The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?
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Question 2 of 70
How often should the nurse assess the blood pressure, pulse, and respirations of the birthing person during the first hour of the fourth stage of labor?
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Question 3 of 70
A patient at 36 weeks gestation is undergoing a nonstress test (NST). The nurse observes the fetal heart rate baseline at 135 bpm and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for 20-25 seconds each. How will the nurse record these findings?
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Question 4 of 70
A 34-week pregnant woman presents with a non-reactive nonstress test (NST). What should the nurse do next?
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Question 5 of 70
A woman in labor is receiving magnesium sulfate for preterm labor. What should the nurse monitor closely during this treatment?
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Question 6 of 70
When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent?
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Question 7 of 70
Which hormone is responsible for converting the endometrium into decidual cells for implantation?
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Question 8 of 70
A 36-week gestation gravid client is complaining of dyspnea when lying flat.
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Question 9 of 70
The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first?
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Question 10 of 70
The nurse is caring for a pregnant patient who is 38 weeks gestation and reports feeling pelvic pressure and mild cramping. What should the nurse do first?
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Question 11 of 70
The midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?
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Question 12 of 70
A nurse is caring for a pregnant patient who is at 20 weeks gestation and reports experiencing leg cramps. What is the nurse's most appropriate intervention?
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Question 13 of 70
A pregnant patient at 32 weeks gestation reports difficulty breathing, especially when lying flat. What should the nurse recommend first?
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Question 14 of 70
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?
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Question 15 of 70
A nurse is providing prenatal education to a pregnant patient who is at 30 weeks gestation. Which of the following symptoms should the nurse instruct the patient to report immediately?
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Question 16 of 70
A client asks the nurse, “Could you explain how the baby's blood and my blood separate at delivery?†Which of the following responses is appropriate for the nurse to make?
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Question 17 of 70
The nurse is caring for a pregnant patient who is complaining of frequent heartburn. Which of the following suggestions would be most helpful for managing heartburn during pregnancy?
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Question 18 of 70
A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative, but 'I still think I am pregnant.' Which of the following statements would be appropriate for the nurse to make at this time?
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Question 19 of 70
During a preconception counseling session, the nurse encourages a couple to prepare a birth plan.
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Question 20 of 70
A nurse is assisting with a vaginal birth and is monitoring for the risk of umbilical cord prolapse. Which is the most appropriate intervention if the cord is prolapsed?
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Question 21 of 70
The nurse is interviewing a 38-week gestation Muslim woman.
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Question 22 of 70
A nurse is caring for a laboring person in the second stage of labor. What is the most appropriate intervention when the perineum starts to bulge?
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Question 23 of 70
The nurse is assessing a pregnant patient at 28 weeks gestation who reports increased vaginal discharge. What is the nurse's priority action?
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Question 24 of 70
A pregnant patient is at 30 weeks gestation and is experiencing difficulty breathing, especially when lying flat. What is the nurse's priority action?
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Question 25 of 70
Which of the following skin changes should the nurse highlight for a pregnant woman's health care practitioner?
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Question 26 of 70
The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?
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Question 27 of 70
A pregnant woman must have a glucose challenge test (GCT). Which of the following should be included in the preprocedure teaching?
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Question 28 of 70
The nurse is caring for a 35-year-old woman who is pregnant and has a history of hypertension. Which intervention would be most important to prevent preeclampsia?
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Question 29 of 70
A patient with a history of hypertension is admitted to the labor and delivery unit. Which of the following is most important to monitor for during labor?
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Question 30 of 70
A nurse is educating a postpartum person about newborn care. Which of the following should be included in the teaching about umbilical cord care?
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Question 31 of 70
The nurse is educating a pregnant patient about the symptoms of preterm labor. Which of the following symptoms should the nurse advise the patient to report immediately?
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Question 32 of 70
A nurse is assessing a postpartum person for signs of infection. What is the most concerning finding in the first 24 hours after delivery?
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Question 33 of 70
A nurse is assessing a postpartum person for signs of thrombophlebitis. What is the most common sign of thrombophlebitis?
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Question 34 of 70
A patient who is about to undergo a cesarean section for breech presentation without fetal distress asks her nurse what kind of anesthesia would be best for her. The nurse explains that which of the following is the preferred method of anesthesia in this nonemergent case?
