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,Terms in this set (304)
A nurse is caring for a client who is at 32 wks gestation b. betamethasone
and is experiencing preterm labor. What meds should the
nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
A nurse at a prenatal clinic is caring for a client who a. urine test for presence of HCG
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 circulating progesterone
A nurse is caring for a client who believes she may be a. palpable fetal movement
pregnant. What finding should the nurse identify as a
positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
A nurse is caring for a client who has oligohydraminios. a. renal agenesis
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client who is at 37 wks gestation a. uterine contractions
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect? The nurse should expect the client to be experiencing uterine contractions due to
a. uterine contractions abdominal trauma.
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is at 12 wks gestation b. dark brown vaginal discharge
and has hydatidiform mole. What findings should the
nurse expect? A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
a. hypothermia chorionic villi, which gives rise to multiple cysts. The products of conception
b. dark brown vaginal discharge transform into a large number of edematous, fluid-filled vesicles. As cells slough
c. fetal heart tones off the uterine wall, vaginal discharge is usually dark brown and can contain
d. decreased urinary output grapelike clusters.
A nurse is assessing a client who is at 35 weeks of a. 480 mL urine output in 24 hrs
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority? When using the urgent vs. nonurgent approach to client care, the nurse should
a. 480 mL urine output in 24 hrs determine that the priority finding is 480 mL of urine output in 24 hr because the
b. 1+ protein in the urine minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
c. +2 edema of the feet progression of preeclampsia to preeclampsia with severe features, which
d. BP 144/92 requires immediate intervention. Therefore, this is the priority finding.
,A nurse is teaching a client who is at 12 wks gestation d. you should continue to take zidovudine throughout the pregnancy
and has HIV. What statement should the nurse include in
the teaching? -can be transmitted through breastfeeding
a. you will be in isolation after delivery -she can continue to have sex
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity The nurse should inform the client that taking prescription antiviral medication
d. you should continue to take zidovudine throughout the every day decreases the risk of transmission of HIV to her newborn.
pregnancy
A nurse is providing teaching to a client who is at 8 wks b. blurred or double vision
gestation about manifestations 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
A nurse is caring for a client who is in the latent phase of a. decrease the dose of oxytocin by half
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions The nurse should decrease the dose of oxytocin by half because the client is
every 2 min which last 100-110 seconds that the fetal experiencing uterine tachysystole.
heart rate is reassuring. What action 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
A nurse is caring for a client who is in active labor and c. prepare equipment needed for newborn resuscitation
has meconium staining of the amniotic fluid. The nurse
notes a reassuring FHR tracing from the external fetal The nurse should ensure that all supplies and equipment needed for
monitor. What action should the nurse take? resuscitation of the newborn are readily available for every delivery. Endotracheal
a. prepare the client for emergency c-section suctioning is recommended in cases of meconium staining only if the newborn
b. perform endotrach suctioning as soon as the fetal has poor respiratory effort, decreased muscle tone, and bradycardia after
head is delivered delivery.
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
A nurse is reviewing the medical record of a client who is b. perform a vaginal exam
at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the When a client has a placenta previa, the placenta implants in the lower part of
provider? the uterus and obstructs the cervical os (the opening to the vagina). The nurse
a. insert a large-bore IV catheter should clarify this prescription because any manipulation can cause tearing of
b. perform a vaginal exam the placenta and increased bleeding.
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
A nurse is caring for a client who is at 37 wks gestation d. use vibroacoustic stim on the client's abd for 3 seconds
and is undergoing a nonstress test. The FHR is 130
without accelerations for the past 10 min. What action The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit
should the nurse take? fetal activity because the fetus is most likely sleeping. Fetal movement should
a. request a script for an internal fetal scalp electrode cause accelerations in the FHR.
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider
immediately
d. use vibroacoustic stim on the client's abd for 3
seconds
A nurse is reviewing lab results for a client who is at 37 a. instruct the client to obtain a rubella immunization after delivery
wks gestation. The nurse notes that the client is rubella
non-immune, positive for group A beta-hemolytic strep,
and has a blood type O neg. What action should the
nurse take?
a. instruct the client to obtain a rubella immunization after
delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-
section
d. administer a dose of Pho(D) immune globulin
A nurse is reviewing the med record of a client who is at b. fetal GI anomaly
39 wks gestation and has polyhydramnios. What finding
should the nurse expect? Polyhydramnios is the presence of excessive amniotic fluid surrounding the
a. total pregnancy wt gain of 3.6 kg unborn fetus. Gastrointestinal malformations and neurologic disorders are
b. fetal GI anomaly expected findings for a fetus experiencing the effects of polyhydramnios.
c. gestational HTN
d. fundal height of 34 cm
, A nurse is teaching a client who has pre-eclampsia and b. feeling of warmth
is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse The nurse should tell the client to expect the feeling of warmth all over her body
effects should the nurse include in the teaching? while the magnesium sulfate is infusing.
