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RN Nursing School · Maternal-Newborn · 704 questions

Antepartum practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Antepartum, practise in the app.

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  1. 1A nurse is caring for a client who is at 37 weeks of gestation and reports a slow trickle of vaginal fluid for the past 12 hr. Which of the following diagnostic tests should the nurse anticipate?Answer →
  2. 2The nurse evaluates interventions and determines their effectiveness. Click to highlight the findings that indicate the client is stable.Answer →
  3. 3A pregnant client at 36 weeks gestation with chronic hypertension is scheduled for a contraction stress test (CST) after a nonreactive nonstress test (NST) Which nursing action is the priority during the CST to ensure fetal safety?Answer →
  4. 4The pregnant woman experience contraction which may decreased with exercise, rest, and analgesic. The nurse may refer this as:Answer →
  5. 5A patient reports breast tenderness, amenorrhea, and fatigue. The nurse recognizes these are:Answer →
  6. 6Which explanation best supports the nurse's conclusion that genetic mutations can result in disease?Answer →
  7. 7A nurse in the emergency department is caring for a group of clients. Which of the following clients should the nurse plan to see first?Answer →
  8. 8After reviewing the client's electronic health record, which of the following actions should the nurse take? Select the 3 actions that the nurse should take.Answer →
  9. 9A client who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 7 year-old daughter born at 40 weeks, a 5 year-old son born at 36 weeks, a 3 year-old son born at 39 weeks, and had one miscarriage. How would the nurse document this client's obstetric history using the GTPAL system?Answer →
  10. 10What 3 additional assessment data should the nurse obtain? Select all that apply.Answer →
  11. 11A nurse is teaching a newly licensed nurse about factors that increase the risk of spontaneous abortion. Which of the following statements should the nurse make?Answer →
  12. 12What is an advantage of intrauterine devices (IUDs)?Answer →
  13. 13When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full term infant, one premature infant born at 32 weeks gestation station that survived, and one miscarriage. Which is this client's gravidity?Answer →
  14. 14At 20 weeks' gestation, where should the nurse expect to palpate the fundus?Answer →
  15. 15A nurse is caring for a client who is at 37 weeks of gestation immediately following an eclamptic seizure. Which of the following actions should the nurse take?Answer →
  16. 16A nurse is admitting a client who has severe preeclampsia at 38 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?Answer →
  17. 17A nurse is caring for a client who is admitted for complications associated with intrauterine fetal demise and becomes unresponsive. Which of the following actions should the nurse take first?Answer →
  18. 18The nurse is assessing a client at 20 weeks gestation during a routine prenatal clinic appointment. Which finding should be reported to the provider?Answer →
  19. 19While assessing a pregnant client for intimate partner violence, the nurse observes visible bruises on the client's arms during a prenatal visit. Which action should the nurse take next to assess for partner violence?Answer →
  20. 20Which nutrient is especially important to prevent neural tube defect during pregnancy?Answer →
  21. 21A nurse is assisting in the care of a client and their reproductive partner who have received positive genetic test results. The client asks the nurse, "Should the rest of our family members be tested too?" Which of the following statements should the nurse make?Answer →
  22. 22A nurse is caring for a client admitted at 29 weeks gestation for preterm labor who is regularly contracting. Which of the following orders can the nurse expect for this client? (Select all that apply.)Answer →
  23. 23A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select All that Apply.)Answer →
  24. 24A nurse is teaching a group of students about effective use of the vaginal contraceptive ring. Which of the following information should the nurse include?Answer →
  25. 25The nurse is providing education to a group of adolescents on different sexually transmitted infections (STI) and common symptoms. Match each STI to the symptoms that it is associated with.Answer →
  26. 26A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?Answer →
  27. 27A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?Answer →
  28. 28A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection. The nurse should initiate which of the following types of isolation precautions for the client?Answer →
  29. 29A nurse is teaching a newly licensed nurse about fetal development at 6 weeks. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?Answer →
  30. 30A nurse is calculating the estimated date of birth using Nägele's rule for a client who is pregnant and whose last menstrual cycle started June 21. Which of the following is the estimated date of delivery in the next year?Answer →
  31. 31Which statement best describes physiologic anemia of pregnancy?Answer →
  32. 32A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?Answer →
  33. 33A client is now pregnant. Her obstetric history includes: Delivered a boy at 41 weeks, living Delivered a girl at 36 weeks, who died at birth One elective abortion at 10 weeks What is the client's GTPALAnswer →
  34. 34A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  35. 35A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?Answer →
  36. 36A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous right upper quadrant pain and bleeding in the IV catheter's site. Laboratory results: Hgb 10 mg/dl, Platelets: 70,000 and AST 1,250. The nurse should suspect which of the following complications?Answer →
  37. 37A nurse is assisting in the care of a client at 24 weeks of gestation who has a blood pressure reading of 150/98 mm Hg. Which of the following actions should the nurse prioritize?Answer →
  38. 38A 37-year-old client at 34 weeks gestation is diagnosed with mild preeclampsia and will be managed at home. The nurse is reinforcing teaching about self-care and monitoring. Which teaching guidelines should the nurse include? (Select all that apply.)Answer →
  39. 39A nurse is admitting a client who is at 36 weeks of gestation, has placenta previa, and has moderate vaginal bleeding. Which of the following actions should the nurse take? (Select All that Apply.)Answer →
  40. 40A pregnant client presents to the antepartum clinic reporting brownish vaginal bleeding. The nurse notes that she has a greatly enlarged uterus and is reporting severe nausea. The client reports that her last menstrual period was "about 2 and a half months ago." Vital signs are a temperature of 98.7° F (37° C), a heart rate of 70 beats/minute, respirations of 18 breaths/minute, and a blood pressure of 190/110 mm Hg. Based on these findings, which laboratory value should the nurse review?Answer →
  41. 41A nurse is teaching about the management of hyperthyroidism during pregnancy to a client who has the condition. Which of the following statements should the nurse include in the teaching?Answer →
  42. 42A nurse is creating an education plan for a client with pica. What should be the priority component?Answer →
  43. 43An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? (Select all that apply)Answer →
  44. 44The nurse is providing prenatal education to a group of clients about risk factors for intrauterine fetal demise (IUFD). Which factor should the nurse include as increasing the risk for IUFD?Answer →
  45. 45A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?Answer →
  46. 46A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that bedrest at home might be inappropriate?Answer →
  47. 47Which finding is most concerning for a client at 30 weeks who reports back pain and pelvic pressure?Answer →
  48. 48Which of the following would be a HIPAA violation by a nursing student? (Select all that apply)Answer →
  49. 49An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?Answer →
  50. 50The nurse reviews a client's prenatal laboratory results collected at 10 weeks gestation. Hgb: 10.2 g/dL (normal: 11.6-13.9 g/dL). Blood type: O-negative. HIV: Negative. Rubella: Immune. Hepatitis B surface antigen: Negative. Based on the findings below, which nursing intervention is most appropriate at this time?Answer →
  51. 51Which cardiovascular change is expected during normal pregnancy?Answer →
  52. 52A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?Answer →
  53. 53A nurse on an obstetric triage unit is assisting in the care of a client at 28 weeks of gestation who reports "feeling contractions." Which of the following assessment findings should the nurse identify as most closely related to the pathophysiology of preterm labor?Answer →
  54. 54A nurse is counseling a couple whose first child was born with spina bifida. The couple asks about their risk for future children. Which response by the nurse is most appropriate?Answer →
  55. 55A nurse is preparing a client who is at 10 weeks of gestation for an ultrasound procedure. Which of the following statements should the nurse make?Answer →
  56. 56A pregnant client at her first prenatal visit reports the following obstetric history: · Delivered a full-term baby at 39 weeks (currently alive and well). · Had a miscarriage at 10 weeks. · Delivered twins at 34 weeks, both currently healthy. Based on this history, what is the correct GTPAL documentation for this client?Answer →
  57. 57A nurse in the labor and delivery unit is reviewing the laboratory results of a 32-year-old client at 35 weeks gestation who was admitted for evaluation of elevated blood pressure. The client reports malaise, nausea, increasing fatigue, and right upper quadrant pain. The following laboratory results are noted: Hemoglobin: 9.5 g/dl, Platelet count: 80,000/mm³, AST: 125 U/L, ALT: 110 U/L. The nurse recognizes that these findings are consistent with which complication of pregnancy?Answer →
  58. 58A hospitalized 3-year-old child with dehydration is receiving intravenous fluids ordered based on weight. The nurse notes the child's weight from admission was 12.5 kg, but the child has had significant urine output and a weight recorded this morning is 11.8 kg. How should the nurse use this information to manage fluid therapy?Answer →
  59. 59A nurse is reviewing the medical record of a client who is at 28 weeks of gestation. Which of the following findings is the nurse's priority?Answer →
  60. 60A nurse is caring for a client who is at 35 weeks of gestation and is receiving magnesium sulfate for treatment of preeclampsia. Which of the following findings indicates that the medication is having the desired effect?Answer →
  61. 61A nurse is assessing a 28-year-old client who is experiencing amenorrhea. Which of the following findings should the nurse identify as a possible cause of the amenorrhea?Answer →
  62. 62A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)Answer →
  63. 63A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following conditions are an absolute contraindication of the COC?Answer →
  64. 64A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?Answer →
  65. 65A nurse is caring for a client who has an ectopic pregnancy. Which of the following increases the client's risk for complications during an ectopic pregnancy?Answer →
  66. 66A nurse is discussing lumbar lordosis with a client who is at 27 weeks of gestation. Which of the following musculoskeletal manifestations might the client experience as a result of lumbar lordosis? (Select All that Apply.)Answer →
  67. 67A nurse is caring for a client who has preeclampsia with severe features and is reporting blurred vision and the inability to think clearly. Which of the following factors should the nurse recognize as the primary cause of the client's clinical manifestations?Answer →
  68. 68A client at 18 weeks gestation was informed this morning that she has an elevated alpha fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. Which information should the nurse provide?Answer →
  69. 69A nurse is caring for a client in her second trimester of a healthy pregnancy who reports increasing back pain by the end of the day. Which nursing intervention should the nurse prioritize to help alleviate the client's back discomfort?Answer →
  70. 70Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy?Answer →
  71. 71A pregnant patient with a history of hyperthyroidism presents with increased heart rate, weight loss despite increased appetite, and heat intolerance. Which nursing intervention should the nurse prioritize to ensure both maternal and fetal safety?Answer →
  72. 72A pregnant client on a vegan diet is most at risk for which vitamin deficiency?Answer →
  73. 73A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports "feeling overwhelmed lately." The client asks the nurse, "can't I have just one glass of wine here and there?" Which of the following responses should the nurse make?Answer →
  74. 74A client at 34 weeks gestation reports several changes at today's prenatal appointment. Which finding should the nurse recognize as most concerning and requiring immediate follow-up?Answer →
  75. 75A client is admitted after a gunshot wound and has an estimated blood loss of 1000 mL. The nurse concludes the nursing diagnosis of hypovolemia. Which assessment data would be the greatest concern?Answer →
  76. 76A nurse is reviewing the medical record of a client who is at 28 weeks of gestation. Which of the following findings is the nurse's priority?Answer →
  77. 77Which information would the nurse provide a pregnant patient who has been prescribed ferrous sulfate?Answer →
  78. 78A client is admitted to the labor suite complaining of painless vaginal bleeding. The nurse assists with the examination of the client, knowing that a routine labor procedure that is contraindicated with this client's situation is:Answer →
  79. 79A nurse is teaching about the embryonic period. Which statement by a student indicates correct understanding?Answer →
  80. 80The nurse is assessing a patient with slightly elevated body temperature 1 F degree above the baseline. The patient reports thin and clear mucosal discharge from the cervix. The nurse infers that the patient is in which stage?Answer →
  81. 81A nurse is providing prenatal education to a client early in their first pregnancy. The client asks the nurse, "Do I have to have all of these tests done on my baby?" Which of the following responses by the nurse best answers the client's question?Answer →
  82. 82A nurse is reviewing the electronic medical record (EMR) of a client who has a ruptured ectopic tubal pregnancy. Which of the following findings in the client EMR should the nurse identify as a risk factor for the client's condition?Answer →
  83. 83A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?Answer →
  84. 84A nurse performs a nonstress test on a patient at 38 weeks gestation for decreased fetal movement. After reviewing the fetal monitor strip, the nurse interprets it as reactive and understands that this would indicate what condition?Answer →
