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NURS 6700 EXAM 2 202 5/2026 Practice
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what is the purpose of assessing the fundal height tells us about growth which method is appropriate when determining the expected date of delivery of the client? a. schedule an ultrasound exam of the fetus b. determine the lecithin to sphingomyelin ratio c. ask the client about her last menstrual period d. detect the progesterone level in maternal serum c a woman who has completed two or more pregnancies to 20 weeks of gestation or more is a?
multipara a woman has completed one pregnancy with a fetus who reached 20 weeks of gestation is a? primipara the nurse is reviewing lab values to determine Rh incompatibility between the mother and fetus. Which specific lab result should the nurse assess? a. indirect coombs test b. Hgb level c. HCG level d. maternal serum alpha-fetoprotein a which findings obtained during clinical evaluation of a pregnant client help determine the gestational age of the fetus? select all.
a. Fundal height at the level of the umbilicus b. FHTs audible with Doppler c. Fetal movement 2 months ago d. A positive pregnancy test 8 weeks ago a You are an ER nurse taking a history on a woman of reproductive age. Which of the following is a probable sign of pregnancy? a. Nausea b. Vomiting c. Amenorrhea d. Positive pregnancy test d Ms. Smith is pregnant and here for her first prenatal visit. In taking her obstetric history you find that she had one spontaneous abortion (miscarriage) has one living child born at full term. Which of the following accurately communicates this obstetric history that you will report to her provider? a. G3P b. G3P
c. G3P d. G3P c Why would the RN measure Ms. Frank's fundal height on admission to the hospital? a. To evaluate the position of the fetus in relationship to maternal parts b. To assess growth in relationship to gestational age c. To know where to best hear fetal heart tones d. All of the above b human chorionic gonadotropin (HCG) produced only during pregnancy first by chorionic villil later by placenta
mother is placed on the fetal monitor and uterine contractions are stimulated through nipple stimulation or IV oxytocin to evaluate uteroplacental function and evaluate a fetus at risk by observing his response under stress. contaction stress test maternal blood drawn at 16-18 weeks gestation can help determine presence of open neural tube defects in the fetus. accurate pregnancy dating is key to prevent false positive results. alpha fetal protein transvaginal or abdominal use of high frequency sound waves to visualize the fetus, placenta, amniotic fluid and other structures for diagnostic purposes. fetal ultrasonography inexpensive, noninvasive method to monitor fetal well being. nurse must instruct mother in correct procedure and follow up. fetal movement counts presence of 2 accelerations of FHR within 20 minutes that are at least 15 beats above baseline and last at least 15 seconds. reactive non stress test
sample of fetal tissue from placenta taken at 10-12 weeks gestation to determine fetal chromosomal, metabolic or DNA abnormalities. woman may spot after this invasive procedure. chorionic villus sampling evaluation of FHR, fetal breathing movement, fetal movement, fetal muscle tone, and amniotic fluid volume. score of 8-10 is normal. biophysical profile underweight in pregnancy what is the recommended total weight gain? 28 - 40 lb normal weight gain recommendation in pregnancy is? 25 - 35lbs if you are overweight what is the recommended weight gain in pregnancy? 15 - 25lb if you are obese what is the recommended weight gain in pregnancy? 11 - 20lb
salpingectomy vs salpingostomy tx for incomplete cervix bedrest cerclage (reduce 14-24 weeks) hx indicated 12-14 weeks antibiotic and steroid prophylaxis suture cut at 36-27 weeks SROM s/s infection tx for ectopic pregnancy medical methotrexate-antineoplastic tx for molar pregnancy uterine evacuation of trophoblastic and endometrial tissue
observe for 1 year post for hcg levels pap smears every 6 months avoid pregnancy for 1 year chemotherapy if tissue was malignant tx for spontaneous abortion at a distance emotional support: guidance regarding passing the products of conception and definition of hemorrhage Rh negative give rhogham follow up and emotional care ___ presentation with severe lower abdominal pain: may also have severe shoulder pain. Vaginal bleeding can vary from light to hemorrhage. s/s of hypovolemic shock if not diagnosed quickly. ectopic pregnancy
A 24 year old G1P0, 30 weeks, is being seen in the prenatal clinic. She states, "I have a terrible headache for the past 2 days". Which of the following actions is the highest nursing priority? a. Inquire about allergies to medications b. Take the woman's blood pressure c. Assess the woman's fundal height d. Ask the woman about stressors in her life b A patient at 34 weeks gestation with a severe headache is admitted to the hospital with a diagnosis of preeclampsia. In addition to obtaining baseline vital signs and placing the woman on bed rest, the provider ordered the following four items. Which of the orders should the nurse perform first? a. Assess deep tendon reflexes b. Obtain a complete blood count
c. Assess baseline weight d. Obtain a urinalysis a Ms. Taupe comes to the ER with bleeding at 8 weeks gestation. An ultrasound shows a fetus with a heartbeat. Which of the following is most likely? a. Complete abortion b. Incomplete abortion c. Threatened abortion d. Ectopic pregnancy c Ms. Pink is a 16-year-old G1P0 who was diagnosed with premature labor. Which of the following medications will enhance fetal lung maturity? a. Magnesium Sulfate b. Terbutaline c. Betamethasone
Ms. G presents to the Birth Center with a history of prenatal care & a due date that makes her 38 weeks gestation today. She admits to cocaine use one hour ago. She is writhing in pain & has severe vaginal bleeding. The fetal heart tones Baseline is 100.The uterus is rigid & no periods of rest are noted during palpation by the nurse. What do you think is the likely cause of Ms. G's symptoms? a. Placenta previa b. Placental abruption c. Labor d. Other b Which of the following is decreased in pregnancy? a. Tidal volume b. Respiratory rate c. Total lung capacity c
A woman who is 28 weeks gestation had breakfast and then came in for her prenatal visit and had her 1 hour glucola test. The result was 132mg/dl. Which of the following indicates appropriate nursing care? a. "Because you had breakfast your result is not valid and the test will need to be repeated" b. "Your result is higher than the normal range and you will need a 3 hour test." c. "Your results indicate the need for a Hemoglobin A1C test" d. "These results are normal and indicate that you do not have gestational diabetes" d You are the nurse caring for a pregnant woman with Type 1 Diabetes. She has the following lab results:HgA1c=15%FBS=100mg/dl Which of the following assessments is correct? a. Hyperglycemic for the last 3 months=Evidence of Poor Control for last 5-10 weeks b. Hypoglycemic for the last 3 months
Ms. Sage is an 18 year old G1PO who presents for her 36 week prenatal visit. She has no prior medical or prenatal complications. Her blood pressure is 140/90 and she has 1+ Proteinuria. She reports a headache. The nurse reports the suspicion of which of the following to the provider? a. Gestational hypertension b. Mild Preeclampsia c. Severe-Preeclampsia d. HELLP Syndrome b human chorionic gonadotropin hormone is produced only during pregnancy what is the pattern? present 8 days after conception peaks at 10 weeks gestation then at lower level for rest of pregnancy human chorionic gonadotorpin (HcG) functions
necessary to maintain the corpus lute early in pregnancy (produces progesterone until placenta takes over hence essential to maintain the pregnancy) other functions:
- may suppress immune response (inhibit foreign protein e.g, fetal potion of placenta)
- stimulates male testes human placental lactogen (HPL) also called human chorionic produced only during pregnancy first by corpus lutem later by placenta HPL or somatommamotorpin (HCS) hormone function antagonistic effect on maternal insulin (maternal diabetogenic effect) decreases maternal glucose metabolism, therefore makes glucose available for fetal needs
