NRSG 3302 TEST 2 Review Questions & Answers

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1. A 26-week gestation woman id diagnosed with severe preeclampsia. The nurse assesses for which of the following signs/ symptoms associated with HELLP syndrome? a. Epigastric pain b. High serum p... rotein c. Hyporeflexia d. Thrombocytopenia e. Bloody stools 2. Client is being discharged from the hospital after evacuation of a molar pregnancy. The nurse recognizes that additional discharge teaching is required when the client states: a. “I am so sad for my loss” b. “I may need to have chemotherapy after this” c. “I will need to see the doctor in one year for a follow-up” d. “I will use contraception for the next year” 3. A patient who is having a difficult labor is diagnosed with cephalopelvic disproportion (CPD). The nurse should question which medical order: a. Maintain NPO status b. Start IV of Normal Saline c. Add 10 units of oxytocin to IV fluids – cesarean birth is indicated when there is a cephalopelvic disproportion, no need toinduce labor may result in uterine rupture and fetal compromise d. Record fetal heart tones every 15 minutes 4. A client is admitted to the hospital with an ectopic pregnancy. The symptoms that caused her to seek health care is most likely to havebeen: a. Sharp unilateral abdominal pain b. Uncontrolled vomiting c. Lack of fetal movement d. Profuse vaginal bleeding 5. An increased risk for shoulder dystocia is associated with: a. Preterm labor b. Maternal diabetes c. VBAC d. Previous precipitous birth 6. A primigravida patient who is 29 weeks pregnant comes to the labor anddelivery unit. She is O+ and rubella immune. She states she is having regular contractions every 8 minutes. An exam reveals she is 3 cm dilated. Which of the following can the nurse expect to administer? a. Folic acid b. Nifedipine c. Betamethasone d. Rhogram e. IV fluids f. Morphine 7. A 28 year old, G3G2 has just been diagnosed with gestational diabetes at30 weeks. The client asks what types of complications may occur with this diagnosis. Which complications should the nurse identify as being associated with gestational diabetes? a. Maternal seizures b. Large for gestational age infant c. Hyperglycemia in the newborn d. Hypoglycemia in the newborn e. Fetal anemia 8. Which of the following is an indication to discontinue administration of magnesium sulfate in a women with preeclampsia? a. Blood pressure of 120/70 b. Nausea and vomiting c. E..............................................................................................................CONTINUED [Show More]

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