Prelim Quiz 2- NCM 109- CARE OF

MOTHER AND CHILD AT RISK OR

WITH PROBLEMS (BSN 3B)
Multiple Choice 100 items exam
Points:
62/100
1.A 14 year-old female has sickle cell anemia. Which factors below can increase
the patient’s risk for developing sickle cell crisis? Select all that apply:
(1/1 Points)
A. Shellfish
B. Infection
C. Dehydration
D. Hypoxia
E. Low altitudes
F. Hemorrhage
G. Strenuous exercise
2.The physician orders a patient with suspected iron-deficiency anemia a blood
smear test to assess the quality of the red blood cells. How would the red blood
cells appear if the patient had iron- deficiency anemia?
(0/1 Points)
A. Hyperchromic and macrocytic
B. Hypochromic and microcytic
C. Hyperchromic and macrocytic
D. Hypochromic and macrocytic
3.A nurse in the labor room is performing a vaginal assessment on a pregnant
client in labor. The nurse notes the presence of the umbilical cord protruding
from the vagina. Which of the following would be the initial nursing action?
(1/1 Points)
A. Place the client in Trendelenburg’s position
B. Call the delivery room to notify the staff that the client will be transported immediately
 C. Gently push the cord into the vagina
D. Find the closest telephone and stat page the physician
4.Herpes simplex virus (HSV) infection may be transmitted to a neonate at which
of the following times?
(0/1 Points)
A. Intrapartum
B. Transplacental
C. Postnatal, nonvenereal
D. All of the above
5.Congenital rubella is associated with the development of what clinical condition
in 80% of those infants infected?
(-/1 Points)
A. blindness
B. deafness
C. obesity
D. diabetes mellitus
6.A patient reports of feeling very fatigued and is having food cravings for clay
and dirt. On assessment, you note the patient has nail changes that look "spoon-
shaped". This spoon-shaped appearance of the nails is called?
(1/1 Points)
A. Terry's Nails
B. Onychoschizia
C. Koilonychias
D. Leukonychia
7.Which of the following is the most likely effect on the fetus if the woman is
severely anemic during pregnancy?
(1/1 Points)
A. Large for gestational age (LGA) fetus
B. Hemorrhage
C. Small for gestational age (SGA) baby
D. Erythroblastosis fetalis
8.While assessing a primipara during the immediate postpartum period, the nurse
in charge plans to use both hands to assess the client’s fundus to:
(1/1 Points)
A. Prevent uterine inversion
B. Promote uterine involution
C. Hasten the puerperium period
D. Determine the size of the fundus
9.A pregnant woman with a fetus in face presentation asks if there is any chance
that she would deliver her baby vaginally. The nurse should tell her that:
(0/1 Points)
A. Vaginal birth is impossible because the head diameter that the fetus presents to the pelvis is
too large.
B. The baby can be born vaginally if the chin is anterior and the pelvic diameters are within
normal limits.
C. The baby can be born vaginally because face presentation is the same with cephalic
presentation.
D. Vaginal birth is contraindicated to a fetus with face presentation and there is no chance for
the mother to give birth vaginally.
10.Parents can facilitate the adjustment of their other children to a new baby by:
(0/1 Points)
A. Having the children choose or make a gift to give to the new baby upon its arrival home
B. Emphasizing activities that keep the new baby and other children together
C. Having the mother carry the new baby into the home so she can show the other children the
new baby
D. Reducing stress on other the by limiting their involvement in the care of the new baby
11.Question
(-/1 Points)
Option 1
Option 2
12.A woman in the second trimester of her pregnancy with a fetus in breech
position worries that she would deliver the fetus through cesarean delivery. What
should the nurse tell her?
(1/1 Points)
A. Cesarean delivery is one of the safest and most economical methods of giving birth.
B. The fetus would have to be delivered via cesarean section because it will remain in a breech
position until birth.
 C. The fetus may still turn into a cephalic position by week 38 because the lower extremities fit
more properly in the fundus.
D. She can still deliver vaginally even though the fetus is in breech position.
13.Transmission of hepatitis B infection from the mother to the fetus/infant
occurs in 80–90% of cases when:
(0/1 Points)
A. Mother is HBsAg positive but HBeAg negative
B. Mother is HBeAg positive
C. Mother’s infection was in the third trimester
D. Mother has persistent asymptomatic disease
14.Clinical features such as hepatosplenomegaly, skin and mucosal lesions, and a
saddle-shaped nose are associated with what congenital infection?
