NUR 230 Final Exam Clicker Questions and Correct Answers
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Course
NUR 230
Institution
NUR 230
Correctly document GTPAL and GP notation. A woman is currently pregnant with twins at 35 weeks, had term twins two years ago, a fetal death at 34 weeks, and two miscarriages prior to 20 weeks. SATA a. G5 P2123 b. G5 P1122 c. G4 P2212 d. G5 P1224 e. G6 P2 f. G5 P2 B, F
A client is in the second tri...
NUR 230 Final Exam Clicker Questions
and Correct Answers
Correctly document GTPAL and GP notation. A woman is currently pregnant with twins
at 35 weeks, had term twins two years ago, a fetal death at 34 weeks, and two
miscarriages prior to 20 weeks. SATA
a. G5 P2123
b. G5 P1122
c. G4 P2212
d. G5 P1224
e. G6 P2
f. G5 P2 ✅B, F
A client is in the second trimester and is discussing the safety of immunizations during
rpegnancy with a nurse. which statement indicates poor understanding of this topic by
the nurse?
a. immunizations with live or attenuated live viruses are contraindicated in pregnancy
b. all women who are pregnant during flu season should be offered the injectable
influenza vaccine
c. pregnant women should receive the Tdap in every pregnancy, regardless of prior
vaccination history.
d. for the baby's safety, immunizations should only be given in the 3rd trimester ✅D
A client states the 1st day of her LMP is 12/10/20. What is her EDC?
a. 9/17/21
b. 9/10/21
c. 10/9/21
d. 9/7/21 ✅a
A client is 34 weeks gestation. A normal fundal height for this client would be in the
range of:
a. 28-32
b. 30-34
c. 32-36
d. 34-38 ✅c
A client is receiveing prenatal care on a traditional visit schedule. She has just been
seen at 6 weeks gestation. When will she be seen again?
a. 10 weeks
b. 12 weeks
c. 14 weeks
d. 16 weeks ✅a
,A nurse is talking with a 24 year old client after her normal annual gynecologic exam.
The nurse recognizes the client does not need additional education when she states:
a. i will have another annual exam in 1 year and a pap smear at that time
b. i will have another annual exam in 1 year and a pap smear in 3 years
c. i will return for an annual exam and a pap smear in 3 years
d. i will have another annual exam in 1 year and a pap smear in 5 years ✅b
The nurse is talking with a 28-year old client after her normal annual gynecological
exam. The nurse recognizes the client needs additional education when she states:
a. i will have another annual exam in 1 year and a pap smear at that time
b. i will have another annual exam in 1 year and a pap smear in 5 years
c. i will return for an annual exam in 1 year and a pap smear in 3 years
d. i will have another annual exam in 1 year and a pap smear in 3 years ✅b
Prenatal consent is needed for women and men under age 18 to obtain treatment for
STIs in KY.
a. true
b. false ✅b
A nurse overhears a client describing the current development of their 8 week fetus to
her partner. The nurse recognizes the client has a good understanding of fetal
development at this gestation when she describes the fetus as
a. resembling a human with internal and external sex organs that have developed
b. having a fairly well-formed body and internal organs have developed
c. having skin that is smooth, scant vernix, caseosa, moderate to profuse hair, lanugo
on shoulders and upper body only
d. having alveolar ducts and sacs that are present in the lungs ✅b
A client gives her LMP as 12/1. Her partner was home from the army from 12/4- 12/14.
