A nurse educator on the postpartum unit is reviewing risk factors
for postpartum hemorrhage with a group of nurses. Which of the
following factors should the nurse include in the teaching?
(Select all that apply.)
A. Prolonged labor
B. Obesity
C. Inversion of the uterus
D. Oligohydramnios
E. Retained placental arrangements Correct Answers A, C, E
A nurse in a clinic is teaching a client of childbearing age about
recommended folic acid supplements.
Which of the following defects can occur in the fetus or neonate
as a result of folic acid deficiency?
A. Iron deficiency anemia
B. Poor bone formation
C. Abnormal fetal growth
D. Neural tube defects Correct Answers D
A nurse in a prenatal clinic is caring for four clients. Which of
the following clients' weight gain should the nurse report to the
provider?
A. 1.8 kg (4 |b) weight gain and is in the first trimester
B. 3.6 kg (8 lb) weight gain and is in the first trimester
C. 6.8 kg (15 |b) weight gain and is in the second trimester
D. 11.3 kg (25 |b) weight gain and is in the third trimester
Correct Answers B
,A nurse in a prenatal clinic is providing education to a client
who is at 8 weeks of gestation. The client states,
"I don't like milk." Which of the following foods should the
nurse recommend as a good source of calcium?
A. Dark green leafy vegetables
B. Deep red or orange vegetables
C. White breads and rice
D. Meat, poultry, and fish Correct Answers A
A nurse in an antepartum clinic is assessing a client who has a
TORCH infection. Which of the following findings should the
nurse expect? (Select all that apply.)
A. Joint pain
B. Malaise
C. Rash
D. Urinary frequency
E. Tender lymph nodes Correct Answers A, B, C, E
A nurse is admitting a client who is in labor and has HIV. Which
of the following interventions should the nurse identify as
contraindicated for this client? (Select all that apply.)
A. Vacuum extractor
B. Oxytocin infusion
C. Forceps
D. Cesarean birth
E. Internal fetal monitoring Correct Answers A, C, E
A nurse is assisting with the care of a client who has severe
preeclampsia who is receiving magnesium sulfate IV. Which of
the following findings should the nurse identify and report as
magnesium sulfate toxicity? (Select all that apply.)
, A. Respirations less than 12/min
B. Urinary output less than 25 mL/hr
C. Hyperreflexic deep-tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating Correct Answers A, B, D
A nurse is assisting with the care of a client who is receiving I
magnesium sulfate. Which of the following medications should
the nurse anticipate administering if magnesium sulfate toxicity
is suspected? Correct Answers Calcium gluconate
A nurse is caring for a client following the administration of an
epidural block and is preparing to administer an IV fluid bolus.
The client's partner asks about the purpose of the IV fluids.
Which of the following statements should the nurse make?
A. "It is needed to promote increased urine output."
B. "It is needed to counteract respiratory depression."
C. "It is needed to counteract hypotension."
D. "It is needed to prevent oligohydramnios." Correct Answers
C
A nurse is caring for a client who had no prenatal care, is Rh-
negative, and will undergo an external version at 38 weeks of
gestation.
Which of the following medications should the nurse plan to
administer prior to the version?
A. Prostaglandin gel
B. Magnesium sulfate
C. Rho(D) immune globulin
D. Oxytocin Correct Answers C