RN RNSG 2260 MATERNAL NEWBORN MIDTERM EXAM

QUIZ 1,2,3 GUIDE 2023

Quiz 1

1. A labor and delivery unit gets a call; the client is stating she has not had any leaking of fluid from

the vagina, contractions that are becoming stronger, She has some blood when she wipes and

after voiding, based on the report which one of the clinical findings should the nurse recognize

the client is experiencing?*** True contractions (becomes stronger, consistent and cervical

change), bloody show

2. A nurse in labor and delivery unit is completing an admission assessment for a client who is 39

weeks gestation, the client reports she has been leaking fluid for two days. Which of the

following would you be concerned with?*** Infection(barrier broken)

3. A nurse is caring for a client experiencing contractions every 8 minutes lasting 30-40 seconds,

cervix is 2cm , 50% effaced, fetus -2, FHR 140. Which of the following stages and phases is the

client experiencing? ***1st stage Latent stage

4. A nurse is caring for a client 40 weeks gestation reporting a large gush of fluid as she is walking

back from the bathroom. Which of the following actions should the nurse take first?*** Check

fhr for distress (because water breaking can cause vacuum and cord prolapse)

5. The nurse is caring for a client in active labor she becomes nauseous and vomits, she becomes

irritable, feels the urge to have a bowel movement, saying she has had enough. What stage and

phase is she in?*** 1st stage transitioning

6. A nurse is explaining to a group of nursing students what occurs during active labor as the uterus

contracts, what statement explains maternal-fetal exchange of oxygen and waste products?

***The exchange diminishes as the spiral artery are compressed (The best exchange happens

during uterine relaxation between contractions)

7. Clients ask a nurse how she can tell if a labor is real what should the give as an answer?

***Cervix dilates (any cervical change), resemble menstrual cramps during early labor,

Contraction increase with frequency, duration and intensity with walking

8. Pregnant clients can tolerate the normal blood loss associated with childbirth because? ***They

have an increased blood volume by 40%-50%

9. A nurse in a prenantal clinic is providing education to a client who is 8 weeks gestation she says I

do not like milk, which of the following foods should the nurse recommend for calcium? ***Dark

green leafy vegetables

10. A nurse is caring for 4 clients which of the following clients weight gain should the nurse report

to the provider?*** 8lb 1st trimester

11. A nurse in the clinic is teaching a client about the importance of folic acid and the defects it can

cause if not taken? ***Neural tube defects

12. A nurse is reviewing a new prescription for iron supplements which of the following beverages

should the nurse instruct the client to take with the supplements?*** Orange juice

13. A nurse is caring for a client 13 weeks gestation and reviewing manifestations of complications

the client should promptly report to the provider, which of the following? ***Vaginal bleeding

(not expected at 13 weeks)

14. A client is 7 weeks gestation and experiencing nausea and vomiting in the morning, which of the

following should the nurse include ? ***Eating crackers or toast before getting out of bed (any

dry carbohydrate)

15. A nurse is teaching a client about common discomforts of pregnancies which of the following

findings should the nurse include? ***Breast tenderness (hormone changes), Urinary frequency