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,A nurse is caring for a clientAwho is at 32 wks gestation and is experiencing preterm labor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - CORRECT ANSWERS-b. betamethasone
A nurse at a prenatal clinic is caring for a clientAwho suspects she may be pregnant and asks the nurse
how the provider will confirm her pregnancy. The nurse should inform th e client that what lab test will
be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amountAof circulating progesterone - CORRECT ANSWERS-
a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should th e nurse identify
as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANSWERS-a. palpable fetal movement
A nurse is caring for a clientAwho has oligohydraminios. WhatAfetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANSWERS-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic frac ture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANSWERS-a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdo minal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. Wh at findings
should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
,d. decreased urinary output - CORRECT ANSWERS-b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorio nic villi, which
gives rise to multiple cysts. The products of conception transform into a la rge number of edematous,
fluid-
filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brow n and can
contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational H TN. What finding
should the nurse identify as the priority?
a. 480 mL urine outputAin 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - CORRECT ANSWERS-a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determin e that the
priority finding is 480 mL of urine output in 24 hr because the minimum accept able urine output in an
adult client is 30 mL/hr. This can indicate progression of preecla mpsia to preeclampsia with severe
features, which requires immediate intervention. The refore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statementAsh ould the nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - CORRECT
ANSWERS-
d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client thatAtaking prescription antiviral medication every day decreases the
risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about manifestations t o report to the
provider during pregnancy. WhatAinfo should the nurse include in the teac hing?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - CORRECT ANSWERS-b. blurred or double vision
A nurse is caring for a clientAwho is in the latent phase of labor and is receiving oxytocin via continuous
IV infusion. The nurse notes that the client is having contractions every 2 min which last 100-
110 seconds that the fetal heartArate is reassuring. WhatAaction should the nurse take?
a. decrease the dose of oxytocin by half
, b. administer oxygen via nonrebreather mask