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1. The nurse is working with a couple considering the options for artificial insemination.
What is the best description of intracervical insemination that the nurse can share with
the couple?
A) Semen specimen is deposited next to the cervix. abirb.com/test
B) Semen specimen is deposited into the cervix.
C) Semen specimen is deposited into the fallopian tube.
D) Semen specimen is deposited into the uterus. abirb.com/test

2. The nurse is teaching a class about methods to predict ovulation. The nurse explains that
a woman with an irregular menstrual cycle can use whichabirb.com/test
method to predict ovulation?
Select all that apply.
A) Basal body temperature chart
B) Cervical mucus assessment abirb.com/test
C) Counting 14 days after her menses
D) Commercial ovulation strips
E) Intracervical insemination
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3. A female-female couple is exploring options to become pregnant. The nurse asks if they
have any questions. What concern is commonly expressed by same-sex couples in the
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decision to conceive a pregnancy?
A) Overmedicalization
B) Gender identity of the child
C) Failure to conceive abirb.com/test

D) Parent status

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4. A same-sex couple has been practicing sperm insemination for 3 months. One day the
home pregnancy test is positive. The pregnant partner is sitting in the bathroom, staring
at the positive test and feeling uncertain about what she has done. Her partner is excited
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and cannot wait to share the news. What is the nurse's interpretation of this behavior?
A) Feeling shocked and overwhelmed is normal even when a pregnancy is desired.
B) Lack of affect is a predictor of postpartum depression.
C) When a pregnancy is desired the woman should be abirb.com/test
excited and joyful at a positive
pregnancy test.
D) This is a sign of altered self-concept related to the pregnancy.
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5. During the first prenatal visit, the nurse calculates the client's BMI to be 31. The nurse
recommends the client gain how much weight during this pregnancy?
A) 12 lb (5.5 kg) or less abirb.com/test
B) 25 to 35 lb (11 to 16 kg)
C) 15 to 25 lb (7 to 11 kg)
D) 40 lb (18 kg)
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6. A client who is obese and newly pregnant asks the nurse, "Why am I more likely to
become diabetic during pregnancy?" What is the best explanation by the nurse?
A) Pregnancy is a diabetogenic state, meaning the bodyabirb.com/test
needs progressively more
insulin to do its job.
B) Pregnancy is a hyperglycemic state, meaning the woman needs more circulating
glucose to nourish the fetus. abirb.com/test
C) Pregnancy is a hypermetabolic state, meaning the cells need more glucose to
function.
D) Pregnancy is a thermogenic state, meaning the production of energy increases the
secretion of insulin. abirb.com/test

7. A woman who is obese seeks care following a positive home pregnancy test. The nurse
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explains to the client that she is at risk for which complications of pregnancy because of
her obesity? Select all that apply.
A) Gestational diabetes
B) Fetal macrosomia abirb.com/test

C) Premature rupture of membranes

8. The nurse teaches a client newly diagnosed with gestational diabetes how to do a
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fingerstick. Which statement by the client indicates she understands
A) I will obtain blood from the side of my finger.
B) I will obtain blood from the vein in my elbow.
C) I will obtain blood from the pad on my finger. abirb.com/test
D) I will obtain blood from my fingertip.

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9. The nurse teaches a client with gestational diabetes to obtain fingerstick blood glucose
levels associated with meals. Which statement by the client indicates she understands
when to obtain the fingerstick blood glucose level?
A) “I will obtain a blood sample 1 hour after my first bite of food.”
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B) “I will obtain a blood sample immediately before I start eating.”
C) “I will obtain a blood sample 4 hours after each meal.”
D) “I will obtain a blood sample 1 hour before my meal.”
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10. A client wakes up feeling disoriented, weak, and sweaty. The client's blood glucose is
52 mg/dL (2.9 mmol/L). Which snack is the best option for the nurse to recommend for
this client?
A) Apple slices and cheese abirb.com/test
B) Chocolate and bananas
C) Chips and salsa
D) Orange juice and cookies abirb.com/test

11. A client is started on daily insulin injections for gestational diabetes at 25 weeks'
gestation. Which statement by the nurse is accurate? abirb.com/test

A) Your need for insulin injections will increase in the third trimester and will go
away after you give birth.
B) Your need for insulin injections will increase if the abirb.com/test
fetus experiences distress and
produces more glucose to meet its survival needs.
C) Your need for insulin injections will increase in the third trimester and will
continue into the postpartum period.
D) Your need for insulin injections will decrease as theabirb.com/test
fetus grows and can control its
own glycogen metabolism.

