Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 3 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her
second trimester of pregnancy. Which of the following indicates an abnormal physical finding
necessitating further testing?
A Braxton hicks contractions
B Fetal heart rate of 180 BPM
C Consistent increase in fundal height
D Quickening
Fetal heart rate of 180 BPM
P a g e 1 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
The normal range of the fetal heart rate depends on gestational age. The heart rate is usually 160-170
BPM in the first trimester and slows with fetal growth, near and at term, the fetal heart rate ranges
from 120-160 BPM. The other options are expected
A primigravida is receiving magnesium sulfate for the treatment of pregnancy induced hypertension
(PIH). The nurse who is caring for the client is performing assessments every 30 minutes. Which
assessment finding would be of most concern to the nurse?
A Respiratory rate of 10 BPM
B Deep tendon reflexes of 2+
C Urinary output of 20 ml since the previous assessment
D Fetal heart rate of 120 BPM
Respiratory rate of 10 BPM
Magnesium sulfate depresses the respiratory rate. If the respiratory rate is less than 12 breaths per
minute, the physician or other health care provider needs to be notified, and continuation of the
medication needs to be reassessed. A urinary output of 20 ml in a 30 minute period is adequate; less
than 30 ml in one hour needs to be reported. Deep tendon reflexes of 2+ are normal. The fetal heart
rate is WNL for a resting fetus.
A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being
monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a worsening
of the Preeclampsia and the need to notify the physician?
A Dependent edema has resolved
B The client complains of a headache and blurred vision
C Urinary output has increased
D Blood pressure reading is at the prenatal baseline
P a g e 2 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
The client complains of a headache and blurred vision
If the client complains of a headache and blurred vision, the physician should be notified because
these are signs of worsening Preeclampsia.
At a prenatal visit at 36 weeks' gestation, a client complains of discomfort with irregularly occurring
contractions. The nurse instructs the client to:
A Take 10 grains of aspirin for the discomfort
Walk around until they subside
C Time contraction for 30 minutes
Lie down until they stop
Walk around until they subside
Rationale:
Ambulation relieves Braxton Hicks
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse
determines the client is experiencing toxicity from the medication if which of the following is noted on
assessment?
A Proteinuria of +3
B Respirations of 10 per minute
C Presence of deep tendon reflexes
D Serum magnesium level of 6 mEq/L
Respirations of 10 per minute
P a g e 3 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Rationale:
Magnesium toxicity can occur from magnesium sulfate therapy. Signs of toxicity relate to the central
nervous system depressant effects of the medication and include respiratory depression, loss of deep
tendon reflexes, and a sudden drop in the fetal heart rate and maternal heart rate and blood pressure.
Therapeutic levels of magnesium are 4-7 mEq/L. Proteinuria of +3 would be noted in a client with
preeclampsia.
A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is
checking the client for probable signs of pregnancy. Select all probable signs of pregnancy.
A Fetal heart rate detected by nonelectric device
B Uterine enlargement
C Braxton Hicks contractions
D Ballottement
E Chadwick's sign
F Outline of the fetus via radiography or ultrasound
Uterine enlargement
Braxton Hicks contractions
Ballottement
Chadwick's sign
Rationale:
The probable signs of pregnancy include:
Uterine Enlargement
Hegar's sign or softening and thinning of the uterine segment that occurs at week 6.
Goodell's sign or softening of the cervix that occurs at the beginning of the 2nd month
Chadwick's sign or bluish coloration of the mucous membranes of the cervix, vagina and vulva. Occurs
at week 6.
Ballottement or rebounding of the fetus against the examiner's fingers of palpation
P a g e 4 | 122
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 3 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her
second trimester of pregnancy. Which of the following indicates an abnormal physical finding
necessitating further testing?
A Braxton hicks contractions
B Fetal heart rate of 180 BPM
C Consistent increase in fundal height
D Quickening
Fetal heart rate of 180 BPM
P a g e 1 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
The normal range of the fetal heart rate depends on gestational age. The heart rate is usually 160-170
BPM in the first trimester and slows with fetal growth, near and at term, the fetal heart rate ranges
from 120-160 BPM. The other options are expected
A primigravida is receiving magnesium sulfate for the treatment of pregnancy induced hypertension
(PIH). The nurse who is caring for the client is performing assessments every 30 minutes. Which
assessment finding would be of most concern to the nurse?
A Respiratory rate of 10 BPM
B Deep tendon reflexes of 2+
C Urinary output of 20 ml since the previous assessment
D Fetal heart rate of 120 BPM
Respiratory rate of 10 BPM
Magnesium sulfate depresses the respiratory rate. If the respiratory rate is less than 12 breaths per
minute, the physician or other health care provider needs to be notified, and continuation of the
medication needs to be reassessed. A urinary output of 20 ml in a 30 minute period is adequate; less
than 30 ml in one hour needs to be reported. Deep tendon reflexes of 2+ are normal. The fetal heart
rate is WNL for a resting fetus.
A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being
monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a worsening
of the Preeclampsia and the need to notify the physician?
A Dependent edema has resolved
B The client complains of a headache and blurred vision
C Urinary output has increased
D Blood pressure reading is at the prenatal baseline
P a g e 2 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
The client complains of a headache and blurred vision
If the client complains of a headache and blurred vision, the physician should be notified because
these are signs of worsening Preeclampsia.
At a prenatal visit at 36 weeks' gestation, a client complains of discomfort with irregularly occurring
contractions. The nurse instructs the client to:
A Take 10 grains of aspirin for the discomfort
Walk around until they subside
C Time contraction for 30 minutes
Lie down until they stop
Walk around until they subside
Rationale:
Ambulation relieves Braxton Hicks
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse
determines the client is experiencing toxicity from the medication if which of the following is noted on
assessment?
A Proteinuria of +3
B Respirations of 10 per minute
C Presence of deep tendon reflexes
D Serum magnesium level of 6 mEq/L
Respirations of 10 per minute
P a g e 3 | 122
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Rationale:
Magnesium toxicity can occur from magnesium sulfate therapy. Signs of toxicity relate to the central
nervous system depressant effects of the medication and include respiratory depression, loss of deep
tendon reflexes, and a sudden drop in the fetal heart rate and maternal heart rate and blood pressure.
Therapeutic levels of magnesium are 4-7 mEq/L. Proteinuria of +3 would be noted in a client with
preeclampsia.
A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is
checking the client for probable signs of pregnancy. Select all probable signs of pregnancy.
A Fetal heart rate detected by nonelectric device
B Uterine enlargement
C Braxton Hicks contractions
D Ballottement
E Chadwick's sign
F Outline of the fetus via radiography or ultrasound
Uterine enlargement
Braxton Hicks contractions
Ballottement
Chadwick's sign
Rationale:
The probable signs of pregnancy include:
Uterine Enlargement
Hegar's sign or softening and thinning of the uterine segment that occurs at week 6.
Goodell's sign or softening of the cervix that occurs at the beginning of the 2nd month
Chadwick's sign or bluish coloration of the mucous membranes of the cervix, vagina and vulva. Occurs
at week 6.
Ballottement or rebounding of the fetus against the examiner's fingers of palpation
P a g e 4 | 122
