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NUR 230 Maternal Exam 1 | Galen College of Nursing

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 12 pages. Originally published on StudyMerit.

Pages
12
Academic year
2025/2026
Language
English

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NUR 230. NUR 231, NUR 264 Exam 1 a Version & L The nurse s preparing to teach a cient about Ihe = pregnancy. Which of the following decreases 0f re a. C. d. The nurse has provided dietary teaching for a Dfeg”af“ i of the following meal options selected by the client indicates thal an o(@) changes that occur dur ng ains unchanged? Heart rale 5/) Blood pressure. /) ’ Cardiac output o ’ Blood volume. v — client who has iron deficiency anemia Whic teaching has been effective { Grilled steak, creamed spinach, and an apple. Baked chicken(breagt and macaroni salad. Oatmeal, whole-wheat toast, and jelly. Grilled cheese sandwich and tomato soup. The nurse s caring for a client who is pregnant. The first day of the last menstrual period (U','p: »:.'as October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery (EDD) to be a@lo June 4. July 4, v \% A July 18, v June 18, The nurse is caring for a pregnant client who is recently diagnosed with pica. Which of the following (Hgb) levels should the nurse expect to find in the client’s chart? a. 37gdL >’ a4 g al. =, oo i ¢ 12gidL {0 d. 16gdL \ The nurse is caring for a client who is at 38 weeks and in a supine position for a pelvic examination. The client reports feeling dizzy and nauseated, and upon assessment her skin feals damp and cool. Which of the following actions should the nurse lake first? apow Tum the client on her side. Elevale the client’s legs 20 degrees above her hips. Take the client's(Blood pressure (BF). Assess the client's respiratory rate (RR). Page 2/13

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TEIN €94, NUR 254 Exam 1 a Version a Thr_ e "‘U S€ Is caring for a client who is a primigravida in her third trimester and is experiencing ness of breath when walking up stairs. Which of the following statements by the nurse s aAppr opnate? & "You will feel much better once the baby Is born.” /E) “This can be uncomfortable, try taking breaks and use good posture.” “If you lie on your left side, it will relieve your shoriness of breath.” 0. ';CU should immediately report this difficulty breathing to your primary health care provider (PHCP)." The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which findings from the box below are probable signs of pregnancy? [ O/ Amenorrhea. : 2. Braxton-Hicks contractions. 3. Hearing fetal(hean tones. (4. Breast tenderness. (¢S Positive pr ecr*a"c test. & ) i, o 236 The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural influences should the nurse consider first when providing nutritional care? \(1,_) Food preferences and methods of preparation. fi 5@ b. The client's family and social support systems. u c. Socioeconomic status of the client. d. Weight gain so far in the pregnancy. The nurse is talking 10 a client who is 18 weeks pregnant about preparing her 7-year-old daughter for the new sibling. Which of the following recommendations is best for the nurse 1o make based on the child’s age? a “Wait to discuss the birth of the baby until your daughter asks about i.” b. “Teach your daughter how to hold and talk to a baby using her lavorite doll.” ¢. “Use your pregnancy as a way to begin to discuss basic human sexuality.” Co) “Tell your daughter the story of her own birth.” g : Page 3/13

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NUR 230, NUR 231, NUR 254 Exam 1 a Version a 10 11, 13. A nurse is teaching a client about symploms 1o report during her pregnancy. Which of the following statements by the client indicates a correct understanding of the teaching? p @ It I have any(vagingi(bleedin before 20 weeks, | should report it." 0. "Il report increased frequency olm dunng the third trimester.” . “Iflfeel tired after resting, | should report it.” d. “Iireport if | experience lower back pain during the third trimester.” The nurse is caring for a client who is at 15 weeks gestation and has an immune rubella titer. Which of the following actions is appropriate for the nurse to take? Convey to the client that she needs to wait until after delivery to have an MMR vaccine. Suggest that the client receive a rubella vaccine at this visit, Tell the client that she has immunity at this time. Plan to immunize the client when she reaches the third trimester. XX - The nurse is teaching a client who is in the 10th week of pregnancy about moming sickness. Which of the following should the nurse include in the teaching? a. The degree of(nause) is linked to the mother's acceplance of the pregnancy. b. Drink a protein supplement first thing upon arising. | 3 /] <E) Alternate dry(carbohydrat} foods with fluids every hour. \9? ) Increase the intake of protein in the evening meal to help decrease nausea in the mom ng The nurse is teaching a pregnant client about possible complications of pregnancy. Which of the following client statements requires follow-up by the nurse? @ "I will change my cat's litter box daily because it could contain harmfu!.‘ 0. "I will check my(Uring daily for any protein while at home." €. “I'should call the clinic immadiately if | notice increased edema in my ankles or feet.” d. "I 'should notify my primary health care provider (PHCP) if | experience blurred vision.* The nurse is collecting data from a client who Is confirmed pragnant. The client tells the nurse that she had 1 pregnancy thal she delivered at 38 weeks; 1 pregnancy she delivered at 34 weeks with wans; 1 pregnancy she delivered al 31 weeks; and 1 pregnancy she delivered at 18 weeks. Which of the following is the correct way to document the client's gravidity, term births, preterm births. abortions, and living children (GTPAL)? ) G5, Tal, Pu2, Asl. Led. a D. Ge5, Tal, Pa2, Ael, La3, .. 2 o Ged, Tel, Pu3, Al L3, ~‘7§7—./ p A / 1 O Ged, Tal, P=2. A=1, L=4d Page 4 /13

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