NURS629 Practice Review Quizzes

NURS629 Practice Review Quizzes A multigravida who is 28 weeks of gestation has a fundal height of 30cm. Which of the following is the best recommendations for the patient? A. Refer her to an obsterician for an amnio ...

NURS629 Practice Review Quizzes A multigravida who is 28 weeks of gestation has a fundal height of 30cm. Which of the following is the best recommendations for the patient? A. Refer her to an obsterician for an amniocentesis B. Order an ultrasound of the uterus C. Recommend bedrest with bathroom privileges D. Advise the mother that her pregnancy is progressing well ans: D. Advise the mother that her pregnancy is progressing well. An RH-negative woman with negative rubella titers should be vaccinated at what time period in pregnancy? A. During the postpartum period B. During the third trimester C. During the second trimester D. She can be vaccinated at any time in her pregnancy ans: A. During the postpartum period The positive signs of pregnancy include which of the following? A. Fetal heart tones and a positive quantitative serum pregnancy test B. Fetal heart tones and feeling of movement of the baby by the mother C. Palpation of the fetus and a positive quantitative serum pregnancy test D. Palpation of the fetus and ausculation of the fetal heart tones by the nurse practitioner ans: D. Palpation of the fetus and ausculation of the fetal heart tones by the nurse practitioner. Hegar's sign is characterized by what? A. Softening of the uterine isthmus B. Blue coloration of the cervix and vagina C. Softening of the cervix D. Nausea and vomiting during the first trimester of pregnancy ans: A. Softening of the uterine isthmus Hegar's sign is considered a what? A. Problem in pregnancy B. Positive sign of pregnancy C. Presumptive sign of pregnancy D. Probable sign of pregnancy ans: D. Probable sign of pregnancy A pelvic exam on a woman who is 12 weeks pregnant would reveal that her uterus is located at which of the following areas? A. Between the umbilicus and the suprapubic bone B. Just rising above the suprapubic bone C. Between suprapubic bone and xiphoid process D. Between the umbilicus and the xiphoid process ans: B. Just rising above the suprapubic bone Jane a young primigravida, reports to you that she is starting to feel baby's movements in her uterus. This is considered to be which of the following? A. Possible sign B. Positive sign C. Presumptive sign D. Probable sign ans: D. Probable sign Jane is in her first trimester of pregnancy and is experiencing "morning sickness" because of A. Suppression of estrogen B. Suppression of linea alba C. Suppression of progesterone D. Production of human chorionic gonadotropin ans: D. Production of human chorionic gonadotropin All of the following vaccines are contraindicated in pregnant women except A. Rubella B. Mumps C. Influenza D. Varicella ans: C. Influenza A new mother who is on her fourth day of breastfeeding complains to the nurse practitioner of very sore breasts. The nurse practitioner would A. Recommend that she purchase plastic nipple pads for her nursing bra and use them daily B. Recommend that she stop breastfeeding and use infant formula for the next 48 hours C. Recommend a decrease in the number of times she breastfeeds her infant per day D. Educate the mother that this is normal during the first week or two of breastfeeding and the soreness will eventually go away ans: D. Educate the mother that this is normal during the first week or two of breastfeeding and the soreness will eventually go away Julia is nursing her eight-week-old baby and states that he is very irritable and sleeps poorly. What medication or substance do you ask her if she is taking or using? A. Caffeine B. Ergotamine (Ergostat) C. Nicotine D. Cimetidine (Tagamet) ans: A. Caffeine The simplest and safest method of suppressing lactation after it has started is to A. Begin oral hormones or long acting hormonal injections B. Use ice packs C. Gradually wean the baby to a bottle or cup over a three-week period D. Wear a snug brassiere ans: C. Gradually wean the baby to a bottle or cup over a three-week period The reason most often cited to explain why women who have had a usual length of stay and normal delivery discontinue breastfeeding before eight weeks postpartum is A. The mother returned to work or school B. Maternal or infant illness C. The perception that the infant is not receiving enough milk D. The ease of formula usa ans: C. The perception that the infant is not receiving enough milk Which of the following instructions should be included in the discharge teaching plan to assist the postpartal woman in recognizing early signs of complications? A. The passage of clots as large as an orange is expected B. Call the office to report any decrease in the amount of brownish-red lochia