GUIDE
1. A nurse is caring for a client during a nonstress test (NST). The nurse observes two decelerations of 15 beats/min. in the fetal heart rate during a period of
fe tal movement. Each de celeration lasts 20 seconds. This indicates which of the following findings?
• A positive test
• A negative test
• A nonreactive test
• A reactive test
2. A nurse is caring for a client who is in preterm labor with a current L/S ratio of 1:1. Which of the following actions should the nurse take?
• Infuse a bolus of IV fluid
• Administer betamethasone 12 mg IM
• Administer hydralazine 25 mg IV
• Prepare the client for immediate delivery
3. A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral
contraceptives?
• A 26-year-old client who has migraine headaches at the start of each menstrual cycle
• A 32-year-old client who has benign breast disease
• A 38-year-old client who reports smoking one pack of cigarettes every day
• A 28-year-old client who has a history of pelvic inflammatory disease
4. A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. The test results are negative. Which of the
following interpretations of this finding should the nurse make?
• There are less than 3 uterine contractions in a 10-min. period
• There is evidence of cervical incompetence
• There is no evidence of uteroplacental insufficiency
• There is no evidence of two or more accelerations in fetal heart rate in 20 min.
5. A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses
should the nurse make?
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GUIDE
• Increase estrogen production causes increased secretion of hydrochloric acid
• Retained bile in the liver results in delayed digestion
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• Increased progesterone production causes decreased motility of smooth muscle
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