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1. The health care provider discusses a screening procedure for trisomy in the fetus. Which
statement by the client indicates that teaching has been effective?
A) "A positive result indicates I have an increased risk of carrying a fetus with
trisomy." abirb.com/test
B) "A negative result indicates I am carrying a healthy fetus."
C) "This screening test will provide a diagnosis about the trisomy condition of my
fetus." abirb.com/test
D) "This screening test is highly sensitive for the identification of trisomy conditions."

2. A client at 36 weeks' gestation tells the nurse, "I was at my desk and suddenly felt a pop
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and then my pants were wet." Based on the client's presentation, what does the nurse
think happened to this client?
A) Spontaneous rupture of membranes abirb.com/test
B) Mild placental abruption
C) Urinary incontinence
D) Cord prolapse
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3. A distressed client who is 33 weeks' pregnant calls the nurse. The client is crying and
says, "Something is wrong with me. I can't sleep, my shoes don't fit, my rings don't fit,
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even my face is swollen. I have heartburn all day, and now I have a headache and keep
seeing spots and flashes of light." Based on this information, what is the nurse's
evaluation of this client?
A) The client is experiencing signs of preeclampsia. abirb.com/test
B) The client is experiencing normal discomforts of pregnancy.
C) The client is experiencing signs of early labor.
D) The client is experiencing signs of placental separation.
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4. A distressed client who is 33 weeks' pregnant calls the nurse. The client is crying and
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says, "Something is wrong with me. I can't sleep, my shoes don't fit, my rings don't fit,
even my face is swollen. I have heartburn all day, and now I have a headache and keep
seeing spots and flashes of light." Based on this information, what are the nurse's
instructions to this client? abirb.com/test
A) "You need to come to labor and delivery to be evaluated."
B) "You need to stay on bedrest for the next 48 hours."
C) "You need to come to the office tomorrow for a blood pressure check."
D) "You need to monitor fetal activity and let us knowabirb.com/test
if it decreases."

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5. The nurse is reviewing the client's data (below). Which factors place this client at risk
for preeclampsia during this pregnancy? Select all that apply.

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A) High BMI
B) Maternal age
C) New partner abirb.com/test
D) Northern European descent
E) Chronic hypertension

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6. At 36 weeks' gestation a nonstress test (NST) is performed. The nurse examines the
recording. What is the result of this NST?
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A) Reactive
B) Nonreactive
C) Positive abirb.com/test

D) Negative

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7. A 25-year-old recent college graduate finds herself pregnant. She has no boyfriend and a
part-time job, but no health insurance. She makes too much money to qualify for state
assistance. Her parents encourage her to move home. Her parents live in a different
state, and she would qualify for state assisted maternity care. She moves back to her
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childhood bedroom, unchanged since she was young. The nurse would assess this client
for which psychological alteration?
A) Compromised self-esteem abirb.com/test
B) Depression
C) Fear of failure
D) Increased financial security
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8. The nurse is performing an assessment on a client who is 28 weeks' pregnant. Which

finding would the nurse report to the provider? abirb.com/test
A) A dark pigmented line from the pubic hair to the umbilicus
B) Itchiness of the palms of the hands and soles of the feet
C) Headache and seeing spots
D) Heartburn after eating a large meal abirb.com/test

9. A nurse cares for a client with severe preeclampsia. Which findings are a part of the
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criteria for severe preeclampsia? Select all that apply.
A) Platelet count less than 100,000 platelets/µL
B) Severe, persistent right upper quadrant pain
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C) Pulmonary edema
D) Urine protein of 1+
E) Blood pressure of 156/94
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10. A client is being admitted with a diagnosis of preeclampsia at 32 weeks' gestation. The
nurse is adjusting the fetal monitor when suddenly the client has a seizure. What is the
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nurse's first action?
A) Protect the client from injury.
B) Place a Foley catheter.
C) Insert an oral airway. abirb.com/test
D) Insert a padded tongue blade.

