ANSWER

• 1.

  The client is seen in the prenatal clinic. She tells the nurse that she has been trying to get pregnant for the past six months. Which vitamin will help to decrease the chances of neural tube defects in the baby?

  • B3
  • B2
  • B9
  • B1

•  2.

  The client who is at 20 weeks gestation asks the nurse how much weight she should gain during her pregnancy. The nurse should tell the client that:

  • The client should try not to gain more than 25 pounds during pregnancy. 
  • The client should gain about 36 pounds during pregnancy. 
  • The client should gain 55 pounds during pregnancy. 
  • The client should not gain more than 15 pounds. 
•     
  

   3.

   4.

  The doctor is performing an amniocentesis on the client at 17 weeks gestation to detect genetic anomalies. Which statement indicates the nurse understands the proper instructions for the client having an amniocentesis at 17 weeks gestation?

  • After the ultrasound exam, the client should empty the bladder. 
  • After the ultrasound exam, the client should not void for the amniocentesis. 
  • The ultrasound exam will be done at least eight hours prior to the amniocentesis. 
  • The amniocentesis cannot be done prior to 20 weeks gestation 
• 
  

  The client is admitted at 39 weeks gestation for induction of labor. If the doctor uses prostaglandin gel, the nurse should:

  • Administer Stadol (butorphanol) prior to the prostaglandin gel 
  • Tell the client that the labor will be more painful 
  • Elevate the client’s hips for 30 minutes after the gel is inserted 
  • Insert a Foley catheter prior to insertion of the gel 
•              5.

  Vaginal examination in the laboring client reveals the anterior fontanel is toward the rectum. The nurse should chart that the baby is in which position?

  • Occipital posterior 
  • Transverse 
  • Occipital anterior 
  • Breech 
•              6.

  The nurse who is caring for the laboring client notes a decline of fetal heart tones from 136 to 90 beats per minute after the acme of the contractions. Which action is most appropriate at this time?

  • Monitor the client’s blood pressure 
  • Turn the client to her left side 
  • Assess the urinary output hourly 
  • Prepare the client for a cesarean section 
•              7.

  The client is admitted with preeclampsia. Which finding requires that the nurse contact the physician immediately?

  • The client’s blood pressure is 140/90. 
  • The client has a 3+ pedal edema. 
  • The client’s urine reveals 8 grams of protein in a 24-hour urine sample. 
  • The client’s platelet count is 280,000. 
•              8.

  The client is admitted with fetal demise. A diagnosis of missed abortion requires that the fetus be evacuated by induction of labor. If the physician uses prostaglandin, the nurse should anticipate that the client will:

  • Complain of nausea 
  • Become constipated 
  • Need treatment with potassium supplementation 
  • Require that a Foley catheter be inserted 
•              9.

  The client is experiencing a drop in the fetal heart rate. The decelerations are V-shaped and do not correlate to the contractions. The nurse is aware that this type of deceleration is which of the following?

  • Expected during the transition phase of labor 
  • Ominous and requires intervention 
  • Related to fetal head compression 
  • Likely caused by uteroplacental insufficiency 
•  
•  10.

  The client has decided to use epidural anesthesia to control pain during labor. Prior to the epidural anesthesia, the nurse should:

  • Offer liquids by mouth 
  • Insert a Foley catheter 
  • Offer pain medications 
  • Bolus the client with 2,000 mL of intravenous fluids