  85. 85A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks' gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 6 weeks' gestation. Using the GTPAL method, how would the nurse would document her obstetric history?Answer →
  86. 86Why is pregnancy divided into trimesters during the prenatal period?Answer →
  87. 87A client's last menstrual period began on August 9, 2025. Using Naegele's Rule, what is her estimated date of delivery?Answer →
  88. 88While assessing a pregnant client for intimate partner violence, the nurse observes visible bruises on the client's arms during a prenatal visit. Which action should the nurse take next to assess for partner violence?Answer →
  89. 89A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  90. 90A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What type of diet would the nurse expect to include in the initial plan of care?Answer →
  91. 91A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?Answer →
  92. 92A group of nurses are discussing the strengths and limitations of various biochemical assessments during pregnancy. Which statement should the nurses indicate as correct?Answer →
  93. 93A patient is concerned about dark patches on her face during pregnancy. What is the best nursing explanation?Answer →
  94. 94A nurse is teaching a client who is at 14 weeks of gestation about expected body changes during pregnancy. Which of the following manifestations should the nurse include in the teaching?Answer →
  95. 95A nurse is caring for a client who is at 35 weeks of gestation and has preterm premature rupture of the membranes. Which of the following complications should the nurse monitor the newborn for following delivery?Answer →
  96. 96A nurse is providing prenatal education to a client early in their first pregnancy. The client asks the nurse, "Do I have to have all of these tests done on my baby?" Which of the following responses by the nurse best answers the client's question?Answer →
  97. 97A nurse is caring for a client who experienced a spontaneous abortion. Which of the following findings should the nurse identify as the most common cause of spontaneous abortion?Answer →
  98. 98A nurse is planning care for a client who is scheduled for an amniocentesis and is Rh negative. Which of the following actions should the nurse plan to take?Answer →
  99. 99A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?Answer →
  100. 100A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?Answer →
  101. 101A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?Answer →
  102. 102During a prenatal visit, a nurse identifies that a pregnant client has a family history of sickle cell disease and belongs to a population at higher genetic risk. Which action is most appropriate?Answer →
  103. 103A nurse is calculating a client's expected date of birth using Naegele's rule. Which of the following dates indicates the client's expected date of birth if their last menstrual period began on November 21?Answer →
  104. 104The MD has ordered amoxicillin suspension 350mg po for a patient. On hand the nurse has a bottle of amoxicillin labeled 500mg/5mL. Calculate how many mL the nurse will administer? (Round answer to the nearest tenth)Answer →
  105. 105A nurse is teaching a client who has thrombophilia about low molecular weight heparin. Which of the following information should the nurse include in the teaching?Answer →
  106. 106A 34-week primigravida woman with preeclampsia is receiving Lactated Ringer's 500 mL with magnesium sulfate 20 grams at the rate of 3 grams/hour. How many mL/hours should the nurse program the infusion pump? (Enter numeric value only.)Answer →
  107. 107A nurse is performing a non-stress test (NST) on a 38-week pregnant client. The fetal heart rate shows two accelerations of 15 beats per minute above baseline lasting 15 seconds each within a 20-minute period. The nurse should interpret these findings as:Answer →
  108. 108A nurse is caring for a 34-week pregnant client who presents for a prenatal check-up. The nurse reviews the patient's assessment findings and lab results. Using the information below, determine which findings are consistent with the development of preeclampsia and which are not. There is only one answer per finding.Answer →
  109. 109A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply).Answer →
  110. 110A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?Answer →
  111. 111A nurse is instructing a woman who is contemplating pregnancy about fetal circulation. Which of the following information should the nurse include in the teaching?Answer →
  112. 112A 28-year-old pregnant patient is in her third trimester and comes to the clinic for a routine check-up. She reports having had three pregnancies in total. Her first pregnancy resulted in the birth of twins at 35 weeks, both of whom are healthy. Her second pregnancy ended in a spontaneous abortion at 8 weeks. Calculate her GTPAL score.Answer →
  113. 113Ideally, the first visit takes place before conception. Preconception care, interconception care are important to identify problems or risk factors that might harm the client or the infant once pregnancy occurs and to provide education to help promote a healthy pregnancy. What is the first intervention the nurse should perform in the prenatal visit?Answer →
  114. 114What foods would be the most appropriate for a client with hypokalemia?Answer →
  115. 115A nurse is caring for a pregnant client who expresses concerns about eating fish due to potential mercury exposure. Which of the following fish should the nurse advise the client to avoid to prevent fetal neurotoxicity?Answer →
  116. 116Which of the following is an example of providing culturally aware care to an elderly patient?Answer →
  117. 117The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding. click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.Answer →
  118. 118A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?Answer →
  119. 119A nurse is reviewing immunization recommendations with a client who is 10 weeks pregnant. Which of the following vaccines should the nurse include as contraindicated during pregnancy because they are live vaccines? (Select all that apply.)Answer →
  120. 120A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?Answer →
  121. 121A client visits the clinic for routine testing and is diagnosed with syphilis. The client states, "I feel fine, so I don't think I really have it." Which response by the nurse is appropriate?Answer →
  122. 122Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.Answer →
  123. 123Which fetal side effect may be seen if a patient is taking terbutaline for preterm labor? Select all that apply. One, some, or all responses may be correct.Answer →
  124. 124A nurse is reviewing charts for clients who have a diagnosis of placental abruption. Which of the following client's needs an emergent cesarean section?Answer →
  125. 125When planning patient care for an older patient who is hospitalized with pneumonia, the nurse should consider which of the following?Answer →
  126. 126A nurse is discussing hormones with a client who is pregnant. Which of the following statements should the nurse make?Answer →
  127. 127A nurse is caring for a 37-year-old G4P3 client who is at 14 weeks of gestation. The client asks. "Why are you taking my blood pressure? It's always been normal." Which of the following responses should the nurse make?Answer →
  128. 128A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)Answer →
  129. 129Client data is reviewed. For each of the findings listed, click to indicate which are consistent with the disease process of gestational hypertension, preeclampsia, or both. Each column must have at least one response option selected.Answer →
  130. 130A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?Answer →
  131. 131A client is undergoing testing at 28 weeks gestation for gestational diabetes. The client's 1-hour oral glucose tolerance test (GTT) results are 150 mg/dL. (Normal pregnant finding for 1-hour GTT: <135 mg/dL). What education is appropriate for the nurse to provide to the client at this time?Answer →
  132. 132A nurse asks a patient to analyze hormonal changes during the ovarian cycle to verify understanding. Which statement best demonstrates accurate understanding of the follicular phase and its regulation?Answer →
  133. 133A nurse is caring for a client who has a prescription for an oxytocin-stimulated contraction test. Which of the following actions should the nurse take?Answer →
  134. 134A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?Answer →
  135. 135A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  136. 136The increase in blood volume in pregnancy is referred to as physiological anemia. Which of the following is TRUE about physiological anemia?Answer →
  137. 137A nurse is assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?Answer →
  138. 138A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?Answer →
  139. 139During a prenatal assessment, a nurse learns that the client gardens frequently and has outdoor cats. What is the nurse's primary concern related to a high-risk pregnancy?Answer →
  140. 140A nurse is monitoring a client with severe preeclampsia receiving a continuous IV infusion of magnesium sulfate at 2 g/hr. Which of the following assessment findings indicates it is safe to continue the magnesium sulfate infusion?Answer →
  141. 141A 24-year-old reports that she might be pregnant but is unsure. Which findings is a probable sign of pregnancy?Answer →
  142. 142Complete the following sentence by using the list of options. The nurse should first address the client's ____Select 1___ followed by the client's ___ Select 2 ___Answer →
  143. 143A nurse is providing teaching with an antepartum client who has a new diagnosis of genital herpes simplex virus 2 (HSV-2). Which of the following information should the nurse include?Answer →
  144. 144During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?Answer →
  145. 145A nurse is providing teaching about expected body changes during pregnancy for a primigravida client who is at 10 weeks of gestation. Which of the following statements indicates that the client understands the teaching?Answer →
  146. 146A nurse is caring for a client who has eclampsia. Which of the following changes should the nurse recognize as being associated with eclampsia?Answer →
  147. 147A nurse is providing instruction to a client about diagnostic tests during their first prenatal visit at 12 weeks of gestation. Which of the following diagnostic tests should the nurse include in the teaching?Answer →
  148. 148A woman arrives at a community health care facility with her partner. She has a broken arm and facial bruises, which she reports were caused by a fall. However, the nurse suspects physical abuse based on the nature of the injuries. Which intervention should the nurse prioritize?Answer →
  149. 149A client who has a new diagnosis of polycystic ovarian syndrome (PCOS) is in a provider's office. The nurse should plan to monitor which laboratory value?Answer →
  150. 150A nurse is assessing a pregnant patient and needs to identify the positive signs of pregnancy. Which of the following findings should the nurse recognize as a positive sign?Answer →
  151. 151A client who is 37 weeks gestation comes to the women's health clinic reporting an excruciating headache. On examination, the nurse determines the client has an elevated blood pressure. Which action should the nurse implement next?Answer →
  152. 152A pregnant client enjoys eating lunch meats. What instruction should the nurse provide?Answer →
  153. 153A nurse is caring for a client during an initial prenatal visit. The client's last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take? (Select all that apply.)Answer →
  154. 154A nurse is caring for a client during an initial prenatal visit. The client's last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take? (Select All that Apply.)Answer →
  155. 155During a teaching session, the nurse explains that fertilization restores the diploid number of chromosomes. Which statement reflects correct understanding?Answer →
  156. 156This dark line of pigmentation may extend from the symphysis pubis to as high as the top of the fundus. What would the nurse document when observed?Answer →
  157. 157A nurse is providing prenatal dietary teaching to a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase in their diet? (Select all that apply.)Answer →
  158. 158Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Start with the condition first.Answer →
  159. 159A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)Answer →
  160. 160A nurse is assessing a client who is at 34 weeks of gestation. Which of the following statements made by the client should the nurse address first?Answer →
  161. 161A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?Answer →
  162. 162The nurse reviews the labs and diagnostic reports. Select the most likely diagnosis the patient is experiencing.Answer →
  163. 163A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?Answer →
  164. 164A nurse is monitoring a client at 36 weeks gestation diagnosed with placenta previa who has just reported bright red vaginal bleeding. Which nursing action should take priority to ensure the safety of both mother and fetus?Answer →
  165. 165A nurse is planning to provide teaching to a client about routine prenatal laboratory testing. Which of the following information should the nurse include about the glucose challenge screening? (Select all that apply.)Answer →
  166. 166A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?Answer →
  167. 167Which of the following assessment findings requires immediate follow-up? Select all that apply.Answer →
  168. 168The nurse assesses 4 different clients for their appropriateness for a placement of a cervical cerclage. Which client should the nurse identify as being the most appropriate client to have a cerclage placed at this time in her pregnancy?Answer →
  169. 169A maternity nurse is caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy (DIC). Which assessment finding is least likely to be associated with disseminated intravascular coagulation?Answer →
  170. 170A nurse is caring for a client who has an ectopic pregnancy. Which of the following increases the client's risk for complications during an ectopic pregnancy?Answer →
  171. 171A nurse is caring for a client at a 10 week prenatal visit. The provider diagnoses the client with a missed spontaneous abortion confirmed by ultrasound and the nurse is discussing the plan of care with the client. Which of the following statements should the nurse make?Answer →
  172. 172A nurse has received change-of-shift report. Which of the following clients should the nurse identify as at-risk for preterm premature rupture of membranes (PPROM)? (Select All that Apply.)Answer →
  173. 173Pap smear test is an exam to detects which of the following conditions?Answer →
  174. 174Which prescription would the nurse obtain for a patient who is in preterm labor if beta-sympathomimetics are contraindicated?Answer →
  175. 175A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?Answer →
  176. 176A nurse is providing teaching to a client who is at 37 weeks of gestation and has a new diagnosis of hepatitis B. Which of the following instructions should the nurse include?Answer →
