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maternal nursing

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

A client is about 16 weeks pregnant and is concerned because she feels her abdomen contracting. She calls the primary care providers office and speaks to the nurse. What is the most appropriate response to this clients concern?

a)

What you are feeling are called Braxton Hicks contractions. They are considered practice contractions during pregnancy.

b)

You need to report to the emergency room immediately

c)

Are you experiencing any bleeding, or discharge?

d)

Have you been exposed to any STI's?

2.

During an examination a client at 32 weeks pregnant becomes dizzy, light headed, and pale while supine. What is the priority action of the nurse?

a)

Raise the head of the bed to 30 degrees

b)

Assess the clients vital signs

c)

Turn patient on left side

3.

A pregnant client reports an increase in a thick whitish vaginal discharge. Which response by the nurse would be most appropriate?

a)

Ask the client if there is a possibility of an STI

b)

Inform the client that the provider will need to do a vaginal exam.

c)

Inform the client that this discharge is normal during pregnancy

4.

A client in her 2nd trimester of pregnancy is anxious about the blotchy, brown pigmentation appearing on her forehead and cheeks. She also reports increased pigmentation on her breasts and genitalia. Which statement by the nurse is most appropriate?

a)

You need to adjust your skin care routine during pregnancy.

b)

This is called facial melasma (chloasma) and should fade after birth.

c)

Use hypoallergenic soap and lotions to reduce the discolorations.

5.

The height of the clients fundus is 24 cm. Approximately how many weeks pregnant would this client be?

a)

20 weeks

b)

22 weeks

c)

24 weeks

d)

30 weeks

6.

Which hormone is released when the newborn sucks at the breast?

a)

Progestin

b)

Estrogen

c)

Oxytocin

7.

SATA

Which are POSITIVE signs of pregnancy?

a)

A softened cervix

b)

Electronic device detects fetal heart rate.

c)

Ultra Sound detects baby

d)

Fetal movement palpated by Dr. or Nurse.

e)

A softened cervix

8.

According to Naegele"s Rule, a woman with an LMP of 12/10/2021 would have an EDD of what?

a)

09/16/2022

b)

09/16/2021

c)

09/03/2022

9.

Early decelerations:

a)

An abrupt decrease in fetal hear rate below the baseline with the onset to the lowest point lasting less than 30seconds

b)

A gradual decrease in fetal heart rate with an onset to the lowest point that is greater than or equal to 30 seconds with a return to baseline associated with a contraction.

10.

Variable is defined as fluctuations in the fetal heart rate.

a)

True

b)

False

11.

Accelerations are reassuring and means the baby is well oxygenated.

a)

True

b)

False

12.

Where does conception take place?

a)

Uterus

b)

Cervix

c)

Ampulla of Fallopian Tube

13.

The embryonic stage is the most concerning for exposure to teratogens

a)

True

b)

False

14.

Hollow ball of cells is called a blastocyst

a)

False

b)

True

15.

The Ectoderm

a)

Forms the skeletal, urinary, circulatory, and reproductive organs.

b)

Forms the CNS, special senses, skin, and glands.

c)

Forms the respiratory system, liver, and pancreas.

16.

During pregnancy the pituitary gland enlarges and grows by 135% of its original size.

a)

True

b)

False

17.

In weeks 29-36 of pregnancy the woman should expect prenatal visits to occur:

a)

Every week

b)

Every 2 weeks

c)

Every 4 weeks

18.

Oxytocin: first-line use for post partum bleeding and or hemorrhage

a)

False

b)

True

19.

Oxytocin administered:

a)

IV

b)

IM

c)

Sublingual

d)

Suppository

20.

Tocolytics

a)

Mag sulfate

b)

Indomethacin

c)

Nifedipine

d)

Terbutaline

e)

Carboprost