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28 Cards in this Set
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A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider? A) Deep Tendon Reflexes 2+ B) blood pressure 150/96 C) Urinary output 20ml/hr D) respiratory rate 16/min |
C) Urinary output 20ml/hr |
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A nurse is reviewing laboratory results for a client who is at 37 weeks of gestation. The nurse notes that the client is rubella non-immune, positive for group A beta-hemolytic streptococci, and who has a blood type of O negative. Which of the following actions should the nurse take? A) administer a dose of Rh(D) immune globulin B) request a prescription for an antibiotic until delivery C) instruct the client to obtain a rubella immunization after delivery D) inform the client that she will need to deliver via cesarean birth |
C) instruct the client to obtain a rubella immunization after delivery |
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A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption. Which of the following findings should the nurse expect? A) increased platelet count B) fetal distress C) decreased Urinary output D) dark red vaginal bleeding |
D) dark red vaginal bleeding |
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A nurse is teaching a client who is at 8 weeks of gestation and has a uterine fibroid about the potential effects of the fibroid during pregnancy. Which of the following information should the nurse include in the teaching? A) the fibroid will shrink during the pregnancy B) the fibroid can increase the risk for postpartum hemorrhage C) you will receive an injection of medroxyprogesterone acetate to shrink the fibroid D) you will have to undergo a cesarean birth because of the fibroid |
B) the fibroid can increase the risk for postpartum hemorrhage |
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A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect? A) atrial septal defect B) renal agenesis C) spina bifida D) hydrocephalus |
B) Renal agenesis |
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A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching? A) elevated blood pressure B) feeling of warmth C) hyperactivity D) generalized pruritus |
B) feeling of warmth |
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A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe features. Which of the following findings should the nurse identify as the priority? A) 480 ml urine output in 24hr B) blood pressure 144/92 C) +2 edema of the feet D) 1+ protein in the urine |
A) 480 ml urine output in 24 hr |
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A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has polyhydramnios. Which of the following findings should the nurse expect? A) fundal height of 34cm B) total pregnancy weight gain of 3.6 kg (8 lb) C) gestational hypertension D. Fetal gastrointestinal anomaly |
D) fetal gastrointestinal anomaly |
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A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect? A) bradycardia B) uterine contractions C) seizures D) bradypnea |
B) uterine contractions |
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A nurse is caring for a client who is at 32 weeks gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A) betamethasone B) misoprostol C) methylergonovine D) poractant alfa |
A) betamethasone |
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A nurse is caring for a client who is at 35 weeks of gestation and has severe preeclampsia. Which of the following assessments provides the most accurate information regarding the clients fluid and electrolyte status? A) blood pressure B) intake and output C) daily weight D) severity of edema |
C) daily weight |
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A nurse is reviewing the medical record of a client who is at 33 weeks of gestation and has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider? A) perform a vaginal examination B) perform continuous external fetal monitoring C) insert a large bore IV catheter D) obtain a blood sample for laboratory testing |
A) perform a vaginal examination |
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A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform mole. Which of the following findings should the nurse expect? A) hypothermia B) dark brown vaginal discharge C) decreased Urinary output D) fetal heart tones |
B) dark brown vaginal discharge |
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A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take? A) perform a vaginal examination to determine cervical dilation B) obtain blood samples for baseline laboratory values C. Place a spiral electrode on the fetal presenting part D) prepare the client for a transvaginal ultrasound |
B) obtain blood samples for baseline laboratory values |
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The nurse is assessing a new client who is being admitted with gestational hypertension. Which nursing diagnosis should the nurse prioritize for this client? A) decrease reflexes due to medication administration B) imbalanced nutrition related to decreased sodium levels C) risk for injury related to fetal distress D) deficient fluid volume related to vasospasm of arteries |
D) deficient fluid volume related to vasospasm of arteries a client with severe |
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A client with severe preeclampsia is receiving magnesium sulfate as part of the treatment plan. To ensure the clients safety, which compound would the nurse have readily available? A) calcium carbonate B) potassium chloride C) calcium gluconate D) ferrous sulfate |
C) calcium gluconate |
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Which medication will the nurse anticipate the health care provider will prescribe as treatment for an unruptured Ectopic pregnancy? A) promethazine B) methotrexate C) ondansetron D) oxytocin |
B) methotrexate |
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Current research indicates that supplementation with what before pregnancy may reduce the risk of placental abruption? A) folic acid B) calcium C) iron D) vitamin C |
A) folic acid |
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A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication? A) hyperthermia B) decreased blood glucose C) rapid pulse rate D) irritability |
B) decreased blood glucose |
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A nurse is caring for a client who is 2 hours postpartum. The nurse notes the clients perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse perform first? A) check for a full bladder B) massage the Fundus C) measure vital signs D) administer carboprost IM |
B) massage the Fundus |
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A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should monitor the client for which of the following potential adverse effects? A) diarrhea B) thromboembolism C) fetal asphyxia D) Oliguria |
C) fetal asphyxia |
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A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which of the following statements by the client indicates an understanding of the teaching? A) nitrous oxide could make my baby sleepy when he is born B) I should inhale the nitrous oxide between contractions C) I will feel the effects of the nitrous oxide almost immediately D) nitrous oxide can make me feel disoriented |
C) I will feel the effects of the nitrous oxide almost immediately |
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A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports vaginal bleeding. Which of the following additional manifestations should the nurse expect? A) the fundal height measures greater than gestational age B) a rigid abdomen is noted on palpation C) the client reports a pain level of 8 on a 0 to 10 pain scale D) a urine drug screen is positive for cocaine |
A) the fundal height measures greater than gestational age |
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A nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following medications should the nurse plan to administer to promote uterine contractions? A) terbutaline B) nifedipine C) magnesium sulfate D) methylergonovine |
D) methylergonovine |
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A postpartum nurse is caring for a client who has developed hemorrhagic shock. Which of the following manifestations should the nurse expect? A) Urinary output of 40ml/hr B) deep abdominal breathing C) weak and irregular pulse D) warm, dry hands with prompt capillary refill |
C) weak and irregular pulse |
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A nurse is assessing a postpartum client who has preeclampsia and notes a boggy uterus and excessive uterine bleeding. The nurse should plan to administer which of the following medications? A) terbutaline B) magnesium sulfate C) oxytocin D) methylergonovine |
C) oxytocin |
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A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect? A) Increased platelet count B) fetal distress C) decreased Urinary output D) dark red vaginal bleeding |
D) dark red vaginal bleeding |
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A nurse is caring for a client in the early stage of labor who has preeclampsia with severe features. Which of the following interventions should the nurse perform? A) assess the fetal heart rate and contractions hourly B) encourage oral intake of clear, low sodium fluids C) instruct the client to ambulate during the early phase of labor D. Implement seizure precautions |
D) implement seizure precautions |
