NURS 326 Final PQs Questions With Complete Solutions
A postpartum patient in the fourth stage of labor received
Hemabate 0.25 mg intramuscularly . The expected outcome of
care for the administration of this medication is:
a. Relief from the pain of uterine cramping
b. Prevention of intrauterine infection
c. Reduction in the blood's ability to clot
d. Limitation of excessive blood loss that is occurring after birth
d. Limitation of excessive blood loss that is occurring after birth
A breastfeeding postpartum patient cesarean birth occurred 2
days ago. Investigation of the pain, tenderness, and swelling in
her left leg led to a medical diagnosis of deep vein thrombosis
(DVT). Care management for this woman during the acute stage
of the DVT involves: Select all that apply
a. Explaining that she will need to stop breastfeeding until
anticoagulation therapy is completed.
b. Administer Coumadin
c. Placing the patient on bedrest with left leg elevated.
d. Fitting the woman with elastic stockings so that she can
exercise her legs.
e. Tell her to avoid changing position for the first 24 hours
f. Administering heparin IV for the first 3 to 5 days.
b, c, and f
,A baby whose mother was addicted to heroin during the
pregnancy is in the nursery. Which of the following nursing
actions would be appropriate?
1.Tightly swaddle the baby
2.Place the baby prone in the crib
3.Provide needed stimulation to the baby
4.Feed the baby have half strength formula
1.Tightly swaddle the baby
A nurse makes the following observations when admitting a
full-term, breast-feeding baby into the neonatal nursery : 9 lb 2
oz, 21 in , Temp 96.6, HR 156, R 62, jittery, body pink with
acrocyanosis. What is the priority nursing action?
1.Swaddle the baby to provide warmth
2.Assess the glucose level the baby
3.Take the baby to the mother for feeding
4.Administer the neonatal medications
2.Assess the glucose level the baby
Four babies are in the newborn nursery. The nurse pages the
neonatologist to see the baby , who exhibits which of the
following?
1.Erythema toxicum
2.Pseudostrabismus
3.Intercostal retractions
4.Vernix caseosa
,3.Intercostal retractions
A woman with severe preeclampsia is being treated with an IV
infusion of magnesium sulfate. Which finding would the nurse
identify as indicating that the treatment is successful?
a. Seizures do not occur.
b. Diuresis reduces fluid retention.
c. Blood pressure is reduced to prepregnant baseline.
d. Deep tendon reflexes become hypotonic.
a. Seizures do not occur.
A woman with severe preeclampsia has been receiving
magnesium sulfate by IV infusion for 8 hours. The nurse
assesses the woman and documents the following findings:
temperature 37.1° C, pulse rate 96 beats/min, respiratory rate 24
breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon
reflexes, and no ankle clonus. Which physician order should the
nurse anticipate?
a. Diazepam.
b. Calcium gluconate.
c. Hydralazine.
d. Magnesium sulfate bolus.
c. Hydralazine.
A nurse is reviewing the complication of HELLP syndrome.
Which finding should the nurse be aware of?
, a. It can be diagnosed by a nurse alert to its symptoms.
b. Is characterized by hemolysis, elevated liver enzymes, and
low platelets.
c. It is a mild form of preeclampsia.
d. Is associated with preterm labor but not perinatal mortality.
b. Is characterized by hemolysis, elevated liver enzymes, and
low platelets.
A pregnant woman at 21 weeks of gestation has an elevated
blood pressure of 140/98. Past medical history reveals that the
woman has been treated for hypertension. On the basis of this
information, the nurse would classify this client as having:
a. Gestational hypertension.
b. Chronic hypertension.
c. Superimposed preeclampsia.
d. Preeclampsia.
c. Superimposed preeclampsia.
Rationale: Because this client already has a medical history of
hypertension and is now exhibiting hypertension after the 20th
week of gestation, she would be considered to have
superimposed pre-eclampsia. Pre-eclampsia would be the
classification in a client without a history of hypertension who
was hypertensive following the 20th week of pregnancy.
