An ectopic pregnancy happens when the implantation occurs outside

the uterine cavity 80% most common location in the fallopian tube is
the:
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Ampulla

Fimbriae
Isthmus
Interstitial
Other:

A patient with pregnancy-induced hypertension probably exhibits

which of the following symptoms?
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Proteinuria, headaches, vaginal bleeding
Headaches, double vision, vaginal bleeding
Proteinuria, headaches, double vision

Proteinuria, double vision, uterine contractions

Other:

If MgSO4 Toxicity develops it shown all that apply EXCEPT:

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Respiratory rate depression to less than 12 bpm
The disappearance of the Deep tendon Reflexes
Increase Urine output
May give Calcium Gluconate as an antidote

Other:

Correct answer
Increase Urine output
Four main components of the labor process:
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Power, Portal, Psychological Response, Passenger
Power, Psychological Response, Passenger, Passageway
Passer, Psychological Response, Passage, Passenger
Power, Psychic Response, Passenger, Passageway

Other:

Correct answer
Power, Psychological Response, Passenger, Passageway

Refers to a rare condition in which the chorionic tissue increases

abnormally and forms sacs vesicles). Avascular vesicle hangs in
grapelike clusters that produce large amounts of HCG—associated
with Choriocarcinoma
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Gestational Trophoblastic Disease
Hydatidiform Mole
Molar Pregnancy
All of the above

Other:

The second leading cause of bleeding in early pregnancy, is one in

which implantation occurs outside the uterine cavity.
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Placenta Previa
Vasa Previa
Abortion
Ectopic Pregnancy

Other:
Clients with gestational diabetes are usually managed by which of the
following therapies?
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diet and exercise

long-acting insulin
oral hypoglycemic drugs
oral hypoglycemic drugs/insulin
Other:

A nurse is caring for a client with an oxytocin infusion. What is the

correct nursing action prior to increasing the oxytocin rate?
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Assess fetal heart rate

Assess cervical dilation

Assess maternal temperature
Evaluate the need for analgesia
Other:

The hormone responsible for a positive pregnancy test is:

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Estrogen
Progesterone
Human Chorionic Gonadotropin

Follicle Stimulating Hormone

Which of the following first nursing action would take priority when
caring for the women with suspected ectopic pregnancy?
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Administering oxygen
Monitoring vital signs

Obtaining surgical consent

All of the above

The nursing measure to relieve fetal distress due to maternal supine

hypotension is:
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Place the mother on semi-fowlers position
Put the mother on left side lying postion

Place mother on a knee chest postion

All of the above

The most dangerous complication of H-mole is:

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Placental site trophoblastic tumor
Invasive mole
Choriocarcinoma

Endometrial cancer

Which statement is not true about invasive mole?

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It is locally invasive
Trophoblast elements penetrate the myometrium
The incidence is greater than in choriocarcinoma

Methotrexate maybe curative

Patient A at 24 weeks gestation admitted to evacuation of Hydatiform
mole. Which of the following signs and symptoms will
you not consider in H-mole?
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Vaginal bleeding
Excessive nausea and vomiting
Hypertension
Fetal heart tone

The nurse gently performs Leopolds maneuver on a client with

suspected placenta previa and expects to find the :
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Fetal head firmly engaged.
Small fetal parts difficult to palpate
Uterus hard and contracted
Fetal presenting part high and floating

A diabetic mother metabolism is significantly altered during pregnancy

as a result of:
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Decreased renal threshold for glucose

Increased glucose tolerance level of the blood

Increased effect of insulin
Hormonal effect of pregnany

Correct answer
Hormonal effect of pregnany

When administering intravenous magnesium sulfate as ordered for a

client at 34 weeks gestation with severe preeclampsia, the nurse
would explain to the client and her family that this drug acts as which
of the following?
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Peripheral vasodilator
Antihypertensive

CNS depressant
Sedative

Correct answer
CNS depressant

When teaching a multigravida client diagnosed with mild preeclampsia

about nutritional needs, which of the following types of diet would the
nurse discuss?
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High-residue diet
Restricted sodium diet
Moderate salt intake

