NU 518 Exam 2 Study Questions and Correct Answers (Verified Answers) Already Graded A+
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Course
NU 518
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NU 518
NU 518 Exam 2 Study Questions and Correct Answers (Verified Answers) Already Graded A+
A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses. The nurse recognizes which statement to be true?
a High levels of estrogen cause shortness...
NU 518 Exam 2 Study Questions and
Correct Answers (Verified Answers)
Already Graded A+
A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of
breath as her pregnancy progresses. The nurse recognizes which statement to be true?
a High levels of estrogen cause shortness of breath.
b Feelings of shortness of breath are abnormal during pregnancy.
c Hormones of pregnancy cause an increased respiratory effort.
d The patient should get more exercise in an attempt to increase her respiratory
reserve. - Answer ✔ C
The nurse auscultates a functional systolic murmur, grade II/IV, on a woman in week 30
of her pregnancy. The remainder of her physical assessment is within normal limits. The
nurse would:
a Consider this finding abnormal, and refer her for additional consultation.
b Ask the woman to run briefly in place and then assess for an increase in
intensity of the murmur.
c Know that this finding is normal and is a result of the increase in blood volume
during pregnancy.
d Ask the woman to restrict her activities and return to the clinic in 1 week for re-
evaluation. - Answer ✔ C
A woman who is 28 weeks pregnant has bilateral edema in her lower legs after working
8 hours a day as a cashier at a local grocery store. She is worried about her legs. What
is the nurses best response?
A You will be at risk for development of varicose veins when your legs are
edematous.
B I would like to listen to your heart sounds. Edema can indicate a problem with your
heart.
C Edema is usually the result of too much salt and fluids in your diet. You may
need to cut down on salty foods.
d As your baby grows, it slows blood return from your legs, causing the swelling. This
often occurs with prolonged standing. - Answer ✔ D
When assessing a woman who is in her third trimester of pregnancy, the nurse looks for
the classic symptoms associated with preeclampsia, which include:
a Edema, headaches, and seizures.
B Elevated blood pressure and proteinuria.
,C Elevated liver enzymes and high platelet counts.
D Decreased blood pressure and edema. - Answer ✔ B
The nurse knows that the best time to assess a womans blood pressure during an initial
prenatal visit is:
a At the end of the examination when she will be the most relaxed.
B At the beginning of the interview as a nonthreatening method of gaining
rapport.
C During the middle of the physical examination when she is the most
comfortable.
D Before beginning the pelvic examination because her blood pressure will be higher
after the pelvic examination. - Answer ✔ A
When examining the face of a woman who is 28 weeks pregnant, the nurse notices the
presence of a butterfly-shaped increase in pigmentation on the face. The proper term
for this finding in the documentation is:
a Striae.
B Chloasma.
C Linea nigra.
D Mask of pregnancy. - Answer ✔ B
Which finding is considered normal and expected when the nurse is performing a
physical examination on a pregnant woman?
A Palpable, full thyroid
B Edema in one lower leg
C Significant diffuse enlargement of the thyroid
D Pale mucous membranes of the mouth - Answer ✔ A
When auscultating the anterior thorax of a pregnant woman, the nurse notices the
presence of a murmur over the second, third, and fourth intercostal spaces. The
murmur is continuous but can be obliterated by pressure with the stethoscope or finger
on the thorax just lateral to the murmur. The nurse interprets this finding to be:
A Murmur of aortic stenosis.
B Most likely a mammary souffle.
C Associated with aortic insufficiency.
D Indication of a patent ductus arteriosus. - Answer ✔ B
When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32
weeks pregnant, which of these would be considered a normal finding on a 0 to 4+
scale?
A Absent DTRs
B 2+
C 4+
D Brisk reflexes and the presence of clonus - Answer ✔ B
,When performing an examination of a woman who is 34 weeks pregnant, the nurse
notices a midline linear protrusion in the abdomen over the area of the rectus abdominis
muscles as the woman raises her head and shoulders off of the bed. Which response
by the nurse is correct?
A The presence of diastasis recti should be documented.
B This condition should be discussed with the physician because it will most
likely need to be surgically repaired.
C The possibility that the woman has a hernia attributable to the increased
pressure within the abdomen from the pregnancy should be suspected.
D The woman should be told that she may have a difficult time with delivery
because of the weakness in her abdominal muscles. - Answer ✔ A
The nurse is palpating the fundus of a pregnant woman. Which statement about
palpation of the fundus is true?
A The fundus should be hard and slightly tender to palpation during the first
trimester.
B Fetal movement may not be felt by the examiner until the end of the second
trimester.
C After 20 weeks gestation, the number of centimeters should approximate the number
of weeks gestation.
D Fundal height is usually less than the number of weeks gestation, unless an
abnormal condition such as excessive amniotic fluid is present. - Answer ✔ C
The nurse is palpating the abdomen of a woman who is 35 weeks pregnant and notices
that the fetal head is facing downward toward the pelvis. The nurse would document
this as fetal:
a Lie.
b Variety.
c Attitude.
d Presentation. - Answer ✔ D
The nurse is palpating the uterus of a woman who is 8 weeks pregnant. Which finding
would be considered to be most consistent with this stage of pregnancy?
A The uterus seems slightly enlarged and softened.
B It reaches the pelvic brim and is approximately the size of a grapefruit.
C The uterus rises above the pelvic brim and is approximately the size of a
cantaloupe.
D It is about the size of an avocado, approximately 8 cm across the fundus. - Answer ✔
D
Which of these correctly describes the average length of pregnancy?
A 38 weeks
B 9 lunar months
C m280 days from the last day of the last menstrual period
D 280 days from the first day of the last menstrual period - Answer ✔ D
, A patients pregnancy test is positive, and she wants to know when the baby is due. The
first day of her last menstrual period was June 14, and that period ended June 20.
Using the Ngele rule, what is her expected date of delivery?
a March 7
b March 14
c March 21
d March 27 - Answer ✔ C
During the assessment of a woman in her 22nd week of pregnancy, the nurse is unable
to hear fetal heart tones with the fetoscope. The nurse should:
a Immediately notify the physician, then wait 10 minutes and try again.
b Ask the woman if she has felt the baby move today.
c Wait 10 minutes, and try again.
d Use ultrasound to verify cardiac activity. - Answer ✔ D
A patient who is 24 weeks pregnant asks about wearing a seat belt while driving. Which
response by the nurse is correct?
a Seat belts should not be worn during pregnancy.
b Place the lap belt below the uterus and use the shoulder strap at the same time.
c Place the lap belt below the uterus but omit the shoulder strap during
pregnancy.
d Place the lap belt at your waist above the uterus and use the shoulder strap at the
same time - Answer ✔ B
During a health history interview, a 38-year-old woman shares that she is thinking about
having another baby. The nurse knows which statement to be true regarding pregnancy
after 35 years of age?
a Fertility does not start to decline until age 40 years.
B Occurrence of Down syndrome is significantly more frequent after the age of 35
years.
C Genetic counseling and prenatal screening are not routine until after age 40
years.
D Women older than 35 years who are pregnant have the same rate of
pregnancyrelated complications as those who are younger than 35 years. - Answer ✔ B
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - Answer ✔ D
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, usually less than one per week, but not as
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