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14. What instructions should a nurse give to a pregnant patient who is about to undergo an amniocentesis? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. 15. A pregnant patient in her first trimester contacts a healthcare clinic and reports noticing a thin, colorless vaginal discharge. What should the nurse say to the patient? A. “Come to the clinic immediately.” B. “The vaginal discharge may be bothersome, but is a normal occurrence.” C. “Report to the emergency department at the maternity center immediately.” D. “Use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours.” Answer: B 16. The healthcare provider orders a contraction stress test, which yields a negative result. How should the nurse document these findings?" A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section 17. A nurse is teaching a pregnant patient how to perform ‘kick counts.’ Which statement from the patient would suggest that additional instruction is needed? A. “I will record the number of movements or kicks.” B. “I need to lie Flat on my back to perform the procedure.” C. “If I count fewer than 10 kicks in a 2-hour period, it could be because my baby is sleeping.” D. “I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks.” 18. The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How would the nurse interpret this Finding? A. The client is measuring large for gestational age. B. The client is measuring small for gestational age. C. The client is measuring normal for gestational age. D. More evidence is needed to determine size for gestational age. 19. A pregnant client comes in for a routine prenatal visit and reports experiencing irregular contractions. After evaluating the situation, the nurse identifies these as Braxton Hicks contractions. Given this assessment, what would be the appropriate nursing action? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition. 20. A client arrives at the clinic for their first prenatal assessment and informs the nurse that the first day of their last normal menstrual period was October 19, 2023. Using Näegele’s rule, what is the expected date of delivery that the nurse should record in the client’s chart? A. July 12, 2024 B. July 26, 2024 C. August 12, 2024 D. August 26, 2024 SITUATION: Nurse Cianne is utilizing her knowledge regarding the proper task delegation and management in the maternal ward. 21. Nurse Cianne is managing a group of patients on the labor and delivery unit. One of her patients is in early labor and has requested a warm bath to help with discomfort. What should Nurse Cianne do? A. Delegate the task of preparing a warm bath to a nursing assistant. B. Personally prepare and monitor the warm bath for the patient. C. Ask the patient to prepare the bath themselves, providing them with instructions. D. Schedule the bath for a later time when she has more time available. 22. Nurse Cianne needs to monitor the client's vital signs. Which action is most appropriate for Nurse Cianne to delegate? A. Monitoring blood pressure and reporting findings to the healthcare provider. B. Documenting blood pressure readings and any abnormal findings in the patient’s chart. C. Measuring and recording blood pressure readings at regular intervals. D. Explaining to the patient the significance of the blood pressure readings. 23. A client is in early labor and has requested pain management options. Nurse Cianne has several tasks to complete. What should she do regarding the pain management assessment? A. Delegate the assessment of pain management options to a nursing assistant. B. Conduct a thorough assessment of pain management options herself. C. Provide a basic explanation of pain management options and then delegate the detailed discussion to a nursing assistant. D. Refer the client to a pain management specialist for further discussion. 24. Nurse Cianne is preparing a teaching session for a pregnant client about the signs of preterm labor. Which task can she delegate to a nursing assistant? A. Assist in preparing educational materials and handouts. B. Explaining the signs of preterm labor and answering the client’s questions. C. Assessing the client’s understanding of preterm labor signs after the teaching session. D. Reviewing the client’s medical history to tailor the teaching session. 25. A client on the postpartum unit is experiencing difficulty with breastfeeding. Nurse Cianne needs to ensure the client receives appropriate support. What should she do? A. Delegate the task of providing breastfeeding support to a nursing assistant. B. Refer the client to a lactation consultant for specialized support. C. Provide the client with general breastfeeding advice and then delegate follow-up to a nursing assistant. D. Document the client’s difficulty with breastfeeding and wait for the next shift to address it. 26. Nurse Cianne is managing several tasks on the labor and delivery unit. A patient requires continuous fetal monitoring. What is the most appropriate action for Nurse Cianne to take? A. Delegate continuous fetal monitoring to a nursing assistant. B. Perform the continuous fetal monitoring herself. C. Instruct the patient to use a portable fetal monitor at home. D. Schedule the fetal monitoring for later when more time is available. 27. A client on the postpartum unit is experiencing postpartum hemorrhage. Nurse Cianne needs to address the situation urgently. Which action should she take? A. Delegate the task of monitoring the client’s bleeding to a nursing assistant B. Conduct a thorough assessment of the client’s condition and implement interventions. C. Provide emotional support to the client while delegating medical tasks to the nursing assistant. D. Wait for the physician to arrive and assess the situation before taking any action. Situation: Nurse Sergio, committed to providing holistic care to his patients, has recently decided to deepen his understanding of psychological theories to better support his patients' mental health. Today, he is focusing on Freud's psychoanalytic theory, a cornerstone of modern psychology that has significant implications for understanding behavior and mental processes. 2 | Page
