Question: A client with polyhydramnios has ruptured membranes and fetal bradycardia. What should the nurse do next?
Answer Choices:
A. Perform vaginal exam
B. Place in high Fowler’s
C. Perform Leopold’s
D. Apply saline soaks
Answer: A. Perform a vaginal examination
Question: Your patient is under 24-hour fetal monitoring and observation for preterm labor. The fetal monitoring strip begins to show decelerations, starting after the peak of the contraction and recovering within 20 seconds. Which of the following interventions does the nurse anticipate doing?
Answer Choices:
A. Place patient in supine position
B. Increase rate of oxytocin
C. Remove oxygen supplementation
D. Initiate IV Fluid Bolus
Answer: D. Initiate IV Fluid Bolus
Question: A 29-week client reports back pain, contractions, temp 100.4°F. What is the nurse’s priority?
Answer Choices:
A. Obtain urine specimen
B. Have client walk
C. Administer acetaminophen
D. Apply binder
Answer: A. Obtain a urine specimen to rule out UTI
Question: (Select all that apply.) A 37-year-old female patient who is 36 weeks pregnant is diagnosed with mild preeclampsia. The nurse will include what information in the patient’s education?
Answer Choices:
A. Headache and vision changes are expected side effects of this condition.
B. Report a decrease in fetal activity immediately.
C. Lying on left-side is recommended along with rest.
D. Follow a no-salt diet.
E. Report weight gain of >6 lbs in one week to physician.
F. Incorporate foods like eggs, nuts, fish, meat in your diet.
Answer: B, C, E, F
Question: A client with PROM is at higher risk for infection. Which finding indicates possible infection?
Answer Choices:
A. Lowered maternal pulse
B. Maternal temp 100.1°F
C. Cloudy amniotic fluid with strong odor
D. FHR 150 bpm
Answer: C. Cloudy amniotic fluid with strong odor
Question: A 17-year-old primigravida has gained 4–6 lbs and BP 140/92. What should the nurse do?
Answer Choices:
A. Cut down on fast foods
B. Stay home from school
C. Assess weight, edema, urine for protein
D. Avoid salt
Answer: C. Assess weight gain, location of edema, and urine for protein
Question: Shoulder dystocia occurs during delivery. Which action should the nurse take first?
Answer Choices:
A. Sit upright
B. Apply fundal pressure
C. Prepare for cesarean
D. McRoberts position
Answer: D. Reposition the client into McRoberts position
Question: A client is diagnosed with amniotic fluid embolism. Which intervention is expected?
Answer Choices:
A. Normal amniotic fluid
B. Internal fetal monitoring
C. Initiation of life support measures
D. Respiratory treatments
Answer: C. Initiation of life support measures
Question: A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Answer Choices:
A. Bowel sounds
B. Maternal respiratory rate
C. Fetal heart rate (FHR)
D. Temperature
Answer: B. Maternal respiratory rate
Question: The patient is having suspected placental abruption. Which describes a Category II tracing?
Answer Choices:
A. Baseline 145 bpm with early decels
B. Baseline 110 bpm, minimal variability, no accelerations, recurrent late decels
C. Baseline 100 bpm, absent variability, variable decels
D. Baseline 160 bpm, moderate variability, no decels
Answer: B. Baseline 110 bpm, minimal variability, no accelerations, recurrent late decelerations
Question: A 15-week pregnant patient with an incompetent cervix and preterm labor history—what management is expected?
Answer Choices:
A. Bed rest
B. Follow up in a week
C. Cerclage placement
D. Hydration
Answer: C. Cerclage placement
Question: Which assessment finding should convince the nurse to hold the next dose of magnesium sulfate?
Answer Choices:
A. RR 14/min
B. Urine output 100 mL/2 hr
C. BP drop from 160/100 to 140/85
D. Absent deep tendon reflexes
Answer: D. Absence of deep tendon reflexes