NU 335 Exam 2 Practice Questions 2025|Actual Exam
Test(MULTIPLE CHOICES) and (RATIONALES)
questions and verified answers |GET IT 100%
ACCURATE!!
The nurse is reviewing the lab tests of four prenatal clients. Which lab finding
would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
b. Hypokalemia.
c. Hyperkalemia.
d. Hypocalcemia. - (ANSWER)b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads to fluid-
electrolyte imbalance. Severe potassium loss can disrupt cardiac functioning.
Potassium loss (hypokalemia), not hyperkalemia, is characteristic of hyperemesis
gravidarum. Neither hypercalcemia nor hypocalcemia (low calcium) is
characteristic of hyperemesis gravidarum.
If a client does not respond to standard home treatment for severe hyperemesis
gravidarum, the nurse will anticipate adding which therapy on an outpatient
basis?
a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
c. IV fluids.
d. Total parenteral nutrition. - (ANSWER)c. IV fluids.
Rationale: If the woman does not respond to standard approaches to the control
of nausea and vomiting in pregnancy, she might require intravenous (IV) fluids on
,an outpatient basis. Total parenteral nutrition would be started only if the client
were unresponsive to IV hydration. Lowfat soft diet and complex carbohydrates
with limited liquids are progressive diets after the client is stabilized for
hyperemesis gravidarum.
A client at 30 weeks' gestation is admitted to the maternity unit with vaginal
bleeding. What should be the nurse's initial nursing action?
a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. - (ANSWER)c. Assess blood
pressure and pulse.
Rationale: The nurse's initial action for a client with vaginal bleeding at 30 weeks
would be to assess blood pressure and pulse. Counting and weighing peripads;
observing for pallor, clammy skin, and perspiration; and starting an intravenous
infusion drip are all important actions for this client; they are just not the initial
action.
A prenatal client at 16 weeks' gestation presents to the clinic with unexplained
bright red bleeding, cramping, and backache, which she has had for the past two
days. A pelvic exam reveals a closed cervix. What type of abortion does this
indicate?
a. Threatened.
b. Incomplete.
c. Missed.
d. Imminent. - (ANSWER)a. Threatened.
,Rationale: A threatened abortion (miscarriage) has symptoms of vaginal bleeding
and backache without cervical dilation. In an imminent abortion, the internal
cervical os is dilated. Although the cervix is closed in a missed abortion, other
symptoms would include a regression in breast changes and a brownish vaginal
discharge. Diagnosis is made based on history, pelvic exam, and a negative
pregnancy test. With an incomplete abortion, the embryo has passed out of the
uterus, but the placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse correctly
responds by saying ectopic pregnancy is caused by: (Select all that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. - (ANSWER)a. Pelvic inflammatory disease (PID).
d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from pelvic
inflammatory disease (PID), previous tubal surgery, congenital anomalies of the
tube, endometriosis, previous ectopic pregnancy, presence of an IUD, and in
utero exposure to diethylstilbestrol (DES).
A client presents to the physician's office with complaints of right-sided
abdominal pain, dizziness, and vaginal bleeding. A pelvic exam determines
adnexal tenderness. What diagnosis should the nurse suspect?
a. Cholelithiasis.
, b. Appendicitis.
c. Threatened abortion.
d. Ectopic pregnancy. - (ANSWER)d. Ectopic pregnancy.
Rationale: A client with an ectopic pregnancy would present to the physician's
office with complaints of one-sided abdominal pain, dizziness, and vaginal
bleeding, and would have adnexal tenderness on exam. Clients with a threatened
abortion would have complaints of unexplained bleeding, cramping, or backache.
A pelvic exam would reveal a closed cervix. Clients with appendicitis would have
complaints of lower right-sided tenderness, low-grade fever, nausea, and often
vomiting. Clients with cholelithiasis would have complaints of epigastric distress,
such as fullness, distention, and vague pain in the right upper quadrant of the
abdomen.
A client at 15 weeks' gestation presents to the prenatal clinic with "prune juice"-
like vaginal bleeding. Other assessment data include a hematocrit of 10 and
complaints of severe nausea and vomiting. What diagnosis should the nurse
suspect?
a. Prolapsed cord.
b. Hydatidiform mole.
c. Placenta previa.
d. Abruptio placentae. - (ANSWER)b. Hydatidiform mole.
Rationale: In hydatidiform mole, vaginal bleeding occurs almost universally. It is
often brownish due to liquefaction of the uterine clot. In addition, because serum
hCG levels are higher with molar pregnancy than with normal pregnancy, the
woman might experience hyperemesis gravidarum. Anemia occurs frequently due
to blood loss and poor nutrition secondary to hyperemesis. Placenta previa
symptoms include painless bright red vaginal bleeding, usually in the third
trimester of pregnancy. Prolapsed cord symptoms include a trickle of bright red
Test(MULTIPLE CHOICES) and (RATIONALES)
questions and verified answers |GET IT 100%
ACCURATE!!