28. Nurse Sergio is working with a patient who insists on having an immediate surgery despite being informed of the risks. The patient is acting impulsively without consideration of consequences. This behavior is most indicative of which Freudian concept? A. Id B. Ego C. Superego D. Conscience 29. Nurse Sergio notices that a patient is anxious and indecisive about treatment options due to conflicting thoughts about their health. The patient is trying to balance their desire for immediate relief with the need for a long-term solution. Which Freudian concept is this patient using? A. Id B. Ego C. Superego D. Subconscious 30. Nurse Sergio is evaluating a patient who feels immense guilt about their behavior and is excessively concerned with following hospital rules and ethical standards. This behavior most closely aligns with which Freudian concept? A. Id B. Ego C. Superego D. Subconscious 31. A patient in Nurse Sergio’s care wants to eat a large amount of dessert despite being on a strict diet for health reasons. The patient’s decision is impulsive and driven by immediate pleasure. This scenario best illustrates which part of Freud's model? A. Id B. Ego C. Superego D. Conscience 32. Nurse Sergio is counseling a patient who feels torn between their desire to ignore their treatment plan for instant relief and their understanding of the long-term benefits of following it. The patient is struggling to make a decision that considers both immediate and future outcomes. This is an example of which Freudian concept? A. Id B. Ego C. Superego D. Subconscious 33. During a therapy session, Nurse Sergio observes that a patient feels strong internal pressure to be perfect and is overly critical of themselves for minor mistakes. This behavior is most closely related to which Freudian concept? A. Id B. Ego C. Superego D. Unconscious 34. A patient in Nurse Sergio’s care is having difficulty adhering to their prescribed treatment regimen because they are primarily focused on immediate gratification and avoid long-term goals. This behavior reflects the influence of which Freudian concept? A. Id B. Ego C. Superego D. Conscious Situation: Nurse Eson is likely in a scenario where understanding Erik Erikson’s stages of psychosocial development is pertinent to his practice. Erik Erikson was a developmental psychologist known for his theory on the psychosocial development of human beings. His theory outlines eight key stages that a person goes through from infancy to late adulthood, each characterized by a specific conflict that needs resolution. 35. Nurse Eson is caring for a 6-month-old infant who is learning to trust their caregivers. The infant is showing signs of comfort and security when interacted with. According to Erik Erikson’s stages of development, what stage is this infant in? A. Autonomy vs. Shame and Doubt B. Trust vs. Mistrust C. Initiative vs. Guilt D. Industry vs. Inferiority 36. Nurse Eson is working with a 4-year-old child who is actively exploring their environment and trying new things, but also feels guilty when they make mistakes. This behavior is indicative of which Erikson stage? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Initiative vs. Guilt D. Industry vs. Inferiority 37. Nurse Eson is caring for a 12-year-old who is struggling with their sense of competence and comparing themselves to peers. They are feeling either industrious or inferior based on their academic and social achievements. This child is in which Erikson stage? A. Trust vs. Mistrust B. Initiative vs. Guilt C. Industry vs. Inferiority D. Autonomy vs. Shame and Doubt 38. Nurse Eson is assisting an adolescent who is struggling with their identity and exploring different roles. This adolescent is experiencing identity confusion. According to Erikson, what stage is this individual in? A. Autonomy vs. Shame and Doubt B. Industry vs. Inferiority C. Identity vs. Role Confusion D. Intimacy vs. Isolation 39. Nurse Eson is working with a young adult who is focused on forming meaningful relationships and is concerned about their ability to connect deeply with others. This young adult is in which Erikson stage? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Intimacy vs. Isolation D. Generativity vs. Stagnation 40. Nurse Eson is helping a middle-aged adult who is evaluating their contributions to society and feeling either a sense of achievement or stagnation. According to Erikson, which stage is this adult experiencing? A. Industry vs. Inferiority B. Intimacy vs. Isolation C. Generativity vs. Stagnation D. Integrity vs. Despair 41. Nurse Eson is working with an elderly patient who reflects on their life with either a sense of fulfillment and wisdom or regret and dissatisfaction. This patient is in which Erikson stage? A. Generativity vs. Stagnation B. Intimacy vs. Isolation C. Integrity vs. Despair D. Identity vs. Role Confusion Situation: Nurse Jean is reviewing her knowledge about play and development. This involves understanding how different types of play and developmental stages interrelate according to key theories in child development. Consider insights from Jean Piaget and Erik Erikson, as well as the practical application of this knowledge in a clinical setting. 42. Nurse Jena is assessing a 2-year-old child who is playing with toy cars in the hospital playroom. The child is pushing the cars around and talking to them as if they were alive. What developmental stage is this child most likely in according to Jean Piaget’s theory? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational 43. Nurse Jena is working with a 7-year-old child who is focused on organizing their toys in a specific order and following rules during playtime. According to Piaget, what cognitive development stage is the child in? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational 44. Nurse Jena is observing a 10-year-old child who is feeling very competitive and wants to win in all their hospital-based activities. Which Erikson stage is the child likely navigating? 3 | Page