NURS368 EXAM 2| QUESTIONS WITH VERIFIED ANSWERS 100% SOLVED| LATEST UPDATE
GUARANTEED PASS
Which of the following physical findings would lead the nurse to suspect that a client with
severe preeclampsia has developed HELLP syndrome? Select all that apply:
A: +3 pitting edema
B: Petechiae
C: Jaundice
D: +4 deep tendon reflexes
E: Elevated specific gravity B: Petechiae
C: Jaundice
The nurse is caring for an eclamptic patient. Which is an important action for the nurse to
perform?
A: Check each urine for presence of ketones
B: Pad the client's bed rails and headboard
C: Provide visual and auditory stimulation
D: Place the bed in high Fowler's B: Pad the client's bed rails and headboard
A 40-week-gestation client has an admitting platelet count of 90,000 mm3 and a hematocrit of
29%. Her lab values 1 week earlier were platelet count 200,000 mm3 and hematocrit 37%.
Which additional abnormal lab value would the nurse expect to see?
A: Decreased serum creatinine level.
B: Elevated red blood count (RBC).
,C: Decreased alkaline phosphatase.
D: Elevated alanine transaminase (ALT). D: Elevated alanine transaminase (ALT).
The nurse is caring for two post-CS clients. One had surgery under spinal anesthesia and the
other had surgery under epidural anesthesia. Which is an important difference between the
two types of anesthesia that the nurse should be aware of?
A: The level of pain relief is lower in spinals
B: Placement of the needle is higher in epidurals
C: Epidurals do not fully sedate motor nerves
D: Spinal clients complain of N/V C: Epidurals do not fully sedate motor nerves
A pregnant woman had her two other children by CS. Which situation would mandate that this
delivery also be by CS?
A: The woman refuses to have a regional anesthesia
B: The woman is postdates with intact membranes
C: The baby is in the occiput posterior position
D: The previous uterine incisions were vertical D: The previous uterine incisions were
vertical
A woman is scheduled to have an external version for a breech presentation. The nurse
carefully reviews the client's chart for contraindications to this procedure, including which of
the following?
A: Station -2
B: 38 weeks' gestation
C: Reactive NST
, D: Previous cesarean section D: Previous cesarean section
A client is scheduled for an external version. Which medication should be prepared prior to the
procedure?
A: Oxytocin
B: Methergine
C: Betamethasone
D: Terbutaline D: Terbutaline
A woman, 32 weeks' gestation, contracting every 3 min X 60 sec, is receiving magnesium
sulfate. For which of the following maternal assessments is it critical for the nurse to monitor
the client?
A: Low urinary output.
B: Temperature elevation.
C: Absent pedal pulses.
D: Retinal edema. A: Low urinary output.
*Drug is excreted via kidneys; low output = accumulation of drug
A nurse is caring for a gravid client who is G1 P0000, 35 weeks gestation. Which would warrant
the nurse to notify the practitioner that the client is in preterm labor? Select all that apply:
A: Contraction frequency every 15 mins
B: Effacement 10%
C: Dilation 3 cm
GUARANTEED PASS
Which of the following physical findings would lead the nurse to suspect that a client with
severe preeclampsia has developed HELLP syndrome? Select all that apply:
A: +3 pitting edema
B: Petechiae
C: Jaundice
D: +4 deep tendon reflexes
E: Elevated specific gravity B: Petechiae
C: Jaundice
The nurse is caring for an eclamptic patient. Which is an important action for the nurse to
perform?
A: Check each urine for presence of ketones
B: Pad the client's bed rails and headboard
C: Provide visual and auditory stimulation
D: Place the bed in high Fowler's B: Pad the client's bed rails and headboard
A 40-week-gestation client has an admitting platelet count of 90,000 mm3 and a hematocrit of
29%. Her lab values 1 week earlier were platelet count 200,000 mm3 and hematocrit 37%.
Which additional abnormal lab value would the nurse expect to see?
A: Decreased serum creatinine level.
B: Elevated red blood count (RBC).
,C: Decreased alkaline phosphatase.
D: Elevated alanine transaminase (ALT). D: Elevated alanine transaminase (ALT).
The nurse is caring for two post-CS clients. One had surgery under spinal anesthesia and the
other had surgery under epidural anesthesia. Which is an important difference between the
two types of anesthesia that the nurse should be aware of?
A: The level of pain relief is lower in spinals
B: Placement of the needle is higher in epidurals
C: Epidurals do not fully sedate motor nerves
D: Spinal clients complain of N/V C: Epidurals do not fully sedate motor nerves
A pregnant woman had her two other children by CS. Which situation would mandate that this
delivery also be by CS?
A: The woman refuses to have a regional anesthesia
B: The woman is postdates with intact membranes
C: The baby is in the occiput posterior position
D: The previous uterine incisions were vertical D: The previous uterine incisions were
vertical
A woman is scheduled to have an external version for a breech presentation. The nurse
carefully reviews the client's chart for contraindications to this procedure, including which of
the following?
A: Station -2
B: 38 weeks' gestation
C: Reactive NST
, D: Previous cesarean section D: Previous cesarean section
A client is scheduled for an external version. Which medication should be prepared prior to the
procedure?
A: Oxytocin
B: Methergine
C: Betamethasone
D: Terbutaline D: Terbutaline
A woman, 32 weeks' gestation, contracting every 3 min X 60 sec, is receiving magnesium
sulfate. For which of the following maternal assessments is it critical for the nurse to monitor
the client?
A: Low urinary output.
B: Temperature elevation.
C: Absent pedal pulses.
D: Retinal edema. A: Low urinary output.
*Drug is excreted via kidneys; low output = accumulation of drug
A nurse is caring for a gravid client who is G1 P0000, 35 weeks gestation. Which would warrant
the nurse to notify the practitioner that the client is in preterm labor? Select all that apply:
A: Contraction frequency every 15 mins
B: Effacement 10%
C: Dilation 3 cm
