1. The nurse admits the pregnant woman, who is a 36-week primipara.

Her blood pressure is 145/96, and her hands and face are swollen. What other finding would the nurse expect when assessing this preeclamptic woman? (1) Oligohydramnios (2) Proteinuria (3) Polyuria (4) Irregular contractions 2. The nurse is evaluating the prenatal patient. The patient asks when she can expect to feel the baby move. The nurse replies: (1) You can expect to begin to notice movement during the first trimester. (2) By the end of the sixth month, you may feel some kicking. (3) It is unusual to feel the baby move until two weeks before your due date. (4) Most women can feel fetal movement at approximately 16-20 weeks gestation. 3. Susan Miller is seven and a half months pregnant. She has a number of physical discomforts to report to the nurse. Which of these symptoms should be reported to the physician? (1) Shortness of breath when climbing up the stairs (2) Heartburn (3) Constipation (4) Headaches and spots before her eyes 4. The first-time mother who is eight months pregnant tells the nurse she learned in Lamaze class that her bag of waters might break before she went into labor. She asks if this might hurt the baby. The nurse explains that, unless it ruptures before the baby is due, it is not usually a problem. This response is based on the nurses knowledge of the functions of the amniotic fluid, which include all of the following EXCEPT (1) protection of the fetus from injury. (2) protection of the fetus from infection. (3) temperature maintenance. (4) providing adequate oxygenation. 5. While assessing the newborn, the nurse checks the umbilical cord and counts the vessels present. The nurse notes one artery and one vein. Which of the following actions would be most appropriate for the nurse to take in response to this finding? (1) Chart the assessment along with any other normal findings (2) Inform the physician or RN that the baby only has one vein (3) Inform the physician or RN that the baby only has one artery (4) Chart the assessment as a normal variation in the newborn

6. The nurse offers the pregnant patient an HIV test. The patient acts offended, but the nurse explains that all prenatal patients are offered this test because (1) it gives the medical team an idea of her lifestyle choices. (2) they will then be able to notify her partner if she is positive. (3) if she is positive, the baby is likely to present with HIV syndrome, which needs prompt treatment. (4) if the mother is positive, she and the baby can be treated with zidovudine, which greatly reduces the chance of the baby becoming infected. 7. The 34-year-old patient is pregnant with her third child. She complains to the nurse that her varicose veins are worse than in her other pregnancies and asks if there is anything she can do to help relieve her discomfort. The nurse would be correct in suggesting that the patient do all of the following EXCEPT (1) Elevate her legs when sitting (2) Stand for long periods (3) Exercise the calf muscles (4) W ear support stockings 8. The nurse is taking the vital signs of a new labor patient. She notes that her blood pressure is 146/94, her face is edematous, and she is complaining of a headache. Her urine is 2+ protein. The physician comes and orders an infusion of MgSO4 (magnesium sulfate) to be given. The nurse will monitor the patient by assessing the patients vital signs as well as (1) urine output and presence of glucose. (2) deep tendon reflexes. (3) calf tenderness. (4) abdominal distention. 9. The first-time expectant mother is experiencing regular contractions, approximately 6 to 8 minutes apart. She is uncomfortable, and has just ruptured her amniotic membranes. The resident did a vaginal exam and said she was two to three centimeters dilated. She asks the nurse if that means that she will deliver soon. The nurse correctly replies: (1) Your membranes have ruptured, so it should not be more than an hour. (2) You are in active labor, but it will take at least two to three more hours. (3) You are still in the early phase of labor, so it is difficult to predict how fast you will progress once your labor gets more active. (4) You are in the second stage of labor, so it should not be long. 10. As the antepartum patient, Linda, was going to the bathroom, she suddenly noticed a looped cord coming out of her vagina. She quickly rang

the emergency call bell, and the first nurse to arrive explained that her baby had a prolapsed cord, and quickly did the following: (1) placed her in a trendelenberg or knee chest position to relieve pressure on the cord. (2) ruptured her membranes to help speed the labor. (3) called ultrasound to get a stat biophysical profile. (4) performed a vaginal exam to determine cervical dilatation.