The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?
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Question 2 of 71
The embryo is termed a fetus at which stage of prenatal development?
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Question 3 of 71
Which is fetal tachycardia likely caused by?
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Question 4 of 71
A pregnant patient is at 32 weeks gestation and reports swelling of the feet and legs. What is the most appropriate recommendation for the nurse to make?
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Question 5 of 71
A nurse is assisting with a vaginal delivery. What is the most important nursing intervention when the fetal head begins to crown?
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Question 6 of 71
A pregnant patient is at 25 weeks gestation and is concerned about her risk of preterm labor. Which of the following symptoms should the nurse educate the patient to report immediately?
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Question 7 of 71
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?
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Question 8 of 71
A nurse is assisting a postpartum person with breastfeeding. What is the best intervention to help relieve nipple pain?
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Question 9 of 71
The nurse is caring for a pregnant patient who is 30 weeks gestation and has a BMI of 32. Which of the following complications should the nurse monitor for more closely?
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Question 10 of 71
What is the purpose of administering magnesium sulfate during preterm labor?
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Question 11 of 71
The blood of a pregnant client was initially assessed at 10 weeks’ gestation and reassessed at 38 weeks’ gestation.
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Question 12 of 71
During an ultrasound, two amnions and two placentas are observed. What will be the most likely result of this pregnancy?
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Question 13 of 71
The nurse is caring for a pregnant patient who is at 36 weeks gestation and reports severe lower back pain. What should the nurse recommend?
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Question 14 of 71
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?
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Question 15 of 71
A nurse is caring for a 38-week pregnant patient who is experiencing a decrease in fetal movement. Which of the following should be the nurse's first action?
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Question 16 of 71
A nurse is assessing the fetal heart rate of a laboring person. What is the most significant finding that would indicate fetal distress?
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Question 17 of 71
What does optimal nursing care after an amniocentesis include?
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Question 18 of 71
A patient in labor who is 7 cm dilated requests pain relief. What is the most appropriate intervention at this time?
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Question 19 of 71
Why is pregnancy planning important for women of childbearing age?
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Question 20 of 71
A patient in labor is experiencing back labor and complains of severe back pain. Which position is likely to provide the most comfort?
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Question 21 of 71
A pregnant patient at 34 weeks gestation is concerned about the possibility of preterm labor. Which of the following is the most appropriate action for the nurse to take?
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Question 22 of 71
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
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Question 23 of 71
A pregnant patient who is 28 weeks gestation reports a sudden headache and visual changes. What is the nurse's priority action?
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Question 24 of 71
A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?
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Question 25 of 71
The nurse is teaching a pregnant patient about preparing for childbirth. Which of the following statements by the patient indicates that further teaching is needed?
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Question 26 of 71
A 40-year-old primiparous woman who is 38 weeks pregnant has been on the labor unit for an hour when she starts to complain of feeling dizzy, light-headed, and nauseous. Her blood pressure is 90/60. What should be the first response of the nurse?
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Question 27 of 71
A pregnant person in the first stage of labor experiences rupture of membranes. What is the nurse's priority action?
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Question 28 of 71
What is the primary nursing action when a laboring person experiences a ruptured uterus?
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Question 29 of 71
A nurse is caring for a laboring person who is experiencing irregular fetal heart rate patterns. What is the most appropriate intervention?
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Question 30 of 71
A patient who is 40 weeks pregnant and is in labor suddenly complains of a severe headache and blurry vision. What should the nurse assess for?
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Question 31 of 71
A nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with anemia. What should the nurse teach the patient about managing this condition?
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Question 32 of 71
The nurse is caring for a pregnant patient who is 35 weeks gestation and reports sharp abdominal pain and decreased fetal movement. What is the nurse's priority action?
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Question 33 of 71
The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?
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Question 34 of 71
A pregnant patient at 32 weeks gestation reports a sudden headache and blurred vision. What is the nurse's priority action?
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Question 35 of 71
A 26-year-old pregnant woman who is 12 weeks gestation asks the nurse about the importance of folic acid. Which of the following is the best response by the nurse?
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Question 36 of 71
A nurse is caring for a laboring person who is experiencing fetal bradycardia. What is the priority intervention?
