D447 Womens and Childrens (Questions from Focus Guide
HESI NCLEX style>Question maybe ask in different format
for better understanding) With Complete Solutions
What pain medications are commonly used post-C-
section? (SATA)
Morphine via PCA, Ibuprofen, Acetaminophen, Epidural
fentanyl
A client presents with sudden, painful vaginal bleeding and a
firm, tender uterus at 34 weeks. What is the priority action?
Monitor FHR and prepare for an emergency C-section
Which finding suggests placenta previa?
Painless, bright red bleeding
What are the priority nursing interventions for shoulder
dystocia? (SATA)
McRoberts maneuver,Apply suprapubic pressure,McRoberts
maneuver,Apply suprapubic pressure
How should glucose be managed in a client with gestational
diabetes during labor? (SATA)
Monitor blood glucose every 1-2 hours, Administer IV insulin if
needed,Provide continuous fetal monitoring
Which statements about epidurals are correct? (SATA)
Hypotension is a common side effect&IV fluids should be given
before administration
,Which IV pain medications are commonly used in
labor? (SATA)
Fentanyl,Butorphanol (Stadol),Nalbuphine
(Nubain),Morphine,Meperidine (Demerol) - Less frequently
What are the side effects of opioid pain medications in
labor? (SATA)
Respiratory depression in mother and baby,Nausea and
vomiting,Sedation
Which findings indicate worsening preeclampsia? (SATA)
Severe headache, Epigastric pain,Increased deep tendon
reflexes(DTR)
What is the priority nursing action during an eclamptic seizure?
Turn the client on her side
Which lab findings suggest Disseminated Intravascular
Coagulation (DIC)? (SATA)
Low platelets,Increased fibrin degradation products,. Prolonged
clotting times
Which symptoms indicate HELLP syndrome? (SATA)
Hemolysis,Elevated liver enzymes, Low platelets
What does intrapartum mean?
During labor and childbirth
What does antepartum mean?
Before labor and childbirth
,Which medications are used for preterm labor
management? (SATA)
Betamethasone,Terbutaline (Brethine),Magnesium sulfate
A client receiving magnesium sulfate for preeclampsia develops
absent deep tendon reflexes and respiratory rate of 10/min. What
is the priority action?
Stop the magnesium infusion
A nurse observes a prolapsed umbilical cord. What is the
priority action?
Place the client in Trendelenburg or knee-chest position
Which findings indicate uterine rupture? (SATA)
Sudden sharp abdominal pain,Fetal bradycardia, Loss of
contractions(LOC)
Which clients are at highest risk for postpartum
hemorrhage? (SATA)
Client with prolonged labor, Client with multiple gestation,
Client with a history of PPH,Client receiving magnesium sulfate
Which medications are used to treat postpartum
hemorrhage? (SATA)
Oxytocin (Pitocin),Methylergonovine (Methergine),Carboprost
(Hemabate)
What is the next step if an AFP test is abnormal?
Perform an amniocentesis
A Rh-negative mother at 28 weeks needs RhoGAM. What is the
purpose of this medication?
, At 28 weeks gestation,Within 72 hours after delivery if the baby
is Rh-positive, After an amniocentesis
Which action reduces the risk of HIV transmission from
mother to baby? (SATA)
Administer zidovudine (AZT) during pregnancy and
labor,Recommend a scheduled cesarean section if viral load is
high,. Avoid breastfeeding
A client is diagnosed with gestational diabetes. Which
interventions are appropriate? (SATA)
Monitor blood glucose levels frequently,Encourage diet and
exercise modifications,Administer insulin if needed
What test confirms gestational diabetes?
3 hour glucose tolerance test(GTT)
What is the priority nursing action during an eclamptic
seizure? (SATA)
Turn the client on her side(prevent blocked airway),Administer
oxygen via non-rebreather mask,Note the duration and
characteristics of the seizure, Prepare for possible magnesium
sulfate administration.
What are the priority nursing actions after spontaneous
rupture of membranes (SROM)? (SATA)
Assess fetal heart rate (FHR),Check the color, odor, and amount
of amniotic fluid,Monitor for signs of infection (fever,
tachycardia, foul-smelling fluid),Assess for umbilical cord
prolapse if FHR is abnormal.
