DETAILED CORRECT ANSWERS
a client in her first trimester ask which immunizations are
recommended if she has never received any. The nurse correctly
responds:
Varicella, influenza, MMR
MMR, and flu Tdap
Tdap, influenza, polio - correct answer- C. Tdap, influenza,
and polio are recommended immunizations. MMR and varicella
are contraindicated
A newly pregnant client asked if she will be tested for Group B
streptococcus infection. the nurses best response is:
Yes at the start of your last trimester
yes between 35-37 weeks
yes just before delivery - correct answer- B. Women are
tested for GBS between 35 and 37 weeks of pregnancy
, a patient who has developed cardiomyopathy in her last
trimester ask if she will always have heart issues. the nurse
responds:
Most women experience a complete recovery as soon as they
deliver
most women have some degree of residual damage but some do
recover completely.
Most women recover completely, but it usually takes a few
years - correct answer- B. Approximately 70% of women
with cardiomyopathy experience residual damage and deficits
A patient with severe eclampsia who is receiving magnesium
sulfate experiences a seizure. This is typically managed by:
Supportive care such as turning the patient on to her side
increasing the dose of the Magnesium as long as the magnesium
level is less than 12 mg / DL
administering additional anticonvulsant medications - correct
answer- A. Supportive care is used to manage seizures. A
side-lying position improves placental blood flow and prevents
aspiration. The therapeutic level for magnesium is 5 - 7 mg / DL.
Anticonvulsant may have effects on the fetus and are not usually
recommended.