Question: A client on magnesium sulfate reports feeling flushed and drowsy, RR 14/min, reflexes 2+, urine output 45 mL/hr. What should the nurse do?
Answer Choices:
A. Notify the provider
B. Administer calcium gluconate
C. Reassure the client
D. Stop magnesium sulfate
Answer: C. Reassure the client that these are expected effects
Question: A client after cerclage placement says, “I can resume sex whenever I feel comfortable.” What does this indicate?
Answer Choices:
A. Resume intercourse anytime
B. Avoid heavy lifting
C. Report contractions
D. Expect spotting
Answer: A. “I can resume sexual intercourse whenever I feel comfortable.”
Question: Initial treatment for hyperemesis gravidarum involves:
Answer Choices:
A. Corticosteroids
B. Pyridoxine
C. Enteral nutrition
D. IV therapy
Answer: D. IV therapy to correct fluid/electrolyte imbalance
Question: A 38-week client presents with painless bright red bleeding and FHR 138 bpm. What is the priority?
Answer Choices:
A. Initiate IV access
B. Insert Foley catheter
C. Prepare surgical area
D. Witness consent
Answer: A. Initiate IV access
Question: Gestational diabetes client in NST with no fetal movement for 15 minutes—what should the nurse do first?
Answer Choices:
A. Walk around
B. Offer orange juice and crackers
C. Semi-fowler’s position
D. Notify provider
Answer: B. Offer orange juice and crackers
Question: A woman discharged after cerclage placement should be instructed to:
Answer Choices:
A. Report vaginal discharge immediately
B. Prepare for cesarean birth
C. Report contractions, rupture of membranes, or severe perineal pressure
D. Arrange home care
Answer: C. Report contractions, rupture of membranes, or severe perineal pressure
Question: A female client with PPROM is being monitored and baseline FHR recorded. What should the nurse do next?
Answer Choices:
A. Administer oxygen
B. Change patient’s position
C. Continue to monitor FHR continuously
D. Notify physician
Answer: C. Continue to monitor the fetal heart tones continuously
Question: A 34-week client with preeclampsia has platelets 85,000, AST 165, ALT 140, LDH 600. What should the nurse do?
Answer Choices:
A. Give oral antihypertensives
B. Prepare for NST
C. Notify provider (HELLP suspected)
D. Encourage fluids
Answer: C. Notify the healthcare provider immediately – HELLP suspected
Question: A nurse is caring for clients on an intrapartum unit. Which finding should be reported immediately?
Answer Choices:
A. Tremors after terbutaline
B. Tearful client with irregular contractions
C. Preeclampsia with 2+ proteinuria and reflexes
D. Preeclampsia reporting epigastric pain and headache
Answer: D. Preeclampsia reporting epigastric pain and headache
Question: Which fetal monitoring finding requires immediate intervention?
Answer Choices:
A. Accelerations
B. Variable decelerations
C. Prolonged deceleration
D. Early decelerations
Answer: C. Prolonged deceleration with minimal variability
Question: A laboring client’s fetal heart rate is 80–85 bpm with variable decelerations after her water breaks and a pulsing cord is seen. What should the nurse do first?
Answer Choices:
A. Apply pressure to the presenting part with her fingers
B. Place the client in side-lying position
C. Call for additional assistance
D. Administer oxygen
Answer: A. Apply pressure to the presenting part with her fingers
Question: A nurse is assessing a client who is 30-weeks pregnant and diagnosed with iron-deficiency anemia. What symptoms should the nurse expect to find?
Answer Choices:
A. Pale, cold, bradycardia, hypertension
B. Pale, fatigue, headaches, lightheadedness
C. Blurred vision, increased appetite, fatigue
D. Weight gain, cold, tachycardia, pale
Answer: B. Pale, fatigue, headaches, lightheadedness
Question: What symptom distinguishes abruptio placentae from placenta previa?
Answer Choices:
A. Vital sign changes
B. Rupture of membranes
C. Uterine pain
D. Vaginal bleeding
Answer: C. Uterine pain