Test Prep for Nursing Exam about Obstetric Nursing (6-10)

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6. The client is in active phase of labor. The physician has administered epidural anesthesia. Which of the following nursing actions should be given highest priority by the nurse?

a) ensuring patent IV access line
b) checking for rupture of membrane
c) monitoring duration of each contraction
d) providing food and fluids

7. The client is on her twelfth-week of pregnancy. She had been diagnosed to have ruptured ectopic pregnancy. Which of the following signs and symptoms are characteristic of the condition?

a) profuse bright red vaginal bleeding
b) spotting, abdominal pain that radiates to the shoulder
c) elevated hemoglobin and hematocrit level
d) leukopenia, decreased body temperature

8.You are assessing a 32-week pregnant woman. Which of the following is a biophysical nursing diagnosis?

a) body image disturbance
b) knowledge deficit
c) ambivalence
d) alteration in nutrition

9. A nurse provides instructions to a malnourished client regarding iron supplementation during pregnancy. Which statement when made by the client would indicate an understanding of the instructions?

a) the iron is best taken on empty stomach
b) meat does not provide iron and should be avoided
c) iron supplements will give me diarrhea
d) my body has all iron it needs and I don't need to take supplement

10. Which of the following meals is best for pregnant woman?

a) turkey with green salad
b) angel food cake
c) hamburger with coffee
d) french fries with soda drink



ANSWERS AND RATIONALE

6) A
- epidural anesthesia causes hypotension. A patent IV line should be established for administration of ephedrine if hypotension occurs.

7) B
- the bleeding occurs in the abdominal cavity, not within the uterus. Therefore, spotting and not profuse bleeding may occur. When a client is bleeding, the hemoglobin and hematocrit levels will be low. Leukocytosis occurs in response to activation of protective mechanisms of the body.

8) D
- biophysical/physiologic nursing diagnosis is D. Choices A, B, and C are psychosocial nursing diagnosis.

9) A
- ferrous fumurate and ferrous gluconate are the most commonly used iron supplement. They are best absorbed on empty stomach.

10) A
- a pregnant woman should eat a well-balanced diet like turkey with green salad. Angel food cake is a carbohydrate; hamburger is a high in cholesterol and coffee is an "empty calorie"; French fries is high in fats and soda is an "empty calorie."


Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (11-15) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.