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12. After the infant is delivered, the health care provider notes that the woman has a
third-degree laceration. What is the best explanation to give the client regarding a
third-degree laceration?
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A) It is a tear into, but not through, the anal sphincter and does not include the rectal
mucosa.
B) It is a tear that extends into the vagina, but does not reach the level of the external
cervical os. abirb.com/test
C) It is a small tear on the vaginal wall, but does not extend onto the perineal floor.
D) It is a tear through the anal sphincter and the rectal mucosa.
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13. The infant of a mother with gestational diabetes is at risk for hypoglycemia in the first
24 hours after birth. How would the nurse explain the physiologic mechanism of this
alteration? abirb.com/test
A) In utero the baby was producing more insulin and it takes time for the baby's
pancreas to adapt to secreting less insulin.
B) After birth the infant burns the glycogen stores in the liver and metabolizes brown
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fat, resulting in acidosis.
C) After birth the absence of the hormones of pregnancy result in decreased glucose
production and storage in the infant.
D) In utero, the baby was receiving insulin from the mother and it will take time for
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the baby's pancreas to take over this function.

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14. The nurse determines that an infant has a cephalhematoma. Based on this finding, the
nurse will monitor the infant for the development of:
A) jaundice.
B) lethargy. abirb.com/test
C) positive Babinski reflex.
D) seizures.
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15. At 24 weeks' gestation, the client is scheduled for a 3-hour oral glucose tolerance test
(OGTT) for gestational diabetes. Based on the client's results (below), what is the
nurse's interpretation from this test? abirb.com/test

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A) Client has gestational diabetes. abirb.com/test

16. Following birth, a client is unable to urinate. Which strategies can the nurse use to
stimulate urination in this client? Select all that apply. abirb.com/test
A) Having the client listen to the sound of running water
B) Placing the client's hand in warm water
C) Pouring warm water over the client's perineum abirb.com/test
D) Providing the client fiber intake
E) Threatening to insert a catheter
F) Providing the client privacy in the bathroom
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17. Following birth, the nurse suggests a client get up to use the bathroom. The client
responds, "I don't feel the urge to urinate and I'm too tired to get up right now. I will go
to the bathroom after I get some sleep." Which explanation by the nurse would be best
to enlist the client's cooperation in this situation? abirb.com/test
A) "Keeping your bladder empty is important because a full bladder can push against
the uterus in such a way that it might stay soft and bleed."
B) "Taking care of your personal hygiene is important abirb.com/test
after giving birth."
C) "Refusing to urinate can cause you to have a postpartum hemorrhage and you may
possibly need a catheter."
D) "Getting out of bed and caring for yourself can prevent the development of
complications such as blood clots and infections." abirb.com/test

18. A third trimester ultrasound determines the estimated fetal weight to be 4800 grams.
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When reviewing this result, the nurse recognizes that this finding places the neonate at
risk for which conditions at birth? Select all that apply.
A) Hypoglycemia
B) Perinatal asphyxia abirb.com/test

C) Fractured clavicle
D) Sepsis
E) Hypovolemia abirb.com/test

19. The nurse is reviewing a woman's prenatal record and notes a third trimester ultrasound
determines the estimated fetal weight to be 4800 grams. abirb.com/test
Based on this finding, the nurse
would be prepared for which complications during the labor and birth experience?
Select all that apply.
A) Shoulder dystocia abirb.com/test
B) Perineal laceration
C) Operative birth
D) Uterine atony
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E) Eclampsia

20. The nurse at the fertility clinic is counseling two womenabirb.com/test

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Answer Key
1. A
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2. A, B, D
3. A
4. A
5. A abirb.com/test
6. A
7. A, B
8. A
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9. A
10. A
11. A
12. A abirb.com/test
13. A
14. A
15. A
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16. A, B, C, F
17. A
18. A, B, C
19. A, B, C, D abirb.com/test
20. A

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