Exam Review
- A nurse is caring for a client who has been diagnosed with hyperemesis gravidarum.Which of the following conditions are risk factors for hyperemesis gravidarum?(SATA)A)Oligohydramnios.B)Twin gestations.C)Anemia.D)Molar pregnancy.E)History of hyperemesis.
- A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV to the unit labeled magnesium sulfate 20g/500mL normal saline. To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?Correct Answer:50 mL/hr
- You are receiving report from the night shift nurse on a laboring client.She is 39 weeks gestation, cervical exam is 9cm/100%/0, she has an epidural in place for pain management.ROM occurred 25 hours ago with a moderate amount of clear fluid.EFM assessment includes baseline 175bpm, minimal variability, no accelerations, no decelerations.Vital signs: Blood pressure: 118/84 mmHg.Respiratory Rate: 16/min.O2 saturation: 99% on RA)Intraamniotic infection.B)Pyelonephritis.C)Cholestasis of pregnancy.D)Placental abruption.
- A nurse is admitting a client at 33 weeks gestation who experienced PPROM 4 hours ago.The client is asking when her next vaginal exam will be since her first exam revealed she is 2 cm dilated.Which of the following reasons does the nurse explain for not performing another vaginal exam?A)Increases labor progress.B)Increases pain.C)Increases bleeding.D)Increases risk for infection.
Exam Review
- A nurse is educating a client at the end of her second trimester about car safety.Which statement by the client indicates a correct understanding of the nurse's education?A)I will wear the seatbelt under my arm instead of over my shoulder to reduce pressure on my abdomen.B)I will position the lap belt under my abdomen and the shoulder belt between my breasts and above my abdomen to minimize the risk of abdominal trauma.C)I will avoid wearing a seatbelt during my pregnancy to protect the baby.D)I will remove the seatbelt when driving at a slow speed to reduce the risk of abdominal trauma.
- A client arrives to OB triage at 37 weeks gestation with a known complete placenta previa this pregnancy. She reports feeling some inconsistent contractions over the last 4 hours and wants to know if she is in labor. The client asks the nurse why the provider did not perform a vaginal exam. What is the most appropriate answer by the nurse?A)A vaginal exam will increase the risk of rupturing your membranes.B)A vaginal exam could cause vaginal bleeding.C)A vaginal exam would cause infection if you are not in labor.D)A vaginal exam could initiate preterm labor.
- A nurse is providing education about TORCH infections to a pregnant client and her partner.The nurse identifies that the client is at risk for which infection?(SATA)A)Cytomegalovirus.B)Herpes Simplex Virus.C)Hepatitis B.D)Rubella.E)Toxoplasmosis.
- A client is at risk for a spontaneous abortion at 14 weeks gestation.The client's two previous pregnancies were miscarriages in the same gestational time frame.The client states, "They want to sew my cervix shut.”. The nurse shares the terminology for surgical treatment of an incompetent cervix.Which of the following would the nurse explain?A)Aminoinfusion.B)Hysterectomy.C)Cerclage.D)Beta-adrenergic agonist therapy.
Exam Review
- A nurse is caring for a client who was recently diagnosed with Hyperemesis Gravidarum.Which of the following medications should the nurse anticipate administering?A)400 mg Motrin (ibuprofen) PO.B)500 mL of 0.9% Sodium Chloride IV bolus.C)4 g Magnesium Sulfate IV over 30 minutes.D)50 mg Pyridoxine (vitamin B6) PO.
- A nurse is caring for a client receiving Magnesium Sulfate therapy IV for preterm labor.Which of the following medications should the nurse anticipate administering if the client exhibits hypotension, decreased urine output, and a respiratory rate of 10/min?A)Methotrexate.B)Labetalol.C)Nifedipine.D)Calcium gluconate.
- A client at 34 weeks gestation arrives to OB triage and is concerned she may be in preterm labor.Which of the following are signs and symptoms of preterm labor? (Select all that apply.)A)Vaginal spotting.B)Regular contractions occurring every 10 minutes or less.C)Weight gain.D)Lower back pain or pelvic pressure.