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
A nurse is caring for a client who is in the latent phase of d. apply pressure to the client's sacral area during contractions
labor and is experiencing low back pain. What action
should the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who is at 12 wks gestation c. swelling of the face
about manifestations of potential complications that she
should report to her provider. What info should the nurse
include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency
A nurse is teaching a client who is at 10 wks gestation a. you will need to have a full bladder during the ultrasound
about an abd. ultrasound in the first trimester. What info
should the nurse include in the teaching? MY ANSWER
a. you will need to have a full bladder during the The nurse should tell the client that a full bladder helps to lift the gravid uterus
ultrasound out of the pelvis during the examination. Therefore, it is important to ensure that
b. you will have a non stress test prior to the ultrasound the client has a full bladder to obtain the most accurate image of the fetus.
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the
ultrasound
A nurse is assessing a client who is 34 wks gestation c. dark red vaginal bleeding
and has mild placental abruption. What finding should
the nurse expect? The nurse should expect the client who has a mild placental abruption to have
a. decreased urinary output minimal dark red vaginal bleeding.
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count
A nurse is caring for a client whose last menstrual period b. april 15
began july 8. Using Nageles rule, the nurse should
identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1
A nurse is caring for a client who is at 39 wks gestation c. uteroplacental insufficiency
and is in the active phase of labor. The nurse observes
late decels in the FHR. What finding should the nurse
identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect
A nurse is assessing a client who is at 35 wks gestation d. urinary output 20 mL/hr
and is receiving magnesium sulfate via continuous IV
infusion for severe pre-eclampsia. What finding should The nurse should report a urinary output of 20 mL/hr because this can indicate
the nurse report to the provider? inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
a. DTR 2+ decrease in urinary output can also indicate a decrease in renal perfusion
b. resp 16 secondary to a worsening of the client's pre-eclampsia.
c. BP 150/96
d. urinary output 20 mL/hr
R
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at
e
r
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al
n
e
w
b
o
r
n
at
i
p
r
o
ct
o
r
e
d
e
x
a
m
Students
also
studied
,Terms in this set (304)
A nurse is caring for a client who is at 32 wks gestation b. betamethasone
and is experiencing preterm labor. What meds should the
nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
A nurse at a prenatal clinic is caring for a client who a. urine test for presence of HCG
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 circulating progesterone
A nurse is caring for a client who believes she may be a. palpable fetal movement
pregnant. What finding should the nurse identify as a
positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
A nurse is caring for a client who has oligohydraminios. a. renal agenesis
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client who is at 37 wks gestation a. uterine contractions
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect? The nurse should expect the client to be experiencing uterine contractions due to
a. uterine contractions abdominal trauma.
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is at 12 wks gestation b. dark brown vaginal discharge
and has hydatidiform mole. What findings should the
nurse expect? A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
a. hypothermia chorionic villi, which gives rise to multiple cysts. The products of conception
b. dark brown vaginal discharge transform into a large number of edematous, fluid-filled vesicles. As cells slough
c. fetal heart tones off the uterine wall, vaginal discharge is usually dark brown and can contain
d. decreased urinary output grapelike clusters.
A nurse is assessing a client who is at 35 weeks of a. 480 mL urine output in 24 hrs
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority? When using the urgent vs. nonurgent approach to client care, the nurse should
a. 480 mL urine output in 24 hrs determine that the priority finding is 480 mL of urine output in 24 hr because the
b. 1+ protein in the urine minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
c. +2 edema of the feet progression of preeclampsia to preeclampsia with severe features, which
d. BP 144/92 requires immediate intervention. Therefore, this is the priority finding.