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Question 37 of 71
A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant?
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Question 38 of 71
The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm ejaculated near the cervix?
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Question 39 of 71
A nurse is educating a postpartum person about newborn care. What is the best way to prevent diaper rash?
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Question 40 of 71
The nurse takes the history of a client, G2 P1001, at her first prenatal visit. Which of the following statements would indicate that the client should be referred to a genetic counselor?
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Question 41 of 71
A gravid woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child?
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Question 42 of 71
A nurse is caring for a laboring person who is in the first stage of labor. What is the priority assessment to perform during this stage?
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Question 43 of 71
A pregnant patient is at 32 weeks gestation and reports a sudden headache and visual disturbances. What is the nurse's priority action?
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Question 44 of 71
The nurse is providing education to a pregnant patient who is experiencing nausea and vomiting during pregnancy. Which of the following interventions should the nurse recommend?
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Question 45 of 71
The nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with a urinary tract infection (UTI). Which of the following interventions should the nurse prioritize?
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Question 46 of 71
A patient is in active labor and is experiencing back labor. Which position would be most helpful to relieve the back pain?
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Question 47 of 71
A pregnant patient at 24 weeks gestation reports experiencing leg cramps. What is the most appropriate intervention for the nurse to recommend?
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Question 48 of 71
A nurse is educating a postpartum person about perineal care. What is the most important teaching point?
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Question 49 of 71
A nurse is providing prenatal education to a pregnant patient. Which of the following statements indicates a need for further teaching about maternal weight gain during pregnancy?
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Question 50 of 71
A nurse is caring for a postpartum person who is at risk for postpartum hemorrhage. What is the most important nursing action to reduce the risk?
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Question 51 of 71
What response is appropriate regarding sushi consumption during pregnancy?
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Question 52 of 71
The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination.
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Question 53 of 71
Place these developmental milestones in chronological order: Four-chambered heart forms, Vernix caseosa appears, Blastocyst development completes, Testes descend
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Question 54 of 71
A pregnant patient at 32 weeks gestation reports persistent nausea and vomiting. What is the nurse's priority action?
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Question 55 of 71
A nurse is assisting with a vaginal birth and is monitoring for signs of placental separation. What is the most reliable clinical indicator that the placenta has separated?
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Question 56 of 71
A nurse is assessing a laboring person's progress. What is the most reliable indicator that the laboring person is in the active phase of labor?
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Question 57 of 71
Which of the following vital sign changes should the nurse highlight for a pregnant woman’s obstetrician?
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Question 58 of 71
A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old, at 28 weeks’ gestation; delivered a daughter, now 5 years old, at 39 weeks’ gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman’s gravidity and parity?
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Question 59 of 71
A patient in labor is at 6 cm dilation and requests an epidural. What is the most appropriate response from the nurse?
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Question 60 of 71
A pregnant patient at 28 weeks gestation reports lower back pain. What should the nurse do first?
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Question 61 of 71
A patient who has been in labor for several hours is now fully dilated and ready to push. What is the first action the nurse should take?
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Question 62 of 71
What is the first step the nurse should take when assessing a newborn's respiratory status immediately after birth?
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Question 63 of 71
The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy levels? Select all that apply.
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Question 64 of 71
A pregnant patient at 34 weeks gestation reports sudden swelling of the hands, feet, and face. What is the nurse's priority action?
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Question 65 of 71
A laboring person requests an epidural for pain relief. What is the nurse's priority action before the procedure?
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Question 66 of 71
What item represents a serving of meat?
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Question 67 of 71
The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?
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Question 68 of 71
A nurse is assessing a laboring person who is receiving oxytocin for labor induction. What is the most important intervention to prevent uterine hyperstimulation?
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Question 69 of 71
The nurse explains that prior to fertilization each cell is reduced from 46 chromosomes to 23 chromosomes. This is referred to as the __________ number.
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Question 70 of 71
A nurse is preparing a laboring person for an epidural. What is the most important intervention before the procedure?
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Question 71 of 71
A nurse is caring for a pregnant patient who is 30 weeks gestation and is diagnosed with mild preeclampsia. Which of the following should be included in the plan of care?
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