N271 EXAM 1 2025 QUESTIONS AND
ANSWERS
A primigravida client at 23 weeks gestation reports that they have head a headache for 2 days.
The nurse assesses the client's blood pressure and finds that it is 148/96. What will the nurse
do next?
A) Obtain a urine sample and evaluate it for the presence of protein.
B) Reassure the client that its normal for BP to increase during the 2nd trimester
C) Start an IV and administer Labetalol
D) Decrease stimuli and recheck BP in 10min - ANS A) Obtain a urine sample and evaluate it
for the presence of protien.
A laboring gestational diabetic (GDM) client at 40 weeks gestation is about to deliver her first
baby. Which nursing action does the nurse anticipate during the second stage of labor?
A) Administration of an IV fluid bolus
B) Manual compression of the uterus
C) Placing the client in trendelenburg position
D) Performance of Mc Robert's Maneuver - ANS D) Performance of Mc Robert's Maneuver.
**Anticipating possible shoulder distocia r/t LGA. This maneuver can add a couple centimeters
to birthing canal.
The client at 37 weeks gestation has severe pre-eclampsia. She reports a frontal headache and
epigastric pain, both 7/10 on the pain scale. Which medication will the nurse administer first?
A) Pitocin
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, B) Fentanyl
C) Betamethasone
D) Magnesium Sulfate - ANS D) Magnesium Sulfate
A client who delivered her baby 2 hours ago reports sudden onset chest pain, difficulty
breathing, and her continuous O2 saturation drops from 98% to 80%. The nurse performs which
priority intervention fist?
A) Call for immediate help
B) Encourage client to turn, cough, and deep breath
C) Administer an IV fluid bolus
D) Obtain a full set of vital signs - ANS A) Call for immediate help.
The pregnant patient at term is experiencing profuse bright red painless vaginal bleeding. What
nursing intervention is appropriate based on these findings?
A) Massage the uterine fundus
B) Elevate the fetal presenting part
C) Prepare for emergency delivery
D) Assess the cervical dilation - ANS C) Prepare for emergency delivery
The nurse is caring for a pregnant client who has a positive HIV result on their first trimester
labs. The nurse prepares to educate the client on which drug therapy will this patient need
during their pregnancy?
A) Antiretroviral Therapy
B) Betamethasone Therapy
C) Penicillin Therapy
D) Acyclovir Therapy - ANS A) Antiretroviral Therapy
When caring for a pregnant client diagnosed with pre-eclampsia, which laboratory findings will
the nurse be most concerned about?
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ANSWERS
A primigravida client at 23 weeks gestation reports that they have head a headache for 2 days.
The nurse assesses the client's blood pressure and finds that it is 148/96. What will the nurse
do next?
A) Obtain a urine sample and evaluate it for the presence of protein.
B) Reassure the client that its normal for BP to increase during the 2nd trimester
C) Start an IV and administer Labetalol
D) Decrease stimuli and recheck BP in 10min - ANS A) Obtain a urine sample and evaluate it
for the presence of protien.
A laboring gestational diabetic (GDM) client at 40 weeks gestation is about to deliver her first
baby. Which nursing action does the nurse anticipate during the second stage of labor?
A) Administration of an IV fluid bolus
B) Manual compression of the uterus
C) Placing the client in trendelenburg position
D) Performance of Mc Robert's Maneuver - ANS D) Performance of Mc Robert's Maneuver.
**Anticipating possible shoulder distocia r/t LGA. This maneuver can add a couple centimeters
to birthing canal.
The client at 37 weeks gestation has severe pre-eclampsia. She reports a frontal headache and
epigastric pain, both 7/10 on the pain scale. Which medication will the nurse administer first?
A) Pitocin
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, B) Fentanyl
C) Betamethasone
D) Magnesium Sulfate - ANS D) Magnesium Sulfate
A client who delivered her baby 2 hours ago reports sudden onset chest pain, difficulty
breathing, and her continuous O2 saturation drops from 98% to 80%. The nurse performs which
priority intervention fist?
A) Call for immediate help
B) Encourage client to turn, cough, and deep breath
C) Administer an IV fluid bolus
D) Obtain a full set of vital signs - ANS A) Call for immediate help.
The pregnant patient at term is experiencing profuse bright red painless vaginal bleeding. What
nursing intervention is appropriate based on these findings?
A) Massage the uterine fundus
B) Elevate the fetal presenting part
C) Prepare for emergency delivery
D) Assess the cervical dilation - ANS C) Prepare for emergency delivery
The nurse is caring for a pregnant client who has a positive HIV result on their first trimester
labs. The nurse prepares to educate the client on which drug therapy will this patient need
during their pregnancy?
A) Antiretroviral Therapy
B) Betamethasone Therapy
C) Penicillin Therapy
D) Acyclovir Therapy - ANS A) Antiretroviral Therapy
When caring for a pregnant client diagnosed with pre-eclampsia, which laboratory findings will
the nurse be most concerned about?
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