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NRSG 3302 TEST 2 Questions & Answers
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NRSG 3302 TEST 2 Questions & Answers1. A 26 week gestation woman id diagnosed with severe preeclampsia. The nurse
assess for which of the following signs/ symptoms associated with HELLP
syndrome?
a. Epigastric pain
b. High serum protein
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 to induce 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 have
been:
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 and delivery
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 at 30 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. Epigastric pain
d. Respiratory rate of 10
9. When a breech presentation is suspected during the intrapartum period, a priority
nursing interventions is to diligently observe the client for signs of:
a. Hip dysplasia
b. Cord prolapse
c. A precipitous delivery
d. Labor progression
10. A 34 year old with chronic hypertension arrives at the emergency department
stating that she is in labor and complaining of constant pain between contractions.
The nurse palpates a rigid abdomen with no signs of relaxation and concludes that
the:
a. fetus birth may be imminent
b. patient may have abruptio placentae
c. patient may have placenta previa
d. fetus may be in the breech presentation
11. A patient is admitted in active labor with her second baby. Her prenatal record
indicates she has a history of genital herpes. When performing the admission
assessment, the nurse notes herpetic lesions on the genitalia confirmed by the
physician, in order to shorten the second stage of labor:
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