Nclex-Rn Practice Questions-Maternal-Neonatal Care - Antepartum Care Part 1
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Question 1 |
The nurse is planning care for a client receiving magnesium sulfate intravenously. The nurse recognizes the need to have which medication available for emergency use?
A | Calcium gluconate (Kalcinate) |
B | Hydralazine |
C | Naloxone |
D | Rho (D) immune globulin (RhoGAM) |
Question 2 |
A client is receiving I.V. magnesium sulfate for severe preeclampsia. It is most important for the nurse to assess the client for which of the following?
A | Anemia |
B | Decreased urine output |
C | Hyperreflexia |
D | Increased respiratory rate |
Question 3 |
A nurse is performing a cardiac assessment on a pregnant client and determines normal findings to include which of the following?
A | Cardiac tamponade |
B | Heart failure |
C | Endocarditis |
D | Systolic murmur |
Question 4 |
A pregnant client with sickle cell anemia is at an increased risk for having a sickle cell crisis during pregnancy. The nurse anticipates that aggressive management of a sickle cell crisis would include which treatment?
A | Antihypertensive agents |
B | Diuretic agents |
C | I.V. fluids |
D | Acetaminophen (Tylenol) for pain |
Question 5 |
A client who is pregnant and has developed preeclampsia asks the nurse why magnesium sulphate has been prescribed for her. What is the best response by the nurse?
A | “It prevents hemorrhage.” |
B | “It prevents hypertension.” |
C | “It prevents hypomagnesemia.” |
D | “It prevents seizures.” |
Question 6 |
A client in her fifth month of pregnancy is having a routine clinic visit. The nurse should assess the client for which common second trimester condition?
A | Mastitis |
B | Metabolic alkalosis |
C | Physiological anemia |
D | Respiratory acidosis |
Question 7 |
A nurse is assessing a pregnant client. Which symptom should the nurse expect to observe?
A | Increased tidal volume |
B | Increased expiratory volume |
C | Decreased inspiratory capacity |
D | Decreased oxygen consumption |
Question 8 |
A nurse is taking an initial history on a pregnant client, who asks about the chances of having dizygotic twins. Which statement by the nurse is correct?
A | “They occur most frequently in Asian women.” |
B | “There’s a decreased risk with increased parity.” |
C | “There’s an increased risk with increased maternal age.” |
D | “There’s no increased risk with the use of fertility drugs.” |
Question 9 |
In twin-to-twin transfusion syndrome, the arterial circulation of one twin is in communication with the venous circulation of the other twin. One fetus is considered the “donor” twin, and one becomes the “recipient” twin. Assessment of the recipient twin would most likely show which condition?
A | Anemia |
B | Oligohydramnios |
C | Polycythemia |
D | Small fetus |
Question 10 |
During a routine visit to the clinic, a client tells the nurse that she thinks she may be pregnant. The physician orders a pregnancy test. The nurse is aware that pregnancy would most accurately be confirmed by which of the following?
A | Increase in human chorionic gonadotropin (HCG) |
B | Decrease in HCG |
C | Increase in luteinizing hormone (LH) |
D | Decrease in LH |
Question 11 |
Clients with which condition would be appropriate for a trial of labor after a prior cesarean delivery?
A | Complete placenta previa |
B | Invasive cervical cancer |
C | Premature rupture of membranes |
D | Prior classical cesarean delivery |
Question 12 |
The nurse is teaching a client with placenta previa who has developed placenta accreta. Which statement concerning this condition would be the most correct?
A | The placenta invades the myometrium. |
B | The placenta covers the cervical os. |
C | The placenta penetrates the myometrium. |
D | The placenta attaches to the myometrium. |
Question 13 |
A client is scheduled for amniocentesis. What is the most important intervention for the nurse to implement?
A | Tell the client to drink 1 L of water. |
B | Have the client void. |
C | Instruct the client to fast for 12 hours. |
D | Place the client on her left side. |
Question 14 |
A client with gestational hypertension is receiving magnesium sulfate to prevent seizure activity. The nurse reviews the magnesium level and identifies a therapeutic level as:
A | 4 to 7 mEq/L. |
B | 8 to 10 mEq/L. |
C | 10 to 12 mEq/L. |
D | greater than 15 mEq/L. |
Question 15 |
A pregnant client is screened for tuberculosis during her first prenatal visit. An intradermal injection of purified protein derivative (PPD) of the tuberculin bacilli is administered by the nurse. The client is considered to have a positive test when which event occurs?
A | An indurated wheal under 10 mm in diameter appears in 6 to 12 hours. |
B | An indurated wheal over 10 mm in diameter appears in 48 to 72 hours. |
C | A flat circumcised area under 10 mm in diameter appears in 6 to 12 hours. |
D | A flat circumcised area over 10 mm in diameter appears in 48 to 72 hours. |
Question 16 |
A pregnant client has a negative contraction stress test (CST). How does the nurse interpret this result?
