1. A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding? A. Tachycardia B. Absence of clonus C. Polyuria D. Report of headache 2. A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following? B. Maternal bradycardia C. Umbilical cord compression D. Fetal head compression 3. A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client? A. Temperature B. Fetal heart rate C. Bowel sounds D. Respiratory rate 4. A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate? A. Moderate lochia rubra B. Fundus three fingerbreadths above the umbilicus C. Moderate swelling of the labia D. Blood pressure 130/84 mmHg 5. A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? B. Prepare for an emergency c-section C. Assess maternal blood glucose D. Place the client in Trendelenburg position A. Discontinue the medication infusion A. Uteroplacental insufficiency 6. A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification? A. Assess deep tendon reflexes every hour B. Obtain a daily weight C. Continuous fetal monitoring D. Ambulate twice daily 7. A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two finger breadths above the umbilicus. Which of the following actions should the nurse complete at this time? A. Administer an analgesic B. Message the fundus C. Insert a urinary catheter D. Have the client urinate 8. A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make? A. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding." C. "Your baby should burp after each feeding." D. "Your baby should sleep at least 6 hours between feedings." 9. A nurse caring for a client who delivered a healthy NB via C-section birth. The Client asks the nurse, “is there a chance that I could deliver my next baby without having a csection!” Which of the following responses should the nurse provide? A. “The primary consideration is what type of incision was performed on the uterus this time.” B. “It’s too soon for you to be worrying about this now.” C. “There are so many variables that you’ll have to ask your obstetrician.” D. “A repeat cesarean birth in safer for both you and your baby.” 10. A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of Lactated Ringer’s with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include BP 146/94, pulse 80, RR 18. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification? A. Methylergonovine 0.2 mg IM now B. Inset an indwelling urinary catheter. C. Administer oxygen by nonrebreather mask at 5L/min. D. Obtain lab study of prothrombin and partial thromboplastin time.