Maternity Exam 2: 19/20/21/16/10,
QUESTIONS WITH CORRECT ANSWERS. A+
SUCCESS GUARANTEED
. A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is
13 cm. Which potential problem should be investigated? a. Placenta previa
b. Hydatidiform mole
c. Abruptio placentae
d. Disseminated intravascular coagulation (DIC) -CORRECT ANSWERS-b. hydatidiform mole
A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is
140/92 mm Hg. The most important nursing action is to:
a. advise her to cut down on fast foods that are high in fat.
b. caution her to avoid salty foods and to return in 2 weeks.
c. assess weight gain, location of edema, and urine for protein.
d. recommend she stay home from school for a few days to reduce stress -CORRECT ANSWERS-c. assess
weight gain, location of edema, and urine for protein
A 20-year-old gravida 1, para 0, is determined to be at 42 weeks' gestation on admission to the labor and
birth unit. The client is not in labor at the current time but has been sent over by her physician to be
admitted for the induction of labor. The client indicates to you that she would rather go home and wait
for natural labor to start. How should the nurse respond to the client's request?
a.There is no way to tell if any complications would arise. Because the client is not presenting with any
problems, the nurse should call the health care provider and inform her or him of the client's decision to
go home and wait.
b.Inform the client that there are a number of serious concerns related to a postdate pregnancy and that
she would be better off to be monitored in a clinical setting.
,c.Tell the client that an assessment will be done and if there are no findings indicating that an induction
of labor would be favora -CORRECT ANSWERS-b. inform the client that there are a number of serious
concerns related to a postdate pregnancy and that she would be better off to be monitored in a clinical
setting
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on
which of the following?
a. Hemorrhage is the major concern.
b. She will be unable to conceive in the future.
c. Bed rest and analgesics are the recommended treatment.
d. A D&C will be performed to remove the products of conception. -CORRECT ANSWERS-a. hemorrhage
is the major concern
A 38 weeks gestation fetus is delivered via c-section and transported to the newborn nursery in an
isolate. Apgar scores were 8,99, and 10. At this time, the infant is receiving a initial assessment in the
newborn nursery. Which is the priority nursing diagnosis?
a. risk for injury related to potential equipment malfunction of radiant warmer
b. altered tissue perfusion related to use of medication during delivery process
c. ineffective airways clearance due to mode of delivery and use of anesthetics
d. risk for ineffective thermoregulation related to gestational age -CORRECT ANSWERS-c. ineffective
airway clearance due to mode of delivery and use of anesthetics.
A blood-soaked peripad weighs 900 g. The nurse would document a blood loss of _____ mL a.
1800
b. 450
,c. 900
d. 90 -CORRECT ANSWERS-c. 900
(1g equals 1mL)
A client in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate
for 18-20 hours. When the magnesium sulfate is discontinued, which oral drug will be prescribed for
athome continuation of the tocolytic effect?
a. buccal oxytocin (pitocin)
b. terbutaline sulfate (brethrine)
c. calcium gluconate (calgonate)
d. magnesium sulfate -CORRECT ANSWERS-b. terbutaline sulfate
A client is diagnosed with anaphylactoid syndrome. Which therapeutic intervention does the nurse
suspect will be included in the plan of care?
a.Normal amniotic fluid
b.Initiation of CPR and other life support measures
c.Respiratory treatments with nebulizers
d.Internal fetal monitoring -CORRECT ANSWERS-b. initiation of CPR and other life support measures
A client taking magnesium sulfate has a respiratory rate of 10 breaths/min. In addition to discontinuing
the medication, which action should the nurse take?
a. Increase the client's IV fluids.
b. Administer calcium gluconate.
c. Vigorously stimulate the client.
, d. Instruct the client to take deep breaths. -CORRECT ANSWERS-b. administer calcium gluconate
A client who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks
returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse
performs the following assessments. The vaginal exam is deferred until the physician is in attendance.
The client is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No
contraction pattern is observed. The client is then transferred to the antepartum unit for continued
observation. Several hours later, the client complains that she does not feel the baby move. Examination
of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital
admission. The client is placed on the EFM and no fetal heart tones are observed. What does the nurse
suspect is occurring?
a. Placental previa
b. Active labor has started
c. Placental abruption
d. Hidden placent -CORRECT ANSWERS-d. hidden placental abruption
A client who has had two previous cesarean births is in active labor when she suddenly complains of
pain between her scapulae. Which should be the nurse's priority action?a.Notify the health care
provider promptly.
b.Observe for abnormally high uterine resting tone.
c.Decrease the rate of nonadditive intravenous fluid.
d.Reposition the client with her hips slightly elevated. -CORRECT ANSWERS-a. notify the health care
provider promptly
A client who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of
constant backache. She asks what pain reliever is safe for her to take. The best nursing response is:
a."You should come into the office and let the doctor check you."
b."Acetaminophen is acceptable during pregnancy. You should not take aspirin, however."
