Test bank chapter 19 Questions with
Accurate Answers
After teaching a woman who has had an evacuation for gestational trophoblastic
disease (hydatidiform mole or molar pregnancy) about her condition, which statement
indicates that the
nurse's teaching was successful?
A. "I will be sure to avoid getting pregnant for at least 1 year."
B. "My intake of iron will have to be closely monitored for 6 months." C. "My blood
pressure will continue to be increased for about 6 more months."
D. "I won't use my birth control pills for at least a year or two." - ANSWERSa
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
The nurse determines that the medication is at a therapeutic level based on which
finding?
abirb.com/test
A. urinary output of 20 mL per hour
B. respiratory rate of 10 breaths/minute
C. deep tendons reflexes 2+
D. difficulty in arousing - ANSWERSc
Upon entering the room of a client who has had a spontaneous abortion, the nurse
observes the client crying. Which response by the nurse would be most appropriate?
A. "Why are you crying?"
B. "Will a pill help your pain?"
C. "I'm sorry you lost your baby."
D. "A baby still wasn't formed in your uterus." - ANSWERSc
A nurse is reviewing a client's history and physical examination findings. Which
information would the nurse identify as contributing to the client's risk for an ectopic
pregnancy?
A. use of oral contraceptives for 5 years
B. ovarian cyst 2 years ago
C. recurrent pelvic infections
D. heavy, irregular menses - ANSWERSc
A client is suspected of having a ruptured ectopic pregnancy. Which assessment would
the nurse identify as the priority?
A. hemorrhage
B. jaundice
C. edema
D. infection - ANSWERSa
, It is determined that a client's blood Rh is negative and her partner's is Rh positive. To
help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune
globulin at which time?
A. at 32 weeks' gestation and immediately before discharge
B. 24 hours before birth and 24 hours after birth
C. in the first trimester and within 2 hours of birth
D. at 28 weeks' gestation and again within 72 hours after birth - ANSWERSd
A woman pregnant with twins comes to the clinic for an evaluation. While assessing the
client, the nurse would be especially alert for signs and symptoms for which potential
problem?
A. oligohydramnios
B. preeclampsia
C. post-term labor
D. chorioamnionitis - ANSWERSb
A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After
reviewing a client's history, which factor would the nurse identify as placing her at risk
for preeclampsia?
A. Her mother had preeclampsia during pregnancy.
B. Client has a twin sister.
C. Her sister-in-law had gestational hypertension.
D. This is the client's second pregnancy. - ANSWERSa
A client with hyperemesis gravidarum is admitted to the facility after being cared for at
home without success. What would the nurse expect to include in the client's plan of
care?
A. clear liquid diet
B. total parenteral nutrition
C. nothing by mouth
D. administration of labetalol - ANSWERSc
A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the
health care provider based on which finding?
A. hyperglycemia
B. elevated platelet count
C. disseminated intravascular coagulation (DIC)
D. elevated liver enzymes - ANSWERSd
A client with severe preeclampsia is receiving magnesium sulfate as part of the
treatment plan. To ensure the client's safety, which compound would the nurse have
readily available?
A. calcium gluconate
B. potassium chloride
C. ferrous sulfate
D. calcium carbonate - ANSWERSa
Accurate Answers
After teaching a woman who has had an evacuation for gestational trophoblastic
disease (hydatidiform mole or molar pregnancy) about her condition, which statement
indicates that the
nurse's teaching was successful?
A. "I will be sure to avoid getting pregnant for at least 1 year."
B. "My intake of iron will have to be closely monitored for 6 months." C. "My blood
pressure will continue to be increased for about 6 more months."
D. "I won't use my birth control pills for at least a year or two." - ANSWERSa
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
The nurse determines that the medication is at a therapeutic level based on which
finding?
abirb.com/test
A. urinary output of 20 mL per hour
B. respiratory rate of 10 breaths/minute
C. deep tendons reflexes 2+
D. difficulty in arousing - ANSWERSc
Upon entering the room of a client who has had a spontaneous abortion, the nurse
observes the client crying. Which response by the nurse would be most appropriate?
A. "Why are you crying?"
B. "Will a pill help your pain?"
C. "I'm sorry you lost your baby."
D. "A baby still wasn't formed in your uterus." - ANSWERSc
A nurse is reviewing a client's history and physical examination findings. Which
information would the nurse identify as contributing to the client's risk for an ectopic
pregnancy?
A. use of oral contraceptives for 5 years
B. ovarian cyst 2 years ago
C. recurrent pelvic infections
D. heavy, irregular menses - ANSWERSc
A client is suspected of having a ruptured ectopic pregnancy. Which assessment would
the nurse identify as the priority?
A. hemorrhage
B. jaundice
C. edema
D. infection - ANSWERSa
, It is determined that a client's blood Rh is negative and her partner's is Rh positive. To
help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune
globulin at which time?
A. at 32 weeks' gestation and immediately before discharge
B. 24 hours before birth and 24 hours after birth
C. in the first trimester and within 2 hours of birth
D. at 28 weeks' gestation and again within 72 hours after birth - ANSWERSd
A woman pregnant with twins comes to the clinic for an evaluation. While assessing the
client, the nurse would be especially alert for signs and symptoms for which potential
problem?
A. oligohydramnios
B. preeclampsia
C. post-term labor
D. chorioamnionitis - ANSWERSb
A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After
reviewing a client's history, which factor would the nurse identify as placing her at risk
for preeclampsia?
A. Her mother had preeclampsia during pregnancy.
B. Client has a twin sister.
C. Her sister-in-law had gestational hypertension.
D. This is the client's second pregnancy. - ANSWERSa
A client with hyperemesis gravidarum is admitted to the facility after being cared for at
home without success. What would the nurse expect to include in the client's plan of
care?
A. clear liquid diet
B. total parenteral nutrition
C. nothing by mouth
D. administration of labetalol - ANSWERSc
A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the
health care provider based on which finding?
A. hyperglycemia
B. elevated platelet count
C. disseminated intravascular coagulation (DIC)
D. elevated liver enzymes - ANSWERSd
A client with severe preeclampsia is receiving magnesium sulfate as part of the
treatment plan. To ensure the client's safety, which compound would the nurse have
readily available?
A. calcium gluconate
B. potassium chloride
C. ferrous sulfate
D. calcium carbonate - ANSWERSa
