1. A 26-week gestation woman id diagnosed with severe preeclampsia. The nurse
assesses for which of the following signs/ symptoms associated with HELLP
syndrome?
a. Epigastric pain
b. High serum protein
c. Hyporefle
...
1. A 26-week gestation woman id diagnosed with severe preeclampsia. The nurse
assesses for which of the following signs/ symptoms associated with HELLP
syndrome?
a. Epigastric pain
b. High serum protein
c. Hyporeflexia
d. Thrombocytopenia
e. Bloody stools
2. Client is being discharged from the hospital after evacuation of a molar
pregnancy. The nurse recognizes that additional discharge teaching is required
when the client states:
a. “I am so sad for my loss”
b. “I may need to have chemotherapy after this”
c. “I will need to see the doctor in one year for a follow-up”
d. “I will use contraception for the next year”
3. A patient who is having a difficult labor is diagnosed with cephalopelvic
disproportion (CPD). The nurse should question which medical order:
a. Maintain NPO status
b. Start IV of Normal Saline
c. Add 10 units of oxytocin to IV fluids – cesarean birth is indicated
when there is a cephalopelvic disproportion, no need toinduce labor may
result in uterine rupture and fetal compromise
d. Record fetal heart tones every 15 minutes
4. A client is admitted to the hospital with an ectopic pregnancy. The symptoms
that caused her to seek health care is most likely to havebeen:
a. Sharp unilateral abdominal pain
b. Uncontrolled vomiting
c. Lack of fetal movement
d. Profuse vaginal bleeding
5. An increased risk for shoulder dystocia is associated with:
a. Preterm labor
b. Maternal diabetes
c. VBAC
d. Previous precipitous birth
6. A primigravida patient who is 29 weeks pregnant comes to the labor anddelivery
unit. She is O+ and rubella immune. She states she is having regular contractions
every 8 minutes. An exam reveals she is 3 cm dilated. Which of the following can
the nurse expect to administer?
a. Folic acid
b. Nifedipine
c. Betamethasone
d. Rhogram
e. IV fluids
f. Morphine
7. A 28 year old, G3G2 has just been diagnosed with gestational diabetes at30
weeks. The client asks what types of complications may occur with this diagnosis.
Which complications should the nurse identify as being associated with gestational
diabetes?
a. Maternal seizures
b. Large for gestational age infant
c. Hyperglycemia in the newborn
d. Hypoglycemia in the newborn
e. Fetal anemia
8. Which of the following is an indication to discontinue administration of
magnesium sulfate in a women with preeclampsia?
a. Blood pressure of 120/70
b. Nausea and vomiting
c. E..............................................................................................................CONTINUED
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