1. Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa? A. Determining cervical dilation and effacement B. Monitoring FHR and maternal vital signs C. Observing vaginal bleeding or leakage of amniotic fluid D. Determining frequency, duration, and intensity of contractions 2. The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia? A. Edema B. Proteinuria C. Glucosuria D. Hypertension 3. The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to A. monitor uterine contractions. B. assess fetal heart rate and maternal vital signs. C. place clean disposable pads to collect any drainage. D. perform a venipuncture for hemoglobin and hematocrit levels. 4. Rh incompatibility can occur if the patient is Rh-negative and the A. fetus is Rh-negative. B. fetus is Rh-positive. C. father is Rh-positive. D. father and fetus are both Rh-negative. 5. Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication? A. Drowsiness B. Urinary output of 20 mL/hour C. Normal deep tendon reflexes D. Respiratory rate of 10 to 12 breaths per minute 6. The nurse is assessing the duration of a patient’s labor contractions. Which method does the nurse implement to assess the duration of labor contractions? A. Assess the strongest intensity of each contraction. B. Assess uterine relaxation between two contractions. C. Assess from the beginning to the end of each contraction. D. Assess from the beginning of one contraction to the beginning of the next. 7. Which physiologic event is the key indicator of the commencement of true labor? A. Bloody show B. Cervical dilation and effacement C. Fetal descent into the pelvic inlet This study source was downloaded by 100000869267694 from CourseHero.com on 10-04-2023 08:58:15 GMT -05:00 https://www.coursehero.com/file/208282550/NR327-Exam-1-Review-2docx/ D. Uterine contractions every 7 minutes 8. To determine if the patient is in true labor, the nurse would assess for changes in A. cervical dilation. B. amount of bloody show. C. fetal position and station. D. pattern of uterine contractions. 9. If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen? A. Right upper B. Left upper C. Right lower D. Left lower 10. A patient who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse’s best answer? A. “You should have felt the baby move by now.” B. “The baby is moving, but you can’t feel it yet.” C. “Some babies are quiet and you don’t feel them move.” D. “Within the next month you should start to feel fluttering sensations.” 11. Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following? (Select all that apply.) A. Insulin B. Estrogen C. Progesterone D. Testosterone E. Human chorionic gonadotropin (hCG) 12. A nurse is conducting prenatal education classes for a group of expectant parents. Which information should the nurse include in her discussion of the purpose of amniotic fluid? (Select all that apply.) A. Cushions the fetus B. Protects the skin of the fetus C. Provides nourishment for the fetus D. Allows for buoyancy for fetal movement E. Maintains a stable temperature for the fetus 13. A patient in her first trimester complains of nausea and vomiting. The patient asks, “Why is this happening?” What is the nurse’s best response? A. “It is due to an increase in gastric motility.” B. “It may be due to changes in hormones.” C. “It is related to an increase in glucose levels.” D. “It is caused by a decrease in gastric secretions.”