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Question 35 of 70
A 35-year-old patient is admitted to the delivery room having contractions 6 minutes apart. Upon palpation of the abdomen, the nurse feels a hard round object in the uterine fundus and a soft object in the pelvis. What should be anticipated?
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Question 36 of 70
A nurse is assisting a postpartum person with breastfeeding. What is the most important factor for successful breastfeeding?
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Question 37 of 70
The nurse is assessing a pregnant patient who is 30 weeks gestation and is concerned about the possibility of gestational diabetes. Which of the following symptoms should the nurse educate the patient to report?
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Question 38 of 70
A nurse is caring for a postpartum person who is breastfeeding. What is the most appropriate intervention to relieve nipple pain?
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Question 39 of 70
What is true about dizygotic twins?
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Question 40 of 70
A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?
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Question 41 of 70
A pregnant patient is 28 weeks gestation and reports feeling nauseated. What is the nurse's priority intervention?
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Question 42 of 70
Which aspect of fetal diagnostic testing is most important to expectant parents?
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Question 43 of 70
An 18-week gestation client telephones the obstetrician's office stating, 'I'm really scared. I think I have breast cancer. My breasts are filled with tumors.' The nurse should base the response on which of the following?
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Question 44 of 70
A pregnant patient is at 28 weeks gestation and reports leg cramps. What is the most appropriate action for the nurse to take?
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Question 45 of 70
A nurse is caring for a postpartum person who is at risk for deep vein thrombosis (DVT). What is the most important intervention to prevent DVT?
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Question 46 of 70
What is the most appropriate nursing action when a laboring person requests pain relief during the first stage of labor?
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Question 47 of 70
A couple just learned they are expecting their first child and are curious if they are having a boy or a girl. At what point of development can the couple first expect to see the sex of their child on ultrasound?
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Question 48 of 70
Which of the following is a common cause of uterine atony?
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Question 49 of 70
A pregnant patient at 24 weeks gestation reports feeling fatigued and lightheaded. What is the nurse's first priority action?
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Question 50 of 70
The nurse is educating a pregnant patient on the importance of maintaining a balanced diet during pregnancy. Which of the following statements by the patient indicates effective teaching?
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Question 51 of 70
A 22-year-old woman presents to the labor and delivery unit in labor at 39 weeks gestation. Her cervix is 6 cm dilated and 100% effaced. What should the nurse do next?
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Question 52 of 70
What is the most important nursing intervention for a laboring person with an epidural who has a low blood pressure?
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Question 53 of 70
A woman in labor is diagnosed with preeclampsia. What is the most important action for the nurse to take?
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Question 54 of 70
What is the primary goal of fetal heart rate monitoring during the second stage of labor?
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Question 55 of 70
A nurse is caring for a postpartum person who is experiencing difficulty with breastfeeding. What is the most appropriate intervention?
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Question 56 of 70
Which spice is safe for nausea and vomiting during pregnancy?
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Question 57 of 70
What is the primary purpose of assessing cervical dilation during labor?
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Question 58 of 70
A pregnant patient at 28 weeks gestation is experiencing mild back pain. What should the nurse do first?
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Question 59 of 70
A pregnant woman who is 36 weeks gestation reports sudden swelling in her hands and feet, along with a headache. What should the nurse do first?
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Question 60 of 70
In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?
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Question 61 of 70
A nurse is caring for a pregnant patient who is 28 weeks gestation and has been diagnosed with gestational diabetes. What is the nurse's priority teaching for this patient?
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Question 62 of 70
A pregnant patient at 32 weeks gestation reports occasional dizziness when standing up. What is the nurse's most appropriate recommendation?
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Question 63 of 70
A nurse is caring for a postpartum person with a second-degree perineal tear. What is the most appropriate intervention for pain management?
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Question 64 of 70
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
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Question 65 of 70
Which vitamin should be avoided in excess during pregnancy?
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Question 66 of 70
What advice should the nurse give regarding herbal supplements during pregnancy?
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Question 67 of 70
Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)
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Question 68 of 70
The nurse is caring for a pregnant patient who is at 32 weeks gestation and reports experiencing frequent heartburn. Which of the following interventions is most appropriate for the nurse to recommend?
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Question 69 of 70
A nurse is caring for a postpartum person who is experiencing a boggy uterus. What is the most appropriate action to take?
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Question 70 of 70
A nurse is caring for a pregnant patient who is at 26 weeks gestation and reports a sudden decrease in fetal movement. Which action should the nurse take first?
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