(1/1 Points)
A. congenital rubella
B. congenital CMV
C. congenital syphilis
D. congenital HIV
15.You're providing education to a patient about how to take their prescribed
iron supplement. Which statement by the patient requires you to re-educate the
patient on how to take this supplement?
(1/1 Points)
A. "I will take this medication on an empty stomach."
B. "I will avoid taking this medication with orange juice."
C. "I will wait and take my calcium supplements 2 hours after I take my iron supplement."
D. "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer
as needed."
16.You're providing education to a patient with sickle cell anemia who is taking
Hydroxyurea. You will make it priority to tell the patient to?
(1/1 Points)
A. Consume foods high in calcium and potassium
B. Avoid sick people and maintain strict hand hygiene
C. Take this medication with at least 8 oz of water
D. Monitor your blood glucose level daily
17.The histologic hallmark of transplacental fetal infections is:
(0/1 Points)
A. Chorioamnionitis
B. Acute umbilical angiitis
C. Villous inflammation
D. Deciduitis
E. Cerebritis
18.Match the finding with the organism for which it is most typical. Is the most
common viral cause of congenital infection.
(0/1 Points)
A. Toxoplasma gondii
B. Rubella virus
C. CMV (Cytomegalovirus)
D. HSV (Herpes Simplex Virus)
E. Varicella infection
19.What best describes Baby Blues?
(1/1 Points)
A. Feelings of sadness during the first two weeks postpartum
B. More serious problem requiring follow up and treatment from provider
C. Symptoms requiring immediate treatment
D. All of the above
20.Symptoms of postpartum depression include: (choose all that apply)
(1/1 Points)
A. Euphoria
B. Tiredness
C. Changes in Diet
D. Issues with sleep
E. None of these apply
21.Infants born to women who are HBsAg positive should be:
(0/1 Points)
A. Observed for development of hepatitis
B. Given hepatitis B immune globulin (HBIG) only
C. Vaccinated with hepatitis B vaccine only
D. Tested for HBeAg status only
 E. Given both HBIG and vaccine
22.A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale
rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen
saturation 91%, temperature 101.4'F. Select all the appropriate nursing
interventions for this patient at this time?
(1/1 Points)
A. Administer IV Morphine per MD order
B. Administer oxygen per MD order
C. Keep NPO
D. Apply cold compresses
E. Start intravenous fluids per MD order
F. Administer iron supplement per MD order
G. Keep patient on bed rest
H. Remove restrictive clothing or objects from the patient
23.A congenital syndrome of limb hypoplasia, atrophic digits, and skin scars
suggests which of the following congenital infections?
(0/1 Points)
A. Rubella
B. Toxoplasmosis
C. Varicella
D. AIDS
E. CMV
24.Match the finding with the organism for which it is most typical. Is an RNA
virus.
(0/1 Points)
A. Toxoplasma gondii
B. Rubella virus
C. CMV (Cytomegalovirus)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
25.Congenital rubella is completely preventable by
(0/1 Points)
A. isolation
 B. vaccination
C. having a superb immune system
D. All of the above
26.A nurse is developing a plan of care for a client experiencing dystocia and
includes several nursing interventions in the plan of care. The nurse prioritizes the
plan of care and selects which of the following nursing interventions as the
highest priority?
(1/1 Points)
A. Keeping the significant other informed of the progress of the labor
B. Providing comfort measures
C. Monitoring fetal heart rate
D. Changing the client’s position frequently
27.Match the finding with the organism for which it is most typical. When clinical
manifestations occur in the fetus, hydrops fetalis has recently been recognized.
(1/1 Points)
A. Condylomata acuminata of the genitalia
B. Herpes virus infection
C. Human parvovirus infection (B19)
D. Hepatitis B infection
E. Varicella infection
28.In follow-up appointments or visits with parents and their new baby, it may be
useful if the nurse can identify parental behaviors that can either facilitate or

inhibit attachment. What is a facilitating behavior?

(1/1 Points)
A. The parents have difficulty naming the infant.
B. The parents hover around the infant, directing attention to and pointing at the infant.
C. The parents make no effort to interpret the actions or needs of the infant.
D. The parents do not move from fingertip touch to palmar contact and holding.
29.Labor is a series of events affected by the coordination of the five essential
factors. One of these is the passenger (fetus). Which are the other four factors?
