1
A nurse is caring for a client who 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 answer-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may
be pregnant and asks the nurse how the provider will confirm her
pregnancy. The nurse should inform the 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 amount of circulating progesterone - -Correct
answer-a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant.
What finding should the nurse identify as a positive sign of
pregnancy?
1
, 2
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - -Correct answer-a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - -Correct answer-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - -Correct answer-a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
2
, 3
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - -Correct answer-b. dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - -Correct answer-a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24 hr because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of
3
, 4
preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should 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 answer-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 that taking 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 to report to the provider during pregnancy.
What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
4
A nurse is caring for a client who 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 answer-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may
be pregnant and asks the nurse how the provider will confirm her
pregnancy. The nurse should inform the 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 amount of circulating progesterone - -Correct
answer-a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant.
What finding should the nurse identify as a positive sign of
pregnancy?
1
, 2
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - -Correct answer-a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - -Correct answer-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - -Correct answer-a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
2
, 3
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - -Correct answer-b. dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - -Correct answer-a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24 hr because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of
3
, 4
preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should 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 answer-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 that taking 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 to report to the provider during pregnancy.
What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
4