HESI NCLEX style>Question maybe ask in different format
for better understanding) With Complete Solutions
What pain medications are commonly used post-C-
section? (SATA)
Morphine via PCA, Ibuprofen, Acetaminophen, Epidural
fentanyl
A client presents with sudden, painful vaginal bleeding and a
firm, tender uterus at 34 weeks. What is the priority action?
Monitor FHR and prepare for an emergency C-section
Which finding suggests placenta previa?
Painless, bright red bleeding
What are the priority nursing interventions for shoulder
dystocia? (SATA)
McRoberts maneuver,Apply suprapubic pressure,McRoberts
maneuver,Apply suprapubic pressure
How should glucose be managed in a client with gestational
diabetes during labor? (SATA)
Monitor blood glucose every 1-2 hours, Administer IV insulin if
needed,Provide continuous fetal monitoring
Which statements about epidurals are correct? (SATA)
Hypotension is a common side effect&IV fluids should be given
before administration
,Which IV pain medications are commonly used in
labor? (SATA)
Fentanyl,Butorphanol (Stadol),Nalbuphine
(Nubain),Morphine,Meperidine (Demerol) - Less frequently
What are the side effects of opioid pain medications in
labor? (SATA)
Respiratory depression in mother and baby,Nausea and
vomiting,Sedation
Which findings indicate worsening preeclampsia? (SATA)
Severe headache, Epigastric pain,Increased deep tendon
reflexes(DTR)
What is the priority nursing action during an eclamptic seizure?
Turn the client on her side
Which lab findings suggest Disseminated Intravascular
Coagulation (DIC)? (SATA)
Low platelets,Increased fibrin degradation products,. Prolonged
clotting times
Which symptoms indicate HELLP syndrome? (SATA)
Hemolysis,Elevated liver enzymes, Low platelets
What does intrapartum mean?
During labor and childbirth
What does antepartum mean?
Before labor and childbirth
,Which medications are used for preterm labor
management? (SATA)
Betamethasone,Terbutaline (Brethine),Magnesium sulfate
A client receiving magnesium sulfate for preeclampsia develops
absent deep tendon reflexes and respiratory rate of 10/min. What
is the priority action?
Stop the magnesium infusion
A nurse observes a prolapsed umbilical cord. What is the
priority action?
Place the client in Trendelenburg or knee-chest position
Which findings indicate uterine rupture? (SATA)
Sudden sharp abdominal pain,Fetal bradycardia, Loss of
contractions(LOC)
Which clients are at highest risk for postpartum
hemorrhage? (SATA)
Client with prolonged labor, Client with multiple gestation,
Client with a history of PPH,Client receiving magnesium sulfate
Which medications are used to treat postpartum
hemorrhage? (SATA)
Oxytocin (Pitocin),Methylergonovine (Methergine),Carboprost
(Hemabate)
What is the next step if an AFP test is abnormal?
Perform an amniocentesis
A Rh-negative mother at 28 weeks needs RhoGAM. What is the
purpose of this medication?
, At 28 weeks gestation,Within 72 hours after delivery if the baby
is Rh-positive, After an amniocentesis
Which action reduces the risk of HIV transmission from
mother to baby? (SATA)
Administer zidovudine (AZT) during pregnancy and
labor,Recommend a scheduled cesarean section if viral load is
high,. Avoid breastfeeding
A client is diagnosed with gestational diabetes. Which
interventions are appropriate? (SATA)
Monitor blood glucose levels frequently,Encourage diet and
exercise modifications,Administer insulin if needed
What test confirms gestational diabetes?
3 hour glucose tolerance test(GTT)
What is the priority nursing action during an eclamptic
seizure? (SATA)
Turn the client on her side(prevent blocked airway),Administer
oxygen via non-rebreather mask,Note the duration and
characteristics of the seizure, Prepare for possible magnesium
sulfate administration.
What are the priority nursing actions after spontaneous
rupture of membranes (SROM)? (SATA)
Assess fetal heart rate (FHR),Check the color, odor, and amount
of amniotic fluid,Monitor for signs of infection (fever,
tachycardia, foul-smelling fluid),Assess for umbilical cord
prolapse if FHR is abnormal.
