MATERNAL NEWBORN - PRACTICE QUESTIONS
WITH ACCURATE ANSWERS
(Edited question) which order should be questioned with placenta previa? correct
answer *Perform a vaginal exam*
When a client has a placenta previa, the placenta implants in the lower part of the
uterus and obstructs the cervical os (the opening to the vagina)
nurse should clarify this prescription because any manipulation can cause tearing
of the placenta and increased bleeding
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take? correct
answer *Obtain blood samples for baseline laboratory values*
the nurse should obtain samples of the client's blood for baseline testing of
hemoglobin and hematocrit levels
A nurse is assessing a client who is at 12 weeks of gestation and has a hyatidiform
mole. What finding should the nurse expect? correct answer *Dark brown vaginal
discharge*
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
chorionic villi, which gives rise to multiple cysts. The products of conception
transform into a large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and can contain
grapelike clusters.
, A nurse is assessing a client who is at 34 weeks gestation and has a mild placental
abruption. Which finding should the nurse expect? correct answer Dark red
vaginal bleeding
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational hypertension. Which finding should the nurse identify as priority?
correct answer Low urine output (<30mL per hour)
when using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hr because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
progression of hypertension, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is assessing a client who is at 35 weeks of gestation and is receiving
magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which
finding should the nurse report to the provider?
DTR +2
BP 150/96
Urinary output 20mL/hr
RR 16 correct answer Urinary output 20mL/hour
report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity
A decrease in urinary output can also indicate a decrease in renal perfusion
secondary to a worsening of the client's pre-eclampsia
WITH ACCURATE ANSWERS
(Edited question) which order should be questioned with placenta previa? correct
answer *Perform a vaginal exam*
When a client has a placenta previa, the placenta implants in the lower part of the
uterus and obstructs the cervical os (the opening to the vagina)
nurse should clarify this prescription because any manipulation can cause tearing
of the placenta and increased bleeding
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take? correct
answer *Obtain blood samples for baseline laboratory values*
the nurse should obtain samples of the client's blood for baseline testing of
hemoglobin and hematocrit levels
A nurse is assessing a client who is at 12 weeks of gestation and has a hyatidiform
mole. What finding should the nurse expect? correct answer *Dark brown vaginal
discharge*
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
chorionic villi, which gives rise to multiple cysts. The products of conception
transform into a large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and can contain
grapelike clusters.
, A nurse is assessing a client who is at 34 weeks gestation and has a mild placental
abruption. Which finding should the nurse expect? correct answer Dark red
vaginal bleeding
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational hypertension. Which finding should the nurse identify as priority?
correct answer Low urine output (<30mL per hour)
when using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hr because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
progression of hypertension, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is assessing a client who is at 35 weeks of gestation and is receiving
magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which
finding should the nurse report to the provider?
DTR +2
BP 150/96
Urinary output 20mL/hr
RR 16 correct answer Urinary output 20mL/hour
report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity
A decrease in urinary output can also indicate a decrease in renal perfusion
secondary to a worsening of the client's pre-eclampsia
