MATERNITY V1 (RELIAS LABOR AND DELIVERY RN A V1) – 44 QUESTIONS & ANSWERS

MATERNITY V1 (RELIAS LABOR AND DELIVERY RN A V1) – 44 QUESTIONS & ANSWERS The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? 1. Soft abdomen 2. Uterine tenderness 3. absence of abdominal pain 4. painless, bright red vaginal bleeding - Answer2. Uterine tenderness The maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the health care provider's prescriptions and should question which prescription? 1.Prepare the client for an ultrasound. 2.Obtain equipment for a manual pelvic examination. 3.Prepare to draw a hemoglobin and hematocrit blood sample 4. Obtain equipment for external electronic fetal heart rate monitoring - Answer2. Obtain equipment for a manual pelvic examination. An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruption placentae is present. On the basis of these findings, the nurse should prepare the client for which anticipated prescription? 1.Delivery of the fetus. 2. Strict monitoring of intake and output 3.Complete bed rest for the remainder of the pregnancy 4. The need for weekly monitoring of coagulation studies until the time of delivery - Answer1. Delivery of the fetus The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding indicates that the client is at risk for preterm labor? 1.The client is a 35 year old primigravida 2. The client has a history of cardiac disease 3. The client's hemoglobin level is 13.5 g/dL 4. The client is a 20 year old primigravida of average weight and height - Answer2. The client has a history of cardiac disease The nurse is monitoring a client in active stage of labor. The client has been experiencing contractions that are short, irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia? 1. Hypotonic 2. Precipitous 3. Hypertonic 4. Preterm labor - Answer1.Hypotonic