(1/1 Points)
A. Contractions, passageway, placental position and function, pattern of care
B. Contractions, maternal response, placental position, psychological response
 C. Passageway, contractions, placental position, and function, psychological response
D. Passageway, placental position and function, paternal response, psychological response
30.Each of the following statements about toxoplasmosis is true except:
(0/1 Points)
A. A The likelihood of transmission of infection increases with gestational age
B. Most infants with congenital toxoplasmosis are asymptomatic in the newborn period
C. Toxoplasmosis-specific IgG detected preconceptionally indicates protection from subsequent
fetal infection
D. The severity of congenital infection increases with gestational age
E. With an acute infection, toxoplasmosis-specific IgM may be present for up to 8 months with
an ELISA test
31.The nurse observes several interactions between a postpartum woman and her
new son. What behavior, if exhibited by this woman, does the nurse identify as a
possible maladaptive behavior regarding parent-infant attachment?
(1/1 Points)
A. Talks and coos to her son
B. Seldom makes eye contact with her son
C. Cuddles her son close to her
D. Tells visitors how well her son is feeding
32.The nurse should realize that the most common and potentially harmful
maternal complication of epidural anesthesia would be:
(0/1 Points)
A. Severe postpartum headache
B. Limited perception of bladder fullness
C. Increase in respiratory rate
D. Hypotension
33.A nurse in the labor room is preparing to care for a client with hypertonic
uterine dysfunction. The nurse is told that the client is experiencing
uncoordinated contractions that are erratic in their frequency, duration, and
intensity. The priority nursing intervention would be to:
(1/1 Points)
A. Monitor the Pitocin infusion closely
B. Provide pain relief measures
C. Prepare the client for an amniotomy
 D. Promote ambulation every 30 minutes
34.A primary cytomegalovirus infection occurring during the first trimester is
associated with sensorineural hearing loss, more specifically associated with what
cranial nerve?
(1/1 Points)
A. CN IV
B. CN V
C. CN VI
D. CN VIII
35.Postpartum depression symptoms are similar to ________ symptoms.
(0/1 Points)
A. Bipolar Disorder
B. Depression unrelated to childbirth
C. Anorexia Nervosa
D. Borderline Personality
36.This condition predisposes the woman to an oversized fetus:
(0/1 Points)
A. Occipitoposterior position.
B. Gestational diabetes
C. Primiparity
D. CPD
37.Prenatal confirmation of rubella infection has been reported using which of
the following?
(0/1 Points)
A. Chorionic villus biopsy
B. Rubella virus RNA detection
C. Fetal blood sampling
D. Ultrasound
38.Following a precipitous delivery, examination of the client’s vagina reveals a
fourth-degree laceration. Which of the following would be contraindicated when
caring for this client?
(1/1 Points)
A. Applying cold to limit edema during the first 12 to 24 hours
 B. Instructing the client to use two or more peri pads to cushion the area
C. Instructing the client on the use of sitz baths if ordered
D. Instructing the client about the importance of perineal (Kegel) exercises
39.Match the finding with the organism for which it is most typical. Deafness.
(0/1 Points)
A. Toxoplasma gondii
B. Rubella virus
C. CMV (Cytomegaloviris)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
40.Match the finding with the organism for which it is most typical. Vesicular
eruption
(1/1 Points)
A. Toxoplasma gondii
B. Rubella virus
C. CMV (Cytomegaloviris)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
41.Select all the patients who are at MOST risk for iron-deficiency anemia:
(1/1 Points)
A. A 55 year old male who reports taking Ferrous Sulfate regularly.
B. A 25 year old female who was recently diagnosed with Celiac Disease.
C. A 35 year old female who is 36 weeks pregnant that reports craving ice.
D. A 67 year old female with a Hemoglobin level of 14.
42.The nurse observes the client’s amniotic fluid and decides that it appears
normal, because it is:
(1/1 Points)
A. Clear and dark amber in color
B. Milky, greenish yellow, containing shreds of mucus
C. Clear, almost colorless, and containing little white specks
D. Cloudy, greenish-yellow, and containing little white specks
43.Which statement about how sickle cell anemia is passed to offspring is
CORRECT?