The nurse is reviewing the lab tests of four prenatal clients. Which lab finding
would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
b. Hypokalemia.
c. Hyperkalemia.
d. Hypocalcemia. - (ANSWER)b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads to fluid-
electrolyte imbalance. Severe potassium loss can disrupt cardiac functioning.
Potassium loss (hypokalemia), not hyperkalemia, is characteristic of hyperemesis
gravidarum. Neither hypercalcemia nor hypocalcemia (low calcium) is
characteristic of hyperemesis gravidarum.
If a client does not respond to standard home treatment for severe hyperemesis
gravidarum, the nurse will anticipate adding which therapy on an outpatient
basis?
a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
c. IV fluids.
d. Total parenteral nutrition. - (ANSWER)c. IV fluids.
Rationale: If the woman does not respond to standard approaches to the control
of nausea and vomiting in pregnancy, she might require intravenous (IV) fluids on
,an outpatient basis. Total parenteral nutrition would be started only if the client
were unresponsive to IV hydration. Lowfat soft diet and complex carbohydrates
with limited liquids are progressive diets after the client is stabilized for
hyperemesis gravidarum.
A client at 30 weeks' gestation is admitted to the maternity unit with vaginal
bleeding. What should be the nurse's initial nursing action?
a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. - (ANSWER)c. Assess blood
pressure and pulse.
Rationale: The nurse's initial action for a client with vaginal bleeding at 30 weeks
would be to assess blood pressure and pulse. Counting and weighing peripads;
observing for pallor, clammy skin, and perspiration; and starting an intravenous
infusion drip are all important actions for this client; they are just not the initial
action.
A prenatal client at 16 weeks' gestation presents to the clinic with unexplained
bright red bleeding, cramping, and backache, which she has had for the past two
days. A pelvic exam reveals a closed cervix. What type of abortion does this
indicate?
a. Threatened.
b. Incomplete.
c. Missed.
d. Imminent. - (ANSWER)a. Threatened.
,Rationale: A threatened abortion (miscarriage) has symptoms of vaginal bleeding
and backache without cervical dilation. In an imminent abortion, the internal
cervical os is dilated. Although the cervix is closed in a missed abortion, other
symptoms would include a regression in breast changes and a brownish vaginal
discharge. Diagnosis is made based on history, pelvic exam, and a negative
pregnancy test. With an incomplete abortion, the embryo has passed out of the
uterus, but the placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse correctly
responds by saying ectopic pregnancy is caused by: (Select all that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. - (ANSWER)a. Pelvic inflammatory disease (PID).
d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from pelvic
inflammatory disease (PID), previous tubal surgery, congenital anomalies of the
tube, endometriosis, previous ectopic pregnancy, presence of an IUD, and in
utero exposure to diethylstilbestrol (DES).
A client presents to the physician's office with complaints of right-sided
abdominal pain, dizziness, and vaginal bleeding. A pelvic exam determines
adnexal tenderness. What diagnosis should the nurse suspect?
a. Cholelithiasis.
, b. Appendicitis.
c. Threatened abortion.
d. Ectopic pregnancy. - (ANSWER)d. Ectopic pregnancy.
Rationale: A client with an ectopic pregnancy would present to the physician's
office with complaints of one-sided abdominal pain, dizziness, and vaginal
bleeding, and would have adnexal tenderness on exam. Clients with a threatened
abortion would have complaints of unexplained bleeding, cramping, or backache.
A pelvic exam would reveal a closed cervix. Clients with appendicitis would have
complaints of lower right-sided tenderness, low-grade fever, nausea, and often
vomiting. Clients with cholelithiasis would have complaints of epigastric distress,
such as fullness, distention, and vague pain in the right upper quadrant of the
abdomen.
A client at 15 weeks' gestation presents to the prenatal clinic with "prune juice"-
like vaginal bleeding. Other assessment data include a hematocrit of 10 and
complaints of severe nausea and vomiting. What diagnosis should the nurse
suspect?
a. Prolapsed cord.
b. Hydatidiform mole.
c. Placenta previa.
d. Abruptio placentae. - (ANSWER)b. Hydatidiform mole.
Rationale: In hydatidiform mole, vaginal bleeding occurs almost universally. It is
often brownish due to liquefaction of the uterine clot. In addition, because serum
hCG levels are higher with molar pregnancy than with normal pregnancy, the
woman might experience hyperemesis gravidarum. Anemia occurs frequently due
to blood loss and poor nutrition secondary to hyperemesis. Placenta previa
symptoms include painless bright red vaginal bleeding, usually in the third
trimester of pregnancy. Prolapsed cord symptoms include a trickle of bright red
