Question 1

A preterm labor patient is receiving betamethasone.When the patient asks what this is for,the best response by the nurse would be:&#10;A)&#34;It will help reduce uterine irritability.&#34;&#10;B)&#34;It is commonly used to prevent seizures.&#34;&#10;C)&#34;It will help reduce the severity of respiratory distress in your newborn.&#34;&#10;D)&#34;It will help to reduce softening of your cervix.&#34;&#10;

Accepted Answer

Betamethasone is a corticosteroid given to women at risk of preterm delivery to help mature the baby's lungs and reduce the severity of respiratory distress in the newborn. It does not reduce uterine irritability, prevent seizures, or reduce softening of the cervix.

Question 2

The piece of assessment data that would constitute a diagnosis of preterm labor is:&#10;A)Cervical effacement of 30% or more.&#10;B)Cervical change of 0.5 cm per hour.&#10;C)Two contractions in 30 minutes.&#10;D)Eight contractions in 1 hour.&#10;

Accepted Answer

Preterm labor is diagnosed when there are more frequent contractions, specifically eight or more in one hour, which indicates increased uterine activity that could lead to premature birth.

Question 3

A multiple-gestation client has just had her first biophysical profile (BPP)of 8 at 33 weeks' gestation.When would she return for the next BPP?&#10;A)In 1-2 weeks&#10;B)In 3-4 weeks&#10;C)In 5-6 weeks&#10;D)In 7-8 weeks&#10;

Accepted Answer

The normal interval for BPP testing in a multiple-gestation pregnancy is every 2-3 weeks. Given that the client had a BPP of 8 (which is normal) at 33 weeks' gestation, she should return for the next BPP in 1-2 weeks.

Question 4

A baby born to a mother who had oligohydramnios could show signs of:&#10;A)Respiratory difficulty.&#10;B)Hypertension.&#10;C)Heart murmur.&#10;D)Decreased temperature.&#10;

Accepted Answer

Oligohydramnios is a condition where there is a low level of amniotic fluid around the baby in the uterus. This can lead to compression of the baby's lungs and restricted lung development, causing respiratory difficulty after birth. Hypertension, heart murmur, and decreased temperature are not directly associated with oligohydramnios.

Question 5

Which statements about multiple-gestation pregnancies are accurate? Select all that apply.&#10;A)Spontaneous conception has increased risk for problems versus assisted reproductive technology.&#10;B)There is an increased incidence of fetal anomalies.&#10;C)Twins have an increase in long-term disabilities compared with singletons.&#10;D)Multiparous women with multiple-gestation pregnancy have an increased risk of complications.&#10;

Accepted Answer

The answer of Which statements about multiple-gestation pregnancies are accurate?...

Question 6

A client is admitted to Labor and Delivery with a history of ruptured membranes for 2 hours.This is her sixth delivery;she is 40 years old,and smells of alcohol and cigarettes.This client is at risk for:

A)Gestational diabetes.
B)Placenta previa.
C)Abruptio placentae.
D)Placenta accreta.

Accepted Answer

The client's history of ruptured membranes for 2 hours puts her at risk for chorioamnionitis, which is an infection of the fetal membranes and amniotic fluid. This infection can lead to premature labor and premature rupture of membranes. The use of alcohol and cigarettes can also increase the risk of placenta abruption, a serious condition where the placenta separates from the uterine wall before delivery. Placenta previa and placenta accreta are not directly linked to the client's history of ruptured membranes and substance use. While gestational diabetes is a risk factor for pregnant women, it is not specifically connected to this client's situation.

Question 7

Slowly removing some amniotic fluid is a treatment for hydramnios.What consequence can occur with too rapid a withdrawal of fluid?&#10;A)Preterm labor&#10;B)Placental abruption&#10;C)Pre-eclampsia&#10;D)Placenta previa&#10;

Accepted Answer

The answer of Slowly removing some amniotic fluid is a...

