NR 327 FINAL EXAM LATEST 2023-2024 REAL EXAM

l OM oAR cP SD | 19 50 0 98 6

NR 327 FINAL EXAM LATEST 2023-2024 REAL EXAM

QUESTIONS AND CORRECT ANSWERS|ALREADY

GRDADED A+

1) A nurse is caring for a client admitted for induction of labor due to intrauterine fetal demise at 32 weeks. What statement by the nurse would be most therapeutic at this time?

• After you recover you can hopefully conceive again and start your family.
• My sister lost a baby too, I know how you feel and I’m here to help.
• If you want to talk about how you’re feeling, I can call a chaplain.
• Would you like to hold your baby after he is born?

2) A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat on the ultrasound. What assessment data must be collected in order to ensure the safety of future pregnancies?

• Chromosomal studies of the placental tissue.
• The fetus’ blood type.
• Maternal while blood cell count.
• Maternal Rh status.

3) Following a cerclage at 14 weeks, the nurse counsels the client to report any cramping or contractions. What is the rational for these instructions?

• The client is at risk for bleeding if she contracts with cerclage in place
• Contractions can indicate that cerclage procedure was unsuccessful
• Fetus’ lungs are not yet developed, so preterm birth would be dangerous
• Labor is contraindicated due to the scar on the uterus

4) A client is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals implantation in the right fallopian tube. What important education should the patient receive?

• The client should return in two weeks to see if the pregnancy has migrated

into the uterus.

• The client needs to take Methotrexate and stop her prenatal vitamins.
• The client should be rushed to emergency surgery for the removal of her

pregnancy.

• The pregnancy could end in miscarriage so the nurse should recommend

grief counseling. 1 / 2

l OM oAR cP SD | 19 50 0 98 6

*Methotrexate will stop cell replication so the body will detect not further growth and will then release it and it will be expelled

5) The nurse is caring for a G1P0 who experienced a miscarriage at home. Which statement is true about her future pregnancies?

• She has increased risk of future miscarriages.
• She is a candidate for a Cerclage procedure.
• She should avoid pregnancy for at least one year.
• It is most likely that her next pregnancy will be healthy.

*She would only be a greater risk of miscarriages if it was greater than 3 miscarriages.The Cerclage procedure is for an incompetent cervix where it is stitched closed. Avoid pregnancy for a year for a molar pregnancy.6) A nurse is caring for a client on magnesium sulfate for preeclampsia. Which finding would indicate that the magnesium level is below therapeutic range?

• minimal variability
• deep tendon reflexes +3
• shallow respirations
• arrhythmias

7) The nurse is assisting with amniotomy. The nurse immediately notes the color of amniotic fluid is port wine. What condition does this finding indicate?

• Incomplete abortion
• Placenta previa
• Uterine rupture
• Placental abruption

8) Which of the following clients would be at risk for developing s placenta previa?

• G2P1 with a history of gestational diabetes
• G1P0 Native American with chronic hypertension
• G3P1 with a placental abruption in her first pregnancy
• G3P2 with a history of 2 C-sections

C-sections can leave scarring on fundus, and the implantation will happen in the lower uterus.9) A 34-week client with a placenta previa arrives for the office visit. What action by the nurse shows understanding of this condition?

• Educate the client about c-section as the vaginal birth is contraindicated
• Educate the client that her previa will likely resolve before the delivery
• Send the patient to the OB triage for the nonstress test NST
• Administer terbutaline to prevent contractions

Earlier in the pregnancy (12 weeks) it could resolve. At 34 weeks, it is not getting resolved. Patients with placenta previa usually have spotting.

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