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NRSG 3302 Quizzes 1-4 graed A latest 2025NRSG 3302 Quizzes 1-4 graed A latest 2025
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One presumptive, or subjective change of pregnancy is: - correct answerQuickening Which of the following patients would be described as multiparous? - correct answerA patient at 14 weeks gestation who has a 3 year old and 5 year old at home After an abnormal MSAFP test, an ultrasound is scheduled. Which statement indicates that a woman understands the reason for the additional antepartal fetal surveillance test? - correct answer"The ultrasound will show whether there are abnormalities with the baby's spine" A patient delivered 30 minutes ago after 16 hours of labor that included 2 hours of pushing. Which 4th stage of labor finding would require further assessment and immediate intervention? - correct answerA blood soaked perineal pad since the last 15 minute check All of the following are true regarding a NST except: - correct answerRequires 3 contractions in 10 minutes A lectin/sphingomyelin (L/S) ratio finding of 2:1 on amniotic fluid means which of the following? - correct answerFetal lungs are mature When assessing the fundal height of a primigravida patient using McDonald's Rule with a singleton pregnancy at 30 weeks gestation, we expect the measurement to be: - correct answer30 cm from the symphysis to the top of the fundus The nurse begins a prenatal assessment on a 32 year old multigravida at 20 weeks gestation. Which vital sign is concerning? - correct answerRespirations 30/min A woman telephones the clinic to say that it has been 6 weeks since her last menstrual period but that her home pregnancy test was negative today. "Do you think I could be pregnant? After determining the test was done correctly, what would be the nurse's best reply? - correct answer"You might be. If you haven't started your period in one week, you should repeat the test and call the clinic again." The nurse teaches a client trying to conceive that fertilization of the ovum usually occurs: - correct answerIn the distal third of the fallopian tube A patient is scheduled for a contraction stress test at 36 weeks gestation. The nurse is aware that successful testing is dependent on which factor? - correct answerWhether uterine contractions can be stimulated A client is expecting her 2nd baby. She states that her last menstrual period started 6/20. Using Nagele's rule, what is her due date? - correct answerMarch 27
A woman is menstruating. Which of the following hormone levels is expected? - correct answerLow estrogen and low progesterone Which of the following patients would be considered a primigravida? - correct answerA patient at 15 weeks gestation who has never been pregnant before Which of the following is a function of the fluid filled amniotic sac? - correct answerIt provides a medium for fetal movement T/F: A woman who is 10-weeks pregnant dies from a hemorrhage due to a rupture ectopic pregnancy. Her death would be recorded as a maternal mortality statistic. - correct answerTrue The nurse is caring for a postpartum client in the "taking in" phase. Which intervention is most appropriate for the nurse to implement? - correct answerAllow the client to express feelings about the birth of her infant When preparing for and performing an assessment of the postpartum patient, the nurse would: - correct answerAsk the patient to void before assessing the uterus To prevent SIDS, the nurse encourages the parents of a term infant to place the infant in which sleeping position? - correct answerOn the back The home care nurse is assessing the level of a mother's fundus who delivered 3 days ago. Where should the fundus be located? - correct answer3 cm below the umbilicus While first assessing a postpartum client who is 10 hours post vaginal delivery, a nurse notes a perineal pad that is totally saturated with lochia. To help determine the significance of this finding, which question should the nurse ask the patient first? - correct answerWhen was the last time you changed your pad? Which statement is true regarding the cycle of intimate partner violence? - correct answerThe acute battering incident, or explosion phase, is often triggered by an external event, such as job loss Which statement, made by the patient is correct concerning the rubella vaccine? - correct answerPatients should avoid pregnancy for up to 4 weeks following vaccination A nurse is caring for a client who gave birth about 10 hours earlier. The nurse observes perineal edema in the client. Which intervention should the nurse perform to help decrease the swelling? - correct answerApply ice to the affected area
A nurse recognizes that uterine tachysystole due to oxytocin augmentation requires emergency interventions. What clinical cues would alert the nurse that the client is experiencing uterine tachysystole? - correct answer8 uterine ctx in a 10min period The nurse is caring for a laboring patient. To identify the duration of a ctx, the nurse should: - correct answerTime from the beginning of one ctx to the completion of the same one A woman is admitted in labor. She is 6 cm dilated, -2 station, with intact membranes. Her membranes rupture spontaneously. What would the nurse's initial response be? - correct answerAssess the fetal heart rate The nurse understands that late fetal heart rate decelerations are a result of vagal nerve stimulation and are commonly caused by: - correct answerDeterioration of placental perfusion When a breech presentation is suspected during the intrapartum period, a priority nursing intervention is to diligently observe the client for signs of: - correct answerCord prolapse A patient in labor received an order for epidural anesthesia. To prevent maternal hypotension, which is a common complication associated with this procedure, which action would the nurse perform prior to the prosedure? - correct answerAdminister 500- 1000 mL of IV fluids The nurse is viewing the following fetal monitoring strip. She notices that the FHR begins to decline from its baseline of 120 bpm to its nadir of 90-100 bpm and that this occurs after the peak of each ctx. The wave is smooth and uniform; the rate gradually returns to the baseline 40sec after the ctx ends. Which of the following is the best immediate nursing intervention for this pattern? - correct answerGive the laboring patient oxygen via a mask (late decel) A G1P0 client is admitted in labor. Her cervix is 100% effaced and she is dilated to 3cm. The presenting part is vertex and at 0 station. The nurse is aware that the fetus' head is: