NRSG 3302 - Test 2 Review Questions and Answers

1. A 26 week gestation woman id diagnosed with severe preeclampsia. The nurse assess for which of the following signs/ symptoms associated with HELLP syndrome? a. Epigastric pain b. High serum protein c. Hyporeflexia d. Thrombocytopenia e. Bloody stools 2. Client is being discharged from the hospital after evacuation of a molar pregnancy. The nurse recognizes that additional discharge teaching is required when the client states: a. “I am so sad for my loss” b. “I may need to have chemotherapy after this” c. “I will need to see the doctor in one year for a follow-up” d. “I will use contraception for the next year” 3. A patient who is having a difficult labor is diagnosed with cephalopelvic disproportion (CPD). The nurse should question which medical order: a. Maintain NPO status b. Start IV of Normal Saline c. Add 10 units of oxytocin to IV fluids – cesarean birth is indicated when there is a cephalopelvic disproportion, no need to induce labor may result in uterine rupture and fetal compromise d. Record fetal heart tones every 15 minutes 4. A client is admitted to the hospital with an ectopic pregnancy. The symptoms that caused her to seek health care is most likely to have been: a. Sharp unilateral abdominal pain b. Uncontrolled vomiting c. Lack of fetal movement d. Profuse vaginal bleeding 5. An increased risk for shoulder dystocia is associated with: a. Preterm labor b. Maternal diabetes c. VBAC d. Previous precipitous birth 6. A primigravida patient who is 29 weeks pregnant comes to the labor and delivery unit. She is O+ and rubella immune. She states she is having regular contractions every 8 minutes. An exam reveals she is 3 cm dilated. Which of the following can the nurse expect to administer? a. Folic acid b. Nifedipine c. Betamethasone d. Rhogram e. IV fluids f. Morphine