26470404-5381909-Obstetrical-Nursing-Practice-Exam -...

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OBSTETRICAL NURSING PRACTICE TEST PART 1 1. Which of the following client statements indicates that the nurse's teaching about oral contraceptive agents has been successful? A. "Despite their effectiveness, about 25% of women stop taking them after 1 year." B. "These agents usually only cause a few minor side effects when you take them." C. "Oral contraceptives inhibit ovulation and change the consistency of cervical mucus." D. "I can make these drugs more effective by monitoring my basal body temperature." 2. A client's gestational diabetes is poorly controlled throughout her pregnancy. She goes into labor at 38 weeks and delivers a boy. Which priority intervention should be included in the care plan for the neonate during his first 24 hours? A. Administer insulin subcutaneously. B. Administer a bolus of glucose I.V. C. Provide frequent early feedings with formula. D. Avoid oral feedings. 3. Which finding is considered normal in a neonate during the first few days after birth? A. Weight loss of 25% B. Birth weight of 2,000 to 2,500 g C. Weight loss then return to birth weight D. Weight gain of 25% 4. The physician prescribes clomiphene citrate (Clomid) for a woman who has been having difficulty getting pregnant. When teaching the client about this drug's potential side effects, which of the following would the nurse include in the teaching plan? A. Multiple pregnancies. B. Increase in spontaneous abortions. C. Increase in fibrocystic breast disease. D. Increase in congenital anomalies. 5. Early detection of an ectopic pregnancy is paramount in preventing a life-threatening rupture. Which symptoms should alert the nurse to the possibility of an ectopic pregnancy? A. Abdominal pain, vaginal bleeding, and a positive pregnancy test B. Hyperemesis and weight loss C. Amenorrhea and a negative pregnancy test D. Copious discharge of clear mucus and prolonged epigastric pain
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6. After the nurse instructs a client who is scheduled for in vitro fertilization (IVF) about the procedure, which of the following statements by the client indicates to the nurse that the instructions have been successful? A. "I know that the chances of getting pregnant with this procedure are about 50%." B. "I'll need to receive a series of estrogen injections after I have the procedure." C. "After fertilization, three or four embryos will be transferred through the cervix." D. "My risk for a multiple births is less with this procedure than with the GIFT procedure." 7. On the 9th postpartum day, a client breast-feeding her neonate experiences pain, redness, and swelling of her left breast. She's diagnosed with mastitis. The nurse teaching the client how to care for her infected breast should include which information? A. Wear a loose-fitting bra to avoid constricting the milk ducts.
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This note was uploaded on 05/16/2011 for the course NURSING 112 taught by Professor Brinley during the Spring '11 term at Pace.

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26470404-5381909-Obstetrical-Nursing-Practice-Exam -...

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