Exam (elaborations)
N308 Final questions with correct answers.
- Course
- Nurs 308
- Institution
- Liberty University
N308 Final questions with correct answers.
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N308 Final questions with correct answersWhen reviewing the medical record of a postpartum client, the nurse
notes that the client has a condition in which the fetus could not
physically pass through the pelvis. The nurse interprets this as:
A. Cervical insufficiency
B. Contracted pelvis
C. Maternal disproportion
D. Fetopelvic disproportion Correct Answer-D. Fetopelvic disproportion
The nurse would anticipate a caesarean birth for a client who has which
active infection present at the onset of labour?
A. Hepatitis
B. Herpes simplex virus
C. Toxoplasmosis
D. Human papillomavirus Correct Answer-B. Herpes simplex virus
After a vaginal examination, the nurse determines that the fetus is in an
occiput posterior position. The nurse would anticipate that the client will
have:
A. Intense back pain
B. Frequent leg cramps
C. Nausea and vomiting
D. A precipitous birth Correct Answer-A. Intense back pain
,When assessing the following clients, which would the nurse identify as
being at the greatest risk for preterm labour?
A. Client who had twins in a previous pregnancy
B. Client living in a large city close to the subway
C. Client working full time as a computer programmer
D. Client with a history of a previous preterm birth Correct Answer-D.
Client with a history of a previous preterm birth
The rationale for using a prostaglandin gel for a client prior to the
induction of labour is to:
A. Stimulate uterine contractions
B. Numb cervical pain receptors
C. Prevent cervical lacerations
D. Soften and efface the cervix Correct Answer-D. Soften and efface the
cervix
A client who was in active labour and whose cervix had dilated to 4 cm
experiences a weakening in the intensity and frequency of contractions
and exhibits no further progress in labour. The nurse interprets this as a
sign of:
A. Hypertonic
B. Precipitate labour
C. Hypotonic
D. Dysfunctional labour Correct Answer-C. Hypotonic
,The nurse is developing a plan of care for a client experiencing dystocia.
Which of the following nursing interventions would be the nurse's high
priority?
A. Changing the client's position frequently
B. Providing comfort measures to the client
C. Monitoring the fetal heart rate patterns
D. Keeping the couple informed of the labour progress Correct Answer-
C. Monitoring the fetal heart rate patterns
The nurse is caring for a client experiencing hypertonic uterine dystocia.
The client's contractions are erratic in their frequency, duration, and of
high intensity. The priority nursing interventions would be to:
A. Encourage ambulation every 30 minutes
B. Provide pain relief measures
C. Monitor the oxytocin infusion rate closely
D. Prepare the client for an amniotomy Correct Answer-B. Provide pain
relief measures
A postpartum client appears very pale and states is bleeding heavily. The
nurse should first:
A. Call the client's health care provider immediately.
B. Immediately set up an intravenous infusion of magnesium sulphate.
C. Assess the fundus and ask about voiding status.
D. Reassure the client that this is a normal finding after childbirth
Correct Answer-C. Assess the fundus and ask about voiding status.
, A postpartum client reports hearing voices and says, "The voices are
telling me to do bad things to my baby." The clinic nurse interprets these
findings as suggesting postpartum
A. Psychosis.
B. Anxiety disorder.
C. Depression.
D. Blues. Correct Answer-A. Psychosis
When implementing the plan of care for a multigravida postpartum
client who gave birth just a few hours ago, the nurse vigilantly monitors
the client for which complication?
A. Deep venous thrombosis
B. Postpartum psychosis
C. Uterine infection
D. Postpartum hemorrhage Correct Answer-D. Postpartum hemorrhage
While assessing a postpartum multiparous client, the nurse detects a
boggy uterus midline 2 cm above the umbilicus. Which intervention
would be the priority?
A. Assessing vital signs immediately
B. Measuring the next urinary output
C. Massaging the fundus
D. Notifying the client's obstetrician Correct Answer-C. Massaging the
fundus
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