1 A prenatal nurse is providing education to a client

1 A prenatal nurse is providing education to a client approaching their third trimester of pregnancy. Which condition should the nurse include in the education? A Ascites B Hyperthyroidism C Peripheral arterial disease D Hemorrhoids 2 A nurse is discussing with a pregnant client the long-term effects of cytomegalovirus on the newborn. Which long-term effect should the nurse include in the education? A Hearing loss B Inability to metabolize protein C Inability to clot blood D Permanent rash 3 A client presents to the healthcare provider’s office for their initial prenatal appointment. What are considered probable signs of pregnancy? Select all that apply. A Presence of fetal heartbeat B Breast tenderness C Vomiting D Ballottement E Amenorrhea F Nausea 3 .Complete the sentence by using the drop-down lists. A nurse is planning education for a pregnant client whose weight was within normal limits before pregnancy. The nurse should teach the client that the recommended weight gain during pregnancy should be between 1.15 15 5 A nurse educates a pregnant client to avoid changing her cat’s litter box. What is the reason for this education? A There is a risk of group B streptococcus when coming in contact with cat feces. B There is a risk of hepatitis B when coming in contact with cat feces. C There is a risk of toxoplasmosis when coming in contact with cat feces. D There is a risk of cytomegalovirus when coming in contact with cat feces. 6 A nurse working at a clinic receives a call from a 20-week pregnant client. Which client statement should concern the nurse? Currently Selected: A A “I am experiencing abdominal pain. B “I wake up some nights with heartburn.” C”I have been constipated the last two days.” D “My areolas seem to be getting darker.” 23 9 A client presents to labor and delivery with active herpes genitalis lesions. Which of the following is true regarding this client? Currently Selected: D A Droplet precautions should be initiated B The preferred method of delivery is vaginally C It is not safe to breastfeed with active lesions D The client will need to deliver by cesarean section 10 A nurse is caring for a client with an order for a blood transfusion. The client does not wish to receive the blood transfusion due to religious beliefs. What action should the nurse take? A Avoid further discussion of the blood transfusion B Reinforce education about the risks of refusal C Administer the transfusion if the client becomes unstable 12 A client who is 32 weeks gestation is visiting a healthcare provider for a routine prenatal checkup. Which immunization should the nurse plan to administer to the client during this appointment? A Tetanus, diphtheria, and pertussis (Tdap) B Varicella (chickenpox) C Measles, mumps, and rubella (MMR) D Human papillomavirus (HPV) 21 What is the nurse’s role in providing culturally competent care for a pregnant client? Select all that apply. A Support client’s religious needs during hospitalization B Become an expert in the client’s cultural traditions C Avoid making assumptions about client’s beliefs D Identify cultural beliefs related to health and illness E Identify roles of the client’s family members 14 What is a characteristic of gestational hypertension A Impaired liver function occurs with gestational hypertension B Gestational hypertension is diagnosed when a client has proteinuria C Excessive weight loss from vomiting occurs with gestational hypertension D Gestational hypertension develops after 20 weeks of pregnancy 17 A nurse is caring for a 32-week pregnant client who was diagnosed with preeclampsia. Which clinical finding should the nurse expect? A Facial edema B Increased urine output C Glucosuria D Hyporeflexia A Client’s age B Immunization history C Family history D cesarean delivery E Medical history 19 A client in a prenatal clinic is discussing their concern about having swollen gums that bleed easily during pregnancy. Which is the best response by the nurse? A “This can be a common finding in pregnancy, it occurs from an increased blood volume when you are pregnant.” B “This can be caused by taking antibiotics in pregnancy.” C “You should see your dentist every 4 months while pregnant.” D “This is probably due to a Vitamin C deficiency. Have you been routinely taking your prenatal vitamins?” 21 A7 week pregnant client presents to the clinic for their initial appointment. Which nutritional information should the nurse provide to the client? A An additional 340 kilocalories/day should be consumed during the second trimester. B Kilocalorie intake should be doubled during the second trimester. C An additional 452 kilocalories/day should be consumed during the first trimester. D Kilocalorie intake should not be increased during the third trimester. 22 A nurse performs a contraction stress test (CST) on a 39-week pregnant client. Which finding should be documented as a negative CST? A The fetal heart rate accelerated with each fetal movement B The fetal heart rate decreased after every contraction C The fetal heart rate did not decrease after contractions D The fetal heart rate accelerated with contractions 23 What factor contributes to the high rates of infant mortality in the African American population with low income in the United States? A The population has inadequate prenatal care which is associated with low-birth weight infants. B The population has a higher prevalence of infectious diseases than other ethnicities. C The population has a higher incidence of congenital anomalies than other populations. D This population’s dietary habits are deficient in protein. 24 A nurse is educating an 8-week pregnant client on normal pregnancy discomforts that may occur. Which client statement indicates further education is required? A “Frequent urination is considered a normal pregnancy discomfort.” B “Persistent vomiting is considered a normal pregnancy discomfort.” C “Hemorrhoids are considered a normal pregnancy discomfort.” D “Nasal stuffiness is considered a normal pregnancy discomfort.” 