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1. A client with a BMI of 36 is at the clinic following a positive home pregnancy test. The
provider prescribes a hemoglobin A1C level test. Which statement by the client
indicates she understands the purpose of this test?
A) "It tells my average blood glucose level for the pastabirb.com/test
3 months."
B) "It tells if my cholesterol level is elevated."
C) "It tells if I have genetic conditions I can pass on to my baby."
D) "It tells if I am at risk for developing preeclampsia during my pregnancy."
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2. The nurse is administering the first dose of depot medroxyprogesterone acetate (DMPA)
to a client. What is the active ingredient in this medication?
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A) Progestin
B) Estrogen
C) Estrogen and progestin abirb.com/test
D) Androgens

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3. The nurse is educating a client about contraceptive options. What would the nurse teach
the client about depot medroxyprogesterone acetate (DMPA)? Select all that apply.
A) It does not protect from sexually transmitted infections.
B) It is associated with reversible bone loss. abirb.com/test
C) The return of fertility may take as long as 18 months.
D) It is administered as an injection every three months.
E) It is a slow-release progestin device that is placed in the uterus.
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4. A client has received depot medroxyprogesterone acetate (DMPA) for the past year and
gained 25 pounds. The client enjoys the convenience of the medication but dislikes the
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weight gain. What is the best action by the nurse?
A) Provide education about other contraceptive options.
B) Tell the client about the importance of daily exercise.
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C) Encourage client to discontinue injections until weight loss occurs.
D) Reassure the client her BMI is still in an acceptable range.

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5. A client is considering depot medroxyprogesterone acetate (DMPA) as a method of
contraceptive method. The client asks the nurse about the advantages of this
contraceptive choice. What information would the nurse provide? Select all that apply.
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A) Private and convenient form of contraception
B) Highly effective form of birth control
C) It is reversible as soon as the injection is stopped
D) Protects against sexually transmitted infections abirb.com/test
E) Protection lasts for 5 years

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6. Three days after giving birth, a client complains of being unable to breathe. The nurse
assesses the client. Which findings by the nurse would be evidence of a pulmonary
embolism? Select all that apply.
A) Tachypnea abirb.com/test
B) Orthopnea
C) Cough
D) Jugular vein distention abirb.com/test
E) Bradycardia

7. A client asks the nurse why all pregnant women are screened for gestational diabetes.
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What is the best response by the nurse?

A) "Insulin resistance is a normal part of pregnancy."
B) "The pancreas produces less insulin during pregnancy."
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C) "Elevated hormone levels stimulate the conversion of glycogen to glucose."
D) "Glucose levels are naturally higher during pregnancy."

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8. The nurse educates a pregnant client diagnosed with gestational diabetes. Which
statements should the nurse include in the teaching session? Select all that apply.
A) "Foods with a high sugar content, such as candy andabirb.com/test
cookies, should be avoided."
B) "Gestational diabetes usually resolves once the baby is born."
C) "Women with gestational diabetes have an increased risk of developing type 2
diabetes later in life."
D) "The newborn will be born with diabetes." abirb.com/test

E) "Regular exercise will help to regulate blood glucose levels."

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9. Which therapies are used in the management of gestational diabetes? Select all that
apply.
A) Diet
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B) Biguanides
C) Exercise
D) Oral hypoglycemic agents
E) Insulin abirb.com/test

10. The client tells the nurse, "I can't breathe." The client looks anxious and frightened. The
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nurse suspects a pulmonary embolism. Which medications will likely to be prescribed
immediately? Select all that apply.
A) Dalteparin
B) Morphine abirb.com/test
C) Warfarin
D) Plasminogen-activator (t-PA)
E) Ibuprofen
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11. The nurse educates a client who is discharged home on warfarin. Which food choices
should be carefully consumed in the same proportion each day? Select all that apply.
A) Broccoli abirb.com/test
B) Cranberry juice
C) Green tea
D) Milk abirb.com/test
E) Whole grains

12. A client with gestational diabetes gives birth at 38 weeks'abirb.com/test

gestation to a 9 lb, 6 oz baby
boy. In the first 24 hours of life, the nurse monitors the newborn for which condition?
A) Hyperglycemia
B) Hypoglycemia abirb.com/test
C) Hypocalcemia
D) Hyperbilirubinemia

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13. A client with gestational diabetes gave birth to a healthy infant. Mother and baby are
ready for discharge. What follow-up is needed for this client?
A) Screening for type 2 diabetes at 6 weeks postpartumabirb.com/test
B) Daily fasting and premeal blood glucose by finger-stick for 4 weeks
C) Screening for type 1 diabetes at 6 weeks postpartum
D) No additional screening is needed; gestational diabetes resolves with the birth.
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14. At 24 weeks the client is scheduled for an oral glucose tolerance test (OGTT). The
client's blood glucose is 140 mg/dL. What should the nurse do next?
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A) Inform the client that she has gestational diabetes.
B) Schedule the client for a fasting glucose tolerance test.
C) Schedule a repeat of the OGTT in 2 weeks.
D) Inform the client that she needs weekly hemoglobinabirb.com/test
A1C levels taken.

15. During a preconception visit, the nurse educates the client about the complications of
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obesity in pregnancy. The pregnant woman who is obese is at risk for which conditions?
Select all that apply.
A) Preeclampsia
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B) Gestational diabetes
C) Prolonged labor
D) Wound complications
E) Precipitous labor abirb.com/test

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16. During a preconception visit, the nurse is educating the client about the complications of
obesity in pregnancy. These complications include which risks to the fetus/neonate?
Select all that apply.
A) Neural tube defects abirb.com/test
B) Prematurity
C) Gestational diabetes
D) Macrosomia abirb.com/test
E) Low birth weight

17. A 9 lb, 5 oz baby is born at 39 weeks' gestation by cesarean section. The pregnancy was
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complicated by gestational diabetes. What physiologic alteration is present in the

newborn at birth as a consequence of gestational diabetes?
A) Extra insulin production abirb.com/test
B) Insulin deficiency
C) Infantile diabetes
D) Decreased glucose production
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18. A newly pregnant client is at the clinic for the first prenatal visit. Based on the data
collected below, which blood tests (in addition to the routine first trimester laboratory
tests) are appropriate for this client? Select all that apply.
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A) Hemoglobin A1C abirb.com/test

B) HIV
C) Antibody screen
D) Toxoplasmosis titers
E) Coagulation panel abirb.com/test

19. A family member asks the nurse what caused the blood clot in the client's leg. Which
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factors increase the risk for deep vein thrombosis (DVT) formation in the postpartum
client? Select all that apply.
A) Fluid shift
B) Elevation of legs abirb.com/test

C) Higher clotting factors

D) Venous stasis
E) Bed rest abirb.com/test

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20. The nurse is reviewing the laboratory work for a new client who is 6 weeks' pregnant.
Based on the below results, what is the nurse's conclusion?

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A) Client is anemic and at risk for gestational diabetes
B) Client is anemic and at risk for type 2 diabetes
C) Client has a urinary tract infection and is at risk for abirb.com/test
diabetes
D) Client has a pulmonary embolism and is at risk for anemia

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

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