Custom: Maternal Newborn AP
Problems
A nurse is caring for a client who is having a nonstress test performed. The FHR is 130 to 150
bpm, but there has been no fetal movement for 15 min. Which of the following is an appropriate
nursing intervention?
A. Immediately report the situation to the client's provider and prepare the client for induction of
labor
B. Encourage the client to walk around without the monitoring unit for 10 min, then resume
monitoring
C. Offer the client a snack of orange juice and crackers
D. Turn the client on her left side
This fetus is most likely asleep. Most fetuses are more active after meals due to the increase in
the mother's blood sugar. Giving the mom a snack will promote fetal movement
A client is admitted to the maternity who is 38 weeks gestation and experiencing
polyhydramnios. The nurse understands that this diagnosis means that
A. There is the normal amount of amniotic fluid, thinner in volume
B. Less than normal amount of amniotic fluid is present
C. An excessive amount of amniotic fluid is present
D. A leak is causing fluid to accumulate outside the amniotic sac
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to
the hospital at 38 weeks gestation with a diagnosis of pregnancy induced hypertension. Which of
the following findings should the nurse identify as inconsistent with the admitting diagnosis?
A. 1+ pitting sacral edema
B. 3+ protein in the urine
C. Blood pressure 148/98 mm Hg
D. Deep tendon reflextes of +1
Deep tendon reflexes of +1 are decreased, in PIH they would be increased.
A client comes to the emergency department reporting severe abdominal pain in the left lower
quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs
indicates to the nurse that the client has blood in the peritoneum?
A. Chvostek's sign
B. Cullen's sign
C. Chadwick's sign
Problems
A nurse is caring for a client who is having a nonstress test performed. The FHR is 130 to 150
bpm, but there has been no fetal movement for 15 min. Which of the following is an appropriate
nursing intervention?
A. Immediately report the situation to the client's provider and prepare the client for induction of
labor
B. Encourage the client to walk around without the monitoring unit for 10 min, then resume
monitoring
C. Offer the client a snack of orange juice and crackers
D. Turn the client on her left side
This fetus is most likely asleep. Most fetuses are more active after meals due to the increase in
the mother's blood sugar. Giving the mom a snack will promote fetal movement
A client is admitted to the maternity who is 38 weeks gestation and experiencing
polyhydramnios. The nurse understands that this diagnosis means that
A. There is the normal amount of amniotic fluid, thinner in volume
B. Less than normal amount of amniotic fluid is present
C. An excessive amount of amniotic fluid is present
D. A leak is causing fluid to accumulate outside the amniotic sac
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to
the hospital at 38 weeks gestation with a diagnosis of pregnancy induced hypertension. Which of
the following findings should the nurse identify as inconsistent with the admitting diagnosis?
A. 1+ pitting sacral edema
B. 3+ protein in the urine
C. Blood pressure 148/98 mm Hg
D. Deep tendon reflextes of +1
Deep tendon reflexes of +1 are decreased, in PIH they would be increased.
A client comes to the emergency department reporting severe abdominal pain in the left lower
quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs
indicates to the nurse that the client has blood in the peritoneum?
A. Chvostek's sign
B. Cullen's sign
C. Chadwick's sign
