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Southeastern College Maternity exam

Total Questions : 55

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Question 1:

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:.

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Question 2:

A woman in labor received an opioid close to the time of birth.

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Question 3:

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

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Question 4:

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour.

The bag is labeled N/S 500 mLs and contains Heparin 40,000 units.

What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

Answer and Explanation
Correct Answer: mLs/hr.

Explanation

Answer and explanation

Step 1 is to calculate the total units of Heparin in 1 mL of the solution. This is done by dividing the total units of Heparin in the bag (40,000 units) by the total volume of the bag (500 mL). So, 40,000 units ÷ 500 mL = 80 units/mL. Step 2 is to calculate the rate at which the IV pump should be set. This is done by dividing the ordered amount of Heparin per hour (1600 units) by the units of Heparin per mL (80 units/mL). So, 1600 units/hr ÷ 80 units/mL = 20 mL/hr.

So, the correct answer is 20 mL/hr.


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Question 5:

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality.
What would be most important for the nurse to do when working with this family?.

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Question 6:

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

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Question 7:

A nurse is preparing a class for pregnant women about labor and birth.
When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

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Question 8:

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?.

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Question 9:

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

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Question 10:

A woman in labor who received an opioid for pain relief develops respiratory depression.
The nurse would expect which agent to be administered?.

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Question 11:

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
The nurse determines that the medication is at a therapeutic level based on which finding?.

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Question 12:

A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.

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Question 13:

A client who is 4 months pregnant is at the prenatal clinic for her initial visit.

Her history reveals she has 7-year-old twins who were born at 34 weeks' gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 6 weeks' gestation.

Using the GTPAL method, the nurse would document her obstetric history as:.

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Question 14:

A nurse is conducting an in-service program for a group of nurses working in the labor and birth suite of the facility.
After teaching the group about the factors affecting the labor process, the nurse determines that the teaching was successful when the group identifies which component as part of the true pelvis? Select all that apply.

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Question 15:

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

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Question 16:

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

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Question 17:

Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute.

What flow rate will you set the IV pump to deliver? Numeric values only.

Answer and Explanation
Correct Answer: mLs/hr.

Explanation

Step 1 is to convert the order from milliunits/minute to units/hour. So, 12 milliunits/minute is equal to 0.72 units/hour. Step 2 is to calculate the total units in the IV bag, which is 20 units. Step 3 is to calculate the total volume of the IV bag, which is 500 mL. Step 4 is to calculate the flow rate. So, (0.72 units/hour ÷ 20 units) × 500 mL = 18 mL/hr. So, the correct flow rate to set on the IV pump is 18 mL/hr.


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Question 18:

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.

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Question 19:

A client is in active labor.

Checking the EFM tracing, the nurse notes variables that are abnormal.

What would be the nurse's first nursing intervention?

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Question 20:

A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

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Question 21:

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence.
To promote adherence, which area would be most important for the nurse to assess?.

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Question 22:

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying.
Which response by the nurse would be most appropriate?.

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Question 23:

A nurse palpates a woman's fundus to determine contraction intensity.
What would be most appropriate for the nurse to use for palpation?.

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Question 24:

When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?.

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Question 25:

Touch and massage can be helpful during labor.
Which touch and massage methods are used in labor? Select all that apply.

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