- An OB nurse is educating a new graduate nurse about the signs and symptoms of a hydatidiform mole.The new graduate nurse understands the teaching when he identifies the expected assessment findings with this condition.Which of the following signs and symptoms would the nurse identify?A)No nausea.B)Category II FHR.C)Decrease in hCG levels.D)Enlarged uterus.
Exam Review
- A nurse is at the bedside to provide additional education and resources to a client about a new diagnosis.The client in the OB clinic is visibly upset after their appointment with their provider and states, "My doctor told me that there is something wrong with my placenta and I will have to have a cesarean and hysterectomy when I deliver my baby.”. The nurse plans to provide education about which of the following placenta abnormalities?A)Placenta accreta spectrum.B)Placenta previa.C)Placenta abruption.D)Posterior placental location.
- A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?A)Abdominal pain with no vaginal bleeding.B)Painless red vaginal bleeding.C)Sharp abdominal pain.D)Intermittent abdominal pain following the passage of bloody mucus.
- A nurse in a provider's office is caring for a client who is at 37 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is a risk factor for abruption?A)Asthma.B)Hyperthyroidism.C)Previous cesarean delivery.D)Hypertension.
- A client arrives at the emergency department with small amounts of vaginal bleeding and severe left-sided abdominal pain.The client tells the nurse she is unsure of when her last menstrual period was, but maybe about 7 weeks ago.The client's blood pressure is 82/55 mm/Hg, and her pulse is 120 bpm.The nurse notifies the healthcare provider immediately due to her concern about which complication?A)Abruptio placentae.B)Gestational trophoblastic disease.C)Complete abortion.D)Ectopic pregnancy.
Exam Review
- A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?A)Placenta previa.B)Abruptio placentae.C)Uterine rupture.D)Amniotic fluid embolism.
- A nurse is caring for a client who is at 32 weeks of gestation.Continuous fetal monitoring and vital signs per protocol are required.Prepare for cesarean birth.A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?A)Placenta Previa.B)Abruptio Placentae.C)Gestational Hypertension.D)Preeclampsia.
- A nurse is caring for a client who is at 32 weeks of gestation.Hemoglobin level is 8 g/dL (normal: 12 to 16 g/dL). Platelet count is 100,000/mm³ (normal: 150,000 to 400,000/mm³). Which of the following complications is the nurse most likely dealing with?A)Placenta Previa.B)Abruptio Placentae.C)Gestational Hypertension.D)Preeclampsia.
- A client at 27 weeks gestation has completed the 1-hour Glucose Tolerance Test (GTT) with a result of 160 mg/dL (expected: less than 130-140 mg/dL). What education would the nurse provide following this test result?A)A. The provider will prescribe insulin to treat gestational diabetes.B)Please increase your carbohydrate intake for the rest of your pregnancy.C)No changes are needed for your plan of care.D)We will schedule you for a 3-hour Glucose Tolerance Test.
Exam Review
- A nurse is caring for a client in the OB clinic at 34 weeks gestation.Which of the following symptoms reported by the client is indicative of cholestasis of pregnancy?A)Pruritus of the palms of the hands.B)Back pain and pelvic pressure.C)Nausea and vomiting.D)Headaches and blurred vision.
- You are attending a staff meeting when the discussion about preeclampsia complications arises.Which of the following statements by the nurse educator is correct regarding HELLP syndrome?A)This syndrome includes decreased LDH.B)This syndrome includes increased red blood cell production.C)This syndrome includes elevated liver enzymes.D)This syndrome includes increased platelets.
- A nurse is preparing to administer magnesium sulfate IV to a client who is 30 weeks gestation and experiencing preterm labor.The nurse explains to the client the primary purpose of this medication for her condition is to do which of the following?A)Increase contraction frequency.B)Prevent maternal seizures.C)Improve fetal lung maturity.D)Provide neuroprotection for the fetus.
- A nurse is caring for a client at 29 weeks gestation that arrived to OB triage with complaints of uterine contractions every 45 minutes.After the initial assessment, an order for Nifedipine was received.The nurse is now evaluating the effects of the medication.Which of the following assessments indicates the medication was effective?A)Decrease in blood pressure.B)Increase in heart rate.C)Decrease in uterine contractions.D)Decrease in nausea.