Nclex-Rn Practice Questions-Maternal-Neonatal Care - Antepartum Care Part 2
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Question 1 |
Which drug should a nurse choose to use as an antagonist for magnesium sulfate?
A | Oxytocin (Pitocin) |
B | Terbutaline |
C | Calcium gluconate |
D | Naloxone |
Question 2 |
A nonstress test (NST) is ordered for a client with preeclampsia. The nurse is aware that the test will be performed to assess which of the following?
A | Anemia |
B | Fetal well-being |
C | Intrauterine growth retardation (IUGR) |
D | Oligohydramnios |
Question 3 |
Which maternal complication is associated with obesity in pregnancy?
A | Mastitis |
B | Placenta previa |
C | Preeclampsia |
D | Rh isoimmunization |
Question 4 |
Which intervention should a nurse recommend to a client having severe heartburn during her pregnancy?
A | Eat several small meals daily. |
B | Eat crackers on waking every morning. |
C | Drink a preparation of salt and vinegar. |
D | Drink orange juice frequently during the day. |
Question 5 |
What is the most appropriate intervention for the nurse to recommend for a pregnant client who complains of swelling in her feet and ankles?
A | Limit fluid intake. |
B | Buy walking shoes. |
C | Sit and elevate the feet. |
D | Start taking a diuretic as needed daily. |
Question 6 |
A pregnant client is visiting the clinic and complains about the tiny, blanched, slightly raised end arterioles on her face, neck, arms, and chest. The nurse should explain that these are normal during pregnancy and referred to as which finding?
A | Epulis |
B | Linea nigra |
C | Striae gravidarum |
D | Telangiectasias |
Question 7 |
Which nursing intervention for a pregnant adolescent client has the highest priority during the first trimester?
A | Schedule the client for a screening glucose tolerance test. |
B | Refer the client to a dietitian for nutritional counseling. |
C | Tell the client that she will most likely need a cesarean delivery due to the head size of the fetus. |
D | Assess the client for signs and symptoms of placenta previa. |
Question 8 |
The nurse is teaching a student nurse about the GTPAL system, which documents a client’s previous pregnancies. Which statement most accurately describes this system?
A | Total neonates, Preterm neonates, Anencephalic neonates, and Live births |
B | Total neonates, Problem pregnancies, Abortions, and Live births |
C | Term neonates, Preterm neonates, Anencephalic neonates, and Live births |
D | Term neonates, Preterm neonates, Abortions, and Living children |
Question 9 |
A client hospitalized for preterm labor tells the nurse she’s having occasional contractions. Which nursing intervention would be the most appropriate?
A | Teach the client the possible complications of preterm birth. |
B | Tell the client to walk to see if she can get rid of the contractions. |
C | Encourage her to empty her bladder and drink plenty of fluids and give I.V. fluids. |
D | Notify anesthesia for immediate epidural placement to relieve the pain associated with contractions. |
Question 10 |
A pregnant client asks the nurse why she should lie on her left side when resting or sleeping in the later stages of pregnancy. What is the best response by the nurse?
A | To facilitate digestion |
B | To facilitate bladder emptying |
C | To prevent compression of the vena cava |
D | To avoid the development of fetal anomalies |
Question 11 |
A nurse is discussing nutrition with a prima gravida client. The client states that she knows that calcium is important during pregnancy; however, she and her family don’t consume many milk or dairy products. What advice should the nurse give?
A | “The prenatal vitamins that are recommended will satisfy all dietary requirements.” |
B | “You could supplement your diet with 1,800 mg of over-the-counter calcium tablets.” |
C | “You should consume other nondairy foods that are high in calcium.” |
D | “After the first trimester, calcium intake isn’t significant because all fetal organ structures are formed.” |
Question 12 |
A pregnant client asks the nurse about the pregnancy stage in which maternal and fetal blood are exchanged. Which response by the nurse would be most accurate?
A | Conception |
B | 9 weeks’ gestation, when the fetal heart is well developed |
C | 32 to 34 weeks’ gestation (third trimester) |
D | Maternal and fetal blood are never exchanged. |
Question 13 |
What would be the most appropriate medication to administer for a client who has been in early labor (contractions every 10 to 12 minutes) for 12 hours without progression to help stimulate uterine contractions?
A | Estrogen |
B | Fetal cortisol |
C | Oxytocin |
D | Progesterone |
Question 14 |
A nurse is assessing a client who is experiencing a normal pregnancy. The nurse would anticipate the assessment to include which finding?
A | A 10 beat/minute drop in heart rate |
B | A 2 breath/minute increase in respiratory rate |
C | A 15 mm Hg increase in systolic blood pressure |
D | A 2,000/µl drop in leukocyte count |
Question 15 |
A pregnant client is concerned about lack of fetal movement. What is the best response by the nurse?
A | Start taking two prenatal vitamins. |
B | Take a warm bath to facilitate fetal movement. |
C | Eat foods that contain a high sugar content to enhance fetal movement. |
D | Lie down once a day and count the number of fetal movements for 15 to 30 minutes. |
Question 16 |
A client at 18 weeks’ gestation reports fluttering sensations in her abdomen. Which statement made by the client indicates that the nurse’s teaching was successful?
A | “This is my baby moving.” |
B | “I will seek prompt medical attention if this happens again.” |
C | “This is an early sign of labor.” |
D | “I will avoid spicy foods.” |
Question 17 |
A client with diabetes, who is in the late third trimester, has a nonstress test twice weekly. The 20-minute test showed three fetal heart rate accelerations that exceeded the baseline by 15 beats/minute and that lasted longer than 15 seconds. The nurse knows these results are consistent with which interpretation of a nonstress test?
