Maternal Newborn 2.0 quiz 1
A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. Which
finding should the nurse expect? - Dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor.
Which of the following medications should the nurse plan to administer?
Betamethasone
Misoprostol
Methylergonovine
Poractant alfa - Betamethasone (to stimulate fetal lung maturity and prevent respiratory depression)
A nurse is teaching a client who is at 30 weeks of gestation about warning signs of complications that
she should report to her provider. Which finding should the nurse include in the teaching? - Vaginal
bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a complication
such as placental abruption, placenta previa, or preterm labor.
A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has
polyhydramnios. Which finding should the nurse expect? - Fetal gastrointestinal anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. Which adverse effect should the nurse
include in the teaching? - Feeling of warmth
, The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing (BP decreases b/c of magnesium, generalized prates could mean an
allergic reaction)
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational hypertension.
Which finding should the nurse identify as priority? - 480 mL urine output in 24 hours
Low urine output (<30mL per hour)
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in
an adult client is 30 mL/hr. This can indicate progression of hypertension, which requires immediate
intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of potential
complications that she should report to her provider. Which information should the nurse include in
the teaching? - Swelling of the face
The nurse should instruct the client to report swelling of the face because this can indicate a
hypertensive disorder or preeclampsia
A nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type of O
negative. Which action should the nurse take? - Instruct the client to obtain a rubella immunization
after delivery
This client is not immune to rubella and should receive this immunization after delivery.
A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse
expect? - Renal agenesis
Oligohydramnios is a volume of amniotic fluid less than 300 mL during the third trimester of
pregnancy and occurs when there is a renal system dysfunction or obstructive uropathy. Absence of
fetal kidneys will cause oligohydramnios.
A nurse is caring for a client who believes she may be pregnant. Which finding should the nurse
identify as a positive sign of pregnancy? - Palpable fetal movement
A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. Which
finding should the nurse expect? - Dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor.
Which of the following medications should the nurse plan to administer?
Betamethasone
Misoprostol
Methylergonovine
Poractant alfa - Betamethasone (to stimulate fetal lung maturity and prevent respiratory depression)
A nurse is teaching a client who is at 30 weeks of gestation about warning signs of complications that
she should report to her provider. Which finding should the nurse include in the teaching? - Vaginal
bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a complication
such as placental abruption, placenta previa, or preterm labor.
A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has
polyhydramnios. Which finding should the nurse expect? - Fetal gastrointestinal anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. Which adverse effect should the nurse
include in the teaching? - Feeling of warmth
, The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing (BP decreases b/c of magnesium, generalized prates could mean an
allergic reaction)
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational hypertension.
Which finding should the nurse identify as priority? - 480 mL urine output in 24 hours
Low urine output (<30mL per hour)
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in
an adult client is 30 mL/hr. This can indicate progression of hypertension, which requires immediate
intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of potential
complications that she should report to her provider. Which information should the nurse include in
the teaching? - Swelling of the face
The nurse should instruct the client to report swelling of the face because this can indicate a
hypertensive disorder or preeclampsia
A nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type of O
negative. Which action should the nurse take? - Instruct the client to obtain a rubella immunization
after delivery
This client is not immune to rubella and should receive this immunization after delivery.
A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse
expect? - Renal agenesis
Oligohydramnios is a volume of amniotic fluid less than 300 mL during the third trimester of
pregnancy and occurs when there is a renal system dysfunction or obstructive uropathy. Absence of
fetal kidneys will cause oligohydramnios.
A nurse is caring for a client who believes she may be pregnant. Which finding should the nurse
identify as a positive sign of pregnancy? - Palpable fetal movement
