Midwifery Nursing Test - 4

1. A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement, if made by the client, indicates a need for further education?
2. Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?
3. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to:
4. A prenatal nurse is providing instructions to a group of pregnant client regarding measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates a need for further instructions?
5. Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?
6. A 21-year old client, 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?
7. A pregnant woman’s last menstrual period began on April 8, 2005, and ended on April 13. Using Naegele’s rule her estimated date of birth would be:
8. The nurse is aware than an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa, which is known as:
9. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates:
10. The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity?
11. A nurse midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?
12. The nurse recognizes that an expected change in the hematologic system that occurs during the 2nd trimester of pregnancy is:
13. The developing cells are called a fetus from the:
14. Which of the following symptoms occurs with a hydatidiform mole?
15. A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to:
16. A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:
17. The pituitary hormone that stimulates the secretion of milk from the mammary glands is:
18. In a lecture on sexual functioning, the nurse plans to include the fact that ovulation occurs when the:
19. Nutritional planning for a newly pregnant woman of average height and weighing 145 pounds should include:
20. Clients with gestational diabetes are usually managed by which of the following therapies?