Question: Two hours after insertion of Cervidil, contractions occur every 2 minutes, lasting 75 seconds. The nurse notes a Category II fetal tracing. What is the immediate action?
Answer Choices:
A. Place the patient in high Fowler’s
B. Administer IV oxytocin
C. Continue monitoring for 30 minutes
D. Remove the Cervidil insert
Answer: D. Remove the Cervidil insert
Question: A 28-week pregnant client with Rh-negative blood type presents to the clinic. She reports that earlier this week she experienced vaginal bleeding after a minor fall. Which of the following antepartum events indicates that the nurse should anticipate an extra dose of Rhogam?
Answer Choices:
A Positive Group B Streptococcus screening
B Glucose challenge test
C Vaginal bleeding after trauma
D Routine 28-week prophylactic Rhogam administration
Answer: C – Vaginal bleeding after trauma
Question: The nurse is caring for a pregnant client with severe preeclampsia who is receiving a continuous magnesium sulfate infusion. Which clinical finding indicates that the medication is achieving its intended therapeutic effect?
Answer Choices:
A. There is an absence of seizure activity and reflexes are 2+
B. BP has stabilized at 128/76 and clonus is present
C. Deep tendon reflexes are absent and urine output is 20 mL/hr
D. Respiratory rate is 10/min and the client reports feeling drowsy
Answer: A. There is an absence of seizure activity and reflexes are 2+
Question: A client at 30 weeks gestation receives betamethasone. Which statement by the client indicates an understanding of the teaching regarding the use of corticosteroids during preterm labor?
Answer Choices:
A. “The corticosteroids may help my baby’s lungs mature.”
B. “To take corticosteroids, my baby will not have to spend any time in the neonatal intensive care unit when he or she is born.”
C. “The goal of corticosteroids is to stop contractions and help me get to my due date.”
D. “I will be taking corticosteroids until my baby’s due date so that he or she will have the best chance of doing well.”
Answer: A. The corticosteroids may help my baby’s lungs mature.
Question: A 29-year-old client with anovulatory infertility is prescribed Clomid (clomiphene citrate). Which statement by the client indicates the nurse needs to provide further teaching?
Answer Choices:
A I may experience hot flashes, mood swings, and breast tenderness while on this medication
B I should monitor for visual changes or headaches and report them if they occur
C I will take this medication for 5 days early in my cycle as instructed
D I will avoid sexual activity while taking Clomid to improve its effectiveness
Answer: D – I will avoid sexual activity while taking Clomid to improve its effectiveness
Question: (Select All That Apply) A laboring client is receiving oxytocin at 6 milliunits/min. The nurse notes contractions every 1–1.5 minutes, lasting 90 seconds, and the fetal heart rate showing late decelerations. Which of the following are priority nursing actions?
Answer Choices:
A Notify the provider
B Administer Terbutaline immediately
C Apply oxygen via nonrebreather mask
D Increase IV fluids
E Stop the oxytocin infusion
Answer: A – Notify the provider; C – Apply oxygen via nonrebreather mask; D – Increase IV fluids; E – Stop the oxytocin infusion
Question: A newborn is prescribed a medication with a dose of 0.5 mg. The available solution is 2 mg/mL. Calculate the volume to administer and identify the correct injection site.
Answer Choices:
A, B, C, D (volume and site combinations)
Answer: D. 0.25 mL and B Step Explanation: 0.5 mg ÷ 2 mg/mL = 0.25 mL; injection site for newborn Hepatitis B is the vastus lateralis (site B).
Question: A client has experienced a postpartum hemorrhage. The healthcare provider verbally prescribed carboprost tromethamine 0.25 mg IM stat at the time of the hemorrhage, and this was given by the nurse. The HCP put a prescription into the medical record for 0.25 mg carboprost tromethamine IV stat. When seeing the prescription, how should the nurse administering the carboprost tromethamine respond?
Answer Choices:
A. Wait until the HCP returns to the unit and discuss the situation in person.
B. Ask the charge nurse to have a discussion with the HCP about the prescription.
C. Call the HCP, discuss the prescription, and request revision if heard correctly.
Answer: C. Call the HCP, discuss the prescription, and request revision if heard correctly.
Question: A client at 40 weeks is scheduled for induction using misoprostol. Her chart reveals one prior low-transverse cesarean delivery. What is the nurse’s best action?
Answer Choices:
A. Proceed with administration as ordered
B. Hold the dose and notify the provider
C. Monitor closely for contractions after giving
D. Administer oxytocin instead
Answer: B. Hold the dose and notify the provider
Question: A 32-week pregnant client asks the nurse about routine vaccinations. She reports she has never received the rubella or varicella vaccines. Which statement by the nurse is most accurate regarding these vaccines in pregnancy?
Answer Choices:
A. “Both vaccines are live attenuated, so they are contraindicated during pregnancy.”
B. “You should receive the rubella and varicella vaccines now to protect your baby before birth.”
C. “It’s safe to give either vaccine if your blood tests show immunity is low.”
D. “You can receive the rubella vaccine now, but wait to get varicella until after delivery.”
Answer: A. Both vaccines are live attenuated, so they are contraindicated during pregnancy.
Question: A nurse suspects a client has a hydatidiform mole. Which finding should the nurse expect?
Answer Choices:
Rapid decline in hCG
Irregular fetal heart rate
Excessive uterine enlargement
Profuse clear discharge
Answer: Excessive uterine enlargement
Question: A nurse is preparing to administer a tocolytic to delay preterm birth. One hour later, the client reports dizziness, and her BP is 78/44 mm Hg. Which medication should the nurse anticipate holding next?
Answer Choices:
A. Indomethacin
B. Betamethasone (Celestone)
C. Magnesium sulfate
D. Nifedipine
Answer: D. Nifedipine