  177. 177Complete the following sentence by using the lists of options. The nurse should first address the client's [A] followed by the client's [B].Answer →
  178. 178A young couple ask their nurse practitioner for recommendations concerning the various forms of assisted reproductive technology (ART). Their only concern is that they do not want a multiple pregnancy. Which of the following forms of ART would be the best procedure for this couple?Answer →
  179. 179After reviewing the information in the client's EMR, the nurse should identify that the client is at risk for developing A due to their BAnswer →
  180. 180A nurse is reinforcing teaching with a newly licensed nurse about a biophysical profile. Which of the following information should the nurse include in the teaching?Answer →
  181. 181A nurse is conducting a review course on medication therapy for perinatal nurses. After teaching the group, the nurse determines that the teaching was successful when they Identify which drugs as being used for Hyperemesis Gravidarum? Select all that apply.Answer →
  182. 182A client in the second trimester of pregnancy reports that she has not felt any fetal movements yet. She is currently 18 weeks gestation. What action should the nurse take first?Answer →
  183. 183Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.Answer →
  184. 184A patient is concerned about dark patches on her face during pregnancy. What is the best nursing explanation?Answer →
  185. 185The nurse in a women's health clinic is assessing a lesbian client during an annual wellness visit. Which assessment question best reflects an inclusive approach to promoting the client's sexual and reproductive health?Answer →
  186. 186A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period started on March 23, and ended on May 27, 2024. Which of the following is the appropriate response by the nurse?Answer →
  187. 187Which of the following hormones is predominantly essential for maintaining pregnancy?Answer →
  188. 188A nurse compares oogenesis and spermatogenesis for a student. Which finding should the nurse emphasize as the key difference between the two?Answer →
  189. 189A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?Answer →
  190. 190A nurse is caring for a client who is in labor and experiences abruptio placentae. Which of the following findings should the nurse expect?Answer →
  191. 191A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse should be questioning which MD order?Answer →
  192. 192The nurse reports the current assessment findings to the healthcare provider (HCP). Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Based on the assessment findings, the priority diagnosis suspected is…... This diagnosis places the client at risk of……Answer →
  193. 193A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?Answer →
  194. 194A 21-years-old woman states that she is currently pregnant. She also states she has a 6-year-old at home was born at 28 weeks of gestation, one baby was born at 32 weeks gestation, and triplet born at 39 weeks gestation. She also had 2 miscarriages at 18 and 16 weeks. What is her obstetric history using the GTPAL system?Answer →
  195. 195The nurse is reviewing the client's medical record. For each assessment finding, click to specify if the assessment finding is consistent with hyperemesis gravidarum, gestational diabetes mellitus (GDM), or hypothyroidism. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.Answer →
  196. 196A nurse is caring for a group of clients. Which of the following clients should the nurse identify as potentially having a molar pregnancy?Answer →
  197. 197A client is being seen for routine prenatal care at 32 weeks. Which of the following assessments will the nurse perform during the visit? (Select all that apply)Answer →
  198. 198A nurse is preparing to administer Indocin (indomethacin) 50 mg orally to a patient. The medication label reads 25 mg per tablet. After verifying the MAR against the provider's prescription and checking for contraindications, what is the nurse's best action to ensure safe and accurate dosing?Answer →
  199. 199A patient in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected?Answer →
  200. 200A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?Answer →
  201. 201A pregnant client in the third trimester experienced "lightening." Which information would the nurse provide the client regarding this sensation? (Select all that apply.)Answer →
  202. 202Which assessment finding indicates that a female is currently ovulating?Answer →
  203. 203A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?Answer →
  204. 204A nurse is caring for a group of clients. Which of the following clients should the nurse identify as potentially having a molar pregnancy?Answer →
  205. 205A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?Answer →
  206. 206A nurse participating in a genetic counseling session recognizes that one of the primary ethical principles guiding care is non-directiveness. Which nursing action best demonstrates this principle?Answer →
  207. 207A 24-year-old client approaches a nurse for information on the use of oral contraceptives. Which health problem can occur from the use of oral contraceptives?Answer →
  208. 208A nurse is providing pregnancy counseling to a client. Which of the following situations should the nurse identify as being a potential contraindication for pregnancyAnswer →
  209. 209A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  210. 210A nurse is reviewing the medical record of a client who gave birth via cesarean section due to placenta accreta. Which of the following findings should the nurse identify as a risk factor for placenta accreta?Answer →
  211. 211A nurse is assessing a client who is at 34 weeks of gestation. Which of the following statements made by the client should the nurse address first?Answer →
  212. 212A nurse is caring for a client who is experiencing an early second-trimester spontaneous abortion and is hemodynamically stable. Which of the following prescriptions should the nurse expect the provider to prescribe?Answer →
  213. 213A nurse is caring for a client at 24 weeks of gestation who has a blood pressure reading of 150/98 mm Hg. Which of the following actions should the nurse prioritize?Answer →
  214. 214A nurse is calculating the expected date of delivery for a client whose LMP started on November 3, 2024. According to Naegele's Rule, what is the estimated date of delivery?Answer →
  215. 215The nurse is preparing a presentation for a community health fair about human papillomavirus (HPV). What should the nurse emphasize?Answer →
  216. 216A nurse is caring for a client who has preeclampsia. Which of the following actions is the nurse's priority when implementing seizure precautions?Answer →
  217. 217A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?Answer →
  218. 218A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?Answer →
  219. 219A nurse is reviewing the medical record of a client who gave birth via cesarean section due to placenta accreta. Which of the following findings should the nurse identify as a risk factor for placenta accreta?Answer →
  220. 220A nurse is caring for a 27 years old client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable to prevent pregnancies?Answer →
  221. 221A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?Answer →
  222. 222A nurse is providing teaching with an antepartum client who has a new diagnosis of genital herpes simplex virus 2 (HSV-2). Which of the following information should the nurse include?Answer →
  223. 223A nurse is providing instructions to a client who has chosen a diaphragm for birth control. Which of the following instructions should the nurse include?Answer →
  224. 224A newly pregnant first-generation Chinese client follows a yin–yang (cold–hot) belief system and says prenatal vitamins feel "too hot." What is the best nursing action?Answer →
  225. 225A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which method would the nurse recommend?Answer →
  226. 226A nurse is caring for a 37-year-old G4P3 client who is at 14 weeks of gestation. The client asks, "Why are you taking my blood pressure? It's always been normal." Which of the following responses should the nurse make?Answer →
  227. 227The patient is in the 3rd trimester of pregnancy. What sign would the nurse advise her if experienced, she should seek medical attention immediately.Answer →
  228. 228A nurse is teaching a client about safe sex and disease prevention. Which of the following client statements indicates an understanding of the teaching?Answer →
  229. 229A nurse is teaching a group of students about spermatogenesis. Which statement demonstrates correct understanding?Answer →
  230. 230A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?Answer →
  231. 231A nurse is assessing a pregnant client and notes that her fundal height is at the level of the umbilicus. Based on this finding, what is the client's estimated gestational age range?Answer →
  232. 232A 19-year-old client who is a college athlete reports having very light and infrequent menstrual periods since increasing their training intensity. The client asks if birth control can help. How should the nurse respond?Answer →
  233. 233A nurse is reviewing the medical record of a client who has a positive pregnancy test. Which of the following should the nurse identify as a finding that places the client at increased risk for a molar pregnancy?Answer →
  234. 234A mother brings her 16-year-old daughter to the healthcare clinic because she has not started breast development or menstruation. Based on the reason for the visit, the nurse should suspect which condition?Answer →
  235. 235Which statement is true about primary dysmenorrhea?Answer →
  236. 236Which of the following assessment findings should the nurse report to the provider? Select all that apply.Answer →
  237. 237A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)Answer →
  238. 238Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  239. 239A nurse is performing a nonstress test (NST) on a client who is at 36 weeks of gestation and asks, "What are you looking for during the test?" Which of the following responses should the nurse make?Answer →
  240. 240Which abnormality is most likely occurring in a client with restlessness, nausea, weakness, and peaked T waves?Answer →
  241. 241What does the nurse regularly monitor in a patient with cocaine abuse to prevent its associated maternal complications?Answer →
  242. 242A nurse on an antepartum unit is caring for four clients. For which of the following clients should the nurse implement seizure precautions?Answer →
  243. 243A nurse is caring for a client who is 33 weeks gestation with a cervical cerclage and a diagnosed intrauterine infection. Which nursing action should the nurse anticipate as the priority in the management of this client?Answer →
  244. 244A nurse is caring for a client at 24 weeks of gestation who has a blood pressure reading of 150/98 mm Hg. Which of the following actions should the nurse prioritize?Answer →
  245. 245A pregnant woman in her second trimester expresses discomfort due to heartburn. Which intervention should the nurse recommend to alleviate this symptom?Answer →
  246. 246The nurse is monitoring side effects of a pregnant patient who has been prescribed a beta-sympathomimetic drug for treatment of preterm labor. Which side effect does the nurse know is not associated with this drug?Answer →
  247. 247The nurse working in a prenatal clinic is providing care to four primigravida patients. Which of the patient findings would the nurse highlight for the physician to see first? (Nursing priority)Answer →
  248. 248A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  249. 249The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. What is the purpose of glucocorticoid administration?Answer →
  250. 250The nurse assesses a client seeking medical attention for dysmenorrhea. The client reports having experienced this condition for the past five years. Which assessment finding indicates this is most likely primary dysmenorrhea?Answer →
  251. 251A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?Answer →
  252. 252A pregnant client reports darkening of the skin on the inner thighs, underarms, and genitalia during a prenatal consultation. What is the most appropriate course of action for the nurse?Answer →
  253. 253A nurse is designing a prenatal education program focused on teratogen prevention. Which goal statement is most appropriate?Answer →
  254. 254A nurse is admitting a G2P1 client who is 36 weeks gestation for suspected preterm prelabor rupture of membranes (PPROM). The client had an otherwise unremarkable pregnancy with normal labs. Her first pregnancy was uncomplicated, baby was born at 39 weeks and is currently 14 months old. Which of the following orders will the nurse expect for this client?Answer →
  255. 255A client presents to the obstetric office for a prenatal visit. The nurse asks the client when her last menstrual period was in order to estimate her due date. The client tells the nurse it was November 24. Which of the following would be this client's estimated due date based on Naegele's Rule?Answer →
  256. 256A nurse on an obstetric triage unit is caring for a client at 28 weeks of gestation who reports "feeling contractions." Which of the following assessment findings should the nurse identify as the most closely related to the pathophysiology of preterm labor?Answer →
  257. 257A pregnant client at 36 weeks gestation experiences frequency and urgency of urination. Although these symptoms may be common during pregnancy, what other symptom should the nurse further assess during visit?Answer →
  258. 258A nurse is preparing to measure the fundal height of a client who is at 21 weeks of gestation. At which location should the nurse expect to palpate the fundus?Answer →
  259. 259A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation. For which of the following results should the nurse provide client teaching? (Select All that Apply.)Answer →
  260. 260A nurse is caring for a client who has placenta previa. Which of the following reportable client findings should the nurse expect?Answer →
  261. 261A client in the second trimester of her first pregnancy reports that she has not felt any fetal movements yet. She is currently 18 weeks gestation. What action should the nurse take first?Answer →
  262. 262Which findings indicate the client understands the discharge teaching? Select all that apply.Answer →
  263. 263A nurse is teaching a client who is primigravida and who has type 1 diabetes mellitus. Which of the following fetal complications can be prevented with adequate management of blood sugar during pregnancy? (Select All that Apply)Answer →
  264. 264The uterus grows in a predictable pattern that provides information about fetal growth and gestational age. This can be predicted because of the fundal heights. Where is the fundus height if the woman is 36 weeks gestation?Answer →
  265. 265A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?Answer →
  266. 266A nurse is caring for a client who is at 6 weeks of gestation and has a history of cervical insufficiency in three previous fetal losses. Which of the following Interventions is the nurse's priority?Answer →