High carbohydrates diet

Patient 1 asked what could have caused her condition. Your reply will
be based on the following conditions. EXCEPT:
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Diabetes Mellitus
Fetal esophageal atresia
Renal Agenesis

Twin pregnancy
Other:

Hyperemesis gravidarum is a complication of pregnancy because it

most often lead to which of the following?
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Dehydration

Fluid intoxication
Proteinuria
Hypertension

A pregnant woman has begun her third stage of labor. The third stage
of labor lasts from:
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Full dilation of the cervix to delivery of the fetus
Delivery of the fetus to delivery of the placenta
Delivery of the placenta to 2 hours after delivery

The onset of regular contractions to full dilation of the cervix

Correct answer
Delivery of the fetus to delivery of the placenta

A client is diagnosed with an early, unruptured ectopic pregnancy.

Which medication may be used to treat this condition?
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Methotrexate

Metho
Broad Spectrum antibiotics
Human chorionic gonadotropin

What the following is the bluish discoloration of the umbilicus due to

the presence of blood in the peritoneal cavity?
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Allen's sign
Cullen’s sign

Mcburney's sign
Wiggling sign
Other:
When administering magnesium sulfate to a client with preeclampsia,
the nurse understands that this drug is given to:
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Prevent seizures.

Reduce blood pressure.

Slow the process of labor.
Increase diuresis.

Which of the following precautionary measure to check first to the

patient before administering MGSO4? EXCEPT*
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Respiratory rate at least 12 bpm

Urine output should be at least 30 mL/hour

Deep tendon reflex present is (+2)
None of the Above
Other:

Correct answer
None of the Above

Which of the following is the first priority of a nurse during a

convulsion ?
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Call the attending physician
Take vital signs
Never leave an eclamptic patient alone
Turn the patient to her side

Other:
Which of the following would the nurse most likely expect to find when
assessing a pregnant client with abruption placenta?
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Excessive vaginal bleeding
Rigid, board-like abdomen

Tetanic uterine contractions

Premature rupture of membranes

Which of the following are signs of Pre-eclampsia? Except

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Digital edema ( +1 +2)
140/90; Systolic elevation of 30 mm/Hg
Proteinuria +1 to +2
Photophobia, blurring spots before the eyes

Other:

The pregnant women they have complain of severe bleeding when they
go the ER. Which of the following will you prioritize to assess?*
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pads that soak with blood

vital signs
bed positioning
call the resident doctor/ attending physician
Other:

Correct answer
vital signs

A nurse assesses a laboring client's blood pressure to be 88/60. What

nursing intervention is most appropriate based on this assessment
finding?
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Position the client in a side-lying position.

Administer oxygen at 5 liters.

Position the client in a supine position.
Increase the intravenous drip rate.

The second leading cause of bleeding in early pregnancy, is one in

which implantation occurs outside the uterine cavity
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Placenta Previa
Vasa Previa
Abortion
Ectopic Pregnancy

Which of the following hormones would be administered for the

stimulation of uterine contractions?
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Estrogen
Fetal cortisol
Progesterone
Oxytocin

The nurse in charge is caring for a postpartum client who had a

vaginal delivery with a midline episiotomy. Which nursing diagnosis
takes priority for this client?
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Risk for deficient fluid volume related to hemorrhage.

Risk for infection related to the type of delivery.

Pain related to the type of incision.
Urinary retention related to periurethral edema
A nurse is caring for a client with an oxytocin infusion. What is the
correct nursing action prior to increasing the oxytocin rate?
*
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Assess fetal heart rate.

Assess cervical dilation.

Assess maternal temperature.
Evaluate the need for analgesia.

A nurse is caring for a preoperative cesarean birth client. The surgery

is scheduled, and is not an emergency. The patient has never been
hospitalized, has never had surgery, and is very anxious. In planning
care, which nursing action takes top priority?
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Notify the physician.
Administer oral antacid.
Sit and talk with the patient
Teach the client that she will need to cough and deep-breathe every shift postoperatively