Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Midwifery Nursing Test - 9
Test - 9
1. During a vaginal assessment on a patient who is 8 weeks pregnant, you note a bluish coloration of the mucous membrane of the cervix, vagina, and vulva. You would document this finding as what?
2. You are measuring the fundal height on a patient who is 20 weeks pregnant. Where do you expect to locate the fundus of the uterus?
None of the above because the fundus can not be located until 30 weeks gestation
3. A 15 year old found out she is 10 weeks pregnant. Which of the following would NOT be the MOST important information for you to assess during your prenatal evaluation?
Sexual behavior pattern & potential drug usage
Understanding of prenatal care and it's importance
Family relationships and economic background
4. A patient with HIV is 6 weeks pregnant. What would you educate the patient about?
HIV is only passed through blood
Practice safe but total abstinence from sexual intercourse during the pregnancy is recommended
HIV can not be passed to the fetus
How breast feeding will help the newborn after birth
5. A patient tells you she has used bath salts and marijuana during the first 10 weeks of her pregnancy because she "didn't know she was pregnant". Which statement is correct about substance abuse during pregnancy?
It is okay to take over-the-counter medications because they don't require a prescription
Most substances do not cross the placenta so no harm should have been done to the baby
Marijuana is found to be therapeutic for both mom and baby during pregnancy
Substance abuse places the pregnancy at risk for fetal growth restriction and abruptio placentae
6. The client is seen in the prenatal clinic. She tells the nurse that she has been trying to get pregnant for the past six months. Which vitamin will help to decrease the chances of neural tube defects in the baby?
7. The client who is at 20 weeks gestation asks the nurse how much weight she should gain during her pregnancy. The nurse should tell the client that:
The client should try not to gain more than 25 pounds during pregnancy.
The client should not gain more than 15 pounds.
The client should gain about 36 pounds during pregnancy.
The client should gain 55 pounds during pregnancy.
8. The doctor is performing an amniocentesis on the client at 17 weeks gestation to detect genetic anomalies. Which statement indicates the nurse understands the proper instructions for the client having an amniocentesis at 17 weeks gestation?
The ultrasound exam will be done at least eight hours prior to the amniocentesis.
After the ultrasound exam, the client should empty the bladder.
After the ultrasound exam, the client should not void for the amniocentesis.
The amniocentesis cannot be done prior to 20 weeks gestation
9. The client is admitted at 39 weeks gestation for induction of labor. If the doctor uses prostaglandin gel, the nurse should:
Elevate the client’s hips for 30 minutes after the gel is inserted
Insert a Foley catheter prior to insertion of the gel
Administer Stadol (butorphanol) prior to the prostaglandin gel
Tell the client that the labor will be more painful
10. Vaginal examination in the laboring client reveals the anterior fontanel is toward the rectum. The nurse should chart that the baby is in which position?
11. The nurse who is caring for the laboring client notes a decline of fetal heart tones from 136 to 90 beats per minute after the acme of the contractions. Which action is most appropriate at this time?
Prepare the client for a cesarean section
Turn the client to her left side
Monitor the client’s blood pressure
Assess the urinary output hourly
12. The client is admitted with preeclampsia. Which finding requires that the nurse contact the physician immediately?
The client has a 3+ pedal edema.
The client’s urine reveals 8 grams of protein in a 24-hour urine sample.
The client’s blood pressure is 140/90.
The client’s platelet count is 280,000.
13. The client is admitted with fetal demise. A diagnosis of missed abortion requires that the fetus be evacuated by induction of labor. If the physician uses prostaglandin, the nurse should anticipate that the client will:
Need treatment with potassium supplementation
Complain of nausea
Require that a Foley catheter be inserted
14. The client is experiencing a drop in the fetal heart rate. The decelerations are V-shaped and do not correlate to the contractions. The nurse is aware that this type of deceleration is which of the following?
Related to fetal head compression
Likely caused by uteroplacental insufficiency
Expected during the transition phase of labor
They are variables caused by cord compression and not considered ominous...repositioning the mom usually clears them
15. How much extra kcals of energy is required in a lactating mother from 0-6 months of nursing the child?
16. The pelvic shape has the poorest progress from vaginal delivery
17. The cardinal function of decidua is
Production of hormones
Maintenance of pregnancy
All the above
18. The dangerous placenta previa-
19. Multi system disorder of unknown etiology characterised by hypertension(140/90 mm of hg or above) with protenuria after 20th weak of pregnancy is called:
Chronic hypertension with pregnancy
20. Vaginal bleeding after 28th weaks of pregnancy which is sudden onset, painless, causeless & recurrent is known as: