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1. May arrives at the health care clinic and tells the nurse that her last
menstrual period was 9 weeks ago. She also tells the nurse that a home
pregnancy test was positive but she began to have mild cramps and is
now having moderate vaginal bleeding. During the physical examination
of the client, the nurse notes that May has a dilated cervix. The nurse
determines that May is experiencing which type of abortion?
A. Inevitable
B. Incomplete
C. Threatened
D. Septic
2. Nurse Reese is reviewing the record of a pregnant client for her first
prenatal visit. Which of the following data, if noted on the client’s
record, would alert the nurse that the client is at risk for a spontaneous
abortion?
A. Age 36 years
B. History of syphilis
C. History of genital herpes
D. History of diabetes mellitus
10. A trial for vaginal delivery after an earlier caesareans, would likely to
be given to a gravida, who had:
A. First low transverse cesarean was for active herpes type 2
infections; vaginal culture at 39 weeks pregnancy was positive.
B. First and second caesareans were for cephalopelvic disproportion.
C. First caesarean through a classic incision as a result of severe fetal
distress.
D. First low transverse caesarean was for breech position. Fetus in
this pregnancy is in a vertex presentation.
11.Nurse Ryan is aware that the best initial approach when trying to take
a crying toddler’s temperature is:
A. Talk to the mother first and then to the toddler.
B. Bring extra help so it can be done quickly.
C. Encourage the mother to hold the child.
D. Ignore the crying and screaming.
12.Baby Tina a 3 month old infant just had a cleft lip and palate repair.
What should the nurse do to prevent trauma to operative site?
A. Avoid touching the suture line, even when cleaning.
B. Place the baby in prone position.
C. Give the baby a pacifier.
D. Place the infant’s arms in soft elbow restraints.
13. Which action should nurse Marian include in the care plan for a 2
month old with heart failure?
A. Feed the infant when he cries.
B. Allow the infant to rest before feeding.
C. Bathe the infant and administer medications before feeding.
D. Weigh and bathe the infant before feeding.
15.Mommy Linda is playing with her infant, who is sitting securely alone
on the floor of the clinic. The mother hides a toy behind her back and
the infant looks for it. The nurse is aware that estimated age of the
infant would be:
A. 6 months
B. 4 months
C. 8 months
D. 10 months