Rasmussen College

NURSING NU278

Quiz 2

1)A nurse is assessing a 52-year-old primigravida woman who presents complaining of moderate dark-brown vaginal bleeding. On physical exam, her uterus is large for dates. Which action by the nurse is most appropriate?

1. Assess the womans diet for folic acid intake.
2. Facilitate an ultrasound examination.
3. Instruct the woman on a fetal kick count.
4. Prepare the woman for pelvic cultures

2. A patient has had a screening test for gestational diabetes and the 1 hour results is 250 mg/dL. What does the nurse conclude about this patient?

A Results are high: the patient has gestational diabetes.

2. Results are inconclusive: will repeat test in one month
3. Results are lower than expected; seek endocrine consult
4. Results are normal: no gestational diabetes

3. A nursing instructor informs the class of the many benefits of prenatal care. What benefits does the instructor include? (Select all that apply.)

1. Allows women informed decision making
2. Decreased pregnancy-related maternal death

3. Improved pregnancy outcomes
4. Increased cost associated with more frequent visits
5. Increased early identification of abnormal findings

4. A woman in her 26th week of pregnancy is in preterm labor. What can the nurse conclude about this baby’s ability to survive?

1. Cannot survive, as all organ systems are too immature
2. Might survive, as lungs can breathe air with rhythmic breathing
3. Probably will not survive, as all organ systems have not formed
4. Will survive, because all body systems are completely mature

5. A woman in her second trimester of pregnancy presents to the perinatal clinic with complaints of scant vaginal bleeding, abdominal pain, and shoulder pain. What action should the nurse perform first?

1. Assess her for a history of preterm labor.
2. Obtain a blood sample for a β-hCG test.
3. Prepare the woman for a pelvic exam.
4. Request an order for methotrexate (Rheumatrex).

6. A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best?

1. If they last more than 60 seconds or become regular, come in.
2. Oh, you are just having what are called Braxton Hicks contractions.
3. Pregnant women often experience this type of contraction.
4. You should come in to the clinic as soon as possible today.

7. The nurse is teaching a group of women about hormonal emergency contraception. Which of the following is not a benefit of this type of contraception?

1. Available in some forms over the counter
2. Can be taken up to 120 hours after intercourse
3. Over-the-counter version has only two pills
4. Typically has no side effects

8. A nurse in an emergency pregnancy clinic is evaluating women for the IUD method of emergency contraception. Which woman would not be considered a good candidate for this method of emergency contraception?

1. Does not wish to have an abortion
2. Had sexual intercourse 4 days ago
3. Took over-the-counter morning-after pill today
4. Was raped by a stranger

9. A nurse is assessing a woman for TORCH infections. What diseases are included in this acronym? (Select all that apply.) A Cytomegalovirus

2. Hepatitis B
3. Roseola
4. Toxoplasmosis
5. Varicella-Zoster

10. A nurse is assessing a pregnant woman who says she drinks 5 to 7 alcoholic drinks per week. What action by the nurse is best?

1. Advise the woman to decrease her drinking to 3 to 4 drinks per week.
2. Explain that during pregnancy, alcohol in any amount can harm the fetus
3. Teach her that for women, the safe alcohol limit is 1 drink in an hour.
4. Tell the woman to substitute caffeinated beverages for the alcohol.

11. A 26-year-old woman has come for preconception counseling and asks about caring for her cat, because she has heard that she “should not touch the cat during pregnancy.” Which of the following is the nurse’s best response?

1. If someone else changes the litter box you should be okay.
2. It is more important to avoid eating raw vegetables now.
3. That is correct; in fact, you should give the cat away.
4. You probably already have had toxoplasmosis from the cat.

12. A nurse has admitted a woman pregnant in her third trimester with moderate vaginal bleeding and severe abdominal pain. After assessing maternal vital signs, obtaining the fetal heart rate, and starting an IV line, which action should the nurse do next?

1. Administer betamethasone (Celestone) just prior to delivery.
2. Discuss pros and cons of continuous fetal monitoring.
3. Facilitate laboratory work, including blood type and screen.
4. Obtain informed consent for emergent delivery.