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Exam (elaborations)

UWorld Maternity |Elaborated| 2021 NCLEX review

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A client at 34 weeks gestation has constipation. The client has been taking 325 mg ferrous sulfate tid for anemia since the last appointment 4 weeks ago. Which instructions should the nurse recommend for this client? Select all that apply. Unordered Options Ordered Response 1. Decrease total daily dairy intake 2. Increase intake of fruits and vegetables 3. Moderate-intensity regular exercise 4. One cup of hot coffee each morning 5. One laxative twice daily for a weekA 28-year-old client is admitted to the labor and delivery unit for severe preeclampsia. She is started on IV magnesium sulfate infusion. Which signs indicate that the client has developed magnesium sulfate toxicity? Select all that apply. Unordered Options Ordered Response 1. 0/4 patellar reflex 2. Blood pressure is 156/84 mm Hg 3. Client voided 600 mL in 8 hours 4. Respirations are 10/min 5. Serum magnesium level is 6 mg/dLA client is at 24 weeks gestation and preeclampsia-eclampsia syndrome is suspected. Which of the following are significant signs/symptoms criteria related to this syndrome? Select all that apply. Unordered Options Ordered Response 1. 2+ pitting pedal edema 2. 300 mg/24 hr (0.3 g/day) protein in urine 3. Frequent urination 4. Headache, blurry vision 5. Hemoglobin 10 g/dL (100 g/L)A client at 20 weeks gestation states that she started consuming an increased amount of cornstarch about 3 weeks ago. Based on this assessment, the nurse should anticipate that the health care provider will order which laboratory test(s)? Unordered Options Ordered Response 1. Hemoglobin and hematocrit levels 2. Human chorionic gonadotropin level 3. Serum folate level 4. White blood cell countA client comes to the health care provider for a checkup. The client is G5T1P2A1L2M. Which explanation(s) represent a correct understanding of this terminology? Select all that apply. Unordered Options Ordered Response 1. The client had 1 child born later than 37 weeks gestation 2. The client had 1 pregnancy that ended before 20 weeks gestation 3. The client is currently pregnant 4. The L indicates the number of live births 5. The P indicates parity, the number of deliveries after 20 weeks gestation

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Uploaded on
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Written in
2021/2022
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