answers graded 100%
A nurse in the emergency department is caring for a client who reports abrupt, sharp,
right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client
states she missed one menstrual cycle and cannot be pregnant because she has an
intrauterine device. The nurse should suspect which of the following?
A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole ANSWERS-B
A nurse is providing care for a client who is diagnosed with a marginal abruptio
placentae. The nurse is aware that which of the following findings are risk factors for
developing the condition? (Select all that apply.)
A. Fetal position
B. Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette smoking ANSWERS-B,C,E
A nurse is providing care for a client who is at 32 weeks of gestation and who has a
placenta previa. The nurse notes that the client is actively bleeding. Which of the
following types of medications should the nurse anticipate the provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine ANSWERS-A
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation.
The client reports continued nausea and vomiting and scant, prune-colored discharge.
She has experienced no weight loss and has a fundal height larger than expected.
Which of the following complications should the nurse suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor ANSWERS-C
A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which
of the following findings is seen with this condition?
,A. No alteration in menses
B. Transvaginal ultrasound indicating a fetus in the uterus
C. Serum progesterone greater than the expected reference range
D. Report of severe shoulder pain ANSWERS-D
A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all that
apply.)
A. Episiotomy
B. Oxytocin infusion
C. Forceps
D. Cesarean birth
E. Internal fetal monitoring ANSWERS-A,C,E
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which
of the following findings should the nurse expect? (Select all that apply)
A. Joint pain
B. Malaise
C. Rash
D. Urinary frequency
E. Tender lymph nodes ANSWERS-A,B,C,E
A nurse is caring for a client who has gonorrhea. Which of the following medications
should the nurse anticipate the provider will prescribe?
A. Ceftriaxone
B. Fluconazole
C. Metronidazole
D. Zidovudine ANSWERS-A
A nurse is caring for a client who is in labor. The nurse should identify that which of the
following infections can be treated during labor or immediately following birth? (Select
all that apply.)
A. Gonorrhea
B. Chlamydia
C. HIV
D. Group B streptococcus beta-hemolytic
E. TORCH infection ANSWERS-A,B,C,D
A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy
with a group of newly licensed nurses. Which of the following statements by a nurse
indicates understanding of the teaching?
, A. "Obtain an immunization against rubella early in pregnancy."
B. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy."
C. "A woman should avoid crowded places during pregnancy."
D. "A woman should avoid consuming undercooked meat while pregnant." ANSWERS-
D
A nurse is caring for a client at 14 weeks of gestation who has hyperemesis gravidarum.
The nurse is aware that which of the following are risk factors for the client? (Select all
that apply.)
A. Obesity
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Migraine headache
E. Oligohydramnio ANSWERS-A,B,D
A nurse is caring for a client who has suspected hyperemesis gravidarum and is
reviewing the client's laboratory reports. Which of the following findings is a clinical
manifestation of this condition?
A. Hgb 12.2 g/dL
B. Urine ketones present
C. Alanine aminotransferase (ALT) 20 fU/L
D. Serum glucose 114 mg/dL ANSWERS-B
A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia
for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity?
(Select all that apply.)
A. Respirations fewer than 12/min
B. Urinary output less than 30 mL/hr
C. Hyperreflexic deep-tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating ANSWERS-A,B,D
A nursing 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?
A. Nifedipine (Adalat)
B. Pyridoxine (vitamin B)
C. Ferrous sulfate
D. Calcium gluconate ANSWERS-D