NUR 221 Exam 1 Questions with Correct Answers Verified by Experts| Latest Update
A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in
the care of the client? Encourage fluid intake
The client should consume 3000 mL of fluids per day if not contraindicated.
S/S of magnesium toxicity RR <12bpm, urinary output of <30 mL/hr, diminished or absent
Deep tendon reflexes
The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium
sulfate. The nurse should monitor for which adverse effects of this medication? Magnesium
sulfate is a central nervous system depressant and relaxes smooth muscle, including the uterus.
It is used to halt preterm labor contractions and is used for preeclamptic clients to prevent
seizures. Adverse effects include flushing, depressed respirations, depressed deep tendon
reflexes, hypotension, extreme muscle weakness, decreased urine output, pulmonary edema,
and elevated serum magnesium levels.
The nurse is instructing a postpartum client with endometritis about preventing the spread of
infection to the newborn infant. Which statement should the nurse make to the client?
Transmission of infectious diseases can occur through contaminated items such as the
hands and bed linens of clients with endometritis. An important method of preventing infection
is to break the chain of infection. Hand washing is 1 of the most effective methods of
preventing the transmission of infectious diseases. The newborn infant is allowed in the
mother's room and visitors are allowed to hold the newborn infant as long as hand washing and
other protective measures are instituted.
s/s of preeclampsia hypertension, proteinuria, pitting edema; begins in third trimester.
Swelling of the face and hands
headache
changes in eyesight
pain in the upper abdomen or shoulder
nausea and vomiting
sudden weight gain
, difficulty breathing
did you know that having a history of syphilis makes you at risk for spontaneous abortions
what is the antidote for magnesium sulfate calcium gluconate or calcium chloride
Signs and symptoms of preterm labor Change in type of vaginal discharge
Increase in amount of vaginal discharge
Pelvic or lower abdominal pressure
Constant low dull back pain
Mild abdominal cramps with or without diarrhea
Regular or frequent contractions or uterine tightening often painless
Ruptured membranes
Betamethasone (Celestone) Glucocorticoid administered IM 12mg dose, 12 to 24 hr apart,
given to stimulate fetal lung maturity if early delivery is anticipated and to prevent respiratory
distress. Can cause pulmonary edema (crackles, chest pain, SOB)
Pre term labor risk factors Several factors are associated with preterm labor, including a
history of medical conditions, present and past obstetric problems, social and environmental
factors, and substance abuse. Other risk factors include a multifetal pregnancy, which
contributes to overdistention of the uterus; anemia, which decreases oxygen supply to the
uterus; and age younger than 18 years or first pregnancy at age older than 40 years.
A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus vaccine is
prescribed to be administered before discharge. The nurse provides which information to the
client about the vaccine? Select all that apply. Rubella vaccine is administered to women
who have not had rubella or women who are not serologically immune. The vaccine may be
administered in the immediate postpartum period to prevent the possibility of contracting
rubella in future pregnancies. The live attenuated rubella virus is not communicable in breast
milk; breast-feeding does not need to be stopped. The client is counseled not to become
A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in
the care of the client? Encourage fluid intake
The client should consume 3000 mL of fluids per day if not contraindicated.
S/S of magnesium toxicity RR <12bpm, urinary output of <30 mL/hr, diminished or absent
Deep tendon reflexes
The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium
sulfate. The nurse should monitor for which adverse effects of this medication? Magnesium
sulfate is a central nervous system depressant and relaxes smooth muscle, including the uterus.
It is used to halt preterm labor contractions and is used for preeclamptic clients to prevent
seizures. Adverse effects include flushing, depressed respirations, depressed deep tendon
reflexes, hypotension, extreme muscle weakness, decreased urine output, pulmonary edema,
and elevated serum magnesium levels.
The nurse is instructing a postpartum client with endometritis about preventing the spread of
infection to the newborn infant. Which statement should the nurse make to the client?
Transmission of infectious diseases can occur through contaminated items such as the
hands and bed linens of clients with endometritis. An important method of preventing infection
is to break the chain of infection. Hand washing is 1 of the most effective methods of
preventing the transmission of infectious diseases. The newborn infant is allowed in the
mother's room and visitors are allowed to hold the newborn infant as long as hand washing and
other protective measures are instituted.
s/s of preeclampsia hypertension, proteinuria, pitting edema; begins in third trimester.
Swelling of the face and hands
headache
changes in eyesight
pain in the upper abdomen or shoulder
nausea and vomiting
sudden weight gain
, difficulty breathing
did you know that having a history of syphilis makes you at risk for spontaneous abortions
what is the antidote for magnesium sulfate calcium gluconate or calcium chloride
Signs and symptoms of preterm labor Change in type of vaginal discharge
Increase in amount of vaginal discharge
Pelvic or lower abdominal pressure
Constant low dull back pain
Mild abdominal cramps with or without diarrhea
Regular or frequent contractions or uterine tightening often painless
Ruptured membranes
Betamethasone (Celestone) Glucocorticoid administered IM 12mg dose, 12 to 24 hr apart,
given to stimulate fetal lung maturity if early delivery is anticipated and to prevent respiratory
distress. Can cause pulmonary edema (crackles, chest pain, SOB)
Pre term labor risk factors Several factors are associated with preterm labor, including a
history of medical conditions, present and past obstetric problems, social and environmental
factors, and substance abuse. Other risk factors include a multifetal pregnancy, which
contributes to overdistention of the uterus; anemia, which decreases oxygen supply to the
uterus; and age younger than 18 years or first pregnancy at age older than 40 years.
A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus vaccine is
prescribed to be administered before discharge. The nurse provides which information to the
client about the vaccine? Select all that apply. Rubella vaccine is administered to women
who have not had rubella or women who are not serologically immune. The vaccine may be
administered in the immediate postpartum period to prevent the possibility of contracting
rubella in future pregnancies. The live attenuated rubella virus is not communicable in breast
milk; breast-feeding does not need to be stopped. The client is counseled not to become
