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Midwifery Nursing
Module 9 • 20 Questions
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Midwifery Nursing
Module 9
Question 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?
A
Goodell's Sign
B
Ballottement
C
Chadwick's Sign
D
Hegar's Sign
Question 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?
A
Symphysis pubis
B
Xiphoid process
C
Umbilicus
D
None of the above because the fundus can not be located until 30 weeks gestation
Question 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?
A
Sexual behavior pattern & potential drug usage
B
Understanding of prenatal care and it's importance
C
Family relationships and economic background
D
Job status
Question 4
A patient with HIV is 6 weeks pregnant. What would you educate the patient about?
A
HIV is only passed through blood
B
Practice safe but total abstinence from sexual intercourse during the pregnancy is recommended
C
HIV can not be passed to the fetus
D
How breast feeding will help the newborn after birth
Question 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?
A
It is okay to take over-the-counter medications because they don't require a prescription
B
Most substances do not cross the placenta so no harm should have been done to the baby
C
Marijuana is found to be therapeutic for both mom and baby during pregnancy
D
Substance abuse places the pregnancy at risk for fetal growth restriction and abruptio placentae
Question 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?
A
B2
B
B9
C
B3
D
B1
Question 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:
A
The client should try not to gain more than 25 pounds during pregnancy.
B
The client should not gain more than 15 pounds.
C
The client should gain about 36 pounds during pregnancy.
D
The client should gain 55 pounds during pregnancy.
Question 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?
A
The ultrasound exam will be done at least eight hours prior to the amniocentesis.
B
After the ultrasound exam, the client should empty the bladder.
C
After the ultrasound exam, the client should not void for the amniocentesis.
D
The amniocentesis cannot be done prior to 20 weeks gestation
Question 9
The client is admitted at 39 weeks gestation for induction of labor. If the doctor uses prostaglandin gel, the nurse should:
A
Elevate the client’s hips for 30 minutes after the gel is inserted
B
Insert a Foley catheter prior to insertion of the gel
C
Administer Stadol (butorphanol) prior to the prostaglandin gel
D
Tell the client that the labor will be more painful
Question 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?
A
Transverse
B
Breech
C
Occipital posterior
D
Occipital anterior
Question 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?
A
Prepare the client for a cesarean section
B
Turn the client to her left side
C
Monitor the client’s blood pressure
D
Assess the urinary output hourly
Question 12
The client is admitted with preeclampsia. Which finding requires that the nurse contact the physician immediately?
A
The client has a 3+ pedal edema.
B
The client’s urine reveals 8 grams of protein in a 24-hour urine sample.
C
The client’s blood pressure is 140/90.
D
The client’s platelet count is 280,000.
Question 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:
A
Become constipated
B
Need treatment with potassium supplementation
C
Complain of nausea
D
Require that a Foley catheter be inserted
Question 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?
A
Related to fetal head compression
B
Likely caused by uteroplacental insufficiency
C
Expected during the transition phase of labor
D
They are variables caused by cord compression and not considered ominous...repositioning the mom usually clears them
Question 15
How much extra kcals of energy is required in a lactating mother from 0-6 months of nursing the child?
A
+350kcal
B
+450kcal
C
+550kacl
D
+650kcal
Question 16
The pelvic shape has the poorest progress from vaginal delivery
A
Platypelloid
B
Anthropoid
C
Android
D
Gynecoid
Question 17
The cardinal function of decidua is
A
Immunity
B
Production of hormones
C
Maintenance of pregnancy
D
All the above
Question 18
The dangerous placenta previa-
A
Low lying
B
Type-I anterior
C
Type-II posterior
D
Marginal
Question 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:
A
Gestational hypertension
B
Pre eclampsia
C
Eclampsia
D
Chronic hypertension with pregnancy
Question 20
Vaginal bleeding after 28th weaks of pregnancy which is sudden onset, painless, causeless & recurrent is known as:
A
Abortion
B
Abruptio placenta
C
Placenta previa
D
Vasa previa
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