Gestational hypertension occurs after the 20th week of
pregnancy in a client who was previously normotensive. Even
A postpartum patient in the fourth stage of labor received
Hemabate 0.25 mg intramuscularly . The expected outcome of
care for the administration of this medication is:
a. Relief from the pain of uterine cramping
b. Prevention of intrauterine infection
c. Reduction in the blood's ability to clot
d. Limitation of excessive blood loss that is occurring after birth
d. Limitation of excessive blood loss that is occurring after birth
A breastfeeding postpartum patient cesarean birth occurred 2
days ago. Investigation of the pain, tenderness, and swelling in
her left leg led to a medical diagnosis of deep vein thrombosis
(DVT). Care management for this woman during the acute stage
of the DVT involves: Select all that apply
a. Explaining that she will need to stop breastfeeding until
anticoagulation therapy is completed.
b. Administer Coumadin
c. Placing the patient on bedrest with left leg elevated.
d. Fitting the woman with elastic stockings so that she can
exercise her legs.
e. Tell her to avoid changing position for the first 24 hours
f. Administering heparin IV for the first 3 to 5 days.
b, c, and f
,A baby whose mother was addicted to heroin during the
pregnancy is in the nursery. Which of the following nursing
actions would be appropriate?
1.Tightly swaddle the baby
2.Place the baby prone in the crib
3.Provide needed stimulation to the baby
4.Feed the baby have half strength formula
1.Tightly swaddle the baby
A nurse makes the following observations when admitting a
full-term, breast-feeding baby into the neonatal nursery : 9 lb 2
oz, 21 in , Temp 96.6, HR 156, R 62, jittery, body pink with
acrocyanosis. What is the priority nursing action?
1.Swaddle the baby to provide warmth
2.Assess the glucose level the baby
3.Take the baby to the mother for feeding
4.Administer the neonatal medications
2.Assess the glucose level the baby
Four babies are in the newborn nursery. The nurse pages the
neonatologist to see the baby , who exhibits which of the
following?
1.Erythema toxicum
2.Pseudostrabismus
3.Intercostal retractions
4.Vernix caseosa
,3.Intercostal retractions
A woman with severe preeclampsia is being treated with an IV
infusion of magnesium sulfate. Which finding would the nurse
identify as indicating that the treatment is successful?
a. Seizures do not occur.
b. Diuresis reduces fluid retention.
c. Blood pressure is reduced to prepregnant baseline.
d. Deep tendon reflexes become hypotonic.
a. Seizures do not occur.
A woman with severe preeclampsia has been receiving
magnesium sulfate by IV infusion for 8 hours. The nurse
assesses the woman and documents the following findings:
temperature 37.1° C, pulse rate 96 beats/min, respiratory rate 24
breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon
reflexes, and no ankle clonus. Which physician order should the
nurse anticipate?
a. Diazepam.
b. Calcium gluconate.
c. Hydralazine.
d. Magnesium sulfate bolus.
c. Hydralazine.
A nurse is reviewing the complication of HELLP syndrome.
Which finding should the nurse be aware of?
, a. It can be diagnosed by a nurse alert to its symptoms.
b. Is characterized by hemolysis, elevated liver enzymes, and
low platelets.
c. It is a mild form of preeclampsia.
d. Is associated with preterm labor but not perinatal mortality.
b. Is characterized by hemolysis, elevated liver enzymes, and
low platelets.
A pregnant woman at 21 weeks of gestation has an elevated
blood pressure of 140/98. Past medical history reveals that the
woman has been treated for hypertension. On the basis of this
information, the nurse would classify this client as having:
a. Gestational hypertension.
b. Chronic hypertension.
c. Superimposed preeclampsia.
d. Preeclampsia.
c. Superimposed preeclampsia.
Rationale: Because this client already has a medical history of
hypertension and is now exhibiting hypertension after the 20th
week of gestation, she would be considered to have
superimposed pre-eclampsia. Pre-eclampsia would be the
classification in a client without a history of hypertension who
was hypertensive following the 20th week of pregnancy.
Gestational hypertension occurs after the 20th week of
pregnancy in a client who was previously normotensive. Even
