NUR 1028 Exam 1
While a client is being given intravenous magnesium sulfate therapy for preeclampsia, it is essential for
the nurse to monitor the client's deep tendon reflexes. What reason does the nurse give to the client to
explain why this is done?
1. Reveals her level of consciousness
2. Reveals the mobility of the extremities
3. Reveals the response to painful stimuli
4. Identifies the potential for respiratory depression - Answer-4. Identifies the potential for respiratory
depression
Respiratory distress or arrest may occur when the serum level of magnesium sulfate reaches 12 to 15
mg/dL. Deep tendon reflexes disappear when the serum level is 10 to 12 mg/dL. The medication is
withheld in the absence of deep tendon reflexes. The therapeutic serum level of magnesium sulfate is 5
to 8 mg/dL. Deep tendon reflexes do not reveal a client's level of consciousness, mobility of the
extremities, or the response to painful stimuli. Deep tendon reflexes can be associated with muscle
strengthening.
A post-dated pregnant client is admitted to the hospital for labor induction. Which medication would
the primary healthcare provider prescribe?
1. Oxytocin
2. Nifedipine
3. Indomethacin
,4. Methylergonovine - Answer-1. oxytocin
Oxytocin is given to induce uterine contractions when normal labor does not occur in the final weeks of
gestation. Nifedipine and indomethacin are used to control preterm labor. Methylergonovine is used to
control postpartum hemorrhage.
A pregnant client with diabetes is referred to the dietitian in the prenatal clinic for nutritional
assessment and counseling. What should the nurse emphasize when reinforcing the client's dietary
program?
1
The need to increase high-quality protein and decrease fats
2
The need to increase carbohydrates to meet energy demands and prevent ketosis
3
The need to eat a low-calorie diet that maintains the current insulin coverage and helps prevent
hyperglycemia
4
The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as
necessary - Answer-4. The need to eat a pregnancy diet that meets increased dietary needs and to
adjust the insulin dosage as necessary
Increased metabolic demands on the body during pregnancy require increased ingestion of calories;
appropriate doses of insulin must be provided to permit glucose utilization by the body. The quantities
of carbohydrates and fats, as well as of protein, are increased, not decreased, during pregnancy. Simply
increasing carbohydrate intake is not sufficient to prevent ketosis. A low-calorie diet is contraindicated;
it will not meet the demands of pregnancy on the client's body or the needs of the growing fetus.
A woman who is pregnant for the first time is concerned about regaining her figure after the baby is
born and wishes to diet during pregnancy. How should the nurse advise her?
1
, Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to decrease the risk of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake may result in gestational diabetes mellitus. - Answer-1
Inadequate food intake can result in a low-birth-weight infant.
The recommended weight gain is at least 25 lb (11.3 kg) for this client; inadequate intake of nutrients
during pregnancy results in an underweight newborn. The cause of stillbirth is usually not known;
however, dieting during pregnancy is not recommended, because it can result in congenital anomalies,
as well as low birth weight. Inadequate food intake is not a risk factor for gestational diabetes mellitus.
A client is taking a progesterone oral contraceptive (minipill). The nurse instructs the client to take one
pill daily during which point in the monthly cycle?
1
Five days of the ovulatory cycle
2
Latter part of the ovulatory cycle
3
First week of the menstrual cycle
4
Entire menstrual cycle - Answer-4.
Entire menstrual cycle
While a client is being given intravenous magnesium sulfate therapy for preeclampsia, it is essential for
the nurse to monitor the client's deep tendon reflexes. What reason does the nurse give to the client to
explain why this is done?
1. Reveals her level of consciousness
2. Reveals the mobility of the extremities
3. Reveals the response to painful stimuli
4. Identifies the potential for respiratory depression - Answer-4. Identifies the potential for respiratory
depression
Respiratory distress or arrest may occur when the serum level of magnesium sulfate reaches 12 to 15
mg/dL. Deep tendon reflexes disappear when the serum level is 10 to 12 mg/dL. The medication is
withheld in the absence of deep tendon reflexes. The therapeutic serum level of magnesium sulfate is 5
to 8 mg/dL. Deep tendon reflexes do not reveal a client's level of consciousness, mobility of the
extremities, or the response to painful stimuli. Deep tendon reflexes can be associated with muscle
strengthening.
A post-dated pregnant client is admitted to the hospital for labor induction. Which medication would
the primary healthcare provider prescribe?
1. Oxytocin
2. Nifedipine
3. Indomethacin
,4. Methylergonovine - Answer-1. oxytocin
Oxytocin is given to induce uterine contractions when normal labor does not occur in the final weeks of
gestation. Nifedipine and indomethacin are used to control preterm labor. Methylergonovine is used to
control postpartum hemorrhage.
A pregnant client with diabetes is referred to the dietitian in the prenatal clinic for nutritional
assessment and counseling. What should the nurse emphasize when reinforcing the client's dietary
program?
1
The need to increase high-quality protein and decrease fats
2
The need to increase carbohydrates to meet energy demands and prevent ketosis
3
The need to eat a low-calorie diet that maintains the current insulin coverage and helps prevent
hyperglycemia
4
The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as
necessary - Answer-4. The need to eat a pregnancy diet that meets increased dietary needs and to
adjust the insulin dosage as necessary
Increased metabolic demands on the body during pregnancy require increased ingestion of calories;
appropriate doses of insulin must be provided to permit glucose utilization by the body. The quantities
of carbohydrates and fats, as well as of protein, are increased, not decreased, during pregnancy. Simply
increasing carbohydrate intake is not sufficient to prevent ketosis. A low-calorie diet is contraindicated;
it will not meet the demands of pregnancy on the client's body or the needs of the growing fetus.
A woman who is pregnant for the first time is concerned about regaining her figure after the baby is
born and wishes to diet during pregnancy. How should the nurse advise her?
1
, Inadequate food intake can result in a low-birth-weight infant.
2
Dieting is recommended to decrease the risk of stillbirth.
3
Dieting is recommended to make the birthing process easier.
4
Inadequate food intake may result in gestational diabetes mellitus. - Answer-1
Inadequate food intake can result in a low-birth-weight infant.
The recommended weight gain is at least 25 lb (11.3 kg) for this client; inadequate intake of nutrients
during pregnancy results in an underweight newborn. The cause of stillbirth is usually not known;
however, dieting during pregnancy is not recommended, because it can result in congenital anomalies,
as well as low birth weight. Inadequate food intake is not a risk factor for gestational diabetes mellitus.
A client is taking a progesterone oral contraceptive (minipill). The nurse instructs the client to take one
pill daily during which point in the monthly cycle?
1
Five days of the ovulatory cycle
2
Latter part of the ovulatory cycle
3
First week of the menstrual cycle
4
Entire menstrual cycle - Answer-4.
Entire menstrual cycle
