QUESTIONS AND SOLVED SOLUTIONS
◉A nurse is caring for a client who is at 14 weeks of gestation and
has hyperemesis gravidarum. The nurse should identify that which
of the following are risk factors for the client? (SATA)
A. Diabetes
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Gestational trophoblastic disease
E. Oligohydramnios. Answer: A, B, D
◉A nurse is caring for a client who has suspected hyperemesis
gravidarum and is reviewing the client's laboratory reports. Which
of the following findings is a manifestation of this condition?
A. Hgb 12.2 g/dL
B. Urine ketones present
C. Alanine aminotransferase 20 IU/L
D. Blood glucose 114 mg/dL. Answer: B
,◉A nurse is administering magnesium sulfate IV for seizure
prophylaxis to a client who has severe preeclampsia. Which of the
following indicates magnesium sulfate toxicity? (SATA)
A. Respirations less than 12/min
B. Urinary output less than 25 mL/hr
C. Hyperreflexic deep-tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating. Answer: A, B, D
◉A nurse is caring for a client who is receiving IV magnesium
sulphate. Which of the following medications should the nurse
anticipate administering if magnesium sulfate toxicity is suspected?
A. Nifedipine
B. Pyridoxine
C. Ferrous sulphate
D. Calcium gluconate. Answer: D
◉A nurse is reviewing a new prescription for ferrous sulfate with a
client who is at least 12 weeks of gestation. Which of the following
statements by the client indicates understanding of the teaching?
A. "I will take this pill with my breakfast"
B. "I will take this medication with a glass of milk"
C. "I plan to drink more orange juice while taking this pill"
,D. "I plan to add more calcium-rich foods to my diet while taking this
medication". Answer: C
◉A nurse is caring for a client who reports manifestations of
preterm labor. Which of the following findings are risk factors of this
condition? (SATA)
A. Urinary tract infection
B. Multifetal pregnancy
C. Oligohydramnios
D. Diabetes mellitus
E. Uterine abnormalities. Answer: A, B, D, E
◉A nurse is providing care for a client who is in preterm labor at 32
weeks of gestation. Which of the following medications should the
nurse anticipate the provider will prescribe to hasten fetal lung
maturity?
A. Calcium gluconate
B. Indomethacin
C. Nifedipine
D. Betamethasone. Answer: D
◉A nurse is caring for a client who is receiving nifedipine for
prevention of preterm labor. The nurse should monitor the client for
which of the following manifestations?
, A. Blood-tinged sputum
B. Dizziness
C. Pallor
D. Somnolence. Answer: B
◉A nurse is caring for a client who has a prescription for
magnesium sulfate. The nurse should recognize that which of the
following are contraindications for use of this medication? (SATA)
A. Fetal distress
B. Preterm labor
C. Vaginal bleeding
D. Cervical dilation greater than 6 cm
E. Severe gestational hypertension. Answer: A, C, D
◉A nurse is reviewing discharge teaching with a client who has
premature rupture of membranes at 26 weeks of gestation. Which of
the following instructions should the nurse include in the teaching?
A. Use a condom with sexual intercourse
B. Avoid bubble baths solution when taking a tub bath
C. Wipe from the back to front when performing perineal hygiene
D. Keep a daily record of fetal kick counts. Answer: D