NCM 109 EXAM QUESTIONS AND WELL
VERIFIED ANSWERS
A pregnant client is receiving magnesium sulfate therapy for the control of
preeclampsia. A nurse discover that the client is encountering toxicity from the
medication in which of the following assessment? - ANSWER>>Respirations of 10
breaths per minute.
Which of the following conditions is associated with elevated serum chloride
levels? - ANSWER>>eclampsia
Methergine or pitocin are prescribed for a client with PP hemorrhage. Before
administering the medication(s), the nurse contacts the health provider who
prescribed the medication(s) in which of the following conditions is documented
in the client's medical history? - ANSWER>>Peripheral vascular disease
A pregnant client in the last trimester has been admitted to the hospital with a
diagnosis of severe preeclampsia. A nurse monitors for complications associated
with the diagnosis and assesses the client for: - ANSWER>>Any bleeding, such as
in the gums, petechiae, and purpura.
A homecare nurse visits a pregnant client who has a diagnosis of mild
Preeclampsia and who is being monitored for pregnancy induced hypertension
(PIH). Which assessment finding indicates a worsening of the Preeclampsia and
the need to notify the physician? - ANSWER>>The client complains of a headache
and blurred vision
A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a
plan of care for the client and documents in the plan that if the client progresses
from Preeclampsia to eclampsia, the nurse's first action is to: - ANSWER>>Clean
and maintain an open airway
,A nurse is monitoring a pregnant client with pregnancy induced hypertension who
is at risk for Preeclampsia. The nurse checks the client for which specific signs of
Preeclampsia (select all that apply)? - ANSWER>>Elevated blood pressure
A pregnant client is receiving magnesium sulfate for the management of
preeclampsia. A nurse determines the client is experiencing toxicity from the
medication if which of the following is noted on assessment? -
ANSWER>>Respirations of 10 per minute
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned
to care for the client determines that the magnesium therapy is effective if: -
ANSWER>>Seizures do not occur
A nurse is caring for a pregnant client with severe preeclampsia who is receiving
IV magnesium sulfate. Select all nursing interventions that apply in the care for
the client. - ANSWER>>-Monitor renal function and cardiac function closely
-Keep calcium gluconate on hand in case of a magnesium sulfate overdose
-Monitor deep tendon reflexes hourly
-Monitor I and O's hourly
-Notify the physician if urinary output is less than 30 ml per hour
A client with a missed abortion at 29 weeks gestation is admitted to the hospital.
The client will most likely be treated with: - ANSWER>>Dinoprostone (Prostin E.)
Upon assessment the nurse found the following: fundus at 2 fingerbreadths
above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat
(FHB) not appreciated. Which of the following is the most possible diagnosis of
this condition? - ANSWER>>Hydatidiform mole
A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of
vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is
, most likely causing the client's complaint of vaginal bleeding? -
ANSWER>>Abruptio placentae
A client in the first trimester of pregnancy arrives at a health care clinic and
reports that she has been experiencing vaginal bleeding. A threatened abortion is
suspected, and the nurse instructs the client regarding management of care.
Which statement, if made by the client, indicates a need for further education? -
ANSWER>>"I will maintain strict bedrest throughout the remainder of
pregnancy."
A pregnant client is making her first Antepartum visit. She has a two year old son
born at 40 weeks, a 5 year old daughter born at 38 weeks, and 7 year old twin
daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10
weeks. Using the GTPAL format, the nurse should identify that the client is: -
ANSWER>>G5 T2 P1 A1 L4
Bleeding and cramping occur with the cervix closed and membranes intact. -
ANSWER>>threatened
Some of the products are expelled, but the placenta remains attached. Heavy
bleeding and cramping doesn't subside until entire placenta is removed. -
ANSWER>>incomplete
Any of the 5 spontaneous abortions occurring with 3 consecutive pregnancies.
This condition is a result of weakened cervix that dilates in the 2nd trimester, and
expels the fetus. This condition is call INCOMPLETE CERVIX. - ANSWER>>habitual
Embryo or fetus dies but isn't expelled. It's often discovered by the physician
when no FHT is present. Fetus must be expelled within 6wks or DIC and/or
infections can occur. - ANSWER>>missed
All of the products of conception are expelled. - ANSWER>>complete
VERIFIED ANSWERS
A pregnant client is receiving magnesium sulfate therapy for the control of
preeclampsia. A nurse discover that the client is encountering toxicity from the
medication in which of the following assessment? - ANSWER>>Respirations of 10
breaths per minute.
