OB Practice Test 3 Questions with Answers Graded A+
Two urine samples showing proteinuria
The nurse is assessing a pregnant client at the end of her
second trimester. Which clinical finding causes the nurse
The presence of proteinuria in a 24-hour sample or two
to suspect that the client has preeclampsia?
successive random specimens together with hypertension
is indicative of preeclampsia. A gradual weight gain is
Progressive weight gain expected as the uterus and fetus enlarge; abrupt weight
gain totaling more than 4.4 lb (2 kg ) in a week may
Two urine samples showing proteinuria be reflective of preeclampsia. Dependent ankle edema
during late afternoon is a common occurrence during
Dependent ankle edema during the late afternoon the second half of pregnancy and is not a reliable sign
of preeclampsia, but when dependent edema does not
Blood pressure fluctuations on three successive measure- resolve with 12 hours of bed rest, preeclampsia may be
ments present. Continued increase of blood pressure, not fluc-
tuation in readings, is related to preeclampsia.
A client is admitted to the birthing suite with a blood
pressure of 150/90 mm Hg, 3+ proteinuria, and edema of
the hands and face. A diagnosis of severe preeclampsia is
made. What other clinical findings support this diagnosis?
Select all that apply.
Headache
Headache
Abdominal pain
Constipation
Visual disturbances
Abdominal pain
Vaginal bleeding
Visual disturbances
, OB Practice Test 3 Questions with Answers Graded A+
A client is admitted with a diagnosis of preeclampsia.
Which significant clinical finding does the nurse expect
when reviewing the client's history?
Proteinuria
Proteinuria
Tachycardia
Increased serum glucose
Tonic-clonic movements
A nurse on the high-risk unit assesses a client admitted
with severe preeclampsia. The client has audible crackles
in the lower left lobe, slight blurring of vision in the right
eye, generalized facial edema, and epigastric discomfort.
Which clinical manifestation indicates the potential for a
seizure?
Epigastric discomfort
Audible crackles
Blurring of vision
Epigastric discomfort
Generalized facial edema
The nurse is assessing a client with worsening preeclamp-
sia. What is the most significant clinical manifestation of
severe preeclampsia?
, OB Practice Test 3 Questions with Answers Graded A+
Polyuria
Vaginal spotting
Proteinuria of 3+
Proteinuria of 3+
Blood pressure of 130/80 mm Hg
A client at 24 weeks' gestation arrives at the clinic for a
routine examination. She tells the nurse, "I feel putty all
over." In light of this statement, what is the nurse's most
important assessment?
Obtaining her blood pressure
Obtaining her blood pressure
Determining how much salt she uses
Asking the extent of her daily fluid intake
Reviewing her history for total weight gain
A client who is at risk for seizures as a result of severe
preeclampsia is receiving an intravenous infusion of mag-
nesium sulfate. What findings cause the nurse to deter-
mine that the client is showing signs of magnesium sulfate
toxicity? Select all that apply.
Respirations of 10 breaths/min
Proteinuria Loss of patellar reflexes
Epigastric pain
Respirations of 10 breaths/min
, OB Practice Test 3 Questions with Answers Graded A+
Loss of patellar reflexes
Urine output of 40 mL/hr
A client attending the prenatal clinic for a follow-up ap-
pointment has been diagnosed with mild preeclampsia.
How should the nurse instruct the client regarding her
fluid and nutritional intake?
"Restrict fluid intake." "Continue the pregnancy diet."
"Stay on a low-salt diet."
"Continue the pregnancy diet."
"Increase carbohydrate consumption."
At 37 weeks' gestation a client's membranes sponta-
neously rupture; however, she does not have any labor
contractions. What action is most important in the nursing
plan of care for this client?