(1/1 Points)
A. This disease is an x-linked recessive disease.
B. Sickle cell anemia is an autosomal dominant disease.
C. This condition is an autosomal recessive disease.
D. Sickle cell anemia is rarely passed to offspring and is an autosomal x-linked dominant disease.
44.Match the finding with the organism for which it is most typical. An indication
for Cesarean section if present on the genitalia at the time of delivery.
(1/1 Points)
A. Condylomata acuminata of the genitalia
B. Herpes virus infection
C. Human parvovirus infection (B19)
D. Hepatitis B infection
E. Varicella infection
45.A patient is admitted with iron- deficiency anemia and has been receiving iron
supplementation. The patient voices concern about how their stool is dark black.
As the nurse, you would?
(1/1 Points)
A. Notify the doctor
B. Hold the next dose of iron
C. Reassure the patient this is a normal side effect of iron supplementation
D. None of the options are correct
46.Match the finding with the organism for which it is most typical. Maternal
pneumonia is a major complication
(0/1 Points)
A. Condylomata acuminata of the genitalia
B. Herpes virus infection
C. Human parvovirus infection (B19)
D. Hepatitis B infection
E. Varicella infection
47.A mother brings in her 8 month-old child to the ER. The mother reports the
baby has recently started being extremely fussy, has a fever, and swelling in the
hands and feet. The child is diagnosed with sickle cell disease. As the nurse you
know that the swelling in the hands and feet in the infant is termed?
(1/1 Points)
A. Dactylitis
B. Erythromelaglia
C. Dyshidrotia
D. Phalitis
48.When the uterus is firm and contracted after delivery but there is vaginal
bleeding, the nurse should suspect
(1/1 Points)
A. Laceration of soft tissues of the cervix and vagina
B. Uterine atony
C. Uterine inversion
D. Uterine hypercontractility
49.When helping a woman cope with postpartum blues, the nurse should offer
what appropriate suggestions? (Select all that apply.)
(1/1 Points)
A. The father should take over care of the baby, because postpartum blues are exclusively a
female problem.
B. Get plenty of rest.
C. Plan to get out of the house occasionally.
D. Asking for help will not foster independence.
E. Use La Leche League or community mental health centers.
50.Erythema infectiosum is characterized by a facial rash called “the slapped
cheek” appearance. What virus causes this?
(1/1 Points)
A. CMV
B. Herpes virus type II
C. Herpes virus type I
D. Human parvovirus (B19)
E. Measles
51.Match the finding with the organism for which it is most typical. Is carried in
an animal reservoir
(1/1 Points)
A. Toxoplasma gondii
 B. Rubella virus
C. CMV (Cytomegalovirus)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
52.You're educating the parents of a 12 year-old, who was recently treated for
sickle cell crisis, on ways to prevent further sickle cell crises in the future. Which
statement by the parents demonstrates they understood your instructions?
(1/1 Points)
A. "We will limit fluid intake during the day to 1-2 L a day."
B. "Cold showers are best to help with pain associated with sickling."
C. "We will avoid traveling to high altitude locations."
D. "It is important we refuse all future vaccinations unless absolutely necessary."
53.A patient is being tested for sickle cell disease. As the nurse, you know the
________ will assess for abnormal hemoglobin on the red blood cell, but will not
differentiate between sickle cell disease and sickle cell trait. Therefore, the patient
will need to have what other test to determine this?
(1/1 Points)
A. dithionite test; hemoglobin electrophoresis
B. hemoglobin electrophoresis; sickledex
C. edrophonium test, dithionite test
D. sickledex; edrophonium test
54.Four hours after a difficult labor and birth, a primiparous woman refuses to
feed her baby, stating that she is too tired and just wants to sleep. The nurse
should:
(1/1 Points)
A. Tell the woman she can rest after she feeds her baby
B. Recognize this as a behavior of the taking-hold stage
C. Record the behavior as ineffective maternal-newborn attachment
D. Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time
55.A nurse in a labor room is assisting with the vaginal delivery of a newborn
infant. The nurse would monitor the client closely for the risk of uterine rupture if
which of the following occurred?
(1/1 Points)
A. Hypotonic contractions
 B. Forceps delivery
C. Schultz delivery
D. Weak bearing down efforts
56.What is the most common complication for the mother of an oversized fetus?
