N3610 Quiz 1 Latest Update

N3610 Quiz 1
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of
labor. Which of the following assessment findings should the nurse report to the
provider first?
A. Expulsion of a blood-tinged mucous plug
B. Continuous contraction lasting 2 min
C. Pressure on the perineum causing the client to bear down
D. Expulsion of clear fluid from the vagina
Rationale: A uterus contracting for more than 90 seconds is a sign of tetany and could
lead to uterine rupture, which is the greatest risk to the client at this time. The nurse
should report this finding immediately.
A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which
of the following statements by the nurse should be included in the teaching?
A. "You will need to increase your calcium intake during breastfeeding."
B. "Prenatal vitamins will meet your need for increased vitamin D during pregnancy."
C. "Vitamin E requirements decline during pregnancy due to the increase in body fat."
D. "You will need to double your intake of iron during pregnancy."
Rationale: During pregnancy, the need for iron increases to allow transfer of the
appropriate amounts to the fetus and to support expansion of the client's red blood cell
volume.
A nurse is teaching about fetal development to a group of clients in the antenatal clinic.
Which of the following statements should the nurse include in the teaching?
A. "The baby's heart beat is audible by a Doppler stethoscope at 12 weeks of
pregnancy."
B. "The sex of the baby is determined by week 8 of pregnancy."
C. "Very fine hairs, called lanugo, cover your baby's entire body by week 36 of
pregnancy."
D. "You will first feel your baby move in week 24 of pregnancy."
Rationale: The fetal heartbeat is audible by Doppler stethoscope between 8 to 17 weeks
of gestation.
A nurse on the labor and delivery unit is caring for a client following a vaginal
examination by the provider which is documented as: -1. Which of the following
interpretations of this finding should the nurse make?
A. The presenting part is 1cm above the ischial spines.
B. The presenting art is 1cm below the ischial spines.
C. The cervix is 1cm dilated.
D. The cervix is effaced 1cm.