Question: (Select all that apply.) Late decelerations are observed. What should the nurse do?
Answer Choices:
A. Give oxygen
B. Turn to left side
C. Monitor BP
D. Notify provider
E. Decrease IV fluids
Answer: A, B, C, D
Question: Which finding indicates uterine rupture?
Answer Choices:
A. Fetal tachycardia
B. Dyspnea
C. Rapid labor
D. Contractions abruptly stop
Answer: D. Contractions abruptly stop during labor
Question: (Select all that apply.) During an eclamptic seizure, what should the nurse avoid?
Answer Choices:
A. Stay with patient
B. Provide oxygen
C. Supine position
D. Holding head down
E. Time the seizure
Answer: C, D
Question: A pregnant client at 32 weeks with painless vaginal bleeding is suspected of placenta previa. What is the nurse’s priority action?
Answer Choices:
A. Perform vaginal exam
B. Start oxytocin
C. Check H&H
D. Assess fetal heart rate and maternal vitals
Answer: D. Assess fetal heart rate and maternal vital signs
Question: A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Answer Choices:
A. A client who is experiencing Braxton Hicks contractions at 37 weeks
B. A client who is experiencing preterm labor at 26 weeks of gestation
C. A client who has a post-term pregnancy at 42 weeks
D. A client who is experiencing fetal death at 32 weeks
Answer: B. A client who is experiencing preterm labor at 26 weeks of gestation
Question: Which lab value is consistent with HELLP syndrome?
Answer Choices:
A. Hematocrit 48%
B. Sodium 130 mEq/L
C. Platelets 75,000
D. Potassium 5.5 mEq/L
Answer: C. Platelets 75,000
Question: A pregnant client at 30 weeks’ gestation is admitted with contractions. The healthcare provider orders a fetal fibronectin (fFN) test. The nurse understands that a negative fFN result indicates:
Answer Choices:
A. A high likelihood of spontaneous preterm labor within 7–14 days
B. A low risk of preterm labor in the next 7–14 days
C. The need for immediate administration of corticosteroids
D. A need for emergency cesarean delivery
Answer: B. A low risk of preterm labor in the next 7–14 days
Question: A preeclampsia client reports headache, visual changes, and epigastric pain. These indicate:
Answer Choices:
A. Magnesium side effects
B. Worsening disease and impending convulsion
C. GI upset
D. Anxiety
Answer: B. Worsening disease and impending convulsion
Question: After SROM, nurse notices a prolapsed cord. Which position should the woman be placed in?
Answer Choices:
A. Supine
B. Sitting
C. Knee-chest
D. Side-lying
Answer: C. Knee-chest
Question: After AROM, recurrent variable decelerations are seen. These indicate:
Answer Choices:
A. Fetal head compression
B. Umbilical cord compression
C. Uteroplacental insufficiency
D. Breech presentation
Answer: B. Umbilical cord compression
Question: A nurse is caring for a client at 36 weeks’ gestation who has been diagnosed with preeclampsia. The client asks, “When will this go away?” What is the nurse’s best response?
Answer Choices:
A. Delivery of the baby and placenta is the only cure for preeclampsia.
B. Your symptoms will go away once your blood pressure is under control with medication.
C. Preeclampsia usually resolves during the second trimester.
D. As long as you are on magnesium sulfate, your condition is considered cured.
Answer: A. Delivery of the baby and placenta is the only cure for preeclampsia.
Question: What routine nursing assessment is contraindicated with suspected placenta previa?
Answer Choices:
A. Contraction pattern
B. Observe bleeding
C. Cervical dilation/effacement
D. Monitor FHR
Answer: C. Cervical dilation and effacement
Question: Calculation – Magnesium Sulfate Infusion. Order: 6 g IV bolus over 20 min from 40 g in 1000 mL LR. What is the infusion rate?
Answer: 450 mL/hr