Tiêu đề RECALLS 4 - NP2 - SC ✅

2 | Page determine their baby’s sex via ultrasound. The nurse is correct when she said ______. A. At 10 weeks AOG B. 16 weeks AOG C. 20 weeks AOG D. 22 weeks AOG Situation: Nurse Bea is assisting pregnant mothers in their second trimester of pregnancy. The following questions apply 16. Nurse Bea is preparing to measure the fundal height of a client whose fetus is 28 weeks’ gestation. In what position should the nurse place the client to perform the procedure? A. In a standing position B. In the Trendelenburg position C. Supine with the head of the bed elevated to 45 degrees D. Supine with her head on a pillow and knees slightly flexed 17. Nurse Bea has just palpated the fundal height at the level of umbilicus. It is likely that the client is how many weeks pregnant? A. 12. B. 20. C. 28. D. 36 18. After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed: A. Above the umbilicus at the midline B. Above the umbilicus on the left side C. Below the umbilicus on the right side D. Below the umbilicus near the left groin 19. Which piece of equipment will the nurse routinely use to assess the fetal heart rate of a woman at 16 weeks’ gestation? A. Fetal heart monitor B. An adult stethoscope C. Bell of a stethoscope D. Ultrasound fetoscope 20. The nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy? A. Hemorrhoids B. Postterm labor C. Maternal anemia D. Costovertebral angle tenderness Situation: Maris, who is in her first trimester of pregnancy, comes to the clinic for a prenatal check-up. Nurse Loisa is assigned to assist her. 21. Maris mentioned that she is experiencing nausea and vomiting each morning that she wakes up. Which of the following should not be included when giving health teachings to Maris? A. Eat dry crackers before arising B. Take small, frequent feedings C. Take antiemetic D. take low-fat diet 22. Maris also complains of urinary frequency. Which of the following should Nurse Loisa not instruct Maris to do? A. Limit fluid intake in the evening B. Perform Kegel exercises C. Increase intake of tea to control voiding D. Drink no less than 2000 mL of fluid during the day 23. Maris will undergo Alpha-fetoprotein level determination. Which of the following specimen us required? A. Maternal blood sample B. Blood from chorionic villi C. Amniotic fluid D. Cervical secretions 24. She asks Nurse Loisa, “What does the alpha fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect: A. Kidney defects B. Cardiac defects C. Neural Tube defects D. Urinary tract defects 25. Nurse Loisa is giving health teaching to Maris on how to prevent neural tube defects to her baby. What supplement is needed to be taken by a pregnant women to prevent NTD? A. Folate B. Iron C. Vitamin C D. Vitamin A Situation: Nurse Yna is providing prenatal health teaching to a group of pregnant women in their first and second trimesters. She explains the normal discomforts of pregnancy, their causes, and how to manage them effectively. 26. Which of the following exercises should be taught to a pregnant woman who complains of backaches? A. Kegeling. B. Pelvic tilting. C. Leg lifting. D. Crunching. 27. A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint? A. Maternal hypertension. B. Fundal height. C. Hydramnios. D. Congestive heart failure. 28. During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate? A. Encourage the woman to brush her teeth carefully. B. Advise the woman to have her blood pressure checked regularly. C. Encourage the woman to wear supportive hosiery. D. Advise the woman to avoid eating rare meat 29. The nurse is measuring the fundal height on a client who is 36 weeks’ gestation when the client reports feeling lightheaded. What finding should the nurse expect to note when assessing the client? A. Fear B. Anemia C. A full bladder D. Compression of the vena cava 30. Which of the following skin changes should the nurse highlight for a pregnant woman’s health care practitioner? A. Linea nigra. B. Melasma. C. Petechiae. D. Spider nevi Situation: Nurse Lani is assigned in the labor room and is monitoring clients in active labor using an external fetal monitor. Understanding fetal heart rate patterns is vital in assessing fetal well-being. 31. The client is in active labor. Fetal heart monitoring is done. Bradycardia is noted at the start of uterine contraction. The nurse correctly interprets this finding as indicative of A. Head compression B. Prolapsed cord C. Uteroplacental insufficiency D. False labor 32. The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? A. Change the client’s position B. Prepare for emergency cesarean section C. Check for placenta previa D. Administer oxygen 33. The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip shows a late deceleration. Based on this observation, which action should the nurse plan to take immediately? A. document the findings B. prepare for immediate birth C. increase the rate of an oxytocin infusion D. administer oxygen to the client via face mask 34. The pregnant client tells the nurse that se felt wetness on her peripad and found some clear fluid. The nurse inspects the