(0/1 Points)
A. Uterine dysfunction
B. Precipitate labor
C. Prolonged labor
D. Diabetes mellitus
57.Which type of hemoglobin is present in a patient who has sickle cell anemia?
(1/1 Points)
A. Hemoglobin AA
B. Hemoglobin AS
C. Hemoglobin SS
D. Hemoglobin AC
58.When uterine rupture occurs, which of the following would be the priority?
(1/1 Points)
A. Limiting hypovolemic shock
B. Obtaining blood specimens
C. Instituting complete bed rest
D. Inserting a urinary catheter
59.Which best describe Postpartum Depression?
(1/1 Points)
A. Feelings of sadness during the first two weeks postpartum
B. More serious problem requiring follow up and treatment from provider
C. Symptoms requiring immediate treatment
D. All of the above
60.Which of the following complications during a breech birth the nurse needs to
be alarmed?
(1/1 Points)
A. Abruption placenta.
B. Caput succedaneum.
C. Pathological hyperbilirubinemia.
 D. Umbilical cord prolapse.
61.Why is postpartum depression commonly a missed or under diagnosed
problem?
(1/1 Points)
A. Women do not report symptoms
B. Providers do not take reports from patients seriously
C. Symptoms are masked by common experiences of new mothers (lack of sleep, etc)
D. All of the above
E. A,B
F. A,C
G. B,C
H. None of the above
62.You're assisting a physician with sickle cell anemia screening. As the nurse you
know that which patient population listed below is at risk for sickle cell disease?
(1/1 Points)
A. African-Americans
B. Native Americans
C. Pacific Islanders
D. Latino
63.Which of the following observations indicates fetal distress?
(0/1 Points)
A. Fetal scalp pH of 7.14
B. Fetal heart rate of 144 beats/minute
C. Acceleration of fetal heart rate with contractions
D. Presence of long-term variability
64.During an outpatient well visit with a patient who has sickle cell anemia, you
make it PRIORITY to assess the patient's?
(1/1 Points)
A. hemoglobin A1C level
B. heart rate
C. reflexes
D. vaccination history
65.A fetus is particularly susceptible to rubella infection when maternal infection
occurs during what stage of pregnancy?
(0/1 Points)
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. susceptibility unknown
66.A nurse is assigned to care for a client with hypotonic uterine dysfunction and
signs of a slowing labor. The nurse is reviewing the physician’s orders and would
expect to note which of the following prescribed treatments for this condition?
(1/1 Points)
A. Medication that will provide sedation
B. Increased hydration
C. Oxytocin (Pitocin) infusion
D. Administration of a tocolytic medication
67.Which type of hemoglobin is present in a patient who has sickle cell TRAIT?
(0/1 Points)
A. Hemoglobin AA
B. Hemoglobin AS
C. Hemoglobin SS
D. Hemoglobin AC
68.Which of the following is the best definition for dystocia?
(0/1 Points)
A. Abnormal or difficult labor or childbirth
B. Excessively long labor
C. Breech presentation of the baby during labor
D. Labor during which a C-section is required
E. premature labor, occurring before the baby is fully developed
69.Match the finding with the organism for which it is most typical. Fetal
arrythmia
(1/1 Points)
A. Toxoplasma gondii
B. Rubella virus
 C. CMV (Cytomegalovirus)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
70.When making a visit to the home of a postpartum woman one week after
birth, the nurse should recognize that the woman would characteristically:
(0/1 Points)
A. Express a strong need to review events and her behavior during the process of labor and birth
B. Exhibit a reduced attention span, limiting readiness to learn
C. Vacillate between the desire to have her own nurturing needs met and the need to take
charge of her own care and that of her newborn
D. Have reestablished her role as a spouse/partner
71.During the period of induction of labor, a client should be observed carefully
for signs of:
(0/1 Points)
A. Severe pain
B. Uterine tetany
C. Hypoglycemia
D. Umbilical cord prolapse
72.In evaluating the effectiveness of IV Pitocin for a client with secondary
dystocia. the nurse should expect:
(0/1 Points)
A. A painless delivery
B. Cervical effacement
C. Infrequent contractions
D. Progressive cervical dilation
73.Fetal clinical manifestations of CMV include:
(0/1 Points)
A. Nonimmune hydrops
B. Fetal heart block
C. Microcephaly
D. Renal dysplasia
74.A 25 year-old pregnant female and her partner both have sickle cell trait. What
is the percentage that their offspring will develop sickle cell anemia?
