Tiêu đề RECALLS 8 (NP2) - STUDENT COPY ✅

C. Fertilization of an egg with no genetic material by a single sperm. D. Partial development of fetal tissue alongside abnormal placental tissue. 9. Patient Joy, who is 8 weeks pregnant, presents to the ER with complaints of unilateral lower abdominal pain, dizziness, and light vaginal spotting. Which of the following interventions would be the priority for this patient? A. Administer Rh immunoglobulin if the patient is Rh-negative. B. Prepare to administer methotrexate to stop the growth of the pregnancy. C. Obtain a quantitative hCG test to assess for a normal or abnormal pregnancy. D. Prepare for an ultrasound to determine the location of the pregnancy. 10. Patient Nayeon, a 32-year-old woman, presents with symptoms suggestive of an ectopic pregnancy. During the assessment, Nurse Jeongyeon reviews her medical history, which includes multiple episodes of pelvic inflammatory disease (PID) and previous tubal surgery. Based on this information, which of the following is the most likely cause of Nayeon's ectopic pregnancy? A. Increased progesterone levels during early pregnancy. B. Scar tissue formation to the fallopian tubes. C. Use of an intrauterine device (IUD) for contraception that scars the uterine tissue. D. Advanced maternal age and genetic factors. 11. Nurse Sana suspects that Patient Momo, a 28-year-old woman at 7 weeks of pregnancy, may have an ectopic pregnancy. Which of the following symptoms is most consistent with a diagnosis of ectopic pregnancy? A. Painless vaginal bleeding. B. Sudden, stabbing pain in the lower quadrant. C. Abdominal cramping. D. Throbbing pain in the upper quadrant. 12. Patient Jihyo, at 22 weeks gestation, presents with complaints of pelvic pressure and mild cramping. On examination, her cervix is found to be dilated to 2 cm with no contractions present. Which of the following would be an appropriate intervention for this patient? A. Administer a tocolytic to prevent premature labor. B. Monitor the patient with serial cervical length measurements and place a cerclage if necessary. C. Recommend bed rest and avoid sexual activity for the remainder of the pregnancy because this is a sign of inevitable/imminent abortion. D. Schedule an induction of labor to avoid further complications. 13. Patient Mina, at 16 weeks gestation, has a history of a second-trimester miscarriage due to cervical insufficiency. She is now pregnant again and presents for routine follow-up. The healthcare provider decides to place a cervical cerclage. What should the Nurse Dahyun educate the patient about regarding this procedure? A. "A cerclage is a procedure where the cervix is stitched to prevent it from dilating prematurely." B. "A cerclage will need to be removed at 24 weeks gestation to prevent infection." C. "The cerclage is a permanent solution to cervical insufficiency and does not require monitoring." D. "Once the cerclage is placed, you should avoid all physical activity, including walking." 14. Patient Chaeyoung is 10 weeks pregnant and presents to the clinic complaining of severe nausea and vomiting, resulting in dehydration and weight loss. Which of the following is most likely to be included in the patient’s treatment plan? A. Prescribe over-the-counter antiemetics to manage nausea B. Administer IV fluids and electrolytes to rehydrate and correct imbalances C. Recommend a high-protein diet to control nausea D. Advise the patient to rest at home and avoid all medications until symptoms improve 15. Nurse Tzuyu is reviewing the lab tests of four prenatal clients. Which of the following management strategies would be most appropriate for a client diagnosed with hyperemesis gravidarum based on lab findings? A. Administer calcium supplements. B. Administer potassium replacement. C. Administer diuretics as ordered. D. Provide oral calcium-rich foods. 16. A 32-week pregnant client presents with painless bright red vaginal bleeding. An ultrasound reveals the placenta is completely covering the cervix. The nurse recognizes the need for immediate action. Which of the following is the priority intervention for this client? A. Administer oxytocin to induce labor. B. Prepare the client for a cesarean section delivery. C. Encourage ambulation to promote circulation. D. Perform a vaginal exam to assess the extent of bleeding. 17. Nurse Seungcheol is caring for a postpartum client who delivered a newborn after a pregnancy complicated by placenta previa. As part of the plan of care, which of the following risks should the nurse prioritize monitoring for in this client? A. Chronic hypertension B. Infection C. Hemorrhage D. Disseminated intravascular coagulation 18. A client with placenta previa at 34 weeks gestation is being monitored for bleeding. Nurse Jeonghan should explain that the primary complication associated with this condition is: A. Risk of uterine rupture during labor. B. Increased likelihood of preterm labor. C. Increased risk of postpartum hemorrhage. D. Risk of gestational hypertension or preeclampsia. 