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?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine -correct answers b. 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?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circula ng progesterone -correct answers a. 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
b. amenorrhea
c. chadwick's sign
d. posi ve pregnancy test -correct answers a. palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse
expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus -correct answers a. 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?
a. uterine contrac ons
b. bradycardia
c. seizures
d. bradypnea -correct answers a. 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?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output -correct answers b. 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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 -correct answers a. 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?
a. you will be in isola on a er delivery
b. abstain from sexual intercourse throughout pregnancy
c. breas eed your newborn to provide passive immunity
d. you should con nue to take zidovudine throughout the pregnancy -correct answers d. 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?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping -correct answers b. 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?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq -correct answers a. 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?
a. prepare the client for emergency c-sec on
b. perform endotrach suc oning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscita on
d. prepare the client for an ultrasound exam -correct answers c. prepare equipment needed for
newborn resuscita on
meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine -correct answers b. 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?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circula ng progesterone -correct answers a. 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
b. amenorrhea
c. chadwick's sign
d. posi ve pregnancy test -correct answers a. palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse
expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus -correct answers a. 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?
a. uterine contrac ons
b. bradycardia
c. seizures
d. bradypnea -correct answers a. 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?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output -correct answers b. 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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 -correct answers a. 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?
a. you will be in isola on a er delivery
b. abstain from sexual intercourse throughout pregnancy
c. breas eed your newborn to provide passive immunity
d. you should con nue to take zidovudine throughout the pregnancy -correct answers d. 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?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping -correct answers b. 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?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq -correct answers a. 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?
a. prepare the client for emergency c-sec on
b. perform endotrach suc oning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscita on
d. prepare the client for an ultrasound exam -correct answers c. prepare equipment needed for
newborn resuscita on