She had unprotected intercourse, did a lot of binge drinking and smoking marijuana at
the time. She has not had any alcohol or smoked marijuana since he left. It is not 1/15
and the client has a positive pregnancy test. She states "I have always wanted to be a
mother but i am scared to death I hurt the baby when I did all that partying in
December". The best response by the nurse is:
a. i will ask your provider to refer you to a geneticist for testing to see if that can ease
your mind
b. in about 2.5 months you will have an ultrasound to determine weather the baby has
structural abnormalities; i will see if they can move that up a week or two for you
c. you have reason to be concerned. I will ask the doctor to talk with you about the next
steps to take
d. if you are sure about your LMP, there is minimal risk that your baby was har ✅d
Activities that promote healthy mothers and babies are ideally initiated before the period
of critical fetal development. This period occurs between:
a. 3-42 days after fertilization
b. 17-56 days after fertilization
,c. 39-71 days after fertilization
d. 48-84 days after fertilization ✅b
A nurse teaches a pregnant woman about the presumptive, probable and positive signs
of pregnancy. The woman demonstrates understanding when she states that a
presumptive sign of pregnancy is:
a. hegar sign
b. braxton hicks contractions
c. chadwick sign
d. nausea and vomiting ✅d
A nurse is educating a client about some of the physiologic changes that occur with
pregnancy. The nurse recognizes the client's need for more teaching when she states
a. urinary tract infections are more common in pregnancy and sometimes they have no
symptoms at all
b. it is normal for my blood pressure to be lower in the second trimester
c. if my pubic symphysis bone joint starts to hurt, it may be an early sign of labor and i
should call by provider
d. anemia is more common in the second trimester compared to the first trimester ✅c
A nurse teaches a pregnant woman about the presumptive, probable and positive signs
of pregnancy. The woman demonstrates understanding when she states that a probable
sign of pregnancy is:
a. positive serum pregnancy test
b. breast enlargement
c. amenorrhea
d. fetal movement visible to examiner ✅a
A nurse teaches a pregnant woman about the presumptive, probable and positive signs
of pregnancy. The woman demonstrates understanding when she states that a positive
sign of pregnancy is:
a. positive urine test
b. positive serum test
c. maternal report of fetal movement
d. fetal heart tones detected by doppler ✅d
The blood pressure of a pregnant client as 32 weeks becomes low when the client lies
on the back. What should be the best nursing intervention to maintain normal blood
pressure in the client?
a. have the client sit on the side of the bed for 5 minutes before rising
b. start an IV bolus of 500cc of D5LR
c. encourage the client to turn onto her left side
d. encourage the client to use extra pillows or a wedge pillow to elevate her upper body
when sleeping on her back ✅b?
A client reports her LMP was June 18, 2020. What is her EDD using Naegle's rule?
, a. April 25, 2021
b. March 18, 2021
c. April 18, 2021
d. March 18, 2021 ✅d
A client is 28 weeks gestation. Approximately what level would the nurse expect the
fundal height to be located?
a. at the level of the umbilicus
b. at the level of the symphysis pubis
c. between 24-34 centimeters with a measuring tape
d. between 26-30 centimeters with a measuring tape ✅d
The nurse is teaching a pregnant client who complains of vomiting about the use of dry
carbohydrate in the morning. The client asks the nurse "My husband has similar
problems. Will it be useful for my husband as well?" What can the nurse interpret that
the husband has?
a. vena cava syndrome
b. couvade syndrome
c. carpal tunnel syndrome
d. emotional lability ✅b
The nurse is caring for a pregnant women who reports fatigue due to anemia. Which
intervention helps manage anemia for pregnant clients?
a. advise the client to take frequent rest periods
b. counsel the client on iron rich food sources and nutrient dense food options
c. discuss the use of support systems with the client
d. reassure the client of the transitory nature of fatigue during pregnancy ✅b
A nurse is educating clients about the normal discomforts of pregnancy. Which of these
statements need to be further assessed? SATA
a. a client at 30 weeks has a darkened butterfly pigmentation noted on her face
b. a client at 34 weeks reports clear watery vaginal discharge and is wearing a pad to
catch the fluid
c. a client at 24 weeks is complaining of some swelling in her legs and ankles at the end
of the day
d. a client at 22 weeks is complaining of flank pain and burning upon urination
e. a client at 30 weeks who reports feeling uterine cramping that is not relieved with rest
f. a client at 10 weeks who says she vomits frequently and hasn't been able to keep
anything down for the last 12 hours ✅b, d, e, f
Women who are vegans and who do not drink soy milk should supplement their diets
with Vitamin B12, Calcium, and Vitamin D.
a. true
b. false ✅a
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