  267. 267A nurse is reinforcing teaching with a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?Answer →
  268. 268A nurse is reinforcing teaching about fetal anatomy ultrasound to a client who is at 20 weeks of gestation. Which of the following information should the nurse include?Answer →
  269. 269For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  270. 270A 30-year-old client visits the clinic after trying to conceive for 15 months without success. The provider suspects ovulatory dysfunction as a possible cause of infertility. Which test should the nurse anticipate the provider will order to assess for ovulation?Answer →
  271. 271A 26-year-old mother of three children tells the nurse at her annual checkup that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which method would be the best option for this client?Answer →
  272. 272A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?Answer →
  273. 273A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports "feeling overwhelmed lately." The client asks the nurse, "Can't I have just one glass of wine here and there?" Which of the following responses should the nurse make?Answer →
  274. 274A nurse is teaching a newly licensed nurse about nonmodifiable risk factors that place a client who is pregnant at risk for pregnancy complications. Which of the following should the nurse include in the teaching? (Select All that Apply.)Answer →
  275. 275A nurse is caring for a client who is receiving magnesium sulfate to suppress preterm labor. Which of the following parameters should the nurse plan to monitor? (Select all that apply.)Answer →
  276. 276Which intervention must be completed first before the nurse administers IV replacement of 5% dextrose in water with potassium chloride?Answer →
  277. 277A nurse is obtaining a medical history from a client who is requesting a copper intrauterine device (IUD). The nurse should identify that which of the following conditions is a contraindication for the use of a copper IUD?Answer →
  278. 278HELLP syndrome is best described as:Answer →
  279. 279A nurse is reviewing a client's rubella titer of 1:8 at her second prenatal visit. Which of the following statements by the nurse is appropriate?Answer →
  280. 280The nurse is counseling a client who is at 6-weeks' gestation and is experiencing morning sickness, but does not want to take any drugs for this discomfort. Which herbal supplement is likely to help this client with the nausea she is experiencing?Answer →
  281. 281It is determined that a client's blood Rh factor is negative. To help prevent Rh isoimmunization, the nurse would expect to administer Rhogam immune globulin at which two time periods?Answer →
  282. 282A woman reports 5 pregnancies: 2 full-term births, 1 preterm birth, 1 miscarriage, and 3 living children. What is her GTPAL?Answer →
  283. 283The 30-year-old female is 13 weeks pregnant. Which comment made by a patient in her first trimester indicates ambivalent feelings?Answer →
  284. 284A nurse is assessing a client who is at 34 weeks of gestation. Which of the following statements made by the client should the nurse address first?Answer →
  285. 285A nurse is planning to provide teaching to a client about routine prenatal laboratory testing. Which of the following information should the nurse include about the glucose challenge screening? (Select All that Apply.)Answer →
  286. 286Which measure is a nonpharmacologic treatment used to stop preterm labor?Answer →
  287. 287Which medication is a corticosteroid that stimulates lung surfactant development in the fetus in utero?Answer →
  288. 288Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.Answer →
  289. 289A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?Answer →
  290. 290Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  291. 291Which of the following are components of a biophysical profile (BPP)? (Select all that apply.)Answer →
  292. 292The physician orders 1000 mL of 0.45% NS to infuse at 90 mL/h. Tubing drop factor is 20 gtt/mL. Calculate the flow rate in drops per minute. (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Enter text here. ______ gtt/minAnswer →
  293. 293A client at 38 weeks gestation tells the nurse that it feels like her baby is sitting on her bladder causing her to urinate more frequently. However, the client states it has made it easier for her to breathe. The nurse recognizes that this is a sign of what condition?Answer →
  294. 294A nurse is assessing a client at an initial prenatal visit. While completing the client's history, the nurse asks about the client's menstrual cycles. The client reports having irregular cycles and that her last menstrual period was February 27th. Which of the following is correct about determining this client's estimated due date?Answer →
  295. 295A client at 32 weeks gestation presents with contractions every 8 minutes and cervical dilation of 2 cm. What is the priority nursing intervention?Answer →
  296. 296A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?Answer →
  297. 297A nurse is instructing a female client about how to identify the estimated ovulation's date. The client periods are regular every 30 days. Her last menstrual period started on April 4, and ended on April 10. Based on this information; What is the client's possible ovulation date?Answer →
  298. 298A nurse is teaching a primigravid client about quickening during pregnancy. Which client statement indicates the nurse needs to provide further education about this phenomenon?Answer →
  299. 299A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?Answer →
  300. 300A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?Answer →
  301. 301A nurse is teaching a client at 28 weeks of gestation who has gestational diabetes mellitus (GDM) about treatments and therapies. Which of the following statements by the client indicates that the teaching was effective? (Select all that apply.)Answer →
  302. 302A nurse is assessing a 26-year-old pregnant client with a history of marijuana and alcohol misuse. Which complication of such abuse should the nurse warn the client about?Answer →
  303. 303A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)Answer →
  304. 304A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should Identify that the client is likely experiencing which of the following complications?Answer →
  305. 305Based on the client's symptoms, the nurse determines additional assessments are needed. Select the 4 assessments the nurse should perform.Answer →
  306. 306A nurse is reviewing the prenatal record of a client diagnosed with polyhydramnios. Which fetal condition is most commonly associated with the development of polyhydramnios?Answer →
  307. 307A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?Answer →
  308. 308A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation. For which of the following results should the nurse provide client teaching? (Select all that apply).Answer →
  309. 309A nurse is developing a care plan for a pregnant client with a history of chronic asthma and recent exposure to environmental radiation at work. Considering the risks associated with this high-risk pregnancy, which nursing action should be prioritized to optimize both maternal and fetal outcomes?Answer →
  310. 310A nurse in an obstetrician's office is caring for clients who are experiencing high-risk pregnancies. Which of the following roles should the nurse perform when providing prenatal care?Answer →
  311. 311Complete the diagram by dragging the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  312. 312Which statement best explains how substances are exchanged between mother and fetus?Answer →
  313. 313A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports "feeling overwhelmed lately." The client asks the nurse, "can't I have just one glass of wine here and there?" Which of the following responses should the nurse make?Answer →
  314. 314A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?Answer →
  315. 315The client has diabetes, reports new blurry vision, and is not adhering to the diet and medications. The home health nurse checks the client's fasting blood glucose level, which is very high at 412 mg/dL. The nurse assesses that the client is in what phase of the trajectory model of chronic illness?Answer →
  316. 316A nurse in an obstetric clinic is caring for a client who is experiencing a high-risk pregnancy. Which of the following supports the provision of optimal prenatal care for this client?Answer →
  317. 317The nurse is reviewing the client's medical record. Which of the following assessment findings indicate the client's condition is improving? (Select All that Apply.)Answer →
  318. 318A nurse is caring for a client who has a marginal placenta previa. Which of the following should the nurse expect the client's ultrasound to reveal?Answer →
  319. 319A client with severe preeclampsia is receiving magnesium sulfate as part of the treatment plan. To ensure the client's safety, which antidote would the nurse have readily available and is kept at the bedside?Answer →
  320. 320A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?Answer →
  321. 321A patient comes to the prenatal clinic for her first visit of this pregnancy. She provides the following obstetrical history: She has had three births at 37-38 weeks. She has had one birth at 35 weeks. She had one termination of pregnancy at 10 weeks. All of her children are alive and well. Her last menstrual period (LMP) was March 16, 2024. Using the GTPAL system, calculate and document the patient's obstetrical history, including the current pregnancy, and determine her estimated due date (EDD). Fill in the blanks: 1. Gravida (G): ① 2. Term births (T): ② 3. Preterm births (P): 3 4. Abortions (A): ④ 5. Living children (L): 5 6. Estimated Due Date (EDD): 6Answer →
  322. 322A nurse is using Naegele's rule to calculate the estimated due date of a client who reports that the first day of their last menstrual cycle was July 21st. Which of the following should the nurse document as the client's expected due date?Answer →
  323. 323A client hospitalized for hyperemesis gravidarum has received IV fluids, antiemetics, and nutritional support. Which outcome indicates that the nurse's interventions have been effective?Answer →
  324. 324A nurse is explaining Chadwick's sign to a pregnant patient. Which physiological change directly contributes to the appearance of Chadwick's sign during pregnancy?Answer →
  325. 325The provider prescribes insulin 6 units before each meal. The insulin is available in a vial with 100 units/ml. How many milliliters should the nurse draw up for each dose?Answer →
  326. 326A nurse is planning to discuss the following laboratory results with a client who is at 10 weeks of gestation. Which of the following statements should the nurse make?Answer →
  327. 327The nurse is assessing the client 15 min later. How should the nurse interpret the following findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving or an indication that the client's condition is worsening.Answer →
  328. 328A woman has just had a hormone-releasing intrauterine device (IUD) inserted for contraception and treatment of dysfunctional uterine bleeding. Which nursing instruction is most important for her to understand regarding post-insertion care?Answer →
  329. 329A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include? (Select all that apply).Answer →
  330. 330A nurse is caring for a client who is pregnant and has a history of heavy menstrual periods. The nurse should identify which of the following findings warrant further testing for thrombophilia?Answer →
  331. 331A nurse is reviewing the medical record of a client who has endometriosis. Which of the following findings supports this diagnosis?Answer →
  332. 332A nurse is assessing a client who is at 37 weeks of gestation. Which of the following findings in the client's history should the nurse identify as a risk factor for preterm labor? (Select all that apply.)Answer →
  333. 333A client reports decreased fetal movement and undergoes a nonstress test (NST) at the clinic. The results are nonreactive. What follow-up test would the nurse anticipate the provider ordering?Answer →
  334. 334A nurse is caring for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following clinical findings should the nurse expect?Answer →
  335. 335The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which of the following should the nurse include in the teaching plan?Answer →
  336. 336Which patient statement best validates the nurse's interpretation of a slit-like external cervical os observed during a pelvic exam?Answer →
  337. 337se notes that the client took aspirin yesterday. What is the most appropriate nursing action based on this finding?Answer →
  338. 338Which condition may be seen in a patient who has gestational hypertension?Answer →
  339. 339A nurse is assessing a client at an initial prenatal visit. While completing the client's history, the nurse asks about the client's menstrual cycles. The client reports having irregular cycles and that her last menstrual period was February 27. Which of the following is correct about determining this client's estimated due date?Answer →
  340. 340A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following findings indicate that the client has progressed to preeclampsia with severe features?Answer →
  341. 341The client has experienced an eclamptic seizure. Which of the following interventions by the nurse will help stabilize the client? Select all that apply.Answer →
  342. 342After receiving change-of-shift report, which patient should the nurse assess first?Answer →
  343. 343Which 2 actions should the nurse take first? Note all possible answers are Items the nurse will Initiate but which 2 are priority?Answer →
  344. 344A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?Answer →
  345. 345A 29-year-old patient at 32 weeks gestation experiences supine hypotension. What information would the nurse provide?Answer →
  346. 346Based on the patients' vital sign trends and assessment, the nurse should recognize that the client is most likely experiencing.Answer →
  347. 347A nurse is assessing several clients who have been diagnosed with toxoplasmosis. Which of the following clients should the nurse identify as most at risk for complications related to toxoplasmosis?Answer →
  348. 348A nurse is counseling a pregnant client with a normal pre-pregnancy BMI about expected weight gain. Which statement by the client indicates correct understanding of healthy weight gain during pregnancy?Answer →
  349. 349Which of the following findings indicate an improvement in the client's condition? Select all that apply.Answer →
  350. 350A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?Answer →
  351. 351A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?Answer →
  352. 352A nurse is caring for a client who is newly pregnant with chronic hypertension and asthma. During prenatal teaching, which statement by the nurse best addresses the need for monitoring and prenatal testing?Answer →
  353. 353A nurse is planning a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?Answer →
  354. 354A pregnant client at 34 weeks with severe preeclampsia is receiving magnesium sulfate. Which assessment finding indicates the client is showing signs of magnesium toxicity?Answer →
