NR 327 Maternal Exam 1 Questions and Answers; Chamberlain College of Nursing 2023 A 1. nurse is caring for client, 1st stage of labor, undergoing external FHR and receiving IV fluids. The nurse observes variable decel in the FHR on the monitor strip. What is the correct interpretation? - Correct Answer Variable decel is due to umbilical cord progression A contraindication for a diaphragm is - Correct Answer Client who has pelvic relaxation and large cystocele (bulge of bladder into the vagina) A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse? - Correct Answer "Ambivalent feelings are quite common for women early in pregnancy." A nurse caring for client, scheduled for a maternal serum alpha fetoprotein test at 15 wks. explanation about test to client? - Correct Answer Screening test for spiral defects in fetus Neural tube defects Abdominal wall defects Microcephaly Anencephaly A nurse in a clinic is reviewing the medical records for clients who are pregnant. The nurse anticipates that the doctor will order a maternal serum alpha fetoprotein screening for which of the following patients? - Correct Answer All pregnant women A nurse in a prenatal clinic is caring for a client who asks what her EDD is. Her LMP was May 4, 2015.Which of the following is an appropriate response by the nurse? - Correct Answer February 11, 2016 A nurse in a prenatal clinic is caring for a client who is 12 weeks pregnant and asks abut the cause of her heartburn. Which response by the nurse is most appropriate? - Correct Answer Increased progesterone production causes decreased motility of smooth muscle 1 / 2
A nurse in a prenatal clinic is reviewing the record of a client who is at 28 weeks of gestation. The history includes 1 pregnancy, terminated at 9 weeks, birth of twins at 36 weeks, and an abortion at 15 weeks.What is the GTPAL for this patient? - Correct Answer G 4 T 0 P 1 A 2 L 2 A nurse in L&D is caring for a client who is undergoing EFM. The nurse observes the FHR begins to slow after the start of contraction. The lowest rate occurs after the peak of the contraction. What is the priority action by the nurse? - Correct Answer Place the client in the lateral position Late decel, fetal hypoxemia due to insufficient placental perfusion A nurse in the prenatal clinic is completing a skin assessment for a patient in the 2nd trimester. What are expected findings? - Correct Answer Linea nigra Chloasma Striae gravidarum A nurse is assessing a client who is in active labor and notes the presenting part is 0 station. What is the correct interpretation of this clinical finding? - Correct Answer The lowermost portion of the fetus is at the level of the ischial spines A nurse is caring for a client at 40 weeks in active labor, 6cm, 100%. Patient's BP is 82/52. What is the priority nursing intervention? - Correct Answer Assist the client to turn onto her side A nurse is caring for a client in a prenatal visit. BMI is 26.5. Client asks how much weight she should gain during pregnancy. What is the most appropriate response by the nurse? - Correct Answer The recommendation for you is 15-25 lbs (BMI of 25-29.9 is considered overweight) A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomfort during the first trimester of pregnancy and warning signs. Instruct the client to call clinic if she experiences which manifestations? - Correct Answer Facial edema (HTN or preeclampsia)
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