following would be the nurses mostou will have to ask your physician when heou need a cesarean to prevent hemorrhage.placenta is covering most of your cervix. placenta is covering the opening of thenderstands that the fetal head is inm p l e t e l y f l e x e d mpletely extendeda r t i a l l y e x t e n d e d a r t i a l l y f l e x e d fetus in the left-anterior breechon, the nurse would expect the fetale the maternal umbilicus and to the right of e lower-left maternal abdominal quadranthe lower-right maternal abdominal quadrante the maternal umbilicus and to the left of luid of a client has a greenish tint.. L a n u g o . H y d r a m n i o . M e c o n i u m . V e r n i x labor and has just been told she has. Q u i c k e n i n g h t h a l m i a n e o n a t o r u m . P i c a o l a p s e d u mb i l i c a l c o r d bing dizygotic twins to a couple, onwo ova fertilized by separate sperma r i n g o f a c o mmo n p l a c e n t a h o v a wit h t h e s a me g e n ot yp e a r i n g o f a c o m mo n c h o r i o n e following refers to the single cell that. C h r o m o s o m e . B l a s t o c y s t . Z y g o t e r o p h o b l a s t 0s, consumers and health carer, delivery, recovery, postpartum (LDRP)r s e m i d w i f e r y i n i c a l n u r s e s p e c i a l i s t e p a r e d c h i l d b i r t h midpelvic contracture from am p h y s i s p u b i s c r a l p r o m o n t o r y . I s c h i a l s p i n e s . P u b i c a r c h g a group of adolescents aboutn s t r u a l p h a s e oliferative phasec r e t o r y p h a s e . I s c h e m i c p h a s e g a group of adolescents about malel l i c l e - s t imu l a t i n g h o r mo n e e s t o s t e r o n e u t e i n i z i n g h o r m o n e a d o t r o p i n r e l e a s i n g h o r mo n e ess the action of the, are the most effective contraceptivearon. Male sterilization eliminatesm the ejaculate, but it does notess. Because of the changes toy disease, especially in women withtlrally do notation for this client at this time.g at this time suggests latens. Localized infection of anmed. Covering the, with the heel elevated. The feet20 cal/oz = 3 ounces per-stained infant is not at.e method istion because it is free of blood vesselsimity of the sciatic nerve, the gluteuss and back of the fetus. Hydramnioschildbirth. Roles for nurse 1.

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