NR 327 Maternal Exam 1 Questions and Answers; Chamberlain College of Nursing.A LEVEL EXAM.

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NR 327 Maternal Exam 1 Questions and Answers 1. Nurse in prenatal clinic, caring for client at 7 weeks. Client reports urinary frequency, asks if this will continue after delivery. Appropriate resp... onse? 2. nurse is caring for pt during 1st trimester, after reviewing pt blood work, nurse notices she does not have immunity to rubella, which times should the nurse understand is recommended for rubella immunization? 3. nurse caring for client, considering several methods of contraception, IUD as being most reliable? 4. nurse is caring for client, first trimester, ask nurse if she can continue to exercise during pregnancy. Appropriate response? 5. nurse in prenatal clinic is caring for client, first trimester, client tells nurse she is upset, planned pregnancy, but having doubts and second thoughts. Appropriate response? 6. quickening 16-20 weeks 7. a nurse is instructing a female client about check BASAL TEMP to determine client is ovulating. nurse instruct client to check her temp at what time? 8. nurse is caring for client in labor, EFmonitor. Observe late decelerations, on the strip and interprets this as? 9. nurse caring for client, scheduled for a maternal serum alpha fetoprotein test at 15 wks. Explanation about test to client? 10. nurse is caring for client who is positive pregnancy test, nurse is teaching client about common discomfort in 1st trimester of pregnancy and warning signs danger. instruct client to call clinic if she experiences manifestations? 11. nurse providing preconception counseling for pt who is planning preg, which supplement should the nurse recommend to prevent neural tube defect in fetus? 12. nurse in prenatal clinic, completing skin assessment for pt in 2nd trimester. expected findings? 13. nurse is leading discussion about contraception with group of 14 y.o clients. after presentation, client ask which method would be best for her to use. appropriate response? a. before i can help you, i need to know more about your sexual activity 14. nurse providing teaching to client about nutrition, at first prenatal visit. include in teaching? a. you will need to double your intake of iron during pregnancy 15. nurse is caring for client in prenatal visit, BMI is 26.5, client ask how much weight she should gain during preg. appropriate response? 16. nurse is caring for client who is to undergo, biophysical profile BPP, the client asks nurse what is being evaluated, nurse should include? 17. nurse is preparing to measure fundal height of client who is 22 wks, at which location should the nurse palpate the fundus?? 18. nurse is prenatal clinic caring for client, 12 wks, asks about cause of her heartburn, nurse response? 19. nurse in a prenatal clinic is reviewing client record who is 28 weeks of gest. the hx includes 1 preg, terminated at 9 weeks, birth of twins at 36 weeks, abortion at 15 weeks. What is GTPAL? 20. teaching fetal development to group of clients at antenatal clinic, nurse include in the teaching? 21. nurse in prenatal clinic is caring for a client who asks what is her EDD, LMP May 4, 2015, appropriate response? 22. a nurse in L&D is caring for client undergoing EFM, nurse observes the FHR begins to slow after the start of contraction. the lowest rate occurs after the peak of the contraction. first action by nurse? 23. nurse is caring for client who is to undergo amniotomy, priority action?? 24. A nurse in clinic is reviewing medical records for clients who are pregnant, the nurse anticipates the doctor will order maternal serum alpha fetoprotein screening for which of the following patients 25. The fetal fibronectin test is to predict preterm labor and birth will occur 26. Contraction stress test indicates 27. What is the term for a non–stress test in which there are two or more fetal heart rate accelerations of 15 or more bpm with fetal movement in a 20-minute period? 28. Patient is 36 weeks and is having an amniocenteses, patient asked why she is having an ultrasound? 29. You are caring for a patient that is 38 weeks’ gestation and is undergoing a contraction stress test, the test was negative; what does this mean? 30. Implantation takes place 31. Sperm can survive 32. amniocentesis done at 15 weeks’ gestation; the purpose of the test is to 33. Semen analysis 34. Patient is 38 weeks’ gestation experiencing polyhydramnios 35. Teach a patient who is planning to become pregnant about changes she should expect, identify the sequence she should expect 36. A contraindication for a diaphragm is 37. Checking the fetal heart tone of a patient who is 12 weeks; which of the following actions by the nurse indicates a need of intervention by the charge nurse? 38. You can receive an influenza vaccine during pregnancy 39. Fetal heart rate variability is effected by 40. nurse is assessing a client in active labor, and notes the presenting part is 0 station. correct interpretation of clinical finding? 41. nurse is caring for client, 1st stage of labor, undergoing external FHR and recieving IV fluids. nurse observes variable decel in the FHR on the monitor strip. correct interpretation ? 42. nurse is caring for client who is 39 weeks and is in active labor, nurse locates the fetal heart tones above the umbilicus at midline. should suspect fetus is in which position? 43. nurse caring for pt in labor, which of the following reflects application of the gate control theory of pain? 44. nurse on L&D unit, client having difficult, prolonged labor with severe backache, contributing causes should the nurse ID? 45. 32 Weeks gestation she believes she is in labor, findings confirm cervical dilation 46. Epidural anesthesia is given for pain relief 47. nurse is caring for client at 40wks, in active labor, 6cm, 100%,, obtained pt BP 82/52. nursing intervention?? 48. 38 weeks’ gestation, 1st stage of labor assessment continuous contraction lasting 2 minutes 49. nurse is caring for client, 1st stage of labor, undergoing external FHR and recieving IV fluids. nurse observes variable decel in the FHR on the monitor strip. correct interpretation ? 50. contraceptives  no smoking 51. Lordosis common in 3rd trimester 52. Late decelerations  put patient on the side [Show More]

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