Question

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Apply an external fetal monitor.

Rationale :

🟢 External fetal monitoring is safest for suspected placenta previa—never perform a vaginal or rectal exam due to risk of hemorrhage.

🟢 Provides continuous fetal heart rate and contraction data.

🟢 Reduces risk of provoking bleeding in placenta previa.

🟢 Ice to perineum is not indicated.

🟢 This is a noninvasive, immediate assessment tool.

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Answer 2

Correct Answers:

"A client should avoid consuming undercooked meat while pregnant

Rationale :

🔴 Undercooked meat may transmit Toxoplasma gondii, a TORCH infection risk.

🔴 Avoiding undercooked meat helps prevent fetal complications.

🔴 Rubella vaccine is given pre-pregnancy, not during.

🔴 Cytomegalovirus has no prophylactic treatment in pregnancy.

🔴 Crowded places are not specific for TORCH prevention.

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Answer 3

Correct Answers:

Prior to discharge from the hospital after giving birth

Rationale :

🟣 MMR vaccine is a live vaccine, so it’s contraindicated during pregnancy.

🟣 Administer postpartum before discharge if nonimmune.

🟣 Vaccinating then protects future pregnancies.

🟣 Not safe during pregnancy; not delayed until not desiring more children.

🟣 Two weeks before next conception is too soon.

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Answer 4

Correct Answers:

2

Rationale :

🟡 Parity counts births after 20 weeks, not total pregnancies.

🟡 Twins count as one birth event (one parity).

🟡 Abortion and spontaneous abortion are before 20 weeks—don’t count for parity.

🟡 This woman has had one set of twins at 36 weeks = 1, and current pregnancy = 2.

🟡 Proper use of gravidity and parity is essential.

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Answer 5

Correct Answers:

"Give the medication intramuscularly.”

Rationale :

🔵 Depot medroxyprogesterone is always administered intramuscularly.

🔵 Given every 12 weeks (not 6–8 weeks).

🔵 Should be given within 5 days of menstrual period starting.

🔵 No massage after injection (can affect absorption).

🔵 Correct administration prevents dosing errors.

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Answer 6

Correct Answers:

G2, T1, PO, AO, L1

Rationale :

🟠 GTPAL: G=gravida (total pregnancies) = 2 (current + previous), T=term (39 w) = 1, P=preterm = 0, A=abortions = 0, L=living = 1. 🟠 Correctly applies the GTPAL system for documentation. 🟠 Each letter represents a pregnancy outcome, not number of children. 🟠 Twins would count as one event, not in this case. 🟠 Precise GTPAL history is vital for obstetric care.

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Answer 7

Correct Answers:

Maternal hypertension

Rationale :

🟤 Chronic/gestational hypertension is the leading risk factor for placental abruption.

🟤 Damaged blood vessels increase risk of premature placental separation.

🟤 Smoking, battering, and cocaine also increase risk but less commonly.

🟤 Management includes blood pressure control and close fetal monitoring.

🟤 Early recognition improves outcomes.

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Answer 8

Correct Answers:

Replace the device after a 20% weight loss.

Rationale :

🟢 Significant weight changes require refitting a diaphragm for effective contraception.

🟢 Pregnancy and pelvic surgery also require refitting.

🟢 UTI is not a reason for replacement.

🟢 Replace every 1–2 years, not just annually or after UTI.

🟢 Proper fit prevents contraceptive failure.

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Answer 9

Correct Answers:

This test will screen for neural tube defects.

Rationale :

🔴 Maternal serum alpha-fetoprotein (MSAFP) screens for NTDs (spina bifida, anencephaly).

🔴 Done between 16–18 weeks gestation.

🔴 Does not assess ABO incompatibility, lung maturity, or gestational diabetes.

🔴 Elevated or low levels may prompt further diagnostic testing.

🔴 Essential for prenatal screening protocols.

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Answer 10

Correct Answers:

Quickening

Rationale :

🟣 Quickening is the first perception of fetal movement, usually felt at 16–20 weeks.

🟣 Chloasma is facial pigmentation; lightening is fetal descent; ballottement is a physical exam finding.

🟣 Quickening is a presumptive sign of pregnancy.

🟣 Helps in dating gestational age.

🟣 Reassures mother of fetal activity.

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QLexNursing

1 :
A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

2 :
nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

5 :
A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

6 :
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

7 :
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

8 :
A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

9 :
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

10 :
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

QLexNursing

1 : A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

2 : nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

5 : A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

6 : Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

7 : A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

8 : A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

9 : A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

10 : A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

1 :
A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

2 :
nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

5 :
A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

6 :
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

7 :
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

8 :
A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

9 :
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

10 :
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?