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Question 1 of 5

The client at 30 weeks gestation is admitted with a diagnosis of preterm labor. The nurse should prepare to administer which medication?

Correct Answer: D

Rationale: In preterm labor at 30 weeks betamethasone is given for fetal lung maturity terbutaline or magnesium sulfate may be used as tocolytics to halt contractions and magnesium sulfate may also provide fetal neuroprotection. All are appropriate.

Question 2 of 5

Painless vaginal bleeding in the last trimester may be caused by:

Correct Answer: C

Rationale: Placenta previa causes painless vaginal bleeding due to the low-lying placenta separating from the uterine wall.

Question 3 of 5

A vaginal exam reveals that the cervix is 4cm dilated,with intact membranes and a fetal heart tone rate of 160-170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

Correct Answer: B

Rationale: External fetal monitoring is appropriate when membranes are intact as internal monitoring requires ruptured membranes. The cervix is not closed fetal heart tones are normal and contraction intensity is irrelevant to external monitoring.

Question 4 of 5

The client is admitted with a diagnosis of molar pregnancy. Which diagnostic test is most appropriate?

Correct Answer: C

Rationale: Ultrasound reveals the characteristic “snowstorm” pattern of molar pregnancy and elevated serum hCG levels confirm the diagnosis. Both tests are essential.

Question 5 of 5

A client with a history of pneumonia is admitted with complaints of dyspnea. The nurse should give priority to:

Correct Answer: A

Rationale: Dyspnea in pneumonia indicates impaired gas exchange, so administering oxygen is the priority to improve oxygenation.

Similar Questions

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Which laboratory values should be reported to the physician?
A client who is gravida 1 para 1 vaginally delivered a 7-lb girl. She received a midline episiotomy at delivery. When assessing the level of her uterus immediately following delivery, the nurse would expect the fundus to be located:
A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client's previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is 130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?
The nurse is caring for a client with a history of a fractured ankle who is in a cast. The client complains of numbness and tingling. The nurse should:

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