(1/1 Points)
A. 50%
B. 25%
C. 75%
D. 100%
75.Congenital abnormalities typical of rubella infection include all of the
following except:
(0/1 Points)
A. Cataracts
B. Blueberry muffin rash
C. Valvular pulmonic stenosis
D. Sensorineural deafness
76.Match the finding with the organism for which it is most typical. Is usually
associated with intrapartum transmission.
(1/1 Points)
A. Toxoplasma gondii
B. Rubella virus
C. CMV (Cytomegalovirus)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
77.When the bag of waters ruptures spontaneously, the nurse should inspect the
vaginal introitus for possible cord prolapse. If there is part of the cord that has
prolapsed into the vaginal opening the correct nursing intervention is:
(1/1 Points)
A. Push back the prolapse cord into the vaginal canal
B. Place the mother on semifowler’s position to improve circulation
C. Cover the prolapse cord with sterile gauze wet with sterile NSS and place the woman on
trendellenberg position
D. Push back the cord into the vagina and place the woman on sims position
78.Match the finding with the organism for which it is most typical. Cysts in the
placenta.
(0/1 Points)
A. Toxoplasma gondii
 B. Rubella virus
C. CMV (Cytomegaloviris)
D. HSV (Herpes Simplex Virus)
E. Epstein–Barr virus (EBV)
79.Which of the following suggests that the woman has shoulder dystocia?
(0/1 Points)
A. Primiparity
B. Premature pregnancy.
C. Prolonged second stage of labor
D. Immediate descent
80.A nurse is caring for a client in the second stage of labor. The client is
experiencing uterine contractions every 2 minutes and cries out in pain with each
contraction. The nurse recognizes this behavior as:
(1/1 Points)
A. Exhaustion
B. Fear of losing control
C. Involuntary grunting
D. Valsalva’s maneuver
81.A nurse educator on the postpartum unit is reviewing risk factors for
postpartum hemorrhage with a group of nurses. Which of the following should
be included in the discussion? (Select all that apply.)
(1/1 Points)
A. Precipitous delivery
B. Lacerations
C. Inversion of the uterus
D. Oligohydramnios
E. Retained placental fragments
82.What antibody, produced by the fetus, can be detected in the cord blood of
an infant infected with the rubella virus?
(0/1 Points)
A. IgA
B. IgD
C. IgG
 D. IgM
83.A primiparous woman is in the taking-in stage of psychosocial recovery and
adjustment following birth. Recognizing the needs of women during this stage,
the nurse should:
(0/1 Points)
A. foster an active role in the baby’s care.
B. provide time for the mother to reflect on the events of and her behavior during childbirth.
C. recognize the woman’s limited attention span by giving her written materials to read when
she gets home rather than doing a teaching session now.
D. promote maternal independence by encouraging her to meet her own hygiene and comfort
needs
84.Which statement regarding postpartum depression (PPD) is essential for the
nurse to be aware of when attempting to formulate a plan of care?
(1/1 Points)
A. PPD symptoms are consistently severe.
B. This syndrome affects only new mothers.
C. PPD can easily go undetected.
D. Only mental health professionals should teach new parents about this condition.
85.The main reason for an expected increased need for iron in pregnancy is:
(1/1 Points)
A. The mother may have physiologic anemia due to the increased need for red blood cell mass
as well as the fetal requires about 350-400 mg of iron to grow
B. The mother may suffer anemia because of poor appetite
C. The fetus has an increased need for RBC which the mother must supply
D. The mother may have a problem of digestion because of pica
86.The nurse is caring for a primigravid client in the labor and delivery area.
Which condition would place the client at risk for disseminated intravascular
coagulation (DIC)?
(0/1 Points)
A. Intrauterine fetal death
B. Placenta accreta.
C. Dysfunctional labor.
D. Premature rupture of the membranes.
87.Perineal care is an important infection control measure. When evaluating a
postpartum woman’s perineal care technique, the nurse would recognize the
need for further instruction if the woman:
(1/1 Points)
Uses soap and warm water to wash the vulva and perineum
B. Washes from symphysis pubis back to episiotomy
C. Changes her perineal pad every 2 – 3 hours
D. Uses the peri bottle to rinse upward into her vagina
88.An infant born at 33 weeks’ gestation has anemia of prematurity, which is
characterized by an inadequate response to erythropoietin. The healthcare
provider expects that microscopic examination of this infant’s red blood cells
would reveal.
