MNB Final Certification Exam Review Questions And Answers.
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Course
MNB
Institution
MNB
A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's best response is: - correct answer the test results are within normal limits
A woman arrives at the clinic seeking confirmation that she is preg...
A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's
best response is: - correct answer the test results are within normal limits
A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is
obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine
"several times" during the past year and drinks alcohol occasionally. Her blood pressure (BP) is 108/70
mm Hg, her pulse rate is 72 beats/min, and her respiratory rate is 16 breaths/min. The family history is
positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural tube
defect (NTD). Which characteristics place the woman in a high risk category? - correct answer
family history, BMI, and drug/alcohol abuse
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus
(GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to
prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for: -
correct answer macrosomia
The patient that you are caring for has severe preeclampsia and is receiving a magnesium sulfate
infusion. You become concerned after assessment when the woman exhibits: - correct answer
a respiratory rate of 10 breaths/min
The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is: -
correct answer intense abdominal pain
A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: - correct
answer stay with the pt and call for help
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on
the knowledge that: - correct answer hemorrhage is the major concern
,Nurses should be aware that HELLP syndrome: - correct answer Is
characterized by hemolysis, elevated liver enzymes, and low platelets.
Women with hyperemesis gravidarum: - correct answer Have vomiting severe
and persistent enough to cause weight loss, dehydration, and electrolyte imbalance.
Spontaneous termination of a pregnancy is considered to be an abortion if: - correct answer
the pregnancy is less than 20 weeks
A placenta previa in which the placental completely covers the internal os is more commonly known as:
- correct answer complete
Methotrexate is recommended as part of the treatment plan for which obstetric complication? - correct
answer unruptured ectopic pregnancy
A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual
changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication
of: - correct answer worsening disease and impending convulsion
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks pregnant when she experiences
bright red, painless vaginal bleeding. On her arrival at the hospital, what would be an expected
diagnostic procedure? - correct answer ultrasound for placental location
In planning care for women with preeclampsia, nurses should be aware that: - correct answer
induction of labor is likely, as near term as possible
A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit.
She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal
bleeding; and a tense, painful abdomen. The nurse suspects the onset of: - correct answer
placental abruption
Numerous changes in the integumentary system occur during pregnancy. Which change persists after
birth? - correct answer striae gravidarum
, A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children
from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34
weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and
parity using the GTPAL system? - correct answer 4-1-2-0-4
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of
pregnancy is: - correct answer fetal movement palpated by the nurse-midwife
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level? -
correct answer slightly above the symphysis pubis
At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is
269
110 bpm, and the infant is crying vigorously with the limbs flexed. The infants trunk is pink, but the
hands and
feet are blue. What is the correct Apgar score for this infant? - correct answer
9
An infant boy was born just a few minutes ago. The nurse is conducting the initial assessment. Part of
the
assessment includes the Apgar score. The Apgar assessment is performed: - correct answer
at least twice, 1 min and 5 min after birth
An Apgar score of 10 at 1 minute after birth would indicate a(n): - correct answer
Infant having no difficulty adjusting to extrauterine life but who should be assessed again at 5
minutes after birth.
At 1 minute after birth, the nurse assesses the infant and notes a heart rate of 80 beats/minute, some
flexion
of the extremities, a weak cry, grimacing, and a pink body with blue extremities. The nurse would
calculate an
Apgar score of: ________ - correct answer 5
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