Learning system 3.0 Maternal Newborn 1 Questions and Answers
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1. A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks the nurse how the provider will confirm he
...
Learning system 3.0 Maternal Newborn 1 Questions and Answers
Graded A+
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1. A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks the nurse how the provider will confirm her pregnancy.
The nurse should inform the client that which of the following labs tests will
be used to confirm her pregnancy?
1. A blood test for the presence of estrogen
2. A blood test for the amount of circulating progesterone
3. A urine test for the presence of human chorionic somatomammotropin
4. A urine test for the presence of human chorionic gonadotropin: Human
chorionic gonadotropin is excreted by the placenta and promotes the excretion of
progesterone and estrogen. This hormone is the basis for pregnancy testing.
2. a nurse is teaching a client who is 8w gestation and has a uterine fibroid
about potential effects of the fibroid during pregnancy.Which of the following
information should the nurse include in the teaching?
1. "The fibroid will shrink during the pregnancy."
2. "The fibroid can increase the risk for postpartum hemorrhage."
3. "You will receive an injection of medroxyprogesterone acetate to shrink
the fibroid."
4. "You will have to undergo a cesarean birth because of the fibroid.": Uterine
fibroids can increase the risk for postpartum hemorrhage due to the increase in
blood supply to the uterus, which supports the fibroid.
3. a nurse is assessing a client who is 12w gestation and has a hydatidiform
mole. Which of the following findings should the nurse expect
1. hypothermia
2. dark brown vaginal discharge
3. decreased urinary output
4. fetal heart tones: A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous, fluid-filled
vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark
brown and can contain grapelike clusters.
4. a nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain.Which of the following actions should the nurse
take?
1. instruct the client to pant during contractions
2. position the client supine with legs elevated
3. encourage the client to soak in a warm bath
4. apply pressure to the clients sacral area during contractions: The nurse
should provide counter pressure to the sacral area with a palm or a firm object,Learning system 3.0 Maternal Newborn 1 Questions and Answers
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such as a tennis ball, during contractions. Counterpressure lifts the fetal head away
from the sacral nerves, which decreases pain.
5. a nurse is caring for a client who is 32 weeks of gestation ans is experiencing preterm labor. Which of the following medications should the nurse
plan to administer
1. Betamethasone
2. Misoprostol
3. Methylergonovine
4. Poractant alfa: The nurse should plan to administer betamethasone IM, a
glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory
depression.
6. A nurse is caring for a client who has a oligohydraaminos. Which of the
following fetal abnormalities should the nurse expect?: Oligohydramnios is a
volume of amniotic fluid less than 300 mL during the third trimester of pregnancy
and occurs when there is a renal system dysfunction or obstructive uropathy.
Absence of fetal kidneys will cause oligohydramnios
7. A nurse is caring for a client who is at 39W gestation and is in the active
phase of labor. The nurse observes late decels on the FHR. Which of the
following findings should the nurse identify as the cause of late decels?
1. Uteroplacental insufficiency
2. Fetal head compression
3. Fetal ventricular septal defect
4. Umbilical cord compression: A late deceleration in the FHR is a nonreassuring FHR pattern resulting from fetal hypoxemia due to insufficient placental
perfusion. The nurse should reposition the client, initiate oxygen, and increase the
infusion rate of IV fluid to enhance placental perfusion.
8. a nurse is caring for client whose LMP began July 8. Using Nagel's rule, the
nurse should identify the clinet's estimated DOB as which of the following
1. oct. 1st
2. april 1st
3. October 15
4. April 15th: Using Nagele's rule, the nurse determines the EDB by counting back
3 months from the first day of the LMP and adding 7 days.
9. a nurse is caring for a client who is at 35 weeks gestation and has
severe pre eclampsia Which of the following assessments provides the most
accurate information regarding the clients fluid and electrolyte status?
1. Blood pressure
2. Intake and outputLearning system 3.0 Maternal Newborn 1 Questions and Answers
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3. Daily weight
4. Severity of edema: Evidence-based practice indicates that daily weight is the
most accurate assessment to determine a client's fluid and electrolyte status.
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