(0/1 Points)
A. Normal hemoglobin in each cell.
B. Large, pale cells.
C. Small and immature cells.
D. Cells of normal size.
E. Small, irregularly shaped cells
89.The nurse is completing an obstetric history of a woman in labor. Which event
in the obstetric history will help the nurse suspects dysfunctional labor in the
current pregnancy?
(1/1 Points)
A. Total time of ruptured membranes was 24 hours with the second birth.
B. First labor lasting 24 hours.
C. Uterine fibroid noted at time of cesarean delivery.
D. Second birth by cesarean for face presentation.
90.In brow presentation, the head becomes jammed in the brim of the pelvis as
the occipitomental diameter presents, and this usually results in:
(1/1 Points)
A. Prolonged labor
B. Precipitate labor
C. Normal labor
D. Obstructed labor
91.You are providing diet teaching to a patient with low iron levels. Which foods
would you encourage the patient to eat regularly?
(1/1 Points)
A. Herbal tea, apples, and watermelon
B. Sweet potatoes, artichokes, and packaged meat
C. Egg yolks, beef, and legumes
D. Chocolate, cornbread, and cabbage
92.A pregnant client is admitted to the labor room. An assessment is performed,
and the nurse notes that the client’s hemoglobin and hematocrit levels are low,
indicating anemia. The nurse determines that the client is at risk for which of the
following?
(1/1 Points)
A. A loud mouth
B. Low self-esteem
C. Hemorrhage
D. Postpartum infections
93.Risk factors for postpartum depression include: (CHOOSE ALL THAT APPLY)
(1/1 Points)
A. History of abuse
B. Marriage
C. History of mental illness
D. Concurrent life events
E. Giving birth to a male child
F. Red hair
94.Which of the following conditions is common in pregnant women in the 2nd
trimester of pregnancy?
(-/1 Points)
A. Pathologic anemia
B. Metabolic alkalosis
C. Physiologic anemia
D. Respiratory acidosis
95.An 18 year-old male is taking Hydroxyurea for treatment of sickle cell anemia.
Which options below indicate this medication is working successfully? Select all
that apply:
(0/1 Points)
A. The patient needs fewer blood transfusions.
B. The patient experiences diuresis.
C. The patient experiences an increase in fetal hemoglobin (Hbg F).
D. The patient experiences a decrease in hemoglobin S.
96.The following are common causes of dysfunctional labor. Which of these can a
nurse, on her own manage?
(1/1 Points)
A. Pelvic bone contraction
B. Full bladder
C. Extension rather than flexion of the head
D. Cervical rigidity
97.A nurse in the labor room is performing a vaginal assessment on a pregnant
client in labor. The nurse notes the presence of the umbilical cord protruding
from the vagina. Which of the following would be the initial nursing action?
(1/1 Points)
A. Place the client in Trendelenburg’s position
B. Call the delivery room to notify the staff that the client will be transported immediately
C. Gently push the cord into the vagina
D. Find the closest telephone and stat page the physician
98.A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history
of C-section and complains of severe abdominal pain that started less than 1
hour earlier. When the nurse palpates tetanic contractions, the client again
complains of severe pain. After the client vomits, she states that the pain is better
and then passes out. Which is the probable cause of her signs and symptoms?
(1/1 Points)
A. Hysteria compounded by the flu
B. Placental abruption
C. Uterine rupture
D. Dysfunctional labor
99.Which of the following techniques during labor and delivery can lead to
uterine inversion?
(1/1 Points)
A. Fundal pressure applied to assist the mother in bearing down during delivery of the fetal head
B. Strongly tugging on the umbilical cord to deliver the placenta and hasten placental separation
C. Massaging the fundus to encourage the uterus to contract
D. Applying light traction when delivering the placenta that has already detached from the
uterine wall
100.You’re providing seminar teaching to a group of nurses about sickle cell
anemia. Which of the following is NOT a treatment for this condition?
(1/1 Points)
A. Blood transfusion
B. Stem cell transplant
C. Intravenous fluids
D. Iron supplements
E. Antibiotics
F. Morphine
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