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EDITION 2024
1. A 30-year old gravida 2, para 1 client is
admitted to the hospital at 26-weeks
,gestation in preterm labor. She is started on
an IV solution of terbutaline (Brethine).
Which assessment is the highest priority for
the nurse to monitor during the
administration of this drug?
a. Maternal blood pressure and respirations.
b. Maternal and fetal heart rates.
c. Hourly urinary output.
d. Deep tendon reflexes. - ASNWER-B
2. During labor, the nurse determines that a
full-term client is demonstrating late
decelerations. In which sequence should
the nurse implement these nursing actions?
(Place the first action on top and last action
on the bottom.)
,a. Reposition the client.
b. Call the healthcare provider.
c. Increase IV fluid.
d. Provide oxygen via face mask. - ASNWER-
A, C, D, B
3. A client at 30-weeks gestation,
complaining of pressure over the pubic
area, is admitted for observation. She is
contracting irregularly and demonstrates
underlying uterine irritability. Vaginal
examination reveals that her cervix is
closed, thick, and high. Based on these data,
which intervention should the nurse
implement first?
, a. Provide oral hydration.
b. Have a complete blood count (CBC)
drawn.
c. Obtain a specimen for urine analysis.
d. Place the client on strict bedrest. -
ASNWER-C
4. A woman who thinks she could be
pregnant calls her neighbor, a nurse, to ask
when she could use a home pregnancy test
to diagnose pregnancy. Which response is
appropriate?
a. "A home pregnancy test can be used right
after your first missed period."
b. "These tests are most accurate after you
have missed your second period."