ectopic pregnancy - Answers A woman arrives in the emergency department with abrupt, sharp right-
sided lower quadrant abdominal pain and bright red vaginal spotting. She has missed one menstrual
cycle. She tells the nurse that she cannot be pregnant because she has been using an intrauterine
device. The nurse should suspect that which of the following?
Neural tube defects - Answers 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?
Calcium gluconate - Answers A nurse is caring for a client who is receiving IV magnesium sulfate.
Which of the following medications should the nurse anticipate administering if magnesium sulfate
toxicity is suspected?
Miscarriage/spontaneous abortion
Low birth weight - Answers A nurse is caring for a woman who is 32 weeks pregnant. The nurse
provides anticipatory guidance regarding danger signs of pregnancy. What is the most appropriate
information for the nurse to include in the teaching session?
G4T2P1A0L3 - Answers A 29-year-old woman presents to the prenatal clinic for her first prenatal visit.
The woman's obstetrical history is as follows:
In 2010 she delivered a son at 35 weeks gestation
In 2012 her daughter was born at 40 weeks gestation
In 2014 she had a "miscarriage" at 8 weeks gestation
In 2016 she delivered a second son at 38 weeks gestation
What is her GTPAL?
18-20 weeks - Answers The prenatal clinic nurse is providing information to a primigravida at 15
weeks gestation. The client asks when she should expect to feel fetal movement. The most
appropriate gestational age that a woman will first experience fetal movement is which of the
following?
Magnesium sulfate
Indomethacin - Answers A pregnant client at 30 weeks gestation presents to the labor unit with
complaints of contractions and pressure. What medications can the nurse expect the provider to
order for administration for clients experiencing preterm labor? (Select all that apply.)
Nonsteroidal anti-inflammatory drugs (NSAIDs) - Answers The nurse knows that management of
primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a
client with this condition should be aware that which of the following is the optimal pharmacological
therapy for pain relief of dysmenorrhea?
Changes in the pattern of fetal activity. - Answers A nurse is caring for a woman who is 32 weeks
pregnant. The nurse provides anticipatory guidance regarding danger signs of pregnancy. What is the
most appropriate information for the nurse to include in the teaching session?
Your baby's lungs are unaffected by the presence of the amniotic fluid. - Answers The nurse is
assessing a client in her second trimester at the prenatal clinic. The client has questions regarding
how her baby can breathe in the presence of the amniotic fluid. What is the best response by the
nurse?
"This is to help your baby's lungs to mature." - Answers The perinatal nurse is providing care to a 25-
year-old woman hospitalized with severe hypertension at 32 weeks' gestation. The nurse is preparing
to administer the second dose of Betamethasone prescribed by the physician. The client asks: "What
is this injection for again?" What would be the nurse's best response?
History of deep vein thrombosis - Answers A nurse is assessing a client who desires an effective
contraceptive method. Which assessment finding would contraindicate the use of a hormonal
contraceptive by the client?
Prevent seizures
Stop/decrease uterine contractions - Answers Magnesium sulfate is given to a pregnant client for
which of the following reasons? (Select all that apply.)
200 - Answers The provider prescribes the following for Group B strep prophylaxis:
Order: Clindamycin 900 mg IVPB to infuse over 30 minutes
Supply: Clindamycin 900 mg in 100 mL D5W
What would the nurse set the infusion pump at in mL/hr?
(Record answer as a whole number. Do not use a trailing zero.)