Maternal Newborn Practice Test B (with rationale) - 60 Q & A Correct Solution

Maternal Newborn Practice Test B (with rationale) A nurse on an antepartum unit is caring for 4 pts. Which of the following pts. should the nurse identify as the priority? - A client who is at 34 weeks of gestation and reports epigastric pain. When using the urgent vs nonurgent approach to client care, the nurse should assess the client who reports epigastric pain. Epigastric pain is a manifestation of preeclampsia and indicates hepatic involvement, which is an urgent finding. Therefore, the nurse should identify this client as the priority. A nurse is calculating a client's expected d.o.b using Nagele's rule. The client tells the nurse that her last menstrual cycle started on Nov. 27th. Which of the following dates is the client's expected d.o.b.? - September 3rd When using Nägele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3 months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd. A nurse in a women's is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? - Iron The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old. A nurse is assessing a client who is postpartum and has idiopathic thromocytopenia purpua (ITP). Which of the following findings should the nurse expect? - Decreased platelet count A client who has ITP has an autoimmune response that results in a decreased platelet count. A nurse is reviewing the lab results for a client who is 10 weeks. Which of the following lab findings should the nurse report to the provider? - Hemoglobin 10g/dl A hemoglobin level of 10 g/dL is below the expected reference range of greater than 11 g/dL for a client who is pregnant. The nurse should report this laboratory finding to the provider.