A | Reactive test |
B | Nonreactive test |
C | Positive test |
D | Negative test |
Question 18 |
A nurse receives an order to start an infusion of blood for a client who’s hemorrhaging due to a placenta previa. It is most important for the nurse to obtain which of the following?
A | Y tubing, normal saline solution, and a 20G catheter |
B | Y tubing, lactated Ringer’s solution, and an 18G catheter |
C | Y tubing, normal saline solution, and an 18G catheter |
D | Y tubing, lactated Ringer’s solution, and a 20G catheter |
Question 19 |
A client’s prenatal history shows her to be a 23-year-old gravida 4, para 2. The nurse has correctly interpreted this information when she makes which statement?
A | “The client has been pregnant four times and has had two miscarriages.” |
B | “The client has been pregnant four times and has had two children born after 20 weeks’ gestation.” |
C | “The client has been pregnant four times and has had two cesarean deliveries.” |
D | “The client has been pregnant four times and has had two spontaneous abortions.” |
Question 20 |
A 25-year-old primiparous client arrives for her first prenatal visit at 10 weeks’ gestation. She seems nervous and has many questions. What is the most important intervention by the nurse?
A | Assess the client’s concerns while taking a comprehensive history. |
B | Ask the client to undress to prepare for the physical examination. |
C | Reassure the client that all her questions will be answered during the visit. |
D | Tell the client there’s nothing to worry about; the physician will take care of her. |
Question 21 |
The nurse is reviewing the glucose tolerance test results of a client who is at 26 weeks’ gestation. The nurse determines further intervention is necessary when the results identify:
A | a glucose level of 120 mg/dl during a 1-hour glucose tolerance test. |
B | a 1-hour glucose level of 160 mg/dl during a 3-hour glucose tolerance test. |
C | a 2-hour glucose level of 180 mg/dl during a 3-hour glucose tolerance test. |
D | a 3-hour glucose level of 130 mg/dl during a 3-hour glucose tolerance test. |
Question 22 |
Which dose of Rho (D) immune globulin (RhoGAM) is appropriate for a pregnant client at 28 weeks’ gestation?
A | 50 mcg in a sensitized client |
B | 50 mcg in an unsensitized client |
C | 300 mcg in a sensitized client |
D | 300 mcg in an unsensitized client |
Question 23 |
A client is diagnosed with preterm labor at 28 weeks’ gestation. Later, she comes to the emergency department saying, “I think I’m in labor.” The nurse should expect her physical examination to show which condition?
A | Painful contractions with no cervical dilation |
B | Regular uterine contractions with cervical dilation |
C | Irregular uterine contraction with no cervical dilation |
D | Irregular uterine contractions with cervical effacement |
Question 24 |
A nurse is teaching a client who received a dose of Rho (D) immune globulin (RhoGAM) at 28 weeks’ gestation to prevent Rh isoimmunization. Which statement is most accurate about the development of this condition?
A | Rh-positive maternal blood crosses into fetal blood, stimulating fetal antibodies. |
B | Rh-positive fetal blood crosses into maternal blood, stimulating maternal antibodies. |
C | Rh-negative fetal blood crosses into maternal blood, stimulating maternal antibodies. |
D | Rh-negative maternal blood crosses into fetal blood, stimulating fetal antibodies. |
Question 25 |
A 32-year-old woman is at 15 weeks’ gestation when admitted to the labor unit. According to the GTPAL system, she is a G5 P1212. Which description does this indicate?
A | Total of 5 pregnancies, 1 full-term pregnancy, 2 problem pregnancies, 1 spontaneous abortion, and 2 live births |
B | Total of 5 children, 1 full-term pregnancy, 2 preterm pregnancies, 1 abortion, and 2 live births |
C | Total of 5 pregnancies, 1 full-term pregnancy, 2 preterm pregnancies, 1 abortion, and 2 living children |
D | Total of 5 pregnancies, 1 full-term pregnancy, 2 problem pregnancies, 1 abortion, and 2 living children |
Question 26 |
The nurse is assessing a 32-year-old woman who is 15 weeks’ pregnant and has a history of hypertension. The nurse is aware that the client is most at risk for which condition?
A | Abruptio placentae |
B | Preterm labor |
C | Spontaneous abortion |
D | Anemia |
Question 27 |
A 32-year-old female client has her first prenatal visit at 15 weeks’ gestation. Which finding during this visit is abnormal?
A | Fundal height of 18 cm |
B | Blood pressure of 124/72 mm Hg |
C | Urine negative for protein |
D | Weight of 144 lb (65.3 kg) |
Question 28 |
A client is at 33 weeks’ gestation and has had diabetes since she was 21. When checking her fasting blood sugar level, which value would indicate to the nurse that the client’s disease was controlled?
A | 45 mg/dl |
B | 85 mg/dl |
C | 120 mg/dl |
D | 136 mg/dl |
Question 29 |
A nurse is planning the care of a pregnant client. Which condition would require more frequent visits?
A | Blood type O positive |
B | First pregnancy at age 33 years |
C | History of allergy to honey bee pollen |
D | History of insulin-dependent diabetes mellitus |
Question 30 |
To detect life-threatening complications as early as possible in a client receiving a tocolytic agent, the nurse should be alert for which finding?
A | Serum blood glucose level of 140 mg/dl |
B | Maternal heart rate of 54 beats/minute |
C | Bilateral crackles on lung auscultation |
D | Weakened carotid pulse |
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