Question: A nurse caring for a client in preterm labor at 30 weeks receiving terbutaline notes new dyspnea and chest tightness. What is the priority?

Answer Choices:
A. Blood glucose 165 mg/dL
B. HR 122 bpm and tremors
C. Dyspnea and chest tightness
D. Jittery and restless

Answer: C. Client reports new onset of dyspnea and chest tightness

 

Question: A nurse is caring for a client with severe preeclampsia who suddenly develops signs of DIC. Which finding is highest priority to report?

Answer Choices:
A. BP 170/110 mmHg
B. Headache and visual disturbances
C. Excessive vaginal bleeding
D. Periods of fetal movement followed by quiet

Answer: C. Excessive vaginal bleeding

 

Question: Which factor should alert the nurse to the potential for a prolapsed umbilical cord?

Answer Choices:
A. Oligohydramnios
B. Presenting part at a station of -3
C. Meconium-stained amniotic fluid
D. Pregnancy at 38 weeks gestation

Answer: B. Presenting part at a station of -3

 

Question: A primigravida of 28 years of age is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Nursing care is based on which of the following?

Answer Choices:
A. This condition is caused by psychogenic factors.
B. She should be isolated from her family.
C. She should be assessed for signs of dehydration and starvation.
D. The treatment is similar to that for morning sickness.

Answer: C. She should be assessed for signs of dehydration and starvation.

 

Question: A client with PROM at 33 weeks is to receive betamethasone. Which condition could be affected?

Answer Choices:
A. Incompetent cervix
B. IUGR
C. Alcohol abuse
D. Diabetes mellitus

Answer: D. Diabetes mellitus

 

Question: Calculation – Pitocin Infusion. Order: 6 mU/min, 30 units in 1000 mL NS. What is the infusion rate?

Answer Choices: N/A

Answer: 12 mL/hr

 

Question: (Select all that apply.) Which factors increase risk of cord prolapse?

Answer Choices:
A. Oligohydramnios
B. High fetal station at membrane rupture
C. Fetal growth restriction
D. Polyhydramnios
E. Breech or transverse presentation
F. Complete placenta previa

Answer: B, D, E

 

Question: Which finding supports a diagnosis of placenta previa?

Answer Choices:
A. Increasing abdominal pain with a non-rigid uterus
B. Painless red vaginal bleeding
C. Scant red bleeding with pain
D. Pain after bloody mucus

Answer: B. Painless red vaginal bleeding

 

Question: Placenta previa suspected—what order should the nurse question?

Answer Choices:
A. Prepare for ultrasound
B. External fetal monitoring
C. Hemoglobin/hematocrit
D. Vaginal exam

Answer: D. Vaginal exam

 

Question: The nurse is caring for a multigravida client hospitalized at 36 weeks with PPROM and no signs of labor. Which order should be anticipated?

Answer Choices:
A. IV antibiotics
B. Encourage ambulation
C. Immediate cesarean
D. Frequent cervical assessments

Answer: A. Administer intravenous antibiotics to prevent infection

 

Question: A client presents with painless bright red vaginal bleeding and no prenatal care. Which intervention is most indicated?

Answer Choices:
A. Obtain fundal height
B. EFM and sterile vaginal exam
C. EFM and physical assessment
D. Fundal height and vaginal exam

Answer: C. Apply external fetal monitor and complete a physical assessment

 

Question: A client with placental abruption given narcotics shows what FHR change?

Answer Choices:
A. Increased variability
B. Accelerations
C. Late decelerations
D. Diminished variability

Answer: D. Diminished variability