,1. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing
preterm labor. The healthcare provider is developing a treatment plan to help
promote fetal lung maturity because the client may deliver before term. Which
medication should the nurse plan to administer as prescribed?
a. Misoprostol
b. Betamethasone
c. Poractant alfa
d. Methylergonovine
Correct Answer: b. Betamethasone
Rationale: Betamethasone is an antenatal corticosteroid administered to clients at
risk for preterm birth to accelerate fetal lung maturation and reduce complications
associated with prematurity. It promotes the production of fetal surfactant and
decreases the risk of respiratory distress syndrome after birth. Administration during
the appropriate gestational period is an important intervention when preterm
delivery is anticipated.
2. A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks how the healthcare provider will confirm the pregnancy. The
client reports that she has noticed possible early pregnancy symptoms but has not
yet had a definitive evaluation. Which laboratory test should the nurse explain is
commonly used to confirm pregnancy?
a. Urine test for the presence of hCG
b. Urine test for the presence of hCS
c. Blood test for the presence of estrogen
d. Blood test for the amount of circulating progesterone
Correct Answer: a. Urine test for the presence of hCG
,Rationale: Human chorionic gonadotropin (hCG) is produced by the developing
trophoblastic tissue after implantation and can be detected in urine during early
pregnancy. A urine pregnancy test detects hCG and is commonly used to confirm
suspected pregnancy. The presence of hCG provides laboratory evidence of
pregnancy rather than relying only on subjective symptoms.
3. A nurse is caring for a client who believes she may be pregnant and is being
assessed for signs that can confirm pregnancy. The client reports several changes
that can occur during early pregnancy, but the nurse must distinguish between
presumptive, probable, and positive signs. Which finding should the nurse identify
as a positive sign of pregnancy?
a. Palpable fetal movement
b. Amenorrhea
c. Chadwick's sign
d. Positive pregnancy test
Correct Answer: a. Palpable fetal movement
Rationale: Palpable fetal movement by a healthcare provider is a positive sign of
pregnancy because it directly demonstrates the presence of a fetus. Amenorrhea is a
presumptive sign, while Chadwick's sign and a positive pregnancy test are probable
signs. Positive signs are findings that provide direct evidence of pregnancy.
4. A nurse is caring for a client who has oligohydramnios during pregnancy. The
nurse reviews the client's prenatal assessment and understands that decreased
amniotic fluid can be associated with fetal abnormalities. Which fetal anomaly
should the nurse expect in a client with oligohydramnios?
, a. Renal agenesis
b. Atrial septal defect
c. Spina bifida
d. Hydrocephalus
Correct Answer: a. Renal agenesis
Rationale: Renal agenesis can cause oligohydramnios because the fetal kidneys
contribute substantially to the production of amniotic fluid through fetal urine. When
the kidneys are absent or severely impaired, fetal urine production decreases,
resulting in reduced amniotic fluid volume. Oligohydramnios can therefore be
associated with significant fetal renal abnormalities.
5. A nurse is assessing a client who is at 37 weeks of gestation and has a suspected
pelvic fracture following blunt abdominal trauma. The nurse is monitoring the
client for complications involving the uterus and fetus. Which finding should the
nurse expect as a possible response to the abdominal trauma?
a. Uterine contractions
b. Bradycardia
c. Seizures
d. Bradypnea
Correct Answer: a. Uterine contractions
Rationale: Abdominal trauma during pregnancy can irritate the uterus and
stimulate uterine contractions. At 37 weeks of gestation, contractions following
trauma may indicate the onset of labor or placental complications and require careful
assessment. The nurse should monitor contraction frequency, duration, fetal heart
rate, and other signs of maternal or fetal compromise.
preterm labor. The healthcare provider is developing a treatment plan to help
promote fetal lung maturity because the client may deliver before term. Which
medication should the nurse plan to administer as prescribed?
a. Misoprostol
b. Betamethasone
c. Poractant alfa
d. Methylergonovine
Correct Answer: b. Betamethasone
Rationale: Betamethasone is an antenatal corticosteroid administered to clients at
risk for preterm birth to accelerate fetal lung maturation and reduce complications
associated with prematurity. It promotes the production of fetal surfactant and
decreases the risk of respiratory distress syndrome after birth. Administration during
the appropriate gestational period is an important intervention when preterm
delivery is anticipated.
2. A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks how the healthcare provider will confirm the pregnancy. The
client reports that she has noticed possible early pregnancy symptoms but has not
yet had a definitive evaluation. Which laboratory test should the nurse explain is
commonly used to confirm pregnancy?
a. Urine test for the presence of hCG
b. Urine test for the presence of hCS
c. Blood test for the presence of estrogen
d. Blood test for the amount of circulating progesterone
Correct Answer: a. Urine test for the presence of hCG
,Rationale: Human chorionic gonadotropin (hCG) is produced by the developing
trophoblastic tissue after implantation and can be detected in urine during early
pregnancy. A urine pregnancy test detects hCG and is commonly used to confirm
suspected pregnancy. The presence of hCG provides laboratory evidence of
pregnancy rather than relying only on subjective symptoms.
3. A nurse is caring for a client who believes she may be pregnant and is being
assessed for signs that can confirm pregnancy. The client reports several changes
that can occur during early pregnancy, but the nurse must distinguish between
presumptive, probable, and positive signs. Which finding should the nurse identify
as a positive sign of pregnancy?
a. Palpable fetal movement
b. Amenorrhea
c. Chadwick's sign
d. Positive pregnancy test
Correct Answer: a. Palpable fetal movement
Rationale: Palpable fetal movement by a healthcare provider is a positive sign of
pregnancy because it directly demonstrates the presence of a fetus. Amenorrhea is a
presumptive sign, while Chadwick's sign and a positive pregnancy test are probable
signs. Positive signs are findings that provide direct evidence of pregnancy.
4. A nurse is caring for a client who has oligohydramnios during pregnancy. The
nurse reviews the client's prenatal assessment and understands that decreased
amniotic fluid can be associated with fetal abnormalities. Which fetal anomaly
should the nurse expect in a client with oligohydramnios?
, a. Renal agenesis
b. Atrial septal defect
c. Spina bifida
d. Hydrocephalus
Correct Answer: a. Renal agenesis
Rationale: Renal agenesis can cause oligohydramnios because the fetal kidneys
contribute substantially to the production of amniotic fluid through fetal urine. When
the kidneys are absent or severely impaired, fetal urine production decreases,
resulting in reduced amniotic fluid volume. Oligohydramnios can therefore be
associated with significant fetal renal abnormalities.
5. A nurse is assessing a client who is at 37 weeks of gestation and has a suspected
pelvic fracture following blunt abdominal trauma. The nurse is monitoring the
client for complications involving the uterus and fetus. Which finding should the
nurse expect as a possible response to the abdominal trauma?
a. Uterine contractions
b. Bradycardia
c. Seizures
d. Bradypnea
Correct Answer: a. Uterine contractions
Rationale: Abdominal trauma during pregnancy can irritate the uterus and
stimulate uterine contractions. At 37 weeks of gestation, contractions following
trauma may indicate the onset of labor or placental complications and require careful
assessment. The nurse should monitor contraction frequency, duration, fetal heart
rate, and other signs of maternal or fetal compromise.