  355. 355A nurse is caring for a client at 34 weeks of gestation who has been diagnosed with preeclampsia without severe features. When reviewing the client's prenatal laboratory values, the nurse discovers the client's clotting factors have slowly decreased during the pregnancy. What pathophysiologic responses are responsible for the client's current laboratory values? (Select All that Apply.)Answer →
  356. 356A 21-year-old female presents to the emergency department with severe abdominal pain symptoms and light vaginal bleeding. Which assessment findings require immediate follow-up?Answer →
  357. 357A nurse in the provider's office is assisting with the care of a child. (Based on the provided Medical History, Nurses Notes, Laboratory Results, and Vital Signs) Drag 1 condition and 1 client finding to fill in the sentence. The client is at risk for developing ______ [Box 1] due to ______ [Box 2].Answer →
  358. 358A nurse is assessing the client. Which of the following findings require follow-up? Select the 3 options that apply.Answer →
  359. 359The nurse is using aseptic technique to insert an indwelling urinary catheter. Which technique made by the nurse is correct?Answer →
  360. 360A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 25/min, deep-tendon reflexes +4, and Diuresis 150 ml/3 hours. Which of the following actions should the nurse take?Answer →
  361. 361A nurse educator asks senior nursing students to critically evaluate implantation abnormalities and their clinical implications. Which statement demonstrates the most accurate understanding of implantation physiology and risk?Answer →
  362. 362A nurse is caring for a client with Preterm Premature Rupture of Membranes (PPROM) at 34 weeks who is receiving IV antibiotics. Which finding indicates the nursing intervention was effective?Answer →
  363. 363Which mother has the highest risk for preterm labor (PTL)?Answer →
  364. 364A nurse assisting on a labor and delivery unit is collecting data for several clients. Which of the following clients should the nurse identify as at an increased risk for placental abruption? (Select All that Apply.)Answer →
  365. 365A nurse is discussing fetal kick counts with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  366. 366A nurse in a clinic is caring for an adolescent client who requests a prescription for birth control. Which of the following questions should the nurse ask?Answer →
  367. 367A female patient states her last menstrual period (LMP) began on September 10, 2025. Using her (LMP) what is her estimated date of delivery (EDD)?Answer →
  368. 368A pregnant client arrives for her first prenatal visit, and you suspect substance abuse based on her medical history and behavior. Which of the following assessments should the nurse prioritize to identify substance use?Answer →
  369. 369A prenatal nurse recommends folic acid supplements to a woman hoping to conceive. Which of the following fetal defects can occur as a result of folic acid deficiency?Answer →
  370. 370A pregnant client in her second trimester reports noticing purplish streaks on her abdomen and expresses distress about the skin changes. Which nursing action demonstrates the best application of clinical judgment regarding the client's integumentary changes and psychological well-being?Answer →
  371. 371A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?Answer →
  372. 372A nurse is assisting with a nonstress test (NST) for a client who is at 38 weeks of gestation. The client asks, "What are you looking for during this test?" Which of the following responses should the nurse make?Answer →
  373. 373A nurse is reinforcing teaching with a newly licensed nurse about the structures of fetal circulation. Which of the following statements by the newly licensed nurse Indicates an understanding of the teaching?Answer →
  374. 374A nurse has received change-of-shift report. Which of the following clients should the nurse identify as at-risk for preterm premature rupture of membranes (PPROM)? (Select All that Apply.)Answer →
  375. 375A pregnant client reports experiencing constipation during her second trimester. Which nursing intervention should the nurse prioritize to effectively manage her constipation while ensuring safety for both the client and fetus?Answer →
  376. 376The nurse is caring for a group of clients in the health clinic. Which client requesting birth control pills (BCPs) is at greatest risk for complications?Answer →
  377. 377The nurse is preparing the client for surgery. Which of the following actions should the nurse take? (Select all that apply.)Answer →
  378. 378A client was admitted to the unit with a diagnosis of hypovolemia. Which discharge instructions will the nurse teach the client and family? (Select all that apply)Answer →
  379. 379A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?Answer →
  380. 380A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's left side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?Answer →
  381. 381A nurse is assessing a woman who reports nausea, breast tenderness, and missed periods. Which action best confirms pregnancy?Answer →
  382. 382A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?Answer →
  383. 383Which 3 interventions should the nurse implement immediately?Answer →
  384. 384A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that their last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?Answer →
  385. 385Which finding Indicates that magnesium sulfate is at a therapeutic level? (Critical Thinking)Answer →
  386. 386A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching?Answer →
  387. 387A nurse is caring for a client who arrives at the labor and delivery unit. Which of the following findings should the nurse identify as potential manifestations of a placental abruption? (Select All that Apply.)Answer →
  388. 388A nurse is caring for a client during an initial prenatal visit. The client's last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take? (Select All that Apply.)Answer →
  389. 389Which maternal sign is most indicative of placental abruption?Answer →
  390. 390A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?Answer →
  391. 391A pregnant client with a twin gestation is diagnosed with twin-to-twin transfusion syndrome (TTTS) at 24 weeks of gestation. Which of the following nursing interventions should be prioritized to effectively monitor and manage this condition?Answer →
  392. 392A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take?Answer →
  393. 393A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?Answer →
  394. 394A client at 28-weeks' gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32% (0.32 volume fraction), tells the nurse that she eats plenty of green vegetables. When the client asks the nurse how the low-level value might affect her pregnancy, which information should the nurse provide?Answer →
  395. 395The nurse is reviewing the client's assessment data. For each assessment finding below, click to specify if the finding is consistent with placenta previa, preterm labor, or abruptio placenta. Each finding may be consistent with more than one condition or none at all.Answer →
  396. 396A client asks the nurse about the function of the placenta during pregnancy. What is the nurse's most appropriate response?Answer →
  397. 397A nurse is reinforcing teaching about contraceptive methods with a client. Which of the following should the nurse recognize as a contraindication for diaphragm use?Answer →
  398. 398A pregnant client in her second trimester reports noticing purplish streaks on her abdomen and expresses distress about the skin changes. Which nursing action demonstrates the best application of clinical judgment regarding the client's integumentary changes and psychological well-being?Answer →
  399. 399A nurse is assessing a client diagnosed with gonorrhea. Which statements are consistent with symptoms of gonorrhea? (Select all that apply.)Answer →
  400. 400A client at 6-weeks' gestation presents to the office with report of vaginal bleeding for the last 12 hours without cramping. Which action should the nurse take?Answer →
  401. 401The nurse knows that which statements are true of older adults experiencing fluid and electrolyte problems? (Select all that apply)Answer →
  402. 402A client diagnosed with HELLP syndrome who reports right upper quadrant pain and nausea. Laboratory results show elevated liver enzymes, hemolysis, and a platelet count of 85,000/mm. Which nursing intervention should take priority to ensure optimal maternal and fetal outcomes?Answer →
  403. 403A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  404. 404A 27-year-old client is being seen for a routine wellness visit. What information in the client's health record should prompt the nurse to recommend a Pap test?Answer →
  405. 405A client is pregnant for the third time. She has had one term birth and one spontaneous abortion. The child from the prior pregnancy is living. Record her GTPAL asAnswer →
  406. 406Which patient finding in pregnancy would indicate the need for a higher dose of folic acid?Answer →
  407. 407A nurse is providing teaching about the fertility awareness-based method of contraception. Which of the following statements by the client indicates a need for further teaching?Answer →
  408. 408The nurse reviews the assessment findings along with the healthcare providers (HCPs) prescriptions. Which immediate intervention(s) would the nurse initiate? Select all that apply.Answer →
  409. 409A client at 36 weeks is scheduled for a Biophysical Profile (BPP) after reporting decreased fetal movements. The nurse explains that a score of 8 out of 10 indicates which of the following?Answer →
  410. 410A nurse is performing a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?Answer →
  411. 411A client with hyperemesis gravidarum is admitted. Which nursing intervention is most appropriate during the acute phase?Answer →
  412. 412A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions? (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data.)Answer →
  413. 413A client who is a 36-week primigravida is admitted to labor and delivery with severe abdominal pain and bright red vaginal bleeding. Her abdomen is rigid and tender to touch. The fetal heart rate (FHR) is 90 beats/minute, and the maternal heart rate is 120 beats/minute. Which action should the nurse implement first?Answer →
  414. 414A nurse is teaching adolescents about sexual health and anatomy. Which statement about the vaginal opening would most accurately educate patients and reduce misconceptions about sexual activity?Answer →
  415. 415A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?Answer →
  416. 416During a prenatal exam, the nurse notes a softening of the cervix (Goodell's sign). This finding is;Answer →
  417. 417A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?Answer →
  418. 418A nurse is teaching a client at 12 weeks of gestation about genetic testing. The client asks the nurse, "Will you explain what Trisomy 21 means?" Which of the following statements should the nurse make?Answer →
  419. 419A 39-year-old who used ovulation-induction therapy is pregnant with twins. Which twin type and membrane/placenta pattern is most likely?Answer →
  420. 420A client presents to the hospital at 34 weeks gestation with reports of vaginal bleeding. The nurse applies the monitors to obtain a nonstress test (NST). The client denies any abdominal trauma, but states she is feeling frequent abdominal cramping. Tachysystole is noted on the monitor. Vital signs include temperature 37.1°C (98.7°F), pulse of 110 beats/minute, respirations of 20 breaths/minute, blood pressure 146/90 mmHg, pulse oximetry 96% on room air. The nurse suspects the client to be experiencing which placental issue?Answer →
  421. 421A nurse is caring for a client who has placenta previa. Which of the following reportable client findings should the nurse expect?Answer →
  422. 422Which information would the nurse include when teaching a patient about nonpharmacologic comfort measures for common complaints in the early stages of pregnancy? Select all that apply. One, some, or all responses may be correct.Answer →
  423. 423Which of the following would be a priority nursing consideration before an amniocentesis procedure?Answer →
  424. 424The nurse prepares the client for surgery and rechecks the vital signs. Complete the sentence from the list of drop-down options. The nurse determines the client's status is:Answer →
  425. 425The nurse is caring for a patient that is a 16 weeks gestation and experiencing severe nausea and vomiting with weight loss and hypokalemia. The midwife prescribes Promethazine (Phenergan). What medication side effects will the nurse monitor? Select all that applyAnswer →
  426. 426A client in the second trimester asks the nurse how to prevent common discomforts associated with pregnancy. Which response by the nurse is appropriate?Answer →
  427. 427A woman reports that her last normal menstrual period began on June 14, 2025. What is this woman's expected delivery date using Nagele's rule?Answer →
  428. 428A nurse in a prenatal clinic is reviewing the health record of a client who is at 18 weeks of gestation. The history includes one pregnancy, terminated at 39 weeks, the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?Answer →
  429. 429A 28-year-old client informs the nurse that they are unable to become pregnant and have been trying for about 3 months. Which response by the nurse is best?Answer →
  430. 430A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?Answer →
  431. 431During a prenatal exam, the nurse notes a softening of the cervix (Goodell's sign). This finding is:Answer →
  432. 432A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation. For which of the following results should the nurse provide client teaching? (Select all that apply.)Answer →
  433. 433A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?Answer →
  434. 434The nurse performs the second Leopold maneuver by palpating each side of the abdomen. Which information does this provide?Answer →
  435. 435Click to highlight the findings below that would indicate that the client is not progressing or has a potential problem. To deselect a finding, click on the finding again.Answer →
  436. 436A nurse is teaching a client about the various options for barrier method birth control. Which of the following client statements indicates an understanding of the teaching?Answer →
  437. 437A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?Answer →
  438. 438A BPP (Biophysical Profile) score of 4/10 is reported. What does this indicate?Answer →
  439. 439A pregnant client reports darkening of the skin on their inner thighs, underarms, and genitalia during prenatal consultation. What is the most appropriate course of action for the nurse?Answer →
  440. 440The nurse is assessing a patient who is taking oral contraceptives and reports severe pain in the legs. What symptoms should the nurse primarily assess for in the patient?Answer →
  441. 441A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitoring indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 80/40 mm Hg, heart rate 120/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?Answer →
  442. 442A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?Answer →