19. A client is admitted to the labor suite with complaints of painless vaginal bleeding. Nurse Joshua is preparing for the examination and knows that which of the following routine labor procedures is contraindicated in this situation? A. Hemoglobin and hematocrit evaluation B. Leopold's maneuvers C. External electronic fetal heart rate monitoring D. A manual pelvic examination 20. Nurse Jun is reviewing the ultrasound results of a woman admitted to the maternity unit. The ultrasound reveals that the placenta is covering the entire internal cervical os. The nurse understands that the client is experiencing which condition? A. Complete placenta previa B. Low-lying placenta previa C. Marginal placenta previa D. Abruptio placentae 21. Nurse Hoshi is caring for a client diagnosed with abruptio placentae. During labor, which of the following is the priority nursing assessment? A. All vital signs, especially heart rate and blood pressure B. Frequency, duration, and intensity of contractions C. The presence of both clear and red vaginal discharge as this is indicates the abruptio placentae is resolved D. Effacement and dilation of the cervix 22. A client at 30 weeks gestation is diagnosed with placental abruption. Nurse Jessica notices that the fetus is showing signs of distress. What is the nurse’s next priority? A. Prepare for an emergency cesarean delivery. B. Perform Leopold’s Maneuver. C. Check for vaginal bleeding using IE and initiate blood transfusions. D. Perform a pelvic exam to assess the degree of separation. 23. Nurse Esther is assigned to assist with caring for a client with abruptio placentae who is experiencing vaginal bleeding. The nurse collects data from the client, knowing that abruptio placentae is accompanied by which additional finding? A. Uterine tenderness on palpation B. Soft abdomen on palpation C. No complaints of abdominal pain D. Lack of uterine irritability or tetanic contractions 24. Nurse Ruth is planning home care for a woman diagnosed with preterm labor who is being discharged. Which of the following concerns must the nurse address? A. Home health care providers will be necessary. B. Restricted activity and medications will be necessary to prevent recurrence of preterm labor. C. Prolonged bed rest may cause negative physiological effects. 2 | Page

A. “If I experience bleeding in the third trimester of my next pregnancy, my membranes might rupture again.” B. “I need to be on bed rest throughout my entire pregnancy if I get pregnant again.” C. “A urinary tract infection during my next pregnancy could cause my membranes to rupture early again.” D. “If I have a singleton pregnancy instead of twins in my next pregnancy, I am less likely to have PROM again.” 46. A nurse is caring for a laboring patient and notices a prolapsed umbilical cord. Which of the following is the priority intervention? A. Apply gentle pressure to push the cord back into the uterus. B. Reposition the mother into a knee-chest position. C. Prepare for an immediate cesarean section. D. Position the mother to a reverse trendelenburg position. 47. Nurse Lara is assisting in the delivery of a laboring client who is undergoing an amniotomy. After the procedure, the nurse notices that the client’s contractions are strong. What should the nurse prioritize as the next action? A. Check the client's respiratory rate. B. Check the client's temperature. C. Assess the fetal heart rate. D. Change the pads under the client. 48. Nurse Kathleen is assisting in the delivery of a baby and notices that the shoulders are stuck after the head is delivered. The nurse suspects shoulder dystocia. What is the first action the nurse should take to help resolve this complication? A. Apply gentle downward traction to the fetal head. B. Perform the McRoberts maneuver. C. Perform an episiotomy to facilitate delivery. D. Insert a catheter to relieve bladder pressure. 49. Nurse Natasha is assisting with the delivery of a 29-year-old G1P0 female at 42 weeks of gestation, who is in active labor. During spontaneous vaginal delivery, shoulder dystocia occurs. The nurse should closely monitor the neonate for which common complication of shoulder dystocia? A. Bell’s palsy\ B. Subgaleal hemorrhage C. Torticollis D. Brachial plexus injury 50. Nurse Yoonchae is assisting a laboring woman to relax. Which of the following comfort measures would be most effective? A. Offer warm wet cloth to use on the client's face and neck. B. Palpate her filling bladder every 15 minutes. C. Keep the room lights lit so the client and her coach can see everything. D. Recommend frequent position changes. 