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Miami Regional University OB Maternity Care of Women New Born and Children

Total Questions : 82

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Question 1:

A woman presents to the emergency department with complaints of bleeding and cramping. The initial nursing history is significant for the last menstrual period 6 weeks ago. On sterile speculum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion? Select one:

Answer and Explanation

A
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Question 2:

A nurse is completing a health history for a client who is at 6 weeks of gestation. BMI 17 also, the client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which one of the following complications?

Answer and Explanation

A
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Question 3:

The phase in which the ovarian function and hormone production decline and the patient had a lack of menstrual period for 13 months is known as:

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A
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Question 4:

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

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A
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Question 5:

A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent?

Select one:

Answer and Explanation

A
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Question 6:

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching?
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Answer and Explanation

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Question 7:

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

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A
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Question 8:

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of
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Answer and Explanation

A
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Question 9:

Which fetal heart rate (FHR) finding would concern the nurse during labor?

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Answer and Explanation

A
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Question 10:

A pregnant woman has been receiving a magnesium sulfate infusion for the treatment of severe preeclampsia for 24 hours. On assessment the nurse finds the following vital signs: temperature of 97.3 C, pulse rate of 88 beats/min, respiratory rate of 14 breaths/min, blood pressure (BP) of 140/90 mm Hg, deep tendon reflexes (DTR) +3, and diuresis 100 ml/3hrs. What should be the nursing intervention?
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Answer and Explanation

A
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Question 11:

A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 100 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 12:

A woman at 37 weeks of gestation with a history of asthma, after a domestic violence episode is admitted into the emergency room unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, severe abdomen pain. The nurse suspects the onset of
Select one:

Answer and Explanation

A
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Question 13:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Answer and Explanation

A
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Question 14:

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

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A
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Question 15:

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse does not include in the test?

Answer and Explanation

A
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Question 16:

A nurse is caring for a client in the second prenatal visit, the laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

Answer and Explanation

A
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Question 17:

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to:

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Answer and Explanation

A
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Question 18:

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

Answer and Explanation

A
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Question 19:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus?

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Answer and Explanation

A
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Question 20:

During her gynecologic checkup, a 30-year-old client states that recently she has been experiencing abdominal cramping and pain 3-4 days before and during her menstrual periods. The patient also complains of nausea, vomiting, headache, and irritability. The nurse would document these complaints as:

Select one:

Answer and Explanation

A
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Question 21:

A nurse is caring for a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

Answer and Explanation

A
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Question 22:

While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate during the contraction's peak, with the nadir of the decelerations occurring when the contraction end. The nurse's first priority is to:
Select one:

Answer and Explanation

A
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Question 23:

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:

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Answer and Explanation

A
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Question 24:

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side, closed to the midline. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Answer and Explanation

A
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Question 25:

A 35-year-old pregnant woman with irregular periods, G4 T2 PO A1 L2 is 28 weeks pregnant by the last ultrasound, when she experiences bright red and painless vaginal bleeding, fetal contour is easily assessed, and uterine tone is normal. On her arrival at the hospital, what would be an expected diagnostic procedure or test to confirm the diagnosis?

Select one:

Answer and Explanation

A
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