  443. 443The nurse is reviewing the client's medical record. Which of the following assessment findings indicate the client's condition is improving? (Select all that Apply.)Answer →
  444. 444A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select All that Apply.)Answer →
  445. 445A pregnant client asks the nurse how to avoid toxoplasmosis during pregnancy. Which instruction should the nurse provide?Answer →
  446. 446A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?Answer →
  447. 447A nurse is assessing the lifestyle practices of a pregnant client. Which of the following lifestyle factors indicates an increased risk for high-risk pregnancy?Answer →
  448. 448A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?Answer →
  449. 449A pregnant client arrives at the emergency department and states that she believes she has been sexually assaulted. She is sobbing and expresses disbelief, saying, "I can't believe this happened-he was a very close friend." Which of the following statements by the nurse is most appropriate at this time?Answer →
  450. 450Complete the following sentence by using the lists of options. The client is most likely experiencing [blank1] as evidenced by [blank2].Answer →
  451. 451A nurse is providing care for a client who has a abruptio placentae. Which of the following findings are risk factors for developing the condition? (Select all that apply)Answer →
  452. 452What is true about chronic illness?Answer →
  453. 453A pregnant client asks the nurse how to avoid toxoplasmosis during pregnancy. Which instruction should the nurse provide?Answer →
  454. 454A nurse is teaching a newly licensed nurse about factors that increase the risk of spontaneous abortion. Which of the following statements should the nurse make?Answer →
  455. 455A nurse is reviewing the medical record of a client who gave birth via cesarean section due to placenta accreta. Which of the following findings should the nurse identify as a risk factor for placenta accreta?Answer →
  456. 456What should the nurse state as the greatest danger associated with the human papillomavirus (HPV)?Answer →
  457. 457A nurse is performing Leopold Maneuvers prior to auscultating the fetal heart rate for a client who is at 30 weeks of gestation. The client asks, "Why do you feel around on my belly first?" Which of the following responses should the nurse make?Answer →
  458. 458A nurse is teaching a client about potential adverse effects of oral contraceptives. For which of the following adverse effects should the nurse instruct the client to notify the provider immediately?Answer →
  459. 459A client is admitted for hypernatremia resulting from dehydration. What clinical manifestations are expected in this client? (Select all that apply)Answer →
  460. 460The first day of a client's last menstrual period was July 5. Using Naegele's rule, what is her estimated date of delivery (EDD)?Answer →
  461. 461A nurse is teaching a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the teaching was effective?Answer →
  462. 462The nurse is preparing to administer magnesium sulfate IV. Which action is most important before starting the infusion?Answer →
  463. 463A nurse in a clinic is caring for a client who is at 19 weeks of gestation and reports that she has had slight occasional vaginal spots over the past 2 weeks and the baby stopped moving. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?Answer →
  464. 464A nurse is providing education about a medication abortion to a client. Which of the following situations should the nurse identify as being a contraindication for a medication abortion?Answer →
  465. 465A nurse is reinforcing education to a client about the administration of Rho(D) immune globulin. Which of the following statements should the nurse Include?Answer →
  466. 466Which of the following clients would be at highest risk for heart attack or stroke related to use of these contraceptives?Answer →
  467. 467A nurse is assisting with teaching a client about nutritional supplements. Which of the following supplements is used to reduce the risk of birth defects in neonates?Answer →
  468. 468A nurse is educating a pregnant client about health risks during pregnancy after performing an initial assessment. Which of the following information should the nurse include in the teaching?Answer →
  469. 469A nurse is providing prenatal education to a first-time pregnant client and her partner about the emotional and psychological changes that commonly occur during pregnancy. Which statement by the client indicates a need for further teaching?Answer →
  470. 470The nurse is providing education to a client at 32 weeks gestation who is scheduled for a nonstress test (NST) due to decreased fetal movement. Which statement by the client indicates they understood the teaching?Answer →
  471. 471A nurse is collecting data from a client who is at 34 weeks of gestation. Which of the following statements made by the client should the nurse address first?Answer →
  472. 472Click to highlight the findings that indicate the client is at increased risk for contracting STIs. To deselect a finding, click on the finding again.Answer →
  473. 473A nurse is caring for multiple pregnant clients. Which client is at the highest risk for pregnancy complications based on their individual history?Answer →
  474. 474A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) immune globulin?Answer →
  475. 475The nurse reviews the client's chart findings. Which findings require immediate follow-up? Select all that apply.Answer →
  476. 476The umbilical cord contains which of the following vessels?Answer →
  477. 477A post-operative patient is admitted to the unit. Fifteen minutes later, the nurse notes that the patient is becoming extremely restless and confused. Which of the following would be the nurse's priority action?Answer →
  478. 478A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?Answer →
  479. 479A nurse is caring for a client who is at 35 weeks of gestation and has moderate abruptio placenta. Which of the following actions should the nurse take?Answer →
  480. 480A nurse is planning teaching about hyperthyroidism for a client at 10 weeks of gestation who has the condition. Which of the following statements should the nurse include in the teaching?Answer →
  481. 481A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?Answer →
  482. 482A nurse is teaching a newly licensed nurse about the structures of fetal circulation. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?Answer →
  483. 483A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?Answer →
  484. 484A nurse is discussing hormones with a client who is pregnant. Which of the following statements should the nurse make?Answer →
  485. 485A nurse is teaching a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse include in the teaching?Answer →
  486. 486Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?Answer →
  487. 487A nurse in an obstetrician's office is caring for clients who are experiencing high-risk pregnancies. Which of the following roles should the nurse perform when providing prenatal care?Answer →
  488. 488During a follow-up genetic counseling session, the nurse asks the couple to evaluate their understanding of a balanced chromosomal translocation and its reproductive implications. Which statement made by the couple demonstrates the most accurate interpretation of the nurse's explanation?Answer →
  489. 489A 30-year-old female is 20 weeks pregnant with twins. She has a 6-year-old who was born at 40 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?Answer →
  490. 490After providing prenatal education to a client with a normal BMI about appropriate weight gain during pregnancy, the nurse determines that teaching has been successful when the client statesAnswer →
  491. 491A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. Which statement is not considered ageism?Answer →
  492. 492A nurse is caring for a client who is at 36 weeks of gestation. Which of the following findings should the nurse identify as the priority to assess further?Answer →
  493. 493A nurse is explaining Chadwick's sign to a pregnant patient. Which physiological change directly contributes to the appearance of Chadwick's sign during pregnancy?Answer →
  494. 494A nurse is caring for a group of clients. Which of the following clients should the nurse identify as potentially having a molar pregnancy?Answer →
  495. 495A nurse in a prenatal clinic is reviewing the health record of a client who is at 20 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; another pregnancy ended at 42 weeks, and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?Answer →
  496. 496A client presents to labor and delivery triage because she is in labor. The client is from out of town and the nurse must document the client's complete history. The nurse asks the client if this is her first pregnancy. The client tells the nurse that this is her 5th pregnancy. The nurse asks the outcome of her previous pregnancies and the client states "I had my first baby at 41 weeks. My second was born at 37 weeks and then I got pregnant with twins and had them at 33 weeks. I had another baby after the twins that were born at 19 weeks." Which of the following is the correct documentation of the client's GTPAL status?Answer →
  497. 497An antepartum client tells the nurse her last period was May 18 to 24. The nurse uses Nägele's rule to compute the client's expected date of birth. What is the correct estimated date of birth (EDB)?Answer →
  498. 498Based on the client's subjective and objective assessment findings. Which of the following prescriptions should the nurse anticipate Select the 2 prescriptions the nurse should anticipate the provider to prescribe.Answer →
  499. 499Which of the following are normal reproductive changes in pregnancy? (Select all that apply)Answer →
  500. 500Which of the following patient symptoms at 38 weeks gestation would be considered danger signs that should be reported immediately?Answer →
  501. 501A nurse is assisting with the care of a client who is at 37 weeks of gestation and has placenta previa. Which of the following risks is the primary reason the nurse should avoid performing a pelvic examination?Answer →
  502. 502A nurse is caring for a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse identify as a potential adverse effect of this medication?Answer →
  503. 503Which statement by a patient about the use of aspirin during pregnancy indicates a need for further teaching?Answer →
  504. 504The nurse is contacting the provider regarding the client's status. Which of the following interventions should the nurse anticipate? Select the 3 interventions the nurse should anticipate.Answer →
  505. 505A nurse is planning to discuss the following laboratory results with a client who is at 10 weeks of gestation. Which of the following statements should the nurse make?Answer →
  506. 506A pregnant client with preeclampsia reports new-onset severe headache, blurred vision, and epigastric pain. The nurse notes blood pressure of 170/110 mm Hg and proteinuria on urinalysis. Which nursing action should the nurse prioritize to prevent progression to eclampsia?Answer →
  507. 507A client at 10 weeks' gestation is scheduled for a chorionic villus sampling (CVS) procedure. She asks the nurse how this test differs from an amniocentesis. Which response by the nurse is most appropriate?Answer →
  508. 508A 27-year-old woman has come to the office stating that she has not had her menses for 1 year. She has had several negative pregnancy tests in the past year. The menstrual history notes: "Menses began at age 14 and occurs every 28 days, lasting for 5 days." The nurse understands that the patient is demonstrating signs of:Answer →
  509. 509A pregnant client arrives for her first prenatal visit, and you suspect substance abuse based on her medical history and behavior. Which of the following assessments should the nurse prioritize to identify substance use?Answer →
  510. 510A nurse is assessing a client who has missed one menstrual cycle and is experiencing manifestations of pregnancy. Which of the following client statements leads the nurse to suspect pregnancy? (Select All that Apply.)Answer →
  511. 511A nurse is collecting information from a new client who is seeking prenatal care. Which of the following findings should the nurse identify as a risk factor that increases the risk of pregnancy complications? (Select All that Apply.)Answer →
  512. 512A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?Answer →
  513. 513A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?Answer →
  514. 514A nurse is performing a health history interview with a client who is pregnant. Which of the following findings should the nurse identify as placing the client at high risk for pregnancy complications? (Select All that Apply.)Answer →
  515. 515Your order reads metoprolol 50 mg PO BID. You have metoprolol 20 mg scored tablets. How many tablet(s) will you administer for the 9:00 AM dose? Record your answer using 1 decimal place.Answer →
  516. 516A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?Answer →
  517. 517A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?Answer →
  518. 518A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?Answer →
  519. 519The order reads: Amoxicillin 450 mg PO every 8 hours. Available: Amoxicillin 300 mg/5 mL suspension. How many mL will the nurse administer per dose? (Round to the nearest tenth.)Answer →
  520. 520A nurse is providing education to a group of clients about genetic disorders. Which of the following statements should the nurse include in the teaching?Answer →
  521. 521The nurse is speaking with the provider regarding the treatment plan for the client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  522. 522A pregnant patient reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccine is NOT safe in pregnancy?Answer →
  523. 523A pregnant patient with a pre-pregnancy BMI of 27 presents at 34 weeks' gestation. She has gained 6 kg (13 lb) to date. Fundal height and ultrasound confirm appropriate fetal growth, and laboratory results show normal glucose tolerance and hemoglobin levels. During the visit, the patient expresses anxiety that she has "not gained enough weight" and requests advice on how to "catch up" before delivery. Which nursing response best demonstrates evidence-based clinical judgment?Answer →
  524. 524The nurse is attempting to insert a urinary catheter into a female client's bladder and realizes the catheter has been inserted into the vagina. Which action is most appropriate?Answer →
  525. 525During a prenatal exam, the nurse notes a softening of the cervix (Goodell's sign). This finding is:Answer →
  526. 526A nurse is teaching a client who is scheduled for a cerclage due to a history of cervical insufficiency. Which statement by the client indicates correct understanding of the procedure?Answer →
  527. 527A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?Answer →
  528. 528A nurse receives a prescription for methotrexate IM for a client who has an ectopic pregnancy. Identify the order in which the nurse should perform the following actions. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  529. 529A nurse in a community clinic is counseling a pregnant client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?Answer →
