EXAM 1: NR 327 NR327 LATEST MATERNAL -

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EXAM 1: NR 327 / NR327 (LATEST) MATERNAL -

CHILD NURSING EXAM PREP| QUIZ BANK

WITH 250+ QUESTIONS AND VERIFIED

ANSWERS| 100% CORRECT

A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus. Which should the nurse report to the client and her mother?

• "You're right. We'll inform the practitioner immediately."
• "Lightening has occurred, so the fundal height is lower than

expected."

• "The body of the uterus is at the belly button level, just where

it should be at this time."

• "When you come for next month's appointment, we'll check

you again to make sure that the baby is growing."

• "The body of the uterus is at the belly button level, just where

it should be at this time"

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While the vital signs of a pregnant client in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?

• Have the client stand up and retake her blood pressure.
• Have the client sit down and hold her arm in a dependent

position.

• Have the client turn to her left side and recheck her blood

pressure in 5 minutes.

• Have the client lie supine for 5 minutes and recheck her blood

pressure on both arms.

• Have the client turn on her left side and recheck her blood

pressure on both arms

A pregnant client has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct interpretation of these symptoms by the health care provider?

• Nasal stuffiness and nosebleeds are caused by a decrease in

progesterone.

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• These conditions are abnormal. Refer the client to an ear,

nose, and throat specialist.

• Estrogen relaxes the smooth muscles in the respiratory tract,

so congestion and epistaxis are within normal limits.

• Estrogen causes increased blood supply to the mucous

membranes and can result in congestion and nosebleeds.

• Estrogen causes increased blood supply to the mucous

membranes and can result in congestion and nosebleeds

Which suggestion is appropriate for the pregnant client who is experiencing heartburn?

• Drink plenty of fluids at bedtime.
• Eat only three meals a day so the stomach is empty between

meals.

• Drink coffee or orange juice immediately on arising in the

morning.

• Use Tums or Alkamints to obtain relief, as directed by the

health care provider.

• Use Tums or Alkamints to obtain relief, as directed by the

health care provider.

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While providing education to a primiparous client regarding the normal changes of pregnancy, what is important for the nurse to explain about Braxton Hicks contractions?

• These contractions may indicate preterm labor.
• These are contractions that never cause any discomfort.
• Braxton Hicks contractions only start during the third

trimester.

• These occur throughout pregnancy, but you may not feel them

until the third trimester.

• These occur throughout pregnancy, but you may not feel

them until the third trimester.

What is the reason for vascular volume increasing by 40% to 60% during pregnancy?

• Prevents maternal and fetal dehydration
• Eliminates metabolic wastes of the mother