NR 327 Exam 2 OB Maternal Questions and Answers

NR 327 Exam 2 OB Maternal Questions and Answers 1. A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding? A. Tachycardia B. Absence of clonus C. Polyuria D. Report of headache 2. A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following? A. Uteroplacental insufficiency B. Maternal bradycardia C. Umbilical cord compression D. Fetal head compression 3. A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client? A. Temperature B. Fetal heart rate C. Bowel sounds D. Respiratory rate 4. A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate? A. Moderate lochia rubra B. Fundus three fingerbreadths above the umbilicus C. Moderate swelling of the labia D. Blood pressure 130/84 mmHg 5. A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? A. Discontinue the medication infusion B. Prepare for an emergency c-section C. Assess maternal blood glucose D. Place the client in Trendelenburg position 6. A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification? A. Assess deep tendon reflexes every hour B. Obtain a daily weight C. Continuous fetal monitoring D. Ambulate twice daily 7. A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two finger breadths above the umbilicus. Which of the following actions should the nurse