  530. 530A client at 36 weeks has a fundal height of 40 cm. What is the priority nursing action?Answer →
  531. 531A nurse is obtaining information about social determinants of health from a new client during their first prenatal visit. For which of the following responses by the client should the nurse seek more information?Answer →
  532. 532A nurse is caring for a client in the emergency department who is in active labor on December 26. The client reports their last menstrual period was around April 1. Which of the following ages is the anticipated gestational age of the fetus?Answer →
  533. 533The nurse is educating a group of prenatal clients about high-risk antepartum conditions. Match each condition to its correct diagnostic criteria.Answer →
  534. 534The nurse is assessing the client IS min later. How should the nurse interpret the following findings? For each finding. click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.Answer →
  535. 535A nurse is assessing a client who has preeclampsia with severe features. Which of the following manifestations should the nurse expect?Answer →
  536. 536Why is pregnancy divided into trimesters during the prenatal period?Answer →
  537. 537A nurse is caring for a client during a nonstress test (NST). At the end of a 30-min period of observation, the nurse notes the following findings: The fetal heart rate baseline is 120/min with moderate variability and no accelerations. There are two decelerations lasting 20 seconds each. Which of the following interpretations of these findings should the nurse make?Answer →
  538. 538A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include? (Select all that apply.)Answer →
  539. 539A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 20, 2024. Which of the following is the appropriate response by the nurse?Answer →
  540. 540Which instruction would the nurse give a pregnant patient regarding the administration of iron supplements and aluminum hydroxide?Answer →
  541. 541A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following recommendations should the nurse make to help relieve this common discomfort of pregnancy?Answer →
  542. 542How is an abortion defined in terms of fetal loss?Answer →
  543. 543A post-surgery client who is ambulatory has a Foley catheter in place. The health care provider has not yet written an order to discontinue the urinary catheter. What is a priority intervention to promote patient safety?Answer →
  544. 544A prenatal nurse is discussing environmental exposures with a client in early pregnancy. The client reports frequent use of a hot tub and sauna. Which statement demonstrates the nurse's most accurate concern regarding potential fetal effects?Answer →
  545. 545A nurse is teaching a pregnant client about warning signs during the second trimester. Which statement indicates correct understanding?Answer →
  546. 546During childbirth education, a client asks where amniotic fluid comes from and how it changes. Which response by the nurse is most accurate?Answer →
  547. 547A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  548. 548The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?Answer →
  549. 549A nurse is assessing a client who is pregnant. Which of the following behaviors should the nurse identify as having a potential negative impact on the pregnancy?Answer →
  550. 550A nurse is teaching a group of clients about sexually transmitted infections. Which of the following client statements indicates an understanding of the teaching?Answer →
  551. 551A client who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO₂ levels of 89% to 90%). What is the most precise way to deliver oxygen therapy to the COPD client?Answer →
  552. 552A nurse is caring for a client who has HELLP syndrome and needs a magnesium sulfate infusion. Which of the following reasons should the nurse identify as the primary purpose of administering magnesium sulfate?Answer →
  553. 553The provider orders warfarin 7.5 mg PO daily. The available tablets are 5 mg each. How many tablets should the nurse administer per dose?Answer →
  554. 554Which of the following findings require follow-up? Select the 3 findings that require follow-up.Answer →
  555. 555A nurse is teaching a client about the risk of birth defects. Which of the following client statements indicates an understanding of the teaching?Answer →
  556. 556A client at 10 weeks gestation has just been admitted to the antepartum unit with severe vomiting and dehydration. The client is diagnosed with hyperemesis gravidarum. Which of the following orders is the priority nursing action to be performed?Answer →
  557. 557A nurse is caring for a client who is at 7 weeks of gestation and is experiencing vaginal bleeding. An ultrasound shows not all products of conception have passed, the cervix is closed, and there is no fetal heartbeat. The nurse should identify this as which of the following types of spontaneous abortion?Answer →
  558. 558A client at 30 weeks' gestation is in preterm labor and receives magnesium sulfate. The provider prescribes betamethasone. The nurse understands the purpose of this betamethasone is to:Answer →
  559. 559A nurse is reviewing the medical record of a client who is pregnant. Which of the following information should the nurse identify as a risk factor for preeclampsia?Answer →
  560. 560What is the rationale for scheduling prenatal visits every four weeks during the first trimester of pregnancy?Answer →
  561. 561A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  562. 562A bisexual woman expresses concern about disclosing her sexual orientation to healthcare providers. What should the nurse understand about healthcare disparities in LGBTQ+ individuals?Answer →
  563. 563The nurse is preparing a preterm client who has HELLP syndrome for a cesarean birth. The client asks why they must give birth now. Which of the following is the clinical indication for this client to give birth immediately?Answer →
  564. 564During the prenatal visit the nurse performs various laboratory tests for the patient. Which of the following test is used to detect anemia?Answer →
  565. 565A patient with dysmenorrhea has been prescribed nonsteroidal anti-inflammatory drugs (NSAIDs). The patient reports passing dark-colored stools 1 week after starting therapy. What can the nurse interpret from this?Answer →
  566. 566After reviewing the client's electronic health record, the nurse should identify that the client is at risk for developing which of the following complications? Select the 3 complications that the nurse should identify that the client is at risk for developing.Answer →
  567. 567A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take immediately after the seizure?Answer →
  568. 568A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?Answer →
  569. 569A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on April 12. What is the client's EDD? (State the date in MMDD. For example, July 27 is 0727.)Answer →
  570. 570A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?Answer →
  571. 571The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.Answer →
  572. 572A 25-year-old female seeks assistance from a reproduction specialist. The patient and her husband have tried to get pregnant since they were married 2 years ago. The specialist tests this hormonal level that assist in maintaining a pregnancy. Which of the following hormone would assist in maintaining a pregnancy?Answer →
  573. 573A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?Answer →
  574. 574Your client is currently pregnant. She tells you she delivered one baby at 39 weeks, 1 baby at 32 weeks, 1 baby at 36 weeks, and 1 baby at 19 weeks. She has 2 living children. What is her GTPAL?Answer →
  575. 575A nurse is planning to provide teaching to a client about routine prenatal laboratory testing. Which of the following information should the nurse include about the glucose challenge screening? (Select all that apply).Answer →
  576. 576A nurse is teaching a client about the risk of birth defects. Which of the following client statements indicates an understanding of the teaching?Answer →
  577. 577Which of the following best describes the primary function of amniotic fluid during pregnancy?Answer →
  578. 578A client presents for a prenatal visit at 12 weeks gestation. Her obstetrical history includes delivering triplets at 35 weeks (all surviving), a miscarriage at 9 weeks, and delivering a daughter at 38 weeks. How should the nurse document her GTPAL history?Answer →
  579. 579A nurse is caring for a client who is at 7 weeks of gestation and is experiencing vaginal bleeding. An ultrasound shows not all products of conception have passed, the cervix is closed, and there is no fetal heartbeat. The nurse should identify this as which of the following types of spontaneous abortion?Answer →
  580. 580A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on their forehead. Which of the following actions should the nurse take?Answer →
  581. 581A client presents to the obstetric office for a prenatal visit. The nurse asks the client when her last menstrual period was in order to estimate her due date. The client tells the nurse it was November 24th. Which of the following would be this client's estimated due date based on Naegele's Rule?Answer →
  582. 582A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration?Answer →
  583. 583A fetus of a diabetic mother is most at risk for which complication?Answer →
  584. 584A nurse is caring for a client who is at 7 weeks of gestation and is experiencing vaginal bleeding. An ultrasound shows not all products of conception have passed, the cervix is closed, and there is no fetal heartbeat. The nurse should identify this as which of the following types of spontaneous abortion?Answer →
  585. 585A nurse is teaching a newly licensed nurse about nutrition for the embryo. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?Answer →
  586. 586A female client tells the nurse that she can feel contractions in her vagina and that they prevent her husband's penis from entering her. What form of female sexual dysfunction would the nurse suspect?Answer →
  587. 587A patient reports breast tenderness, amenorrhea, and fatigue. The nurse recognizes these are:Answer →
  588. 588A client at 36 weeks has a fundal height of 40 cm. What is the priority nursing action?Answer →
  589. 589A client hospitalized for hyperemesis gravidarum has received IV fluids, antiemetics, and nutritional support. Which outcome indicates that the nurse's interventions have been effective?Answer →
  590. 590A client has been given the abortifacient drug, mifepristone (Mifeprex). Which information would the nurse provide to the client?Answer →
  591. 591A nurse is caring for a client who is at 34 weeks of gestation and has a small amount of painless vaginal bleeding. Which of the following actions should the nurse plan to take to determine if the client is experiencing a placenta previa?Answer →
  592. 592A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation. Which of the following findings indicates that the client should be referred to a registered dietician?Answer →
  593. 593A nurse is speaking to an adolescent who is pregnant. The adolescent asks the nurse how their infant breathes while growing in the uterus. Which Of the following responses should the nurse make?Answer →
  594. 594A young woman is newly married and is seeking advice on contraception. Her husband dislikes the feel of condoms. Also, she mentions that she typically experiences dysmenorrhea and has a history of PID. Which method should the nurse recommend?Answer →
  595. 595A nurse is reviewing charts for clients who have a diagnosis of placental abruption. Which of the following clients needs an emergent cesarean section?Answer →
  596. 596Which instruction should the nurse provide to a female client of childbearing age prior to administering a rubella vaccine?Answer →
  597. 597A nurse is discussing hormones with a client who is pregnant. Which of the following statements should the nurse make?Answer →
  598. 598Complete the following sentence by using the lists of options. When caring for the client. the nurse should [blank1] and [blank2]Answer →
  599. 599A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?Answer →
  600. 600A nurse is preparing a teaching session on the menstrual cycle. Which explanation best describes the role of the corpus luteum in conception?Answer →
  601. 601The nurse evaluates the hydration status of a client who has been receiving intravenous fluids at 150 mL/hour. Which clinical manifestation is present in a client with fluid volume excess?Answer →
  602. 602Why might a patient over the age of 35 have difficulty achieving pregnancy?Answer →
  603. 603A nurse is providing education about a medication abortion to a client. Which of the following situations should the nurse identify as being a contraindication for a medication abortion?Answer →
  604. 604A nurse is reviewing the obstetric history of a client who is pregnant for the fifth time. The client reports the following pregnancy outcomes: one spontaneous abortion at 8 weeks, two full-term deliveries, one set of twins born preterm at 34 weeks, and is currently pregnant. Using the GTPAL system, which entry correctly reflects the client's obstetric history?Answer →
  605. 605A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?Answer →
  606. 606A nurse in an antepartum clinic is providing teaching about the Rho(D) immune globulin injection with a client who is at 8 weeks of gestation and is Rh-negative. Which Of the following statements by the client indicates an understanding Of the teaching?Answer →
  607. 607A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?Answer →
  608. 608A nurse is caring for a pregnant client with gestational diabetes mellitus (GDM) diagnosed at 28 weeks gestation. The client expresses concern about managing her condition to ensure fetal well-being. Which nursing action best reflects a comprehensive, coordinated care approach for this high-risk pregnancy?Answer →
  609. 609The nurse is counseling a group of women on strategies to reduce the risk of the leading cause of death in females. What information should the nurse include?Answer →
  610. 610A nurse is reviewing the obstetric history of a client who is pregnant for the fifth time. The client reports the following pregnancy outcomes: one spontaneous abortion at 8 weeks, two full-term deliveries, one set of twins born preterm at 34 weeks, and is currently pregnant. Using the GTPAL system, which entry correctly reflects the client's obstetric history?Answer →
  611. 611The nurse is preparing to teach a client at 16 weeks' gestation who is scheduled for an amniocentesis. Which statement by the client indicates a correct understanding of the purpose of the procedure?Answer →
  612. 612An older client complains of having "no energy" and feeling increasingly weak. The client has had a 12-pound weight loss over the last year. Which action should the nurse take initially?Answer →
  613. 613A nurse is assisting in the care of a client who is 36 weeks of gestation and reported to the clinic for a routine visit. (Based on the provided Nurses' Notes, Vital Signs, and Physical Examination) Which of the following findings should the nurse report to the provider? (Select all that apply.)Answer →
