You're providing education to a patient about how to take their prescribed iron supplement.
Which
statement by the patient requires you to re-educate the patient on how to take this supplement?
1/1
"I will take this medication on an empty stomach."
"I will avoid taking this medication with orange juice."
"I will wait and take my calcium supplements 2 hours after I take my iron supplement."
"This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as
needed."
7. You are planning a home visit to evaluate the condition of Beth, 12 weeks pregnant with a history of
cardiac disease that has been treated with digitalis therapy before this pregnancy. Which of the
following would you anticipate happening with Beth's drug therapy regimen?
1/1
Need to change the medication
Continuation of the same dossage
Switching to a more potent brand
Addition of diuretic and an atibiotic to the regimen
Other:
A pregnant client ask the nurse, Can I have coffee in the morning? The nurse best reply;
0/1
Pregnant mothers cant have coffee.
You can have coffee or tea but its limitted to 3 cups perday.
You can consume caffine containing bevarages upto 500 mg.
Correct answer
You can have coffee or tea but its limitted to 3 cups perday.
2. A pregnant client who has learned she is pregnant tells the nurse that she smokes two pack of
cigarettes a day. In counseling, the nurse encourages her to stop smoking because studies show that
newborns of mothers who smokes are often;
0/1
born with congenital facial malformations
excessively large for gestational age
small for gestational age
postmature with meconium aspiration syndrome
Correct answer
small for gestational age
A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The
patient voices concern about how their stool is dark black. As the nurse, you would?
1/1
Notify the doctor
Hold the next dose of iron
Reassure the patient this is a normal side effect of iron supplementation
None of the options are correct
Other:
According to the Western Word, alcohol is the leading known teratogens.
1/1
True
False
Other:
5. The nurse is conducting a clinic visit with prenatal client with heart disease. The nurse carefully
evaluate vital sign, weight gain, and fluid & nutritional status to detect complication caused by;
0/1
hypertrophy & increased contractility
the increase in circulating volume
fetal cardiomegally
Rh incompatibility
Correct answer
the increase in circulating volume
Hyperglycemia results from poor diabetic control during pregnancy and can result to perinatal morbidity
& mortality. When evaluating the pregnant client, the nurse knows that the recommended serum
glucose rage during pregnancy is;
0/1
70mg/dl to 120mg/dl
50mg/dl to 140mg/dl
140 mg/dl to 200 mg/dl
60 mg/dl to 80 mg/dl
Other:
Correct answer
70mg/dl to 120mg/dl
4. Which of the following interventions, if selected by the nurse, is appropriate for a pregnant client with
AIDS with the nursing diagnosis of High Risk for Infection?
1/1
Offer spiritual support
Enforse total bed rest
Provide information on safe sex practices
Administer ferrous sulfate
3. Of the following conditions, the one recognized as a known teratogen is;
1/1
Coronary heart disease
Smoking
Corona virus
scarlet fever
8. A diabetic client is unsure of the date of her last menstrual period (LMP), she says that she missed 3
menses, but her fundus palpated slightly below the umbilicus. Other than Naegele's rule will be used to
determine the estimated date of delivery. The nurse would expect the physician to estimate the date by;
1/1
hearing the first audible fetal heart tone with fetoscope
serial estriols
ultrasonography
non stress test
Other:
6. Mrs. Cortez, primigravida client at 20 weeks gestation and with history of heart disease, has been
instructed on home management. Which of the following statements, if made by Mrs. Cortez, indicates
that she needs further teaching?
0/1
"I need to observe some restriction on people who visit me."
"I should avoid stressfull situation."
"My weight gain is not important."
"I should report early signs of infection."
Correct answer
"My weight gain is not important."
1. An adolescent primigravida who is 8 weeks pregnant asks you, "How much alcohol is safe to drink
during pregnancy? Which of the following is your best response?
1/1
upto 3 oz daily
No alcohol
Social drinking only
upto 0.5 oz daily
9.
0/1
the renal insufficiency in pregnancy
the increased effect of insulin during pregnancy
a decrease in serum glucose during pregnancy
the effect of pregnancy hormones on carbohydrates and lipud metabolism
Other:
The nurse prepare a teaching plan for a newly diagnosed diabetic pregnant client. Which of the
following should not be included in the teaching plan?
0/1
Effects of diabetes on the pregnancy & fetus
Nutritional requirements for pregnancy & diabetic control
To avoid excercise due to its negative effects on insulin production
To be aware of any infections & report signs of infection immediately to the health care provider
Other:
Correct answer
To avoid excercise due to its negative effects on insulin production
Which of the following is the most likely effect on the fetus if the woman is severely anemic during
pregnancy?
1/1
Large for gestational age (LGA) fetus
Hemorrhage
Small for gestational age (SGA) baby
Erythroblastosis fetalis
Other:
A patient has gestational diabetes and is currently 34 weeks pregnant. Which assessment findings below
should you immediately report to the physician?
1/1
Blood glucose 200mg/dL
Negative glycosuria
Proteinuria
Linea nigra
Option 5
Multigravida Divine is in the first stage of labor, active phase. Considering that Divine has a complicating
heart disease due to rheumatic fever, which of the following interventions will you include in the care
plan?
0/1
Encourage ambulation to improve labor contraction
Anticipate to prepare for an operative obstetrics
Reinforce instructions in correct pushing
Give continuous O2 per nasal canula
Other:
Correct answer
Anticipate to prepare for an operative obstetrics
A client with acquired immunodeficiency syndrome (AIDS) has a nursing diagnosis of Imbalanced
nutrition: less than body requirements. The nurse plans which of the following goals with this client?
1/1
consume foods and beverages that are high in glucose
plan large menus and cook meals in advance
eat low-calorie snacks between meals
eat small, frequent meals throughout the day
When are most pregnant patients tested for gestational diabetes?
1/1
6-12 weeks gestation
12-20 weeks gestation
34-36 week gestation
24-28 weeks gestation