11. The nurse rapidly dorsiflexes the client's foot, stretching abirb.com/test
the gastrocnemius muscle, and
releases it. The nurse observes the foot beating back and forth four times. How would
the nurse document this finding?
A) Clonus present abirb.com/test
B) Hyperreflexia
C) Muscle hyperstimulation
D) Tetany
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12. A client is admitted with a diagnosis of preeclampsia. Based on the data in the client's
chart, what is the nurse's evaluation of the client's status at 11:00? Select all that apply.
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A) Worsening preeclampsia
B) Impending seizure activity abirb.com/test
C) Neuromuscular decompensation
D) Gestational hypertension
E) Preeclampsia superimposed on chronic hypertension
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13. The client has been receiving magnesium sulfate 2 g/hr for the past 24 hours. The nurse
assesses the client. Which assessment findings are indicators of magnesium toxicity?
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Select all that apply.
A) Respiratory rate of 10 breaths/min
B) Absence of reflexes
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C) Client is difficult to arouse
D) Blood pressure 150/100 mm Hg
E) Absence of uterine contractions
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14. The nurse is caring for a client receiving IV magnesium sulfate. Which medication
should the nurse anticipate administering if magnesium sulfate toxicity develops?
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A) Calcium gluconate
B) Naloxone
C) Nifedipine
D) Protamine sulfate abirb.com/test

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15. A client at 34 weeks' gestation is admitted to labor and delivery for treatment with
magnesium sulfate for a diagnosis of severe preeclampsia. Which assessment finding by
the nurse is a complication associated with the client's diagnosis and needs to be
reported to the provider? abirb.com/test
A) Bleeding from the IV site and petechiae
B) Periods of fetal movement followed by quiet periods
C) Complaints of feeling hot abirb.com/test
D) Blood pressure of 156/100

16. A nurse performs a home visit to a pregnant client who has a diagnosis of mild
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preeclampsia. For which assessment findings does the nurse need to notify the health
care provider? Select all that apply.
A) Client reports a headache. abirb.com/test
B) Dependent edema has resolved.
C) Blood pressure reading is 136/84 mm Hg.
D) Urine output has decreased.
E) Urine dip is positive for glucose. abirb.com/test

17. A client with preeclampsia is receiving magnesium sulfate. How does the nurse
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determine that the magnesium therapy is effective?
A) If seizures do not occur
B) When clonus is present
C) When blood pressure decreases abirb.com/test

D) If visual changes are present

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18. A nurse is caring for a pregnant client who has severe preeclampsia and is receiving IV
magnesium sulfate. Which nursing interventions does the nurse implement in the care of
this client? Select all that apply.
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A) Keep calcium gluconate available.
B) Monitor reflexes hourly.
C) Monitor intake and output hourly.
D) Notify provider if urine output is less than 30 mL/hr.abirb.com/test
E) Monitor vital signs every 2 hours.

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19. A 25-year-old woman finds herself pregnant 2 weeks after being dumped by her
boyfriend. She has a part-time job, but no health insurance. The client called her
ex-boyfriend and his response is that he is not interested in having a baby at this time.
The client expresses ambivalence about the baby. What is the best action by the nurse?
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A) Listen to the client as she talks through her feelings.
B) Tell the client to get the father to support this pregnancy.
C) Advise the client to move home with her parents during the pregnancy.
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D) Tell the client that pregnancy is a miracle and she should be happy about it.

20. The nurse is caring for a client is receiving magnesium sulfate for the treatment of
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preeclampsia. When assessing the client, the nurse would recognize which finding as a
side effect of the drug?
A) Hyporeflexia abirb.com/test
B) Absence of clonus
C) Increased urine output
D) Stable blood pressure
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Answer Key
1. A
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2. A
3. A
4. A
5. B, C abirb.com/test
6. A
7. A
8. C
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9. A, B, C
10. A
11. A
12. A, B abirb.com/test
13. A, B, C
14. A
15. A
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16. A, D
17. A
18. A, B, C, D
19. A abirb.com/test
20. A

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