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Question 1 Which of the following is the best description of the Lamaze method of childbirth education? It focuses on the birth event and requires a dimly lighted room and a warm-water bath. It uses no medical interventions, such as fetal monitors, intravenous fluids, or medications. It uses the child’s father as a birthing coach and relies on deep abdominal breathing to handle the contractions. It uses a focal point for concentration while the woman does controlled breathing techniques. Question 2 Pregnancy following the rapid weight loss and weight stabilization phase for bariatric surgery appears to be safe. Which nutritional deficiency is the most common problem related to pregnancy following bariatric surgery? Vitamin A Anemia Vitamin K Vitamin C Question 3 A 28-year-old pregnant patient gives a history of smoking 1 pack of cigarettes per day (1 PPD). The nurse practitioner is accurate when she tells the patient that cigarette smoking is associated with: Microcephaly Fetal hypoglycemia in the first 24 hours of life Intrauterine growth restriction Increased incidence of fetal cardiac anomalies Question 4 Patricia presents for her regularly scheduled prenatal visit at 34 weeks’ gestation. During the interview, you determine that Patricia has not felt fetal movement for the past week. On examination, you are unable to auscultate the fetal heart tones. Which of the following would be useful in the diagnosis of an intrauterine fetal death? Chadwick’s sign Piskacek’s sign Spalding’s sign Homan’s sign Question 5 How does the third stage of labor end? With the birth of the baby With the delivery of the placenta With the clamping of the umbilical cord With the complete dilation of the cervix Question 6 Which of the following diseases is not acquired transplacental? Rubeola Toxoplasmosis Tuberculosis Varicella Question 7 The drug of choice for the pregnant woman with diabetes is Insulin Glyburide Glipizide Metformin Question 8 Sally, who is 18 weeks pregnant, had a maternal serum alpha-fetoprotein (MSAFP) level done. The results are elevated. What is the meaning of an elevated MSAFP level? The fetus as trisomy 21. There is an increased risk that the fetus has an open neural tube defect. The infant will be born with hydrocephalus. The fetus has an increased risk of developing cerebral palsy. Question 9 It is imperative that the nurse practitioner teach patients taking an oral contraceptive to report any of the danger signs of complications. Which of the following would be of least concern to the nurse practitioner? Lower leg pain Upper abdominal pain Chest pain Weight gain Question 10 A woman with hyperemesis gravidarum would most likely benefit from a plan of care designed to address which of the following nursing diagnosis? Imbalanced nutrition, more than body requirements, related to pregnancy Anxiety, related to effects of hyperemesis on fetal well-being Anticipatory grieving, related to inevitable pregnancy loss Ineffective coping, related to unwanted pregnancy Question 11 A 30-year-old female patient is seeking advice from the nurse practitioner about becoming pregnant. She is currently taking an oral contraceptive. She gives a history of having a hydatidiform molar pregnancy 2 years ago. The appropriate plan of care for this patient should include: Delaying pregnancy for 1 more year. Measuring serum chorionic gonadotropins level Discontinuing the oral contraceptive Recommending hysterectomy Question 12 When evaluating Marge during her first obstetric visit, you assess the shape of her pelvis. While drawing her a picture of her android-type pelvis, you explain that it has: A rounded, slightly ovoid, or elliptical inlet with a well-rounded fore pelvis (anterior segment). A wedge-shaped inlet, a narrow fore pelvis, a flat posterior segment, and a narrow sacrosciatic notch with the sacrum inclining forward. A long, narrow, oval inlet; an extended and narrow anterior and posterior segment; a wide sacrosciatic notch; and a long, narrow sacrum. A distinct oval inlet with a very wide, rounded retropubic angle and a wider, flat posterior segment. Question 13 Which of the following dietary changes would you recommend Heather, who is experiencing nausea during her first trimester? A bland diet taken frequently in small amounts An increase in fat intake A decrease in carbohydrate intake Restriction of fluid intake after 7:00 pm Question 14 The onset of labor is indicated by regular uterine contractions and: Complete dilation of the cervix Change in the position of the fetus Rupture of the membranes Progressive cervical change Question 15 Nettie, who is pregnant, is suffering from exacerbation of peptic ulcer disorder. Which is the best medication to order for her? Cimetidine Ranitidine Sucralfate Bellergal-S Question 16 RhoGAM is indicated for a Rh-negative mother: Routinely at 28 to 30 weeks gestation Before amniocentesis Within 72 hours of birth of a Rh-positive infant After a vaginal ultrasound Question 17 Ginny, who is planning on getting pregnant, is taking phenytoin (Dilantin). She states that she knows the drug is in category D and asks what that means. You know FDA category D indicates that Positive evidence of human fetal risk exists, but benefits may outweigh risks in certain situations. Animal studies have not demonstrated a fetal risk, but there are no human studies in pregnant women; or animal studies have shown an adverse effect that was not confirmed in human studies. Studies or experience have shown fetal risk that clearly outweighs possible benefits. Controlled studies in women failed to demonstrate a risk to the fetus in the first trimester, and fetal harm appears remote. Question 18 Lynn comes to the clinic for her initial prenatal visit. Based on her menstral history, the client is at 9 weeks’ gestation and is scheduled to have an ultrasound for estimation of the gestational age of the fetus. Which fetal measurement is the best indicator of gestational age at this time? Biparietal diameter Femur length Abdominal circumference Crown-rump measurement Question 19 Most early pregnancy losses are due to: Infection Substance abuse Unknown causes Chromosomal abnormalities Question 20 Which of the following is not a component of the fetal biophysical profile? Gestational age estimate Fetal breathing Amniotic fluid volume Fetal movement

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