Question

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Answer 1

Correct Answers:

Report of headache

Rationale :

🟢 Headache in severe preeclampsia indicates cerebral edema or vasospasm, which is an expected and concerning finding.

🟢 Severe preeclampsia involves CNS irritability, which may progress to seizures.

🟢 Neurological symptoms like headache, blurred vision, and hyperreflexia are typical indicators.

🟢 Close monitoring is necessary to prevent complications such as eclampsia.

🟢 Timely recognition aids in early magnesium sulfate administration for seizure prophylaxis.

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Answer 2

Correct Answers:

Continuous contraction lasting 2 min

Rationale :

🔵 Contractions lasting more than 90 sec to 120 sec suggest uterine tachysystole, which compromises fetal oxygenation.

🔵 Prolonged contractions reduce uteroplacental blood flow and may lead to fetal distress.

🔵 Immediate intervention is required to prevent fetal hypoxia or uterine rupture.

🔵 The nurse must report this to the provider urgently for tocolytic or other interventions.

🔵 Continuous monitoring of fetal heart rate is necessary during such contractions.

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Answer 3

Correct Answers

Blank 1 Correct Option: Hyperemesis gravidarum
Blank 2 Correct Option: Initiate IV fluid therapy and Administer metoclopramide
Blank 3 Correct Option: Weight and Intake and output

Rationale :

🟡 Hyperemesis gravidarum is supported by electrolyte imbalance, weight loss, and dehydration.

🟡 IV fluids correct dehydration and electrolyte imbalance, crucial for maternal and fetal health.

🟡 Metoclopramide reduces nausea and vomiting, improving nutritional intake.

🟡 Monitoring weight helps evaluate nutritional status and hydration progress.

🟡 Intake and output tracking ensures fluid balance and renal perfusion.

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Answer 4

Correct Answers:

"I Will reduce my intake of vitamin K-rich foods."

Rationale :

🔴 Vitamin K is important for bone metabolism, and reducing intake may worsen osteoporosis risk.

🔴 Osteoporosis prevention requires calcium, vitamin D, and vitamin K intake for bone health.

🔴 Education should focus on reducing soft drinks and caffeine, which impair calcium absorption.

🔴 Adequate nutrition supports bone density maintenance.

🔴 Misunderstanding dietary needs increases risk of fractures later in life.

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Answer 5

Correct Answers:

Abruption placentae

Rationale :

🟢 Continuous abdominal pain + vaginal bleeding in pregnancy-induced hypertension suggests placental abruption.

🟢 Abruptio placentae involves premature placental separation, causing pain and bleeding.

🟢 Hypertension is a major risk factor for placental abruption.

🟢 This is an obstetric emergency, risking fetal hypoxia and maternal hemorrhage.

🟢 Prompt evaluation and potential emergency delivery are required.

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Answer 6

Correct Highlights :

"Latex condoms should be used with oil-based lubricants."
"Condoms should be placed immediately before ejaculation."
"Diaphragms should be removed 4 hours after intercourse."
"Intrauterine devices should be replaced every 2 years."

Rationale :

🟠 Oil-based lubricants weaken latex, increasing risk of condom breakage.

🟠 Condoms must be placed before any genital contact, not before ejaculation.

🟠 Diaphragms should remain for 6 hrs post-intercourse to prevent pregnancy.

🟠 IUDs generally last 5–10 years, not 2 years.

🟠 Correct education prevents unintended pregnancies and STI transmission.

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Answer 7

Correct Answers:

Dryness with intercourse

Rationale :

🟡 Estrogen decline in early menopause causes vaginal atrophy and dryness.

🟡 Hot flashes and irregular menses accompany early menopause changes.

🟡 Decreased estrogen impacts vaginal lubrication, causing discomfort during intercourse.

🟡 Hormone therapy or lubricants may relieve symptoms.

🟡 Early identification supports counseling and symptom management.

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Answer 8

Correct Answers:

Insulin

Rationale :

🔵 Diet and exercise failure in gestational diabetes requires insulin therapy, the safest option in pregnancy.

🔵 Oral hypoglycemics cross the placenta and are not recommended in pregnancy.

🔵 Insulin helps maintain tight glucose control, reducing fetal complications.

🔵 Uncontrolled diabetes risks macrosomia and neonatal hypoglycemia.

🔵 Insulin does not affect fetal growth when used appropriately.

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Answer 9

Correct Answers:

Consume foods fortified with folic acid.

Rationale :

🟢 Folic acid is essential for neural tube closure in early fetal development.

🟢 Adequate intake before and during early pregnancy prevents spina bifida and anencephaly.

🟢 Recommended dose: 400–600 mcg daily for women of childbearing age.

🟢 Foods include leafy greens, fortified cereals, and citrus fruits.

🟢 Early supplementation is critical as neural tube formation occurs by week 4 of gestation.

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Answer 10

Correct Answers:

Hypertension

Rationale :

🔴 Hypertension is the most common risk factor for placental abruption.

🔴 High BP causes placental vascular damage, leading to separation.

🔴 Associated with abdominal pain and vaginal bleeding.

🔴 Monitoring BP and managing hypertension reduces risk of fetal compromise.

🔴 Early intervention prevents maternal hemorrhage and fetal hypoxia.

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Custom: NUR 2463 Exam #1b

No.

1 :
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

2 :
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?

3 :
A nurse is admitting a client who is pregnant.

Correct Answers

4 :
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

5 :
A 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 abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications

6 :
A community health nurse is teaching a class about contraception to a group of young adults.

Correct Highlights :

7 :
A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?

8 :
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

9 :
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect. which of the following information should the nurse include in the teaching?

10 :
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?

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Custom: NUR 2463 Exam #1b

No.

1 : A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

2 : A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?

3 : A nurse is admitting a client who is pregnant.

Correct Answers

4 : A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

5 : A 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 abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications

6 : A community health nurse is teaching a class about contraception to a group of young adults.

Correct Highlights :

7 : A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?

8 : A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

9 : A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect. which of the following information should the nurse include in the teaching?

10 : A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?

1 :
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

2 :
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?

3 :
A nurse is admitting a client who is pregnant.

4 :
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?

5 :
A 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 abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications

6 :
A community health nurse is teaching a class about contraception to a group of young adults.

7 :
A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?

8 :
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

9 :
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect. which of the following information should the nurse include in the teaching?

10 :
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?