Rasmussen MCH Exam 2 2024 | MCH
Rasmussen Exam Update Latest 2024
Questions and Correct Answers Rated A+
A nurse is discussing rubella immunity with a pregnant woman. Which
statement indicates that the nurse needs further education regarding
rubella immunity? -ANSWER-"You may receive a rubella vaccine
during pregnancy."
A nurse is discussing chorionic villus sampling (CVS) with a pregnant
patient. Which statements should the nurse include regarding CVS?
(Select all that apply) -ANSWER-"CVS is done between 11 and 13
weeks."
"CVS is done with ultrasound guidance."
"CVS has possible complications such as spontaneous abortion and
infection."
"CVS uses cells to determine genetic disorders."
A pregnant patient is crying and says to the nurse, "I am so fat! I don't
even recognize myself anymore." Which is the best therapeutic
response by the nurse? -ANSWER-"Weight gain is expected during
pregnancy."
A woman in her third trimester is reporting an itchy rash on her
abdomen, arms, and legs. The nurse realizes that the patient may
have what skin condition that is associated with pregnancy? -
ANSWER-Pruritic urticarial papules and plaques
The nurse reviews a pregnant patient's medical record and sees G5,
T2, P5, A1, L5. Which statements reflect an accurate analysis of this
,information? (Select all that apply.) -ANSWER-The woman has been
pregnant a total of five times, including the current pregnancy.
Two of the children born alive died after birth.
Which finding indicates the need for further testing before a diagnosis
of pregnancy can be confirmed? -ANSWER-Amenorrhea
The nurse caring for a woman who is beginning the second trimester
of pregnancy recognizes the need for further assessment when the
woman reports which change in her body? -ANSWER-Feeling short of
breath with mild exertion
The nurse caring for a woman at 32 weeks' gestation finds elevated
protein and nitrate levels in the urine. What will the nurse assess for
next? -ANSWER-Symptoms of a urinary tract infection
The nurse is conducting an assessment on a pregnant patient. Which
symptom does the nurse recognize as abnormal for a pregnant
patient? -ANSWER-Burning on urination
A patient is late for her prenatal visit and when she arrives, she
blames symptoms, suggesting a urinary tract infection for her late
arrival. Upon examination, the nurse finds mild spotting and notes
bruising on the woman's abdomen. What does the nurse suspect? -
ANSWER-Domestic abuse
The patient arrives late to her appointment with excuses of car trouble.
During the examination, the patient appears anxious, has visible
bruising to her neck and chest, and announces that she has vaginal
spotting. Which is the most appropriate question for the nurse to ask?
-ANSWER-"Do you feel safe at home with your spouse?"
,The nurse is unable to locate fetal heart tones in a woman who is at
10 weeks' gestation. What is the nurse's priority action? -ANSWER-
Reassuring the woman that this is a normal finding
Which information should the nurse include when teaching a pregnant
patient who is scheduled to have an abdominal ultrasound? -
ANSWER-Do not empty your bladder prior to the procedure
The nurse reviews a woman's quadruple screen. Which finding
indicates a higher risk for Down syndrome in the fetus? -ANSWER-
Elevated hCG level
While assisting the physician with a physical examination, the nurse
notes which sign or symptom as most definitive of a diagnosis of
pregnancy? -ANSWER-Auscultation of fetal heart sounds
The nurse is obtaining personal information as part of the patient
history. How should the nurse ask the woman about physical abuse
and overall safety in her living situation? -ANSWER-"Tell me about
your home life."
Sibling response to a new baby is influenced by the child's age and
other factors. Which of the following are correctly paired responses for
each age group? (Select all that apply.) -ANSWER-Toddlers: become
clingy and irritable; baby is only a story
Preschool child: sense of loss; being replaced; jealous
Older children: interested and ask questions about conception,
pregnancy, and childbirth
The nurse is providing teaching to a pregnant patient. Which
recommendation will help the patient avoid vena cava syndrome? -
ANSWER-Lie on your left side
, Which hormone is responsible for the production of milk in the
mammary glands? -ANSWER-Prolactin
The nurse is educating a patient about preventing yeast infections.
What teaching points should be included? (Select all that apply.) -
ANSWER-Wear cotton underwear
Clean the vulva with unscented soap and water
Avoid petroleum-based lubricants
Avoid douching
A woman in her second trimester of pregnancy tells the nurse that she
has noticed an increase in her libido recently but is concerned that
sexual intercourse will harm the baby. What is the best response by
the nurse? -ANSWER-"Sexual intercourse will not harm your baby."
The nurse learns that a pregnant patient lost her mother when she
was a teenager and recognizes that the absence of a mother figure
will cause this patient to have difficulty with which of Reva Rubin's four
maternal tasks? -ANSWER-Securing acceptance for herself as a
mother and for her fetus
Which potential complication is the nurse unlikely to associate with
amniocentesis? -ANSWER-Maternal liver damage
The nurse is talking with a pregnant patient at her 36-week
appointment about preparations for the baby's arrival. The patient
says that she has prepared the nursery, gone to childbirth classes,
read several books, and has accumulated all of the care items and
clothing she will need. Which Reva Rubin maternal task is this woman
demonstrating? -ANSWER-Committing herself to the child as she
progresses through pregnancy
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