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Maternal newborn | Practice Exam |

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client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? Hydatdiform mole A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? ceftriaxone A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? woman should avoid consuming under cooked meat while pregnant. A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client’s laboratory reports. Which of the following findings is a manifestation of this condition? Urine ketones present A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (select all that apply.) -Respirations less than 12/min -Urinary output less than 30 ml/hr -decreased level of consciousness A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. the nurse should monitor the client for which of the following manifestations? Dizziness A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include in the teaching? Keep a daily record of fetal kick count A nurse in the labor and delivery unit receives a phone call from a client who reports that her contractions started about 2 hr ago, did not go away when she had two glasses of water and rested, and became stronger since she started walking. Her contractions occur every 10 min and last about 30 seconds. she hasn’t had any fluid leak from her vagina. However, she saw some blood when she wiped after voiding. based on this report, which of the following clinical findings should the nurse recognize that the client is experiencing? True contractions A client experiences a large gush of fluid fr om her vagina while walking in the hallway of the birthing unit. Which of the following actions should the nurse take first? Monitor fetal heart rate for distress A nurse is caring for a client who is at 40 weeks of gestation and experien

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Maternal newborn A nurse is caring for a client who is pregnant and
reviewing signs of complications the client
A nurse in a health clinic is reviewing should promptly report to the provider. Which of
contraceptive use with a group of adolescent the following complications should the nurse
clients. Which of the following statements by an include in the teaching?
adolescent reflects an understanding of the Vaginal bleeding
teaching?
water-soluble lubricant should be used with A client who is at 8 weeks of gestation tells the
condoms. nurse that she isn’t sure she is happy about
being pregnant. Which of the following
responses should the nurse make?
A nurse in a clinic is teaching a client about her It is normal to have these feelings during the first
new prescription for medroxyprogesterone . few months of pregnancy
Which of the following information should the
nurse include in the teaching? (Select all that A nurse in a prenatal clinic is providing
apply.) education to a client who is in the 8th week of
-You should increase your intake of calcium gestation. the client states that she does not like
-Irregular vaginal spotting can occur milk. Which of the following foods should the
nurse recommend as a good source of calcium?
Dark green leafy vegetables
A nurse is caring for a couple who is being
evaluated for infertility. Which of the following
statements by the nurse indicates understanding A nurse in a clinic is teaching a client of
of the infertility assessment process? childbearing age about recommended folic acid
The man is the easiest to assess, and the supplements. Which of the following defects can
provider will usually begin there occur in the fetus or neonate as a result of folic
acid deficiency?
Neural tube defects
A nurse is reviewing the health record of a client
who is to undergo hysterosalpingography. Which nurse is reviewing findings of a client’s
of the following data alert the nurse that the biophysical profile (BPP). the nurse should
client is at risk for a complication related to this expect which of the following variables to be
procedure? included in this test? (select all that apply.)
History and Physical -Fetal breathing movement
-fetal tone
A nurse in a prenatal clinic is caring for a client -amniotic fluid volume
who is in the first trimester of pregnancy. the
client’s health record includes this data: g3 t1 p0 A nurse is caring for a client who is pregnant and
a1 l1. how should the nurse interpret this undergoing a nonstress test. the client asks why
information? (select all that apply.) the nurse is using an acoustic vibration device.
-A client has delivered one newborn at term Which of the following responses should the
-The client has had two prior pregnancies nurse make?
-Client has one living child It awakens sleeping fetus

A nurse in a clinic receives a phone call from a A nurse is providing care for a client who is at 32
client who believes she is pregnant and would weeks of gestation and who has a placenta
like to be tested in the clinic to confirm her previa. The nurse notes that the client is actively
pregnancy. Which of the following information bleeding. Which of the following types of
should the nurse provide to the client? medications should the nurse anticipate the
You should collect urine from the first morning provider will prescribe?
void Betamethasone

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