NURS 1102 PASSPOINT ANTEPARTUM
Question 1 See full question
A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The
... [Show More] nurse should
tell the client that she can expect to feel the fetus move at which time?
You Selected:
Between 18 and 20 weeks' gestation
Correct response:
Between 18 and 20 weeks' gestation
Explanation:
Remediation:
Question 2 See full question
A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her
psychosocial transition during pregnancy?
You Selected:
The month of her due date
Correct response:
Support from her partner
Explanation:
Remediation:
Question 3 See full question
A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. She tells the
nurse she doesn't know whether she's ready to have a baby, even though this was a planned pregnancy.
Which response should the nurse offer?
You Selected:
"You're feeling ambivalent, which is normal during the first trimester."
Correct response:
"You're feeling ambivalent, which is normal during the first trimester."
Explanation:
Remediation:
Question 4 See full question
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her
fetus. Her BPP score is 8. What does this score indicate?
NURS 1102 PASSPOINT ANTEPARTUM
You Selected:
The fetus isn't in distress at this time.
Correct response:
The fetus isn't in distress at this time.
Explanation:
Remediation:
Question 5 See full question
During a nonstress test (NST), a nurse notes three fetal heart rate (FHR) increases of 20 beats/minute,
each lasting 20 seconds. These increases occur only with fetal movement. What does this finding
suggest?
You Selected:
The fetus is not in distress at this time.
Correct response:
The fetus is not in distress at this time.
Explanation:
Remediation:
Question 6 See full question
A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health
history for risk factors for this abnormal condition, the nurse expects to find:
You Selected:
a history of pelvic inflammatory disease.
Correct response:
a history of pelvic inflammatory disease.
Explanation:
Remediation:
Question 7 See full question
A nurse uses Nitrazine paper to determine whether a pregnant client's membranes have ruptured. If the
membranes have ruptured, the paper will turn which color?
You Selected:
Blue
Correct response:
Blue
Explanation:
Question 8 See full question
At 32 weeks' gestation, a client is admitted to the facility with a diagnosis of gestational hypertension.
Based on this diagnosis, the nurse expects the assessment to reveal:
You Selected:
3+ edema in the lower extremities.
Correct response:
3+ edema in the lower extremities.
Explanation:
Remediation:
Question 9 See full question
A nurse is reviewing a client's prenatal history. Which finding indicates a genetic risk factor?
You Selected:
The client was exposed to rubella at 36 weeks' gestation.
Correct response:
The client has a child with cystic fibrosis.
Explanation:
Remediation:
Question 10 See full question
A client who's 2 months pregnant complains of urinary frequency and says she gets up several times at
night to go to the bathroom. She denies other urinary symptoms. How should the nurse intervene?
You Selected:
Explain that urinary frequency is expected during the first trimester.
Correct response:
Explain that urinary frequency is expected during the first trimester.
Explanation:
Remediation:
Question 11 See full question
A client, 38 weeks pregnant, arrives in the emergency department complaining of contractions. To help
confirm that she's in true labor, the nurse should assess for:
You Selected:
changes in cervical effacement and dilation after 1 to 2 hours.
Correct response:
changes in cervical effacement and dilation after 1 to 2 hours.
Explanation:
Remediation:
Question 12 See full question
During a routine prenatal visit, a pregnant client reports constipation, and the nurse teaches her how to
relieve it. Which statement indicates the client's understanding of the nurse's instructions?
You Selected:
"I'll limit fluid intake to four 8-oz (240 mL) glasses."
Correct response:
"I'll increase my intake of unrefined grains."
Explanation:
Remediation:
Question 13 See full question
A pregnant client arrives in the emergency department and states, "My baby is coming." The nurse sees
a portion of the umbilical cord protruding from the vagina. Why should the nurse apply manual pressure
to the baby's head?
You Selected:
To slow the delivery process
Correct response:
To relieve pressure on the umbilical cord
Explanation:
Remediation:
Question 14 See full question
A nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns
that this woman smokes one pack of cigarettes per day. The first step the nurse should take to help the
woman stop smoking is to:
You Selected:
assess the client's readiness to stop.
Correct response:
assess the client's readiness to stop.
Explanation:
Remediation:
Question 15 See full question
A nurse is caring for a 16-year-old pregnant adolescent. The client is taking an iron supplement. What
should this client drink to increase the absorption of iron?
You Selected:
A glass of orange juice.
Correct response:
A glass of orange juice.
Explanation:
Remediation:
Question 16 See full question
A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is
defined as:
You Selected:
the inability to conceive after 1 year of unprotected attempts.
Correct response:
the inability to conceive after 1 year of unprotected attempts.
Explanation:
Question 17 See full question
An obstetric ultrasound reveals that the client's fetus has spina bifida. The mother is concerned about
raising a child with a congenital abnormality and she starts to cry. Which response by the nurse is best?
You Selected:
Sit at her bedside and allow the client to express her feelings.
Correct response:
Sit at her bedside and allow the client to express her feelings.
Explanation:
Remediation:
Question 18 See full question
A client who is 18 weeks pregnant is losing weight. She tells a nurse that she's out of work and, after
paying bills, has no money to buy healthy food. The nurse should offer the client information about:
You Selected:
Women, Infants, and Children (WIC).
Correct response:
Women, Infants, and Children (WIC).
Explanation:
Remediation:
Question 19 See full question
Which instruction should a nurse include in an injury-prevention plan for a pregnant client?
You Selected:
"Take rest periods during the day."
Correct response:
"Take rest periods during the day."
Explanation:
Remediation:
Question 20 See full question
During routine prenatal screening, a nurse tells a client that her blood sample will be used for alpha
fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates?
You Selected:
"This test will screen for spina bifida, Down syndrome, or other genetic defects."