A | Persistent late decelerations in fetal heartbeat occurred, with at least three contractions in a 10-minute window. |
B | Accelerations of fetal heartbeat occurred, with at least 15 beats/minute, lasting 15 to 30 seconds in a 20-minute period. |
C | Accelerations of fetal heartbeat were absent or didn’t increase by 15 beats/minute for 15 to 30 seconds in a 20-minute period. |
D | There was good fetal heart rate (FHR) variability and no decelerations from contraction in a 10-minute period in which there were three contractions. |
Question 17 |
The nurse is caring for a client suspected of having a hydatidiform mole. Which signs and symptoms would confirm this diagnosis?
A | Heavy, bright red bleeding every 21 days |
B | Fetal cardiac motion after 6 weeks’ gestation |
C | Benign tumors found in the smooth muscle of the uterus |
D | “Snowstorm” pattern on ultrasound with no fetus or gestational sac |
Question 18 |
A 21-year-old client who has just been diagnosed with having a hydatidiform mole asks the nurse about risk factors. What is the best response by the nurse?
A | Age in 20s or 30s |
B | High socioeconomic status |
C | Primigravida |
D | Prior molar gestation |
Question 19 |
A 21-year-old client at 6 weeks’ gestation is diagnosed with hyperemesis gravidarum. The nurse is aware that the client is at risk for which condition?
A | Bowel perforation |
B | Electrolyte imbalance |
C | Miscarriage |
D | Gestational hypertension |
Question 20 |
A 21-year-old female client arrives at the emergency department with complaints of cramping, abdominal pain, and mild vaginal bleeding. Pelvic examination shows a left adnexal mass that is tender when palpated. Culdocentesis shows blood in the cul-de-sac. The nurse suspects this client may have which condition?
A | Abruptio placentae |
B | Ectopic pregnancy |
C | Hydatidiform mole |
D | Pelvic inflammatory disease (PID) |
Question 21 |
A 23-year-old client who is at 27 weeks’ gestation arrives at her physician’s office with complaints of fever, nausea, vomiting, malaise, unilateral flank pain, and costovertebral angle tenderness. Which diagnosis is most likely?
A | Asymptomatic bacteriuria |
B | Bacterial vaginosis |
C | Pyelonephritis |
D | Urinary tract infection (UTI) |
Question 22 |
While assessing a client in her 24th week of pregnancy, the nurse learns that the client has been experiencing signs and symptoms of pregnancy-induced hypertension, or preeclampsia. Which sign or symptom helps differentiate preeclampsia from eclampsia?
A | Seizures |
B | Headaches |
C | Blurred vision |
D | Weight gain |
Question 23 |
A client with painless vaginal bleeding at 28 weeks’ gestation has just been diagnosed as having placenta previa. Which statement by the client indicates that she understands the nurse’s teaching?
A | “I am still able to have sexual intercourse with my husband.” |
B | “I can continue to go to exercise class three times a week.” |
C | “I will still be able to fly to Florida for the holidays.” |
D | “I need to limit my activity and rest.” |
Question 24 |
A pregnant client who reports painless vaginal bleeding at 28 weeks’ gestation is diagnosed with placenta previa. The placental edge reaches the internal os. The nurse would suspect the client has which type of placenta previa?
A | Low-lying placenta previa |
B | Marginal placenta previa |
C | Partial placenta previa |
D | Total placenta previa |
Question 25 |
A 29-year-old client has gestational diabetes. The nurse is teaching her about managing her glucose levels. Which therapy would be most appropriate for this client?
A | Diet |
B | Long-acting insulin |
C | Oral hypoglycemic drugs |
D | Glucagon |
Question 26 |
During an examination, a client who’s 32 weeks pregnant becomes dizzy, light-headed, and pale. While the client is lying supine, which nursing intervention should take priority?
A | Listen to fetal heart tones. |
B | Take the client’s blood pressure. |
C | Ask the client to breathe deeply. |
D | Turn the client on her left side. |
Question 27 |
A nurse is assessing a client at 33 weeks’ gestation. Leopold’s maneuvers indicate that the fetus is in a breech position. What is the best location for the nurse to auscultate fetal heart tones?
A | Midway between the symphysis pubis and the umbilicus |
B | Right lower quadrant of the abdomen |
C | Right upper quadrant of the abdomen |
D | Above the level of the umbilicus |
Question 28 |
The nurse assesses a client at 34 weeks’ gestation who arrives at the emergency department with severe abdominal pain, uterine tenderness, and an increased uterine tone. The client denies vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decelerations. The client most likely has which condition?
A | Abruptio placentae |
B | Ectopic pregnancy |
C | Molar pregnancy |
D | Placenta previa |
Question 29 |
Expectant management of the client with a placenta implanted in the lower uterine segment includes which procedure or treatment?
A | Stat culture and sensitivity |
B | Antenatal steroids after 34 weeks’ gestation |
C | Ultrasound examination every 2 to 3 weeks |
D | Scheduled delivery of the fetus before fetal maturity in a hemodynamically stable mother |
Question 30 |
A 42-year-old pregnant client presents for her first prenatal visit at 16 weeks’ gestation. She has severe morning sickness and no fetal heart tones. Her blood pressure is 150/100 mm Hg. Fundal height is 24 cm. The nurse interprets this assessment as most likely indicative of which condition?
A | Abruptio placenta |
B | Placenta previa |
C | Normal pregnancy |
D | Hydatidiform mole |
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