Nursing Seminar 1 SAS Session 6
Nursing Seminar 1 SAS Session 6
Multiple Choice
1. A client, 12 weeks’ gestation, comes to the prenatal clinic complaining of severe nausea and frequent vomiting.
The nurse suspects that this client has hyperemesis gravidarum and knows that this is frequently associated with
a. Excessive amniotic fluid
b. A GI history of cholecystitis
c. High levels of chorionic gonadotropin hormone
d. Slowed secretion of free hydrochloric acid
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A client in the thirty-third week of pregnancy begins to experience contractions. She is to be treated at home with
bed rest. The teaching plan for this client should include the information that the client
a. Needs to have the foot of the bed raised on blocks
b. Needs to sit in bed with several large pillows supporting her back
c. Should be placed on her side with her head raised on a small pillow
d. Should assume the knee-chest position every 2 hours for 10 minutes while awake
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. In the fifth month of pregnancy, ultrasonography is performed on a client. The results indicate that the fetus is
small for gestational age and there is evidence of a low-lying placenta. The nurse would use this information in
the last trimester of pregnancy by assessing the client for signs of possible
a. Placenta previa
b. Premature labor
c. Abruptio placenta
d. Precipitate delivery
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. A client experiences an episode of painless vaginal bleeding during the last trimester. The nurse realizes that this
may be caused by
a. Placenta previa
b. Abruptio placenta
c. Frequent intercourse
d. Excessive alcohol ingestion
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A client is admitted with the diagnosis of possible placenta previa. Following the physician’s orders, the nurse
starts IV fluids, administers oxygen, and draws blood for laboratory tests. The client’s apprehension is increasing
and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be all right, and
everything is under control. The nurse’s statements are
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. A client comes to the clinic for a sonography at 36 weeks’ gestation. Before the test begins, the client complains
of severe abdominal pain. Heavy vaginal bleeding is noted and the client’s BP drops while her pulse rate
increases. The nurse should suspect that the client has
a. Hydatidiform mole
b. Endometriosis
c. Marginal placenta previa
d. Complete abruptio placenta
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. Which of the following would be the initial action of a nurse to a mother who is suffering from abruptio placenta?
a. Monitor for contractions
b. Obtain baseline vital signs and measure the abdominal girth
c. Monitor fetal heart tone
d. Measure the urine output of the mother
ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIO:___________________________________________________________________________________________
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10. The nurse must anticipate for which of the following complications of the blood that may occur after abruptio
placenta?
a. Thrombosis
b. Disseminated intravascular coagulation
c. Cerebrovascular accident
d. Deep vein thrombosis
ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. The first assessable objective sign of a seizure in a client with eclampsia is frequently
a. Epigastric pain, nausea, and vomiting
b. Persistent headache and blurred vision
c. Spots or flashes of light before the eyes
d. Rolling of the eyes to one side with a fixed stare
ANSWER: ________
RATIO:___________________________________________________________________________________________
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12. Which of the following would be the definitive treatment for pregnancy-induced hypertension?
a. Oral antihypertensives
b. Magnesium sulfate
c. Diuretics
d. Delivery
ANSWER: ________
RATIO:___________________________________________________________________________________________
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13. When giving magnesium sulfate to a severely preeclamptic mother who is at 25 weeks AOG, the nurse must
prepare which of the following medications at the bedside in case magnesium toxicity occurs?
a. Potassium chloride
b. Aluminum hydroxide
c. Calcium gluconate
d. Spironolactone
ANSWER: ________
RATIO:___________________________________________________________________________________________
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14. Which of the following assessment findings from the patient would the nurse suspect for her to have pregnancy-
induced hypertension?
a. Nausea and vomiting usually felt by the mother in the morning
b. The mother tells you that she no longer can wear her wedding ring
c. Complains that she has difficulty defecating
d. Reports of frequency of urination especially in the afternoon
ANSWER: ________
RATIO:___________________________________________________________________________________________
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15. The nurse understands that the diabetic mother’s metabolism is significantly altered during pregnancy as a result
of
a. The lower renal threshold for glucose
b. The increased effect of insulin during pregnancy
c. An increase in the glucose tolerance level of the blood
d. The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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16. Which of the following conditions may happen to the fetus in a mother who is diagnosed to have gestational
diabetes?
a. Small-for-gestational age
b. Hydrocephaly
c. Large-for-gestational age
d. Low birth weight
ANSWER: ________
RATIO:___________________________________________________________________________________________
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17. A mother was assessed for the type of abortion that she may have, the cervix is still closed, there is slight
bleeding and mild uterine contractions, the fetus is still in the womb of the mother. Which among the following is
happening?
a. Threatened abortion
b. Missed abortion
c. Complete abortion
d. Incomplete abortion
ANSWER: ________
RATIO:___________________________________________________________________________________________
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19. Which of the following laboratory findings would be significant in the mother who has ectopic pregnancy
a. Increased hematocrit and hemoglobin levels
b. Decreased hematocrit and hemoglobin levels
c. Elevated red blood cell count
d. Decreased white blood cell count
ANSWER: ________
RATIO:___________________________________________________________________________________________
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
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RATIO:_______________________________________________________________________________________
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RATIO:_______________________________________________________________________________________
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RATIO:_______________________________________________________________________________________
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You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.
You are done with the session! Let’s track your progress.
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AL Strategy: CAT 3-2-1 / EXIT TICKET/PASS
1. The instructor will instruct the students to record three things he or she learned from the lesson.
2. The students will record two things that they found interesting and that they like to learn more or if they still have
something to clarify about the topic.
3. After answering the question, station yourself at the door and collect the “exit pass” as students depart from the room.
Respond to students’ answer during the next class meeting or as soon as possible
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