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Apply Your Knowledge

This chapter provided information regarding the care of childbearing and neonatal clients. The following questions test your knowledge regarding the safe, effective care and management of these clients. The nurse should use the key terms, diagnostics, and pharmacological agents sections to answer these questions.

Exam Questions

1.Which of the following obstetric clients should the nurse see first?
  1. The client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds

  2. The client who is 32 weeks gestation with terbutaline (Brethine) intravenously

  3. The one-day postpartum client who has changed two peri-pads in the last six hours

  4. The diabetic obstetric client with a blood glucose level of 90 mg/dL

2.The client visits the prenatal clinic stating she believes she is pregnant. A pregnancy test is done to detect elevated levels of:
  1. Prolactin

  2. Human chorionic gonadotropin

  3. Lecithin-sphingomyelin

  4. Estriol

3.Which instruction should be given to the client being discharged after evacuation of a hydatidiform mole?
  1. Return to the clinic in six weeks for a urinalysis

  2. Avoid exercise for at least six weeks

  3. Do not become pregnant for at least twelve months

  4. Return to the clinic in six months for liver enzyme studies

4.The pregnant client with AIDS is diagnosed with cytomegalovirus. The nurse is aware that the client probably contracted cytomegalovirus from:
  1. Blood or body fluid exposure to the virus

  2. Emptying her cat’s litter box

  3. Contaminated food or water

  4. Pigeon feces

5.The client being treated for preeclampsia has an infusion of magnesium sulfate. The magnesium level is checked and found to be 6.3 meq/L. Which action by the nurse is most appropriate?
  1. Stop the magnesium sulfate and administer calcium gluconate

  2. Continue the magnesium sulfate as ordered

  3. Contact the doctor immediately

  4. Prepare for an emergency delivery

6.The pregnant client is admitted to the emergency room with a prolapsed umbilical cord. Which action is most appropriate?
  1. Cover the cord with dry, sterile gauze

  2. Place the client in high Fowler’s position

  3. Push up on the presenting part with an examining finger

  4. Begin an IV of normal saline at keep-open rate

7.Which test is most diagnostic for syphilis?
  1. Culture

  2. VDRL

  3. RPR

  4. FTA-ABS

8.The client is diagnosed with genital herpes. Which medication is used to treat genital herpes?
  1. Acyclovir (Zovirax)

  2. Podophyllin

  3. AZT (Retrovir)

  4. Isoniazid (Lanzid)

9.The client with premature labor is being treated with terbutaline (Brethine). Which assessment should be done prior to beginning Brethine?
  1. Creatinine

  2. Cortisol levels

  3. Blood glucose

  4. Liver profile

10.Which finding would require intervention in the client receiving oxytocin (Pitocin) for augmentation of labor?
  1. Contractions every 5–6 minutes lasting 60 seconds

  2. Variability of 6–8 beats per minute

  3. Drops in fetal heart tones after contractions lasting 90 seconds with hesitant return to baseline

  4. Drops in fetal heart tones prior to the contractions during pushing


  

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