Question 8

A nurse is caring for a client with hydramnios.The nurse will watch for:&#10;A)Maternal chest pain,dyspnea,tachycardia,and hypotension.&#10;B)Newborn congenital anomalies.&#10;C)Newborn postmaturity and renal malformations.&#10;D)Maternal prolonged labor.&#10;

Accepted Answer

Hydramnios, also known as polyhydramnios, is a condition where there is excessive amniotic fluid in the uterus. This can increase the risk of several complications to the developing fetus, including congenital anomalies, such as gastrointestinal or neurological defects. Therefore, the nurse should watch for newborn congenital anomalies, making option B the best choice. While the other options may also be associated with hydramnios, they are less likely to occur than newborn congenital anomalies.

Question 9

A multiple-gestation pregnancy at 20 weeks is considered normal on ultrasound.At what interval would you have the client return for serial ultrasounds?&#10;A)Every 2 weeks&#10;B)Every 3-4 weeks&#10;C)Every 5 weeks&#10;D)Every 6-8 weeks&#10;

Accepted Answer

In a multiple-gestation pregnancy, it is recommended to have serial ultrasounds every 3-4 weeks to closely monitor the development of the fetuses and identify any potential complications early. This frequency helps in tracking growth, amniotic fluid levels, and the overall health of each fetus more effectively than longer intervals.

Question 10

A client was admitted to the labor area at 5 cm with ruptured membranes about 14 hours ago.The assessment data that would be most beneficial is:&#10;A)Blood pressure.&#10;B)Temperature.&#10;C)Pulse.&#10;D)Respiration.&#10;

Accepted Answer

The client's temperature would be the most beneficial assessment data because she has ruptured membranes and has been in labor for 14 hours, putting her at risk for developing an infection. An elevated temperature could indicate the onset of an infection and prompt further evaluation and intervention. Blood pressure, pulse, and respiration are also important assessments, but they may not provide as much immediate information about the client's condition as her temperature.

Question 11

Which condition places a mother at risk for developing disseminating intravascular coagulation (DIC)?&#10;A)Diabetes mellitus&#10;B)Abruptio placentae&#10;C)Cesarean delivery&#10;D)Multiparity&#10;

Accepted Answer

The answer of Which condition places a mother at risk...

Question 12

A client in her second trimester is complaining of spotting.Causes for spotting in the second trimester are diagnosed primarily through the use of:&#10;A)A nonstress test.&#10;B)A vibroacoustic stimulation test&#10;C)An ultrasound.&#10;D)A contraction stress test.&#10;

Accepted Answer

The answer of A client in her second trimester is...

Question 13

A client at 32 weeks' gestation is admitted with painless vaginal bleeding.Placenta previa has been confirmed by ultrasound.What should be included in the nursing plan? Select all that apply.&#10;A)No vaginal exams&#10;B)Encourage activity.&#10;C)No intravenous access until labor begins&#10;D)Evaluate fetal heart rate with an external monitor.&#10;E)Monitor blood loss,pain,and uterine contractility.&#10;

Accepted Answer

The answer of A client at 32 weeks' gestation is...

Question 14

At 22 weeks' gestation,a client is diagnosed with placenta previa.The doctor tells the client that the placenta is covering the internal cervical os.This is classified as what type of previa?&#10;A)Partial&#10;B)Low-lying&#10;C)Marginal&#10;D)Complete&#10;

Accepted Answer

The answer of At 22 weeks' gestation,a client is diagnosed...

Question 15

A pre-eclampsia patient is on magnesium sulfate.The nurse understands that magnesium sulfate will relax the smooth muscles,and should be alert for the development of:&#10;A)Hypotension.&#10;B)Hypertension.&#10;C)Hypoglycemia.&#10;D)Hyperglycemia.&#10;

Accepted Answer

The answer of A pre-eclampsia patient is on magnesium sulfate.The...

Deck 21: Childbirth at Risk: Prelabor Complications