1. A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm
labor. What meds should the nurse plan to administer? ANS –betamethasone.
2. 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 what lab test will be used to confirm her pregnancy? ANS -urine test for
presence of HCG.
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
nurse identify as a positive sign of pregnancy?
ANS -. palpable fetal movement.
4. A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
nurse expect? ANS -renal agenesis
5. A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic
fracture due to blunt abd trauma. What findings should the nurse expect ? ANS -
uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect? ANS -dark brown vaginal discharge
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.
7. A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational
HTN. What finding should the nurse identify as the priority? ANS -480 mL urine output
in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hr because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding.
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
should the nurse include in the teaching? ANS -you should continue to take
zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
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