[单项选择]A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nursing response would best evaluate the accuracy of the client’s expectations
A. "Tell me what your day will be like after you take your baby home. "
B. "Will anyone be available to help you at home with the baby"
C. "Have you had any experience taking care of babies"
D. "What are you planning to do with your baby when you return to school"

[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.

[单项选择]A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses
A. Risk for fetal or maternal injury related to the crisis of childbearing.
B. Risk for infection related to suppressed immune status.
C. Risk for deficient fluid volume related to dehydration.
D. Risk for fetal injury related to uteroplacental insufficiency.

[单项选择]At what gestational age would a primigravida expect to feel "quickening"
A. 12 weeks.
B. 16 to 18 weeks.
C. 20 to 22 weeks.
D. By the end of the 26th week.

[填空题]In the old days, children were familiar with birth and death as part of life. This is perhaps the first generation of American youngsters who have never been close by during the birth of a baby and have never experienced the death of a family member.
Nowadays when people grow old, we often send them to nursing homes. When they get sick, we transfer them to a hospital, where children are forbidden to visit terminally-ill patients even when those patients are their parents. This deprives (剥夺) the dying patient of significant family members during the last few days of his life and it deprives the children of an experience of death, which is an important learning experience.
Some of my colleagues and I once interviewed and followed approximately 300 terminally-ill patients in order to learn how we could be of best help, not just to them but to the members of their families as well. We were most impressed by the fact that even those patients who were not told of their serious

[单项选择]A primigravida at 34 weeks’ gestation is diagnosed with hydramnios. After delivery of the neonate, a priority for the nurse is to assess the neonate for which problem
A. Kidney disorders.
B. Cardiac defects.
C. Diabetes mellitus.
D. Esophageal atresi

[单项选择]A primigravida at 28 weeks’ gestation is admitted with a diagnosis of preterm labor. The client’s contractions are occurring every 15 to 20 minutes, lasting 25 seconds. The membranes are intact. What should the nurse do
A. Request assistance from the neonatal resuscitation team.
B. Place the client on bed rest on her left side.
C. Obtain equipment for an amniotomy.
D. Prepare terbutaline in an intravenous solution of normal salin

[单项选择]A primigravida in labor for 13 hours clenches her fists, tightens her muscles, and screams during every contraction. Her reaction to labor seems exaggerated compared to the contraction pattern recording from the electronic fetal monitor (EFM). What’s the nurse’s best response
A. Explain to the client that the EFM shows mild contractions, so she should just relax and let the contractions work.
B. Take over as her coach because her husband isn’t helping her properly.
C. Ignore her reactions, realizing that this is her first time in labor and her reactions will soon match the intensity of contractions shown on the EFM.
D. Palpate her abdomen to determine the intensity of labor contractions as they’re taking plac

[单项选择]A primigravida at 36 weeks’ gestation tells the nurse that she has moderate breast tenderness. The nurse teaches the client with some suggestions for relief measures. Which of the following statements by the client suggests the nurse that the client needs further instructions
A. "I should wear a supportive bra at all times. "
B. "I should clean my nipples with soap. "
C. "I should change my sleeping positions. "
D. "I should clean up the colostrum with water. "

[单项选择]A 21-year-old primigravida has an emergency cesarean delivery under general anesthesia because of unanticipated fetal distress. One postoperative intervention is to assist her to turn every 2 hours. Which of the following conditions is this intervention intended to prevent
A. Pressure ulcers.
B. Muscular stiffness.
C. Respiratory complications.
D. Venous stasis.

[单项选择]A 19-year-old primigravida is admitted to the labor and delivery unit in labor. She’s 2 cm dilated and 50% effaced, and the fetal head is at 0 station. She’s having moderately strong 40-second contractions every 5 minutes. She seems rather anxious and becomes very tense during each contraction. When the client asks for pain relief, what should the nurse do next ？（）
A. Determine the source of her anxiety and institute interventions to help her relax.
B. Immediately check the physician’s order and give her the analgesic ordered.
C. Inform her that the neonate’s head isn’t down far enough just yet but that, as soon as it is, medication will be given.
D. Tell her that her contractions are only moderately strong and that she should wait until later to take medication.

[单项选择]A 30-year-old primigravida tells the nurse that her hemorrhoids have become itchy and painful. The nurse instructs the client about relief measures. From which of the following statements by the client would the nurse suspect that the client needs further instructions
A. "I should sit in a warm sitz bath daily. "
B. "I can use a topical ointment for relief. "
C. "I should apply an ice pack at night. "
D. "I should decrease my fluid intake. "

[单项选择]Mrs. Wilson, a primigravida, was admitted to the hospital at 12 weeks’ gestation. She is complaining of abdominal cramping, exhibits bright red vaginal spotting without cervical dilation. The nurse determines that the client is most likely experiencing which of the following types of abortion
A. Complete.
B. Threatened.
C. Inevitable.
D. Misse

[单项选择]A 23-year-old primigravida client has a normal vaginal delivery. The next day, the nurse assesses the client’s lochia for color, amount, and the presence of clots. Which of the following best describes lochia on the first postpartum day
A. Dark red (loehia rubra), large amount, with many clots.
B. Pink (lochia serosa), moderate amount, no clots.
C. White (lochia alba), scant amount, no clots.
D. Dark red (lochia rubra), moderate amount, with a few small clots.