51. Nurse Daniela is assessing a client in labor. Which of the following findings would indicate that the client is transitioning from the first stage to the second stage of labor? A. The client begins to expel clear vaginal fluid. B. The cervix is dilated completely. C. The contractions are regular. D. The membranes have ruptured. 52. Nurse Megan is caring for a 32-week pregnant client in labor who is showing signs of uteroplacental insufficiency on the fetal monitor with late decelerations. The nurse knows this is a concerning sign for fetal distress. What is the first action the nurse should take? A. Document the findings and continue monitoring the fetal patterns. B. Place the mother in a supine position. C. Increase the rate of oxytocin (Pitocin) infusion. D. Administer oxygen via face mask. 53. A first-time laboring mother in active labor is feeling significant discomfort during contractions, with her cervix now at 7 cm dilation. Nurse Rei observes that the woman is having difficulty coping with the pain. What breathing technique should the nurse guide her to use next? A. Rapid pant-blow breathing. B. Deep chest breathing. C. Rapid, shallow chest breathing. D. Slow abdominal breathing. 54. Nurse Leeseo is monitoring a 28-year-old primigravid client who is in the second stage of labor. The client is making good progress, but it has been over an hour since she reached full dilation. Nurse Leeseo knows the second stage typically lasts for a specific amount of time in primigravidas. What is the expected duration of the second stage of labor? A. 3-4 hours. B. 2-4 hours. C. 1-2 hours. D. 30 minutes-1 hour. 55. A client diagnosed with preeclampsia is in the labor room, and the nurse is concerned about the risk of seizure activity. What action should Nurse Yujin prioritize to ensure the client’s safety? A. Checking vital signs every 15 minutes to monitor blood pressure. B. Continually assessing the fetal tracing for signs of fetal distress. C. Monitoring the client's labor carefully and preparing for a fast delivery. D. Reducing visual and auditory stimulation. 56. Nurse Gaeul is caring for a woman who has just delivered her baby. The woman reports that her labor, from the onset of contractions to delivery, lasted only 2 hours. How should the nurse document this in the health record? A. False labor B. Precipitous labor C. Prodromal labor D. Prolonged labor 57. A woman in labor is experiencing intense contractions with a resting uterine tone of greater than 20 mm Hg. She is screaming in pain with every contraction. What should Nurse Yeji prioritize in assessing the fetal heart rate at this time? A. Monitor fetal movements for neurological intactness. B. Monitor heart rate for tachycardia. C. Monitor fetal blood pressure for signs of shock. D. Look for late decelerations on the monitor, indicating fetal anoxia. 58. A client in labor is experiencing slow progression. Before Nurse Gyeoul calls the healthcare provider to report an arrest in labor, which of the following actions should the nurse first take? A. Make sure the epidural medication is turned down. B. Ensure the client is lying on her left side. C. Check for a full bladder. D. Assess vital signs every 30 minutes. 59. A woman in labor is complaining of severe back pain. Nurse Ryujin determines that the fetus is in the occiput posterior position. What is the best intervention to relieve her back pain? A. Performing acupuncture on the back. B. Applying counterpressure to the back. C. Applying ice to the back. D. Applying a heating pad to the back. 60. A woman in active labor suddenly experiences sharp, excruciating low abdominal pain, and the shape of her abdomen changes. Nurse Chaeryeong suspects uterine rupture, and a cesarean birth is performed, but the baby does not survive the trauma. Later, the mother asks to hold her infant. How should Nurse Chaeryeong document this interaction in the patient's health record? A. The parents are beginning to demonstrate positive grieving behaviors. B. The parents are exhibiting dysfunctional coping mechanisms. C. The parents just cannot believe their perfect infant died. D. The parents continue to mourn the loss of their infant. 61. A pregnant woman presents to the emergency department, stating she thinks she is in labor. Which of the following is a sign of true labor? A. The contractions occur in an irregular pattern. B. The contractions radiate from the back to the front. C. The contractions last about 20 to 25 seconds. D. The contractions slow when the woman changes position. 62. A pregnant woman in early labor presents with irregular contractions that last for 20-25 seconds, and Nurse Yuna 4 | Page