25 A client who is 6 months pregnant explains her exercise regimen. Which statement reflects a cause for concern in the nurse? Currently Selected: C A “I warm-up and cool down longer than I used to.” B “I rest every 15 minutes when I run and then start again.” C “I find it hard to talk when I am at the end of my run.” D “I run a few days per week like I always have.” 26 trafficking. Which sign should the nurse recognize as consistent with human trafficking? A The client is negative for sexually transmitted infections B The client started prenatal care late in pregnancy C The client makes eye contact with the nurse D The client’s partner is not present at the hospital 27 A same-gender couple is planning to have a baby through assisted reproductive technology. Which action should the nurse take when caring for this couple? A Encourage the couple to consider adoption instead. B Offer emotional support and information about the process of assisted reproduction. C Discuss the risks associated with the procedure. D Provide information about legal barriers to parenting for same-gender couples. Presence of fetal heartbeat B Breast tenderness 21 A client presents to the healthcare provider’s office for their initial prenatal appointment. What are considered probable signs of pregnancy? Select all that apply. A Presence of fetal heartbeat B Breast tenderness C Vomiting D Ballottement E Amenorrhea F Nausea 24 The nurse is planning education for a prenatal class on nutrition in pregnancy. What information should the nurse plan to include in the teaching? Select all that apply. A Cooked eggs are considered safe to eat during pregnancy. B Green leafy vegetables should not be eaten during pregnancy. C Smoked seafood should not be eaten during pregnancy. D Undercooked meat should not be eaten during pregnancy. E Avocados are considered safe to eat during pregnancy. F Baked salmon is considered safe to eat during pregnancy.. 25 The nurse is caring for a client diagnosed with preeclampsia when they begin to seize. What action should the nurse take? A Administer calcium gluconate B Stop the magnesium infusion C Press the call light for additional help D Place the client in the supine position 26 A nurse plans a presentation for high school students to bring awareness to teen pregnancy. Which information should the nurse include in the presentation? A Daughters of teen mothers are more likely to get pregnant as a teen B Sex education increases the rate of teen pregnancy C Peer pressure from girls could decrease teen pregnancy D Higher socioeconomic situations have a higher risk of teen pregnancy 29 The nurse suspects a pregnant client is a victim of intimate partner violence due to various stages of bruising on their arm. Which question(s) should the nurse ask the client to assess for intimate partner violence? Select all that apply. A “Are you experiencing constipation?” B “Do you have a history of miscarriage?” C “How do you normally cope with stress?” D “What caused the bruises on your arm?” E “Do you feel safe at home?” 30 A nurse is educating a newly pregnant client who is positive for human immunodeficiency virus (HIV). Which information should the nurse include? Select all that apply. A The preferred method of delivery is by cesarean section. B Your infant will test positive for HIV at birth. CHIV medication is not safe to take during your first trimester. D Breastfeeding can increase HIV transmission to the infant. E HIV medication can be taken to reduce the viral load. 31 A new graduate nurse asks their nurse preceptor “Why are biophysical profiles (BPP) performed? How should the nurse respond? A “ABPP is performed to determine if a client is at risk for preterm delivery.” BPP is performed to identify placenta location before an amniocentesis is performed.” C “A BPP is performed after 32 weeks to identify congenital anomalies.” D “Biophysical profiles are performed to provide information about fetal oxygenation.” 32 A non-stress test (NST) was performed on a 34-week pregnant client. Three fetal accelerations were seen that exceeded the baseline by 20 beats, lasted for 15 seconds each, in a 10 minute period of time. How should the nurse interpret the results? A Non-reactive B Reactive C Negative D Positive 33 A nurse is caring for a client at 32 weeks gestation with a diagnosis of gestational hypertension who has been admitted to the hospital with decreased fetal movement. Which provider order would the nurse anticipate? B Prepare for emergent cesarean section C Enforce strict bedrest D Administer magnesium orally 32 The healthcare provider ordered 750 mL lactated ringers to infuse over 8 hours. The available tubing delivers 10 gtt/mL. At what rate will the nurse set the infusion? gtt/min (If needed, round to the nearest whole number.) 33 The nurse is caring for a 32-week pregnant client who smokes one pack of cigarettes per day. Which fetal condition should the nurse include in this client’s teaching plan? Currently Selected: B A Macrosomia B Premature delivery C Placenta previa D Fetal alcohol syndrome 34 The nurse is caring for a client in the hospital who is experiencing a spontaneous abortion. For each potential healthcare provider order, click to indicate if the order is anticipated or contraindicated in the care of this client. Healthcare Provider Order Initiate normal saline at 100 mL/hr Insert an intravenous catheter Assess bleeding by weighing peri-pads Encourage a low-protein, high-calorie diet Educate client on perineal care Draw hemoglobin and hematocrit laboratory values Administer oral contraceptive medication 37 A nurse is caring for four pregnant clients. Which client is at greatest risk for developing chorioamnionitis? A A 27-week pregnant client who has a history of urinary tract infections B A33-week pregnant client whose membranes ruptured one week ago CA41-week pregnant client who is being treated for a sinus infection D A 39-week pregnant client whose membranes ruptured 28 hours ago 38 A nurse is planning care for a pregnant client at 36.5 weeks gestation with severe preeclampsia. Which order(s) by the healthcare provider should the nurse anticipate? Select all that apply. A Place the client in a semi-private room. B Evaluate neurologic status every 8 hours. C Administer intravenous magnesium sulfate. D Place pads on the side rails of the bed. 9 E Have calcium gluconate readily available.

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