3302 Final Exam Practice Questions With 100% Correct Answers
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3302 Final Exam Practice Questions With 100% Correct Answers
3302 Final Exam Practice Questions With 100% Correct Answers
3302 Final Exam Practice Questions With 100% Correct Answers
3302 Final Exam Practice Questions
A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate
uterine contractions. Which assessment finding would indicate to the nurse that the
infusion needs to be discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute
C. Adequate resting tone of the uterus palpated between contractions
D. Increased urinary output - Correct answerB
A nurse is providing genetic counseling for an expectant couple who already have a
child with trisomy 18. The nurse should: Select one
A. Tell the couple they need to have an abortion within 2 to 3 weeks
B. Explain that the fetus has a 50% chance of having the disorder
C. Discuss options with the couple, including amniocentesis to determine whether the
fetus is affected
D. Refer the couple to a psychologist for emotional support - Correct answerC
A nurse is caring for a client in labor and is monitoring the fetal heart patterns. The
nurse notes the presence of episodic accelerations on the electronic fetal monitor
tracing. which of the following actions is most appropriate?
A. Take the mother's vital signs and tell the mother that bed rest is required to conserve
oxygen
B. notify the physician or nurse midwife of the findings
C. Reposition the mother and check the monitor for changes in the fetal tracing
D. Document the findings and tell the mother that the monitor indicates fetal well-being -
Correct answerD
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to
care for the client determines that the magnesium therapy is effective if:
A. seizures do not occur
B. weight loss
,C. ankle clonus is noted
D. the blood pressure decreases - Correct answerA
RhoGAM is prescribed for a woman following delivery of a newborn infant and the nurse
provides information to the woman about the purpose of the medication. The nurse
determines that the woman understands the purpose of the medication if the woman
states that it will protect her next baby from which of the following?
A. developing physiological jaundice
B. Having Rh positive blood
C. Developing a rubella infection
D. Being affected by Rh incompatibility - Correct answerD
A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if
which of the following is noted on the external monitor tracing during a contraction?
A. early decelerations
B. variable decelerations
C. late decelerations
D. tachycardia - Correct answerB
The viral STI that affects most people in the United States today is:
A. herpes simplex virus type 2
B. human papillomavirus
C. Human immunodeficiency virus
D. cytomegalovirus - Correct answerB
The patient was three months pregnant and had a pregnancy loss. Because the client is
Rh negative, the nurse must:
A. make certain the client does not receive RhoGAM, since the gestation only lasted 12
weeks
B. Not give RhoGAM, since it is not used with the birth of a stillborn
C. Make certain she receives RhoGAM on her first clinic visit
D. Administer RhoGAM within 72 hours - Correct answerD
The nurse is working with a population ages 12-18 years, both male and female. In
teaching this group about HPV select from the below topics that are true and should be
included.
1. females should get the HPV series of vaccines at ages 9-26 years of age
,2. males do not require the vaccine
3. HPV is the leading cause of throat cancer
4. HPV can cause cervical cancer
5. HPV is normal flora in most humans
6. HPV can be treated with pennicillin - Correct answer1,3,4
A nurse is assessing a pregnant client in the 3rd trimester of pregnancy who was
admitted to the maternity unite with a suspected diagnosis of abruptio placentae. Which
of the following assessment findings would the nurse expect to note if this condition is
present?
A. absence of abdominal pain
B. a soft abdomen
C. uterine tenderness/pain
D. painless, bright red vaginal bleeding - Correct answerC
The main reason for an expected increased need for iron in pregnancy is
A. the mother may have physiologic anemia due to the increased need for RBC 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 - Correct answerA
A G4P3 is admitted to the L&D suite at 36 weeks' gestation. She has a hx of C/S and
complains of severe abdominal pain that started less than 1 hr earlier. When the nurse
palpates tetanic contractions, the client again complains of severe pain. After the client
vomits, she states that the pain is much better and then passes out. Which is the
probable cause of her signs and symptoms?
A. hysteria compounded by the flu
B. placental abruption
C. Uterine rupture
D. dysfunctional labor - Correct answerC
A pregnant client is receiving magnesium sulfate for the management of preeclampsia.
A nurse determines the client is experiencing toxicity from the medication if which of the
following is noted on assessment?
, A. proteinuria of +3
B. serum mag level of 6 mEq/L
C. presence of deep tendon reflexes
D. respirations of 10 per minute - Correct answerD
A G4P3 patient who has had 3 c/sec is pregnant for the 4th time. What are the
increased risks for this patient? Select all that apply
Most of the genetic tests now offered in clinical practice are tests for:
A. single-gene disorders
B. carrier screening
C. predictive values
D. predispositional testing - Correct answerA
When examining the fetal monitor strip after rupture of the membranes in a laboring
client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:
A. stop the oxytocin infusion
B. change the client's position
C. Prepare for immediate delivery
D. take the client's blood pressure - Correct answerB
Group B streptococci (GBS) are part of the normal vaginal flora in 20% to 30% of
healthy pregnant women. GBS has been associated with poor pregnancy outcomes and
is an important factor in neonatal morbidity and mortality. Risk factors for neonatal GBS
infection include all except:
A. positive prenatal culture
B. preterm birth less than 37 weeks
C. maternal fever of 38C or greater
D. artificial rupture of membranes one hour before birth - Correct answerB
The nurse providing care for the laboring woman understands that accelerations with
fetal movement:
A. are reassuring
B. are caused by umbilical cord compression
C. warrant close observation
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