  614. 614A nurse is reviewing a pregnant client's obstetrical history to calculate her GTPAL score. The client has been pregnant 4 times (including the current pregnancy), delivered 2 babies at term, had 1 preterm birth, experienced 1 miscarriage, and currently has 2 living children, which is the correct GTPAL notation for this client?Answer →
  615. 615Which of the following physiologic changes occur during pregnancy? (Select all that apply.)Answer →
  616. 616The nurse is discussing breast cancer screening with a client who has a BRCA1 gene mutation. Which recommendation should the nurse provide to help reduce the client's risk of late detection?Answer →
  617. 617A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?Answer →
  618. 618Your client has a diagnosis of hypervolemia. What intervention would the nurse initiate?Answer →
  619. 619The nurse explains that it is important to select foods like __________ and __________ to avoid too many simple carbohydrates.Answer →
  620. 620A client is brought into the clinic with thirst, dry and sticky mucous membranes, decreased urine output, fever, a rough tongue, and lethargy. Serum sodium level is above 150 mEq/L (reference range: 135–145 mEq/L). What is the priority nursing intervention?Answer →
  621. 621A pregnant client with a history of depression expresses feelings of sadness and anxiety during a prenatal visit. Considering psychosocial factors and therapeutic communication principles, which nursing intervention is the most appropriate first step?Answer →
  622. 622A nurse in the emergency department is caring for a group of clients. Which of the following clients should the nurse plan to see first?Answer →
  623. 623Select the 3 findings that require immediate follow-up.Answer →
  624. 624A 22-year-old female client who has had unprotected sex is apprehensive and wants to know more about emergency contraception. Which instruction would the nurse provide the client about emergency contraception?Answer →
  625. 625A woman in her third trimester reports heartburn. What nursing advice is most appropriate?Answer →
  626. 626The cervix becomes soft and bluish in color during pregnancy, a finding known as Goodell's and Chadwick's signs. These changes occur primarily because of increased:Answer →
  627. 627A nurse educator asks parents to evaluate statements about sexual differentiation during fetal development. Which statement demonstrates the most accurate understanding of the hormonal and genetic influences involved?Answer →
  628. 628A nurse in an obstetrician's office is assisting in the care of clients who are experiencing high-risk pregnancies. Which of the following actions should the nurse perform when providing prenatal care?Answer →
  629. 629For each client finding, click to specify if the finding is consistent with chlamydia or trichomoniasis. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.Answer →
  630. 630A nurse is providing teaching about exercise safety to a client who is at 34 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)Answer →
  631. 631A nurse is evaluating the client who is in preterm labor. Click to highlight the findings below that would indicate that the client has a potential problem. To deselect a finding, click on the finding again.Answer →
  632. 632A nurse is assisting in the care of a client who has severe preeclampsia and has a prescription for a magnesium sulfate infusion. Which of the following assessments should the nurse recognize is the most important during administration of the initial bolus of this medication?Answer →
  633. 633During a prenatal education session, a nurse asks the parents to evaluate statements about the structure and function of the umbilical cord. Which statement demonstrates the most accurate understanding of how the umbilical cord protects fetal circulation?Answer →
  634. 634Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  635. 635A nurse is caring for a pregnant client who expresses concerns about eating fish due to potential mercury exposure. Which of the following fish should the nurse advise the client to avoid to prevent fetal neurotoxicity?Answer →
  636. 636Classes for individuals or couples who are thinking about having a baby are designed to help them have a healthy pregnancy from the beginning. Information about nutrition before conception, healthy lifestyle, signs of pregnancy, and choosing a caregiver is presented. What should the nurse include in the classes in the first trimester?Answer →
  637. 637A nurse is teaching a client who is pregnant about a biophysical profile (BPP). Which of the following elements should be included in the teaching? (Select All that Apply.)Answer →
  638. 638A nurse is preparing to administer magnesium sulfate intravenously for seizure prophylaxis in a client with severe preeclampsia. The provider orders a loading dose of 4 g IV to be infused over 20 minutes. The available magnesium sulfate concentration is 50% (500 mg/mL). Using the appropriate dosage calculation method, how many milliliters should the nurse administer for the loading dose?Answer →
  639. 639A nurse is discussing fetal kick counts with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  640. 640A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?Answer →
  641. 641A nurse is teaching a client at 12 weeks of gestation about genetic testing. The client asks the nurse, "Will you explain what Trisomy 21 means?" Which of the following statements should the nurse make?Answer →
  642. 642Which sign provides the most conclusive evidence of pregnancy?Answer →
  643. 643A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?Answer →
  644. 644A nurse is assessing a 28-year-old client who is experiencing amenorrhea. Which of the following findings should the nurse identify as a possible cause of the amenorrhea?Answer →
  645. 645A nurse is reviewing the medical record of a client who is requesting an oral contraceptive for birth control. The nurse should identify which of the following findings as a contraindication for the use of oral contraceptives for this client?Answer →
  646. 646A nurse is caring for a client in an obstetric unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  647. 647The nurse reviews the client's history and physical to determine the cause of the client's symptoms. Highlight the information from the history and physical that requires further evaluation.Answer →
  648. 648A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply.)Answer →
  649. 649A client asks the nurse about the method used to determine the biological sex of the fetus. Which of the following responses should the nurse make?Answer →
  650. 650Your client is currently pregnant. She tells you she delivered one baby at 39 weeks, one baby at 32 weeks, one baby at 36 weeks, and one baby at 19 weeks. She has two living children. What is her GTPAL?Answer →
  651. 651The nurse is working in an obstetric clinic. Which client is at greatest risk for preterm labor?Answer →
  652. 652A nurse is discussing fetal kick counts with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  653. 653A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on April 12. What is the client's EDD? (State the date in MMDD. For example, July 27 is 0727)Answer →
  654. 654A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports "feeling overwhelmed lately." The client asks the nurse, "Can't I have just one glass of wine here and there?" Which of the following responses should the nurse make?Answer →
  655. 655On physical exam, a client has warm, dry skin with poor skin turgor. The client also has dry mucous membranes and dark urine. Which vital signs would most likely correspond to these assessment findings?Answer →
  656. 656A nurse is reviewing the history of a client who is pregnant. Which of the following clinical data indicates the client is at risk for preterm delivery?Answer →
  657. 657A nurse is teaching a primigravid client about quickening during pregnancy. Which client statement indicates the nurse needs to provide further education about this phenomenon?Answer →
  658. 658Which nutrient absorption is most affected by alcohol use during pregnancy?Answer →
  659. 659Which of the following is the hallmark sign of placenta previa that differentiates it from abruptio placenta?Answer →
  660. 660A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)Answer →
  661. 661A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks, "What effects will this procedure have on my sex life?" Which of the following responses should the nurse make?Answer →
  662. 662An 18-year-old client is diagnosed with genital herpes. Which teaching would the nurse provide the client?Answer →
  663. 663Choose the most likely options for the information missing from the statement by selecting from the list of options provided. The nurse knows that…. will help blood pressure, while…. will help prevent seizures.Answer →
  664. 664A client at 36 weeks is scheduled for a Biophysical Profile (BPP) after reporting decreased fetal movements. The nurse explains that a score of 8 out of 10 indicates which of the following?Answer →
  665. 665What client teaching should the nurse provide a male client diagnosed with genital herpes?Answer →
  666. 666A nurse is discussing fetal kick counts with a newly licensed nurse. Which of the following information should the nurse include?Answer →
  667. 667A nurse is assessing a client who has missed one menstrual cycle and is experiencing manifestations of pregnancy. Which of the following client statements leads the nurse to suspect pregnancy? (Select all that Apply.)Answer →
  668. 668She also had miscarriages at 12, 15 and 18 weeks What is her gravidity and parity?Answer →
  669. 669The nurse is providing discharge instructions to an elderly client. The nurse hands the client a paper about a new medication. The client cannot read and therefore learning does not occur. What has the nurse failed to assess in this situation?Answer →
  670. 670A client has a positive urine pregnancy test but reports mild spotting. Which is the nurse's priority action?Answer →
  671. 671The nurse is discussing cocaine use in pregnancy with a nursing student. Which information about cocaine use should the nurse include? Select all that apply.Answer →
  672. 672A nurse is assessing four pregnant clients for risk factors associated with placental abruption. Which client should the nurse identify as having the greatest risk for this complication?Answer →
  673. 673Which response will the nurse provide to a pregnant patient with vitamin deficiency who asks the nurse if megadoses of vitamins and minerals would be beneficial?Answer →
  674. 674A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?Answer →
  675. 675Which of the following clients is most at risk for placental abruption?Answer →
  676. 676A nurse on an obstetric triage unit is caring for a client at 28 weeks of gestation who reports 'feeling contractions.' Which of the following assessment findings should the nurse identify as the most closely related to the pathophysiology of preterm labor?Answer →
  677. 677A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement?Answer →
  678. 678Which cardiovascular change is expected during normal pregnancy?Answer →
  679. 679best estimate of gestational age?Answer →
  680. 680A client presents to labor and delivery at 36-weeks' gestation reporting bright red vaginal bleeding without contractions. Which result should the nurse review first in the client's medical record?Answer →
  681. 681A client who presents for a prenatal visit is Rh-negative. The nurse explains to the client that she will receive Rh0(D) Immune Globulin at 28 weeks and within 72 hours after delivery if the baby is Rh-positive. The nurse determines that the client understands the purpose of Rh0(D) Immune Globulin when she states.Answer →
  682. 682A nurse is assessing four clients in a prenatal clinic. Which of the following clients should the nurse recommend that the provider see first?Answer →
  683. 683A client presents for an initial prenatal visit and reports that the first day of her last menstrual period was April 29, 2024. Her menstrual cycles are regular and occur every 28 days. What is the client's estimated date of delivery based on Naegele's Rule?Answer →
  684. 684A nurse is caring for a client who is at 37 weeks of gestation. Which of the following findings should the nurse identify as a risk factor for placental abruption?Answer →
  685. 685A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?Answer →
  686. 686A nurse is reinforcing teaching with a client who is pregnant and has hyperemesis gravidarum about nutrition at home. Which of the following statements indicates that the client understands the teaching?Answer →
  687. 687A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?Answer →
  688. 688A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?Answer →
  689. 689A is providing instruction to a Client about diagnostic tests during their first prenatal Visit at 12 weeks Of gestation. Which Of the following diagnostic tests should the nurse include in the teaching?Answer →
  690. 690Which cardiovascular change is expected during normal pregnancy?Answer →
  691. 691Which vital sign changes in a pregnant woman should the nurse report to the midwife immediately?Answer →
  692. 692A nurse is caring for a client who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise. Which of the following treatment options should the nurse anticipate the provider to discuss with the client?Answer →
  693. 693What information should the nurse include in the teaching plan related to the use of a vaginal sponge?Answer →
  694. 694A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  695. 695Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? The nurse should recognize that the client is at risk for developing ___.Answer →
  696. 696A nurse is caring for a client who is 32 weeks gestational age and has a placenta previa. The nurse notes that the client is actively bleeding. Which assessment or intervention will the nurse not perform?Answer →
  697. 697Which phrase describes why the nurse would encourage the use of over-the-counter docusate sodium by a pregnant patient?Answer →
  698. 698Which adverse reaction of hydralazine may occur in a patient receiving the drug for gestational hypertension?Answer →
  699. 699A nurse is evaluating the client who is in preterm labor. Click to highlight the findings below that would indicate that the client has a potential problem. To deselect a finding, click on the finding again.Answer →
  700. 700A nurse is caring for a pregnant client at 30 weeks gestation who is receiving intravenous magnesium sulfate for fetal neuroprotection due to risk of preterm birth. Which nursing action is the priority to ensure both maternal safety and optimal neuroprotective effect for the fetus?Answer →
  701. 701Which is a symptom of bacterial vaginosis?Answer →
  702. 702A nurse is caring for a client who is at 37 weeks of gestation. Which of the following findings should the nurse identify as a risk factor for placental abruption?Answer →
  703. 703A nurse is caring for a client who is receiving magnesium sulfate to suppress preterm labor. Which of the following parameters should the nurse plan to monitor? (Select All that Apply.)Answer →
  704. 704Which nutrient is especially important to prevent neural tube defect during pregnancy?Answer →