Which of the following conditions is associated with elevated serum chloride
levels? - ANSWER>>eclampsia
Methergine or pitocin are prescribed for a client with PP hemorrhage. Before
administering the medication(s), the nurse contacts the health provider who
prescribed the medication(s) in which of the following conditions is documented
in the client's medical history? - ANSWER>>Peripheral vascular disease
A pregnant client in the last trimester has been admitted to the hospital with a
diagnosis of severe preeclampsia. A nurse monitors for complications associated
with the diagnosis and assesses the client for: - ANSWER>>Any bleeding, such as
in the gums, petechiae, and purpura.
A homecare nurse visits a pregnant client who has a diagnosis of mild
Preeclampsia and who is being monitored for pregnancy induced hypertension
(PIH). Which assessment finding indicates a worsening of the Preeclampsia and
the need to notify the physician? - ANSWER>>The client complains of a headache
and blurred vision
A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a
plan of care for the client and documents in the plan that if the client progresses
from Preeclampsia to eclampsia, the nurse's first action is to: - ANSWER>>Clean
and maintain an open airway
,A nurse is monitoring a pregnant client with pregnancy induced hypertension who
is at risk for Preeclampsia. The nurse checks the client for which specific signs of
Preeclampsia (select all that apply)? - ANSWER>>Elevated blood pressure
A pregnant client is receiving magnesium sulfate for the management of
preeclampsia. A nurse determines the client is experiencing toxicity from the
medication if which of the following is noted on assessment? -
ANSWER>>Respirations of 10 per minute
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned
to care for the client determines that the magnesium therapy is effective if: -
ANSWER>>Seizures do not occur
A nurse is caring for a pregnant client with severe preeclampsia who is receiving
IV magnesium sulfate. Select all nursing interventions that apply in the care for
the client. - ANSWER>>-Monitor renal function and cardiac function closely
-Keep calcium gluconate on hand in case of a magnesium sulfate overdose
-Monitor deep tendon reflexes hourly
-Monitor I and O's hourly
-Notify the physician if urinary output is less than 30 ml per hour
A client with a missed abortion at 29 weeks gestation is admitted to the hospital.
The client will most likely be treated with: - ANSWER>>Dinoprostone (Prostin E.)
Upon assessment the nurse found the following: fundus at 2 fingerbreadths
above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat
(FHB) not appreciated. Which of the following is the most possible diagnosis of
this condition? - ANSWER>>Hydatidiform mole
A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of
vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is
, most likely causing the client's complaint of vaginal bleeding? -
ANSWER>>Abruptio placentae
A client in the first trimester of pregnancy arrives at a health care clinic and
reports that she has been experiencing vaginal bleeding. A threatened abortion is
suspected, and the nurse instructs the client regarding management of care.
Which statement, if made by the client, indicates a need for further education? -
ANSWER>>"I will maintain strict bedrest throughout the remainder of
pregnancy."
A pregnant client is making her first Antepartum visit. She has a two year old son
born at 40 weeks, a 5 year old daughter born at 38 weeks, and 7 year old twin
daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10
weeks. Using the GTPAL format, the nurse should identify that the client is: -
ANSWER>>G5 T2 P1 A1 L4
Bleeding and cramping occur with the cervix closed and membranes intact. -
ANSWER>>threatened
Some of the products are expelled, but the placenta remains attached. Heavy
bleeding and cramping doesn't subside until entire placenta is removed. -
ANSWER>>incomplete
Any of the 5 spontaneous abortions occurring with 3 consecutive pregnancies.
This condition is a result of weakened cervix that dilates in the 2nd trimester, and
expels the fetus. This condition is call INCOMPLETE CERVIX. - ANSWER>>habitual
Embryo or fetus dies but isn't expelled. It's often discovered by the physician
when no FHT is present. Fetus must be expelled within 6wks or DIC and/or
infections can occur. - ANSWER>>missed
All of the products of conception are expelled. - ANSWER>>complete