,A nurse is teaching a client who is at 12 wks gestation d. you should continue to take zidovudine throughout the pregnancy
and has HIV. What statement should the nurse include in
the teaching? -can be transmitted through breastfeeding
a. you will be in isolation after delivery -she can continue to have sex
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity The nurse should inform the client that taking prescription antiviral medication
d. you should continue to take zidovudine throughout the every day decreases the risk of transmission of HIV to her newborn.
pregnancy
A nurse is providing teaching to a client who is at 8 wks b. blurred or double vision
gestation about manifestations 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
A nurse is caring for a client who is in the latent phase of a. decrease the dose of oxytocin by half
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions The nurse should decrease the dose of oxytocin by half because the client is
every 2 min which last 100-110 seconds that the fetal experiencing uterine tachysystole.
heart rate is reassuring. What action 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
A nurse is caring for a client who is in active labor and c. prepare equipment needed for newborn resuscitation
has meconium staining of the amniotic fluid. The nurse
notes a reassuring FHR tracing from the external fetal The nurse should ensure that all supplies and equipment needed for
monitor. What action should the nurse take? resuscitation of the newborn are readily available for every delivery. Endotracheal
a. prepare the client for emergency c-section suctioning is recommended in cases of meconium staining only if the newborn
b. perform endotrach suctioning as soon as the fetal has poor respiratory effort, decreased muscle tone, and bradycardia after
head is delivered delivery.
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
A nurse is reviewing the medical record of a client who is b. perform a vaginal exam
at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the When a client has a placenta previa, the placenta implants in the lower part of
provider? the uterus and obstructs the cervical os (the opening to the vagina). The nurse
a. insert a large-bore IV catheter should clarify this prescription because any manipulation can cause tearing of
b. perform a vaginal exam the placenta and increased bleeding.
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
A nurse is caring for a client who is at 37 wks gestation d. use vibroacoustic stim on the client's abd for 3 seconds
and is undergoing a nonstress test. The FHR is 130
without accelerations for the past 10 min. What action The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit
should the nurse take? fetal activity because the fetus is most likely sleeping. Fetal movement should
a. request a script for an internal fetal scalp electrode cause accelerations in the FHR.
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider
immediately
d. use vibroacoustic stim on the client's abd for 3
seconds
A nurse is reviewing lab results for a client who is at 37 a. instruct the client to obtain a rubella immunization after delivery
wks gestation. The nurse notes that the client is rubella
non-immune, positive for group A beta-hemolytic strep,
and has a blood type O neg. What action should the
nurse take?
a. instruct the client to obtain a rubella immunization after
delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-
section
d. administer a dose of Pho(D) immune globulin
A nurse is reviewing the med record of a client who is at b. fetal GI anomaly
39 wks gestation and has polyhydramnios. What finding
should the nurse expect? Polyhydramnios is the presence of excessive amniotic fluid surrounding the
a. total pregnancy wt gain of 3.6 kg unborn fetus. Gastrointestinal malformations and neurologic disorders are
b. fetal GI anomaly expected findings for a fetus experiencing the effects of polyhydramnios.
c. gestational HTN
d. fundal height of 34 cm
, A nurse is teaching a client who has pre-eclampsia and b. feeling of warmth
is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse The nurse should tell the client to expect the feeling of warmth all over her body
effects should the nurse include in the teaching? while the magnesium sulfate is infusing.
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
A nurse is caring for a client who is in the latent phase of d. apply pressure to the client's sacral area during contractions
labor and is experiencing low back pain. What action
should the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who is at 12 wks gestation c. swelling of the face
about manifestations of potential complications that she
should report to her provider. What info should the nurse
include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency
A nurse is teaching a client who is at 10 wks gestation a. you will need to have a full bladder during the ultrasound
about an abd. ultrasound in the first trimester. What info
should the nurse include in the teaching? MY ANSWER
a. you will need to have a full bladder during the The nurse should tell the client that a full bladder helps to lift the gravid uterus
ultrasound out of the pelvis during the examination. Therefore, it is important to ensure that
b. you will have a non stress test prior to the ultrasound the client has a full bladder to obtain the most accurate image of the fetus.
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the
ultrasound
A nurse is assessing a client who is 34 wks gestation c. dark red vaginal bleeding
and has mild placental abruption. What finding should
the nurse expect? The nurse should expect the client who has a mild placental abruption to have
a. decreased urinary output minimal dark red vaginal bleeding.
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count
A nurse is caring for a client whose last menstrual period b. april 15
began july 8. Using Nageles rule, the nurse should
identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1
A nurse is caring for a client who is at 39 wks gestation c. uteroplacental insufficiency
and is in the active phase of labor. The nurse observes
late decels in the FHR. What finding should the nurse
identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect
A nurse is assessing a client who is at 35 wks gestation d. urinary output 20 mL/hr
and is receiving magnesium sulfate via continuous IV
infusion for severe pre-eclampsia. What finding should The nurse should report a urinary output of 20 mL/hr because this can indicate
the nurse report to the provider? inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
a. DTR 2+ decrease in urinary output can also indicate a decrease in renal perfusion
b. resp 16 secondary to a worsening of the client's pre-eclampsia.
c. BP 150/96
d. urinary output 20 mL/hr
