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Practice Question

 A nurse is caring for a client in the emergency department who presents with sudden, sharp right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client reports a missed menstrual cycle and denies the possibility of pregnancy due to an intrauterine device. The nurse suspects which of the following conditions?

Answer Choices:

Correct Answer:

Ectopic pregnancy

Rationale:

♦️Ectopic pregnancy occurs when a fertilized ovum implants outside the uterine cavity, most commonly in the fallopian tube.

♦️The client’s sharp unilateral lower quadrant pain and bright red vaginal bleeding following a missed period are classic manifestations.

♦️The presence of an intrauterine device (IUD) increases the risk because while it prevents intrauterine implantation, it doesn’t prevent fertilization.

♦️The rupture of a fallopian tube due to the growing embryo can lead to severe hemorrhage and life-threatening shock.

♦️Immediate medical or surgical intervention is required to preserve maternal health and prevent complications.

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This question is from Custom maternity exam 1 fall 2025 Marcellus -Examplify (1) which contains 13 questions.

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 A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Answer Choices:

A. The client is Rh-negative and has delivered a Rh-positive newborn.
B. The client is Rh-positive and has delivered a Rh-negative newborn.
C. The client has a history of chickenpox.
D. The client is planning to conceive after 1 month postpartum.
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During childbirth, the fetus exerts pressure on the maternal tissues. Which of the following structures is most affected by fetal pressure during vaginal delivery?

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A. Bladder
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When providing culturally competent care to patients from diverse backgrounds, what is the nurse's primary role in terms of cultural accommodation?

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A. Assisting the client to maintain traditional values and practices
B. Supporting and facilitating the client's use of cultural practices that are beneficial to the client's health
C. Assisting the client to modify cultural practices that are not beneficial to the client's health
D. Advocating, mediating, negotiating, and intervening between the client's culture and health care culture on behalf of the client
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A pregnant client at 32 weeks of gestation with gestational hypertension and intrauterine growth restriction (IUGR) asks the nurse why regular fetal testing is important. Which explanation by the nurse is most accurate regarding the pathophysiological impact of gestational hypertension and IUGR on fetal well-being?

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A. Gestational hypertension and IUGR can lead to increased blood flow to the placenta, promoting fetal growth.
B. Gestational hypertension and IUGR may cause decreased uteroplacental blood flow, resulting in non-reassuring fetal status and growth restriction.
C. Gestational hypertension and IUGR have no significant impact on fetal development and well-being.
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A postpartum client who experienced abruptio placentae is at risk for developing which of the following coagulopathies?

Answer Choices:

A. DIC (Disseminated Intravascular Coagulation)
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From Exam
Custom maternity exam 1 fall 2025 Marcellus -Examplify (1)

13 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Maternal-Child
  • Answer Choices: 4
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