NR-327 Exam 3 Practice Questions |Chamberlain College
1. A nurse is assessing a client who is at 34 weeks of gestation and has a
prescription for magnesium sulfate to treat preeclampsia. Which of the
following findings should the nurse identify as a sign of magnesium toxicity?
A. Respiratory rate of 10/min
B. Blood pressure of 140/90 mmHg
C. Deep tendon reflexes of 2+
D. Urine output of 40 mL/hr
Answer: A
Rationale: A respiratory rate of less than 12/min is a sign of magnesium toxicity. Other
signs include absent deep tendon reflexes and decreased urine output.
2. A client is in labor and the nurse notes late decelerations on the fetal
monitor. Which of the following actions should the nurse take first?
A. Assist the client into a side-lying position
B. Increase the rate of the IV fluid infusion
C. Administer oxygen at 2 L/min via nasal cannula
D. Prepare for an immediate cesarean birth
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
client to a side-lying position is the priority action to improve blood flow to the placenta.
,3. A nurse is caring for a client who is experiencing postpartum hemorrhage and
has a prescription for methylergonovine. Which of the following conditions is a
contraindication for this medication?
A. Asthma
B. Hypotension
C. Preeclampsia
D. Deep vein thrombosis
Answer: C
Rationale: Methylergonovine is an oxytocic medication that causes vasoconstriction and
can significantly increase blood pressure. It is contraindicated in clients with hypertension
or preeclampsia.
4. A nurse is assessing a newborn who is 12 hours old and has a bilirubin level of
14 mg/dL. Which of the following interventions should the nurse expect?
A. Prepare for an exchange transfusion
B. Administer Vitamin K intramuscularly
C. Initiate phototherapy
D. Supplement feedings with sterile water
Answer: C
Rationale: A bilirubin level of 14 mg/dL at 12 hours of life is elevated (pathological
jaundice). Phototherapy is the standard treatment to help break down bilirubin in the skin.
, 5. A nurse is providing teaching to a client who has gestational diabetes
mellitus. Which of the following statements should the nurse include in the
teaching?
A. You should avoid all carbohydrates during your pregnancy.
B. You will need to monitor your blood glucose levels once a day.
C. Exercise can help stabilize your blood glucose levels.
D. Oral hypoglycemic medications are never used in pregnancy.
Answer: C
Rationale: Exercise is beneficial for clients with gestational diabetes as it helps improve
glucose utilization and can reduce the need for insulin.
6. A nurse is caring for a client who is at 32 weeks of gestation and has a
diagnosis of placenta previa. Which of the following findings should the nurse
expect?
A. Painless, bright red vaginal bleeding
B. Painful vaginal bleeding
C. Rigid, board-like abdomen
D. Increased uterine contractions
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester.
1. A nurse is assessing a client who is at 34 weeks of gestation and has a
prescription for magnesium sulfate to treat preeclampsia. Which of the
following findings should the nurse identify as a sign of magnesium toxicity?
A. Respiratory rate of 10/min
B. Blood pressure of 140/90 mmHg
C. Deep tendon reflexes of 2+
D. Urine output of 40 mL/hr
Answer: A
Rationale: A respiratory rate of less than 12/min is a sign of magnesium toxicity. Other
signs include absent deep tendon reflexes and decreased urine output.
2. A client is in labor and the nurse notes late decelerations on the fetal
monitor. Which of the following actions should the nurse take first?
A. Assist the client into a side-lying position
B. Increase the rate of the IV fluid infusion
C. Administer oxygen at 2 L/min via nasal cannula
D. Prepare for an immediate cesarean birth
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning the
client to a side-lying position is the priority action to improve blood flow to the placenta.
,3. A nurse is caring for a client who is experiencing postpartum hemorrhage and
has a prescription for methylergonovine. Which of the following conditions is a
contraindication for this medication?
A. Asthma
B. Hypotension
C. Preeclampsia
D. Deep vein thrombosis
Answer: C
Rationale: Methylergonovine is an oxytocic medication that causes vasoconstriction and
can significantly increase blood pressure. It is contraindicated in clients with hypertension
or preeclampsia.
4. A nurse is assessing a newborn who is 12 hours old and has a bilirubin level of
14 mg/dL. Which of the following interventions should the nurse expect?
A. Prepare for an exchange transfusion
B. Administer Vitamin K intramuscularly
C. Initiate phototherapy
D. Supplement feedings with sterile water
Answer: C
Rationale: A bilirubin level of 14 mg/dL at 12 hours of life is elevated (pathological
jaundice). Phototherapy is the standard treatment to help break down bilirubin in the skin.
, 5. A nurse is providing teaching to a client who has gestational diabetes
mellitus. Which of the following statements should the nurse include in the
teaching?
A. You should avoid all carbohydrates during your pregnancy.
B. You will need to monitor your blood glucose levels once a day.
C. Exercise can help stabilize your blood glucose levels.
D. Oral hypoglycemic medications are never used in pregnancy.
Answer: C
Rationale: Exercise is beneficial for clients with gestational diabetes as it helps improve
glucose utilization and can reduce the need for insulin.
6. A nurse is caring for a client who is at 32 weeks of gestation and has a
diagnosis of placenta previa. Which of the following findings should the nurse
expect?
A. Painless, bright red vaginal bleeding
B. Painful vaginal bleeding
C. Rigid, board-like abdomen
D. Increased uterine contractions
Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the
second or third trimester.
