A nurse is caring for a client who is at 32 wks gesta on and is experiencing preterm labor. What
meds should the nurse plan to administer? -correct answers betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy? -correct answers urine test for presence of
HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
iden fy as a posi ve sign of pregnancy?
a. palpable fetal movement -correct answers palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse
expect? -correct answers renal agenesis
A nurse is assessing a client who is at 37 wks gesta on and has a suspected pelvic fracture due
to blunt abd trauma. What findings should the nurse expect? -correct answers uterine
contrac ons
The nurse should expect the client to be experiencing uterine contrac ons due to abdominal
trauma.
A nurse is assessing a client who is at 12 wks gesta on and has hyda diform mole. What
findings should the nurse expect? -correct answers dark brown vaginal discharge
,A hyda diform mole, or a molar pregnancy, is a benign prolifera ve growth of the chorionic villi,
which gives rise to mul ple cysts. The products of concep on transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gesta on and has mild gesta onal HTN. What
finding should the nurse iden fy as the priority? -correct answers 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate interven on. Therefore, this is the
priority finding.
A nurse is teaching a client who is at 12 wks gesta on and has HIV. What statement should the
nurse include in the teaching? -correct answers you should con nue to take zidovudine
throughout the pregnancy
-can be transmi ed through breas eeding
-she can con nue to have sex
The nurse should inform the client that taking prescrip on an viral medica on every day
decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gesta on about manifesta ons to report
to the provider during pregnancy. What info should the nurse include in the teaching? -correct
answers blurred or double vision
,A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
con nuous IV infusion. The nurse notes that the client is having contrac ons every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What ac on should the nurse take? -
correct answers decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole.
A nurse is caring for a client who is in ac ve labor and has meconium staining of the amnio c
fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What ac on
should the nurse take? -correct answers prepare equipment needed for newborn resuscita on
The nurse should ensure that all supplies and equipment needed for resuscita on of the
newborn are readily available for every delivery. Endotracheal suc oning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia a er delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gesta on and has placenta
previa and bleeding. What scripts should the nurse clarify with the provider? -correct answers
perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescrip on
because any manipula on can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gesta on and is undergoing a nonstress test. The
FHR is 130 without accelera ons for the past 10 min. What ac on should the nurse take? -
correct answers use vibroacous c s m on the client's abd for 3 seconds
The nurse should use a vibroacous c s mulator on the client's abdomen to elicit fetal ac vity
because the fetus is most likely sleeping. Fetal movement should cause accelera ons in the FHR.
, A nurse is reviewing lab results for a client who is at 37 wks gesta on. The nurse notes that the
client is rubella non-immune, posi ve for group A beta-hemoly c strep, and has a blood type O
neg. What ac on should the nurse take? -correct answers instruct the client to obtain a rubella
immuniza on a er delivery
A nurse is reviewing the med record of a client who is at 39 wks gesta on and has
polyhydramnios. What finding should the nurse expect? -correct answers fetal GI anomaly
Polyhydramnios is the presence of excessive amnio c fluid surrounding the unborn fetus.
Gastrointes nal malforma ons and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. What ac on should the nurse take? -correct answers apply pressure to the client's sacral
area during contrac ons
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
con nuous IV infusion about expected adverse effects. What adverse effects should the nurse
include in the teaching? -correct answers feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gesta on about manifesta ons of poten al
complica ons that she should report to her provider. What info should the nurse include in the
teaching? -correct answers swelling of the face
A nurse is teaching a client who is at 10 wks gesta on about an abd. ultrasound in the first
trimester. What info should the nurse include in the teaching? -correct answers you will need to
have a full bladder during the ultrasound
meds should the nurse plan to administer? -correct answers betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy? -correct answers urine test for presence of
HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
iden fy as a posi ve sign of pregnancy?
a. palpable fetal movement -correct answers palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse
expect? -correct answers renal agenesis
A nurse is assessing a client who is at 37 wks gesta on and has a suspected pelvic fracture due
to blunt abd trauma. What findings should the nurse expect? -correct answers uterine
contrac ons
The nurse should expect the client to be experiencing uterine contrac ons due to abdominal
trauma.
A nurse is assessing a client who is at 12 wks gesta on and has hyda diform mole. What
findings should the nurse expect? -correct answers dark brown vaginal discharge
,A hyda diform mole, or a molar pregnancy, is a benign prolifera ve growth of the chorionic villi,
which gives rise to mul ple cysts. The products of concep on transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gesta on and has mild gesta onal HTN. What
finding should the nurse iden fy as the priority? -correct answers 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate interven on. Therefore, this is the
priority finding.
A nurse is teaching a client who is at 12 wks gesta on and has HIV. What statement should the
nurse include in the teaching? -correct answers you should con nue to take zidovudine
throughout the pregnancy
-can be transmi ed through breas eeding
-she can con nue to have sex
The nurse should inform the client that taking prescrip on an viral medica on every day
decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gesta on about manifesta ons to report
to the provider during pregnancy. What info should the nurse include in the teaching? -correct
answers blurred or double vision
,A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
con nuous IV infusion. The nurse notes that the client is having contrac ons every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What ac on should the nurse take? -
correct answers decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole.
A nurse is caring for a client who is in ac ve labor and has meconium staining of the amnio c
fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What ac on
should the nurse take? -correct answers prepare equipment needed for newborn resuscita on
The nurse should ensure that all supplies and equipment needed for resuscita on of the
newborn are readily available for every delivery. Endotracheal suc oning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia a er delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gesta on and has placenta
previa and bleeding. What scripts should the nurse clarify with the provider? -correct answers
perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescrip on
because any manipula on can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gesta on and is undergoing a nonstress test. The
FHR is 130 without accelera ons for the past 10 min. What ac on should the nurse take? -
correct answers use vibroacous c s m on the client's abd for 3 seconds
The nurse should use a vibroacous c s mulator on the client's abdomen to elicit fetal ac vity
because the fetus is most likely sleeping. Fetal movement should cause accelera ons in the FHR.
, A nurse is reviewing lab results for a client who is at 37 wks gesta on. The nurse notes that the
client is rubella non-immune, posi ve for group A beta-hemoly c strep, and has a blood type O
neg. What ac on should the nurse take? -correct answers instruct the client to obtain a rubella
immuniza on a er delivery
A nurse is reviewing the med record of a client who is at 39 wks gesta on and has
polyhydramnios. What finding should the nurse expect? -correct answers fetal GI anomaly
Polyhydramnios is the presence of excessive amnio c fluid surrounding the unborn fetus.
Gastrointes nal malforma ons and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. What ac on should the nurse take? -correct answers apply pressure to the client's sacral
area during contrac ons
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
con nuous IV infusion about expected adverse effects. What adverse effects should the nurse
include in the teaching? -correct answers feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gesta on about manifesta ons of poten al
complica ons that she should report to her provider. What info should the nurse include in the
teaching? -correct answers swelling of the face
A nurse is teaching a client who is at 10 wks gesta on about an abd. ultrasound in the first
trimester. What info should the nurse include in the teaching? -correct answers you will need to
have a full bladder during the ultrasound