Correct response:
"This test will screen for spina bifida, Down syndrome, or other genetic defects."
Explanation:
Remediation:
Question 21 See full question
For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which
assessment findings would alert the nurse to suspect hypermagnesemia?
You Selected:
decreased deep tendon reflexes
Correct response:
decreased deep tendon reflexes
Explanation:
Remediation:
Question 22 See full question
When assessing a 34-year-old multigravid client at 34 weeks' gestation experiencing moderate vaginal
bleeding, which symptom would most likely alert the nurse that placenta previa is present?
You Selected:
painless vaginal bleeding
Correct response:
painless vaginal bleeding
Explanation:
Remediation:
Question 23 See full question
When developing the collaborative plan of care with the health care provider (HCP) for a multigravid
client at 10 weeks' gestation with a history of cardiac disease who was being treated with digitalis
therapy before this pregnancy, the nurse should instruct the client about which modifications regarding
the client's drug therapy regimen?
You Selected:
switching to a different medication
Correct response:
continuation of the same dosage
Explanation:
Remediation:
Question 24 See full question
A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum. The
nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of
which hormone?
You Selected:
progesterone
Correct response:
estrogen
Explanation:
Remediation:
Question 25 See full question
Using Nägele's rule for a client whose last normal menstrual period began on May 10, the nurse
determines that the client's estimated date of childbirth is what date?
You Selected:
February 17
Correct response:
February 17
Explanation:
Remediation:
Question 26 See full question
A 20-year-old married client with a positive pregnancy test states, “Is it really true? I can not believe I am
going to have a baby!” Which response by the nurse would be most appropriate at this time?
You Selected:
"Would you like some booklets on the pregnancy experience?"
Correct response:
"Yes it is true. How does that make you feel?"
Explanation:
Remediation:
Question 27 See full question
A primigravid client asks the nurse if she can continue to have a glass of wine with dinner during her
pregnancy. Which statement would be the nurse's best response?
You Selected:
"You should abstain from drinking alcoholic beverages."
Correct response:
"You should abstain from drinking alcoholic beverages."
Explanation:
Remediation:
Question 28 See full question
A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her
previous pregnancies tells the nurse that she has already felt the baby move. How does the nurse
interpret this finding?
You Selected:
normal because multiparous clients can experience quickening between 14 and 20 weeks'
gestation
Correct response:
normal because multiparous clients can experience quickening between 14 and 20 weeks'
gestation
Explanation:
Remediation:
Question 29 See full question
When performing Leopold's maneuvers, which action would the nurse ask the client to perform to
ensure optimal comfort and accuracy?
You Selected:
empty her bladder
Correct response:
empty her bladder
Explanation:
Remediation:
Question 30 See full question
A 36-year-old primigravid client at 22 weeks' gestation without any complications to date is being seen in
the clinic for a routine visit. The nurse should assess the client's fundal height to:
You Selected:
estimate the fetal growth.
Correct response:
estimate the fetal growth.
Explanation:
Remediation:
Question 31 See full question
A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days
ago and asks, "What does that mean?" The nurse explains that a reactive nonstress test indicates which
of the following about the fetus?
You Selected:
Fetal well-being at this point in the pregnancy.
Correct response:
Fetal well-being at this point in the pregnancy.
Explanation:
Remediation:
Question 32 See full question
A 32-year-old female client visits the family planning clinic and requests an intrauterine device for
contraception. When assessing the client, a history of which problem would be most important to
determine?
You Selected:
pelvic inflammatory disease
Correct response:
pelvic inflammatory disease
Explanation:
Remediation:
Question 33 See full question
A 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed
with blocked fallopian tubes due to pelvic inflammatory disease. When helping the client explore
infertility treatment options, what is most appropriate for this client?
You Selected:
zygote intrafallopian transfer (ZIFT)
Correct response:
in vitro fertilization (IVF)
Explanation:
Remediation:
Question 34 See full question
The nurse is caring for a primigravida at about 9 weeks' gestation. After explaining self-care measures for
common discomforts of pregnancy, the nurse determines that the client understands the instructions
when she says:
You Selected:
“Nausea and vomiting can be decreased if I eat a few crackers before arising."
Correct response:
“Nausea and vomiting can be decreased if I eat a few crackers before arising."
Explanation:
Question 35 See full question
The primary health care provider (HCP) prescribes intravenous magnesium sulfate for a primigravid client
at 38 weeks' gestation diagnosed with severe preeclampsia. Which medication would be most important
for the nurse to have readily available?
You Selected:
calcium gluconate
Correct response:
calcium gluconate
Explanation:
Remediation:
Question 36 See full question
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe
morning sickness that she "has not been able to keep anything down for a week." The nurse should
assess for signs and symptoms of which condition?
You Selected:
hyperglycemia
Correct response:
hypokalemia
Explanation:
Remediation:
Question 37 See full question
The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with
preeclampsia to the labor and birth area. Which client care rooms is most appropriate for this client?
You Selected:
a darkened private room as close to the nurses' station as possible
Correct response:
a darkened private room as close to the nurses' station as possible
Explanation:
Remediation:
Question 38 See full question
A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe
preeclampsia. While caring for the client, the nurse observes that the client is beginning to have a
seizure. Which action should the nurse do first?
You Selected:
Pad the side rails of the client's bed.
Correct response:
Call for immediate assistance in the client's room.
Explanation:
Remediation:
Question 39 See full question
The health care provider prescribes clomiphene citrate for a woman who has been having difficulty
getting pregnant. When teaching the client about this drug, the nurse should discuss what potential
adverse effects?
You Selected:
increase in fibrocystic breast disease
Correct response:
chance of multiple gestation.
Explanation:
Remediation:
Question 40 See full question
A pregnant client tells the nurse that she has been [Show Less]