CHAPTER 4 NUR 335 QUESTIONS AND ANSWERS | STUDY GUIDE &
PRACTICE TEST 2026/2027
The health care provider discusses a screening procedure for trisomy in the fetus. Which statement by
the client indicates that teaching has been effective? - correct answer ✔✔A positive result indicates have
an increased risk of carrying a fetus with trisomy
A client at 36 weeks gestation tells the nurse, I was at my desk and suddenly felt a pop and then my
pants were wet. Based on the client's presentation, what does the nurse think happened to this client? -
correct answer ✔✔Spontaneous rupture of membranes
A distressed client who is 33 weeks pregnant calls the nurse. The client is crying and says, "Something is
wrong with me. I can't sleep, my shoes, don't fit, my rings don't fit, even my face is swollen. i HAVE
HEARTBURN ALL DAY, AND NOW i HAVE A HEADACHE AND KEEP SEEING SPOTS AND FLASHES OF LIGHT."
Based on this information, what is the nurse's evaluation of this client? - correct answer ✔✔The client is
experiencing signs of preeclampsia
A distressed client who is 33 weeks pregnant calls the nurse. The client is crying and says, "Something is
wrong with me. I can't sleep, my shoes, don't fit, my rings don't fit, even my face is swollen. i HAVE
HEARTBURN ALL DAY, AND NOW i HAVE A HEADACHE AND KEEP SEEING SPOTS AND FLASHES OF LIGHT."
Based on this information, what are the nurses instructions to this client? - correct answer ✔✔You need
to come to labor and delivery to be evaluated.
The nurse is performing an assessment on a client who is at 28 weeks pregnant. Which finding would the
nurse report to the provider? - correct answer ✔✔Headache and seeing spots
A nurse cares for a client with severe preeclampsia at 32 weeks gestation. The nurse is adjusting the fetal
monitor when suddenly the client has a seizure. What is the nurse's first action? - correct answer
✔✔Protect the client from injury
A nurse cares for a client with severe preeclampsia. Which findings are a part of the criteria for a severe
preeclampsia? Select all that apply. - correct answer ✔✔platelet count less than 100,000 platelets,
Severe, persistent right upper quadrant pain, pulmonary edema
The nurse rapidly dorsiflexes the client's foot, stretching the gastrocnemius muscle, and releases it. THe
nurse observes the foot beating back and forth four times. How would the nurse document this finding?
- correct answer ✔✔Clonus present
The client has been receiving magnesium sulfate 2g/her for the past 24 hours. THe nurse assesses the
client. Which assessment findings are indicators of magnesium toxicity? - correct answer ✔✔Respiratory
rate of 10 breaths/min, Absence of reflexes, client is difficult to arouse
A client at 34 weeks gestation is admitted to labor and delivery for treatment with magnesium sulfate for
a diagnosis of severe preeclampsia. Which assessment finding by the nurse is a complication associated
with the client's diagnosis and needs to be reported to the provider? - correct answer ✔✔Bleeding from
the IV site and petechiae
PRACTICE TEST 2026/2027
The health care provider discusses a screening procedure for trisomy in the fetus. Which statement by
the client indicates that teaching has been effective? - correct answer ✔✔A positive result indicates have
an increased risk of carrying a fetus with trisomy
A client at 36 weeks gestation tells the nurse, I was at my desk and suddenly felt a pop and then my
pants were wet. Based on the client's presentation, what does the nurse think happened to this client? -
correct answer ✔✔Spontaneous rupture of membranes
A distressed client who is 33 weeks pregnant calls the nurse. The client is crying and says, "Something is
wrong with me. I can't sleep, my shoes, don't fit, my rings don't fit, even my face is swollen. i HAVE
HEARTBURN ALL DAY, AND NOW i HAVE A HEADACHE AND KEEP SEEING SPOTS AND FLASHES OF LIGHT."
Based on this information, what is the nurse's evaluation of this client? - correct answer ✔✔The client is
experiencing signs of preeclampsia
A distressed client who is 33 weeks pregnant calls the nurse. The client is crying and says, "Something is
wrong with me. I can't sleep, my shoes, don't fit, my rings don't fit, even my face is swollen. i HAVE
HEARTBURN ALL DAY, AND NOW i HAVE A HEADACHE AND KEEP SEEING SPOTS AND FLASHES OF LIGHT."
Based on this information, what are the nurses instructions to this client? - correct answer ✔✔You need
to come to labor and delivery to be evaluated.
The nurse is performing an assessment on a client who is at 28 weeks pregnant. Which finding would the
nurse report to the provider? - correct answer ✔✔Headache and seeing spots
A nurse cares for a client with severe preeclampsia at 32 weeks gestation. The nurse is adjusting the fetal
monitor when suddenly the client has a seizure. What is the nurse's first action? - correct answer
✔✔Protect the client from injury
A nurse cares for a client with severe preeclampsia. Which findings are a part of the criteria for a severe
preeclampsia? Select all that apply. - correct answer ✔✔platelet count less than 100,000 platelets,
Severe, persistent right upper quadrant pain, pulmonary edema
The nurse rapidly dorsiflexes the client's foot, stretching the gastrocnemius muscle, and releases it. THe
nurse observes the foot beating back and forth four times. How would the nurse document this finding?
- correct answer ✔✔Clonus present
The client has been receiving magnesium sulfate 2g/her for the past 24 hours. THe nurse assesses the
client. Which assessment findings are indicators of magnesium toxicity? - correct answer ✔✔Respiratory
rate of 10 breaths/min, Absence of reflexes, client is difficult to arouse
A client at 34 weeks gestation is admitted to labor and delivery for treatment with magnesium sulfate for
a diagnosis of severe preeclampsia. Which assessment finding by the nurse is a complication associated
with the client's diagnosis and needs to be reported to the provider? - correct answer ✔✔Bleeding from
the IV site and petechiae