QUESTIONS WITH CORRECT ANSWERS. A+
SUCCESS GUARANTEED
. A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is
13 cm. Which potential problem should be investigated? a. Placenta previa
b. Hydatidiform mole
c. Abruptio placentae
d. Disseminated intravascular coagulation (DIC) -CORRECT ANSWERS-b. hydatidiform mole
A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is
140/92 mm Hg. The most important nursing action is to:
a. advise her to cut down on fast foods that are high in fat.
b. caution her to avoid salty foods and to return in 2 weeks.
c. assess weight gain, location of edema, and urine for protein.
d. recommend she stay home from school for a few days to reduce stress -CORRECT ANSWERS-c. assess
weight gain, location of edema, and urine for protein
A 20-year-old gravida 1, para 0, is determined to be at 42 weeks' gestation on admission to the labor and
birth unit. The client is not in labor at the current time but has been sent over by her physician to be
admitted for the induction of labor. The client indicates to you that she would rather go home and wait
for natural labor to start. How should the nurse respond to the client's request?
a.There is no way to tell if any complications would arise. Because the client is not presenting with any
problems, the nurse should call the health care provider and inform her or him of the client's decision to
go home and wait.
b.Inform the client that there are a number of serious concerns related to a postdate pregnancy and that
she would be better off to be monitored in a clinical setting.
,c.Tell the client that an assessment will be done and if there are no findings indicating that an induction
of labor would be favora -CORRECT ANSWERS-b. inform the client that there are a number of serious
concerns related to a postdate pregnancy and that she would be better off to be monitored in a clinical
setting
A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on
which of the following?
a. Hemorrhage is the major concern.
b. She will be unable to conceive in the future.
c. Bed rest and analgesics are the recommended treatment.
d. A D&C will be performed to remove the products of conception. -CORRECT ANSWERS-a. hemorrhage
is the major concern
A 38 weeks gestation fetus is delivered via c-section and transported to the newborn nursery in an
isolate. Apgar scores were 8,99, and 10. At this time, the infant is receiving a initial assessment in the
newborn nursery. Which is the priority nursing diagnosis?
a. risk for injury related to potential equipment malfunction of radiant warmer
b. altered tissue perfusion related to use of medication during delivery process
c. ineffective airways clearance due to mode of delivery and use of anesthetics
d. risk for ineffective thermoregulation related to gestational age -CORRECT ANSWERS-c. ineffective
airway clearance due to mode of delivery and use of anesthetics.
A blood-soaked peripad weighs 900 g. The nurse would document a blood loss of _____ mL a.
1800
b. 450
,c. 900
d. 90 -CORRECT ANSWERS-c. 900
(1g equals 1mL)
A client in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate
for 18-20 hours. When the magnesium sulfate is discontinued, which oral drug will be prescribed for
athome continuation of the tocolytic effect?
a. buccal oxytocin (pitocin)
b. terbutaline sulfate (brethrine)
c. calcium gluconate (calgonate)
d. magnesium sulfate -CORRECT ANSWERS-b. terbutaline sulfate
A client is diagnosed with anaphylactoid syndrome. Which therapeutic intervention does the nurse
suspect will be included in the plan of care?
a.Normal amniotic fluid
b.Initiation of CPR and other life support measures
c.Respiratory treatments with nebulizers
d.Internal fetal monitoring -CORRECT ANSWERS-b. initiation of CPR and other life support measures
A client taking magnesium sulfate has a respiratory rate of 10 breaths/min. In addition to discontinuing
the medication, which action should the nurse take?
a. Increase the client's IV fluids.
b. Administer calcium gluconate.
c. Vigorously stimulate the client.
, d. Instruct the client to take deep breaths. -CORRECT ANSWERS-b. administer calcium gluconate
A client who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks
returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse
performs the following assessments. The vaginal exam is deferred until the physician is in attendance.
The client is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No
contraction pattern is observed. The client is then transferred to the antepartum unit for continued
observation. Several hours later, the client complains that she does not feel the baby move. Examination
of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital
admission. The client is placed on the EFM and no fetal heart tones are observed. What does the nurse
suspect is occurring?
a. Placental previa
b. Active labor has started
c. Placental abruption
d. Hidden placent -CORRECT ANSWERS-d. hidden placental abruption
A client who has had two previous cesarean births is in active labor when she suddenly complains of
pain between her scapulae. Which should be the nurse's priority action?a.Notify the health care
provider promptly.
b.Observe for abnormally high uterine resting tone.
c.Decrease the rate of nonadditive intravenous fluid.
d.Reposition the client with her hips slightly elevated. -CORRECT ANSWERS-a. notify the health care
provider promptly
A client who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of
constant backache. She asks what pain reliever is safe for her to take. The best nursing response is:
a."You should come into the office and let the doctor check you."
b."Acetaminophen is acceptable during pregnancy. You should not take aspirin, however."
