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Nội dung text DIAGNOSTIC EXAM - NP2 (KEY)


TOP RANK REVIEW ACADEMY, INC. Page 2 | the placental to the fetus” B. “The two arteries carry freshly oxygenated blood and nutrient-rich blood back from the placental to the fetus.” C. “The two arteries in the umbilical cord carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta.” D. “The three arteries carry freshly oxygenated blood and nutrient-rich blood back from the placental to the fetus.” 13. Which of the following are not presumptive sign/ symptom of pregnancy? A. Amenorrhea B. Urinary changes C. Softening of the uterus D. Nausea/ vomiting 14. Of the following probable signs of pregnancy, which describes the bluish discoloration of the vagina? A. Chadwick’s sign B. Goodel’s sign C. Hegar’s sign D. Ballotement 15. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of Goodell’s sign. The staff nurse asks the student nurse and she states that this is: A. A softening of the cervix B. The presence of fetal movement C. The presence of HCG in the urine D. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. Situation: A G1P0 mother went to the health center for a check-up. You are the nurse assigned. 16. The mother asks the nurse when she will be able to begin feeling the fetal movements. You respond by telling the mother that fetal movements will be noted between which of the following weeks of gestation? A. 6 and 8 B. 8 and 10 C. 10 and 12 D. 16 and 20 17. The mother asks about gestational diabetes, as she has familial history and was worried about her pregnancy. Which statement by the client indicates a further need for education? A. “I need to be in a diabetic diet” B. “I will perform glucose monitoring at home” C. “I need to avoid exercise because of the negative effects of insulin production” D. “I need to be aware of any infections and report signs of infection immediately” 18. History revealed that there is a history of twins in the family and the client was asking about the possibility of having twins as well. The nurse replies: A. Monozygotic twins result from fertilization of two ova by different sperm. B. Monozygotic twins occur by chance regardless of race or heredity. C. Dizygotic twins are usually of the same sex. D. Dizygotic twins occur more often in primigravid than in multigravid clients. 19. Sheila, the client’s mother, was worried that her daughter will have an enormous amount of blood loss during delivery. As a nurse, the best response would be: A. The maximum blood loss considered within normal limits is 500 mL.” B. “The minimum blood loss considered within normal limits is 1,000 mL.” C. “Blood loss during a delivery is rarely estimated unless there is a hemorrhage.” D. “It would be very unusual if you lost more than 100 mL of blood during the delivery.” 20. During the next visit, the client attended a childbirth preparation class and tells the nurse that her lower back has been aching. Which of the following exercises are appropriate for the client? A. Pelvic rocking B. Tailor sitting C. Deep breathing D. Squatting 21. Syphilis is a chronic disease cause by Treponema palladium. Which of the following is not true about syphilis? A. Transmission is by physical contact with syphilitic lesions, which are usually found on the skin, mucous membranes of the mouth, or genitals. B. The infection may not cause abortion or premature labor. C. It may be passed to the fetus on the fourth month of pregnancy as congenital syphilis. D. A serum test (Veneral Disease Research Laboratory or rapid plasma reagin) for syphilis on the first prenatal visit, and repeated on the 36 th week of gestation. 22. Gonorrhea is an infection caused by Neisseria gonorrhoeae that causes inflammation of mucous membranes of the genital and urinary tracts. Which of the following is true? A. Transmission of the organism is by airborne. B. Infection is not transmissible to a newborn. C. It may cause Opthalmianeonatorum. D. It is usually symptomatic, and vaginal discharge is common. 23. A clinic nurse is performing a psychosocial assessment of Alice. Which assessment finding indicates to the nurse that the client is at high risk for contracting human immunodeficiency virus? 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 1 sexual partner for the past10 years. 24. When Alice was in her third trimester, she was admitted to the hospital with a diagnosis of sever preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for: A. Enlargement of the breasts B. Complaints of feeling hot when the room is cool. C. Periods of fetal movement followed by quiet periods. D. Evidence of bleeding, such as in the gums, bruises, petechiae, and purpura. 25. Alice gave birth to a stillborn infant. After the delivery, the family remained together, holding and

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