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Maternal newborn Exam 1 (Ch. 1, 3-4, 8-22)
Questions With Complete Solutions
A nurse is caring for a client who is at 32 wks gestation
and is experiencing preterm labor. What meds should
the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - .....ANSWER... ✔✔ b.
betamethasone
A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy. The nurse
should inform the client that what lab test will be used to
confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- .....ANSWER... ✔✔ a. urine test for presence of
HCG
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A nurse is caring for a client who believes she may be
pregnant. What finding should the nurse identify as a
positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - .....ANSWER... ✔✔ a.
palpable fetal movement
A nurse is caring for a client who has oligohydraminios.
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - .....ANSWER... ✔✔ a. renal
agenesis
A nurse is assessing a client who is at 37 wks gestation
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
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c. seizures
d. bradypnea - .....ANSWER... ✔✔ a. uterine
contractions
The nurse should expect the client to be experiencing
uterine contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation
and has hydatidiform mole. What findings should the
nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - .....ANSWER... ✔✔ b.
dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise
to multiple cysts. The products of conception transform
into a large number of edematous, fluid-filled vesicles.
As cells slough off the uterine wall, vaginal discharge is
usually dark brown and can contain grapelike clusters.
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A nurse is assessing a client who is at 35 weeks of
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - .....ANSWER... ✔✔ a. 480 mL urine
output in 24 hrs
When using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding
is 480 mL of urine output in 24 hr because the minimum
acceptable urine output in an adult client is 30 mL/hr.
This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority
finding.
A nurse is teaching a client who is at 12 wks gestation
and has HIV. What statement should the nurse include in
the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
Maternal newborn Exam 1 (Ch. 1, 3-4, 8-22)
Questions With Complete Solutions
A nurse is caring for a client who is at 32 wks gestation
and is experiencing preterm labor. What meds should
the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - .....ANSWER... ✔✔ b.
betamethasone
A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy. The nurse
should inform the client that what lab test will be used to
confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- .....ANSWER... ✔✔ a. urine test for presence of
HCG
,2|Page
A nurse is caring for a client who believes she may be
pregnant. What finding should the nurse identify as a
positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - .....ANSWER... ✔✔ a.
palpable fetal movement
A nurse is caring for a client who has oligohydraminios.
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - .....ANSWER... ✔✔ a. renal
agenesis
A nurse is assessing a client who is at 37 wks gestation
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
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c. seizures
d. bradypnea - .....ANSWER... ✔✔ a. uterine
contractions
The nurse should expect the client to be experiencing
uterine contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation
and has hydatidiform mole. What findings should the
nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - .....ANSWER... ✔✔ b.
dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise
to multiple cysts. The products of conception transform
into a large number of edematous, fluid-filled vesicles.
As cells slough off the uterine wall, vaginal discharge is
usually dark brown and can contain grapelike clusters.
, 4|Page
A nurse is assessing a client who is at 35 weeks of
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - .....ANSWER... ✔✔ a. 480 mL urine
output in 24 hrs
When using the urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding
is 480 mL of urine output in 24 hr because the minimum
acceptable urine output in an adult client is 30 mL/hr.
This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority
finding.
A nurse is teaching a client who is at 12 wks gestation
and has HIV. What statement should the nurse include in
the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