Monitoring for the presence of fever Monitoring for the presence of fever
Monitoring for signs of preeclampsia
Monitoring for heavy vaginal bleeding
Making preparations for fetal scalp pH sampling
A 36-year-old primigravida is receiving treatment for
preeclampsia at 29 weeks' gestation. In light of the latest
Two urine samples showing proteinuria
The nurse is assessing a pregnant client at the end of her
second trimester. Which clinical finding causes the nurse
The presence of proteinuria in a 24-hour sample or two
to suspect that the client has preeclampsia?
successive random specimens together with hypertension
is indicative of preeclampsia. A gradual weight gain is
Progressive weight gain expected as the uterus and fetus enlarge; abrupt weight
gain totaling more than 4.4 lb (2 kg ) in a week may
Two urine samples showing proteinuria be reflective of preeclampsia. Dependent ankle edema
during late afternoon is a common occurrence during
Dependent ankle edema during the late afternoon the second half of pregnancy and is not a reliable sign
of preeclampsia, but when dependent edema does not
Blood pressure fluctuations on three successive measure- resolve with 12 hours of bed rest, preeclampsia may be
ments present. Continued increase of blood pressure, not fluc-
tuation in readings, is related to preeclampsia.
A client is admitted to the birthing suite with a blood
pressure of 150/90 mm Hg, 3+ proteinuria, and edema of
the hands and face. A diagnosis of severe preeclampsia is
made. What other clinical findings support this diagnosis?
Select all that apply.
Headache
Headache
Abdominal pain
Constipation
Visual disturbances
Abdominal pain
Vaginal bleeding
Visual disturbances
, OB Practice Test 3 Questions with Answers Graded A+
A client is admitted with a diagnosis of preeclampsia.
Which significant clinical finding does the nurse expect
when reviewing the client's history?
Proteinuria
Proteinuria
Tachycardia
Increased serum glucose
Tonic-clonic movements
A nurse on the high-risk unit assesses a client admitted
with severe preeclampsia. The client has audible crackles
in the lower left lobe, slight blurring of vision in the right
eye, generalized facial edema, and epigastric discomfort.
Which clinical manifestation indicates the potential for a
seizure?
Epigastric discomfort
Audible crackles
Blurring of vision
Epigastric discomfort
Generalized facial edema
The nurse is assessing a client with worsening preeclamp-
sia. What is the most significant clinical manifestation of
severe preeclampsia?
, OB Practice Test 3 Questions with Answers Graded A+
Polyuria
Vaginal spotting
Proteinuria of 3+
Proteinuria of 3+
Blood pressure of 130/80 mm Hg
A client at 24 weeks' gestation arrives at the clinic for a
routine examination. She tells the nurse, "I feel putty all
over." In light of this statement, what is the nurse's most
important assessment?
Obtaining her blood pressure
Obtaining her blood pressure
Determining how much salt she uses
Asking the extent of her daily fluid intake
Reviewing her history for total weight gain
A client who is at risk for seizures as a result of severe
preeclampsia is receiving an intravenous infusion of mag-
nesium sulfate. What findings cause the nurse to deter-
mine that the client is showing signs of magnesium sulfate
toxicity? Select all that apply.
Respirations of 10 breaths/min
Proteinuria Loss of patellar reflexes
Epigastric pain
Respirations of 10 breaths/min
, OB Practice Test 3 Questions with Answers Graded A+
Loss of patellar reflexes
Urine output of 40 mL/hr
A client attending the prenatal clinic for a follow-up ap-
pointment has been diagnosed with mild preeclampsia.
How should the nurse instruct the client regarding her
fluid and nutritional intake?
"Restrict fluid intake." "Continue the pregnancy diet."
"Stay on a low-salt diet."
"Continue the pregnancy diet."
"Increase carbohydrate consumption."
At 37 weeks' gestation a client's membranes sponta-
neously rupture; however, she does not have any labor
contractions. What action is most important in the nursing
plan of care for this client?
Monitoring for the presence of fever Monitoring for the presence of fever
Monitoring for signs of preeclampsia
Monitoring for heavy vaginal bleeding
Making preparations for fetal scalp pH sampling
A 36-year-old primigravida is receiving treatment for
preeclampsia at 29 weeks' gestation. In light of the latest
