2023-2026 & Retake With NGN
,
,
, QUESTION 1
A nurse is assessing a client who is at 32 weeks of gestation. Which of the
following findings should the nurse report to the healthcare provider?
A. Braxton Hicks contractions
B. Leukorrhea
C. Shortness of breath when climbing stairs
D. Facial edema
Answer: D
Explanation: Facial edema, especially when accompanied by hand or periorbital
edema, can be a sign of preeclampsia and should be reported immediately.
Braxton Hicks contractions, leukorrhea (increased vaginal discharge), and
shortness of breath with exertion are normal findings in the third trimester.
QUESTION 2
A nurse is caring for a client who is in active labor and notes late decelerations
on the fetal monitor. Which of the following actions should the nurse take first?
A. Administer oxygen via face mask
B. Increase the IV fluid rate
C. Reposition the client from supine to side-lying
D. Notify the healthcare provider
Answer: C
Explanation: Late decelerations indicate uteroplacental insufficiency. The priority
action is to reposition the client (preferably left lateral) to improve blood flow to
the placenta. After repositioning, the nurse should administer oxygen, increase IV
fluids, and notify the provider.
QUESTION 3
A nurse is providing teaching to a client who is at 8 weeks of gestation about
common discomforts of pregnancy. Which of the following statements should
the nurse include?