practice questions

A nurse is teaching a client at 13 weeks gestation about the treatment of incompetent cervix with cervical cerclage. Which of the following statements by the client indicates an understanding of the teaching?

"I should go to the hospital if I think I may be in labor."

A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The client's history includes a BMI of 31 prior to pregnancy, a prior post-term delivery, and a newborn birth weight of 4,167.38 g (9 lb and 3 oz). Which of the following lab values should the nurse expect to collect?

HbA1c

a nurse is assessing a client who is at 26 weeks gestation and has mild preeclampsia. Which of the following findings should the nurse report to the provider?

Deep tendon reflexes 4+

A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. The nurses should monitor the client for which of the following manifestations?

Dizziness

A nurse is caring for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? (select all that apply).

Fetal distress Vaginal bleeding Cervical dilation greater than 6 cm

a nurse in labor and delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of information should the nurse include?

Flex the client's legs apart and raise her knees to her abdomen

A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

Keep a daily record of fetal kick counts

A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that she should report to her provider. Which of the following findings should the nurse include in the teaching?

Vaginal bleeding

Hyper active deep tendon reflex demonstrates

a progression from mild preeclampsia to severe gestational hypertension or preeclampsia with severe features. - indicates the need for hospitalization and treatment with MagSulfate to prevent eclamptic seizures

A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?

alcohol consumption

A nurse is providing teaching to a client who is at 8 weeks gestation about manifestations to report to the provider during pregnancy. Which of the following pieces of information should the nurse include in the teaching?

blurred or double vision

uterus for placenta abruptio

firm and board-like pain is present

decreased UO in severe preeclampsia can indicate

inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can also indicate reduced renal perfusion secondary to a worsening of the client's pre-eclampsia

non stress test

measures fetal heart rate accelerations with normal movement. - A fetal acceleration is a positive sign where the FHR increases by 15/min and lasts 15 seconds. (REACTIVE) - In a nonreactive stress test, there are no accelerations. An absence of FHR acceleration suggests that the fetus might be going into distress.

a nurse is assessing a newborn. Which of the following findings suggests the newborn is post-mature?

nails extending over fingers

A nurse is assessing a client who is at 30 weeks of gestation and has gestational hypertension. Which of the following findings should the nurse identify as an indication that the client needs a biophysical profile?

nonreactive non-stress test

a nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which of the following findings should the nurse identify as the priority?

nonreactive nonstress test

a nurse is assessing a client who has placenta previa. Which of the following findings should the nurse expect?

painless, bright red bleeding

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?

pelvic inflammatory disease (PID)

A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as increasing the client's risk of complications due to the use of this medication?

previous cesarean delivery

Misoprostol (Cytotec)

prostaglandin that promotes cervical ripening. - adverse effect: uterine tachysystole (excessively frequent uterine contractions). - this med should be used with extreme caution and is contraindicated in clients who have experienced a previous cesarean delivery

A nurse is assessing a client who is in the first stage of labor and has preeclampsia. Which of the following findings should the nurse expect?

proteinuria

uterus for placenta previa

relaxed, soft, painless bleeding

clients with placenta previa often measures

slightly larger than expected because the fetus remains higher in the uterus - therefore the fundal height measures greater than gestational age

A nurse is planning educational sessions for clients in a childbirth class. Which of the following findings should the nurse plan to instruct the clients to report immediately?

swelling of face and fingers

when a non-stress test is nonreactive ...

the examiner will extend the duration of the test and use techniques such as vibroacoustic stimulation to try to elicit a response from the fetus. - If the test is still nonreactive, the client should undergo a biophysical profile - nonreactive: abnormal

A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports vaginal bleeding. Which of the following additional manifestations should the nurse expect?

the fundal height measures greater than gestational age

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurse's priority?

urinary output 40mL in 2 hrs

a nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?

uterine tone

blurred/double vision

a client who is pregnancy should report this as these could be a manifestation of gestational hypertension or preeclampsia

a nurse is providing teaching to a client who has come to the family-planning clinic requesting an intrauterine device (IUD). Which of the following pieces of information should the nurse provide the client?

"Your risk for ectopic pregnancy increases with an IUD."

a nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within 1 hr after birth?

Assess the newborn's blood glucose level

A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider to hasten fetal lung maturity?

Betamethasone

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider?

Perform a vaginal exam

a nurse is assessing a client at 35 weeks gestation who is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider?

Urinary output 20 mL/hr