Obstetric Nursing CEUS Practice Test
66. A clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. Which assessment finding indicates to the nurse that the client is at high risk for contracting immunodeficiency virus (HIV)?
a) a client who has a history of intravenous drug use
b) a client who has a significant other who is heterosexual
c) a client who has a history of sexually transmitted diseases
d) a client who has had one sexual partner for the past 10 years
67. A nurse in maternity unit is providing emotional support to a client and her husband who are preparing to be discharged from the hospital after the birth of a dead fetus. Which statement, if made by the client, indicates a component of the normal grieving process?
a) we want to attend a support group
b) we never want to try to have a baby again
c) we are going to try to adopt a child immediately
d) we are okay, and we are going to have another baby immediately
68. A nurse evaluates a hepatitis B-positive mother' ability for safe bottle-feeding of her infant during postpartum hospitalization. Which maternal action best exemplifies the mother's knowledge of potential disease transmission to the infant.
a) the mother requests that the window be closed before feeding
b) the mother holds the infant properly during feeding and burping
c) the mother tests the temperature of the formula before initiating feeding
d) the mother washes and dries her hands before and following self-care of the perineum and asks for a pair of gloves before feeding
69. A home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia and who is being monitored for gestational hypertension. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the physician?
a) urinary output has increased
b) dependent edema has resolved
c) blood pressure reading is at the prenatal baseline
d) the client complaints of headache and blurred vision
70. A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the fetuses is a breech presentation. Of the following interventions, which is the lowest priority in planning the nursing care of this client?
a) measure fundal height
b) attach electronic fetal monitoring
c) prepare the client for possible cesarean section
d) visually examine the perineum and vaginal opening
Obstetric Nursing CEUS Practice Test:
ANSWERS AND RATIONALE
66) A
- human immunodeficiency virus (HIV) is transmitted by intimate sexual contact and the exchange of body fluids, exposure to infected blood, and passing from infected woman to her fetus. Clients who fall into the high-risk category for HIV infection include those with persistent and recurrent sexually transmitted diseases, a history of multiple partners, or have used intravenous drugs. A heterosexual partner, in 10 years, does not have a high risk for contracting HIV.
67) A
- a support group can help the parents work through their pain by nonjudgmental sharing of feelings. Option A identifies a statement that would indicate positive, normal grieving. Although the other options may indicate reactions of the client and significant other, they are not specifically a part of the normal grieving process.
68) D
- hepatitis B virus is highly contagious and transmitted by direct contact with blood and body fluids of infected persons. The rationale for identifying childbearing clients with this disease is to provide adequate protection of the fetus and the newborn infant, to minimize transmission to other human beings, and to reduce maternal complications. Option D provides the best evaluation of maternal understanding of disease transmission. Option A will not affect disease transmission. Option B and C are appropriate feeding techniques for bottle-feeding but do not minimize disease transmission for hepatitis B.
69) D
- if the client complains of headache and blurred vision, the physician should be notified because these are signs of worsening preeclampsia. Option A, B, and C are normal signs.
70) A
- option A is a low priority because fundal height should be measured at each antepartum clinic visit, not in the intrapartum period. Option B, C and D are high priorities. Intrapartum management and assessment require careful attention to maternal and fetal status. The fetuses should be monitored by dual electronic fetal monitoring, and any signs of distress need to be reported to the physician or health care provider. A cesarean section may be necessary if a fetus is breech. The nurse should examine the perineum and vaginal opening visually for signs of the cord, which sometimes will prolapse through the cervix.
Or go back to Obstetric Nursing CEUS Practice Test (1-5) to start the practice test from the beginning.
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