A client at 12 weeks' gestation reports mild cramping and spotting. What is the nurse's priority intervention?

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PN Maternal Newborn Online Practice 2023 A Questions

Question 1 of 5

A client at 12 weeks' gestation reports mild cramping and spotting. What is the nurse's priority intervention?

Correct Answer: D

Rationale: Spotting and cramping in early pregnancy could indicate a threatened miscarriage, requiring immediate evaluation.

Question 2 of 5

The nurse is monitoring a postpartum client with a boggy uterus. What is the priority intervention?

Correct Answer: B

Rationale: Massaging a boggy uterus stimulates contraction and reduces the risk of postpartum hemorrhage.

Question 3 of 5

The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?

Correct Answer: C

Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.

Question 4 of 5

The nurse is monitoring a pregnant client with suspected gestational hypertension. What finding confirms the diagnosis?

Correct Answer: B

Rationale: Gestational hypertension is diagnosed by consistent readings of 140/90 mmHg or higher without proteinuria.

Question 5 of 5

A nurse is caring for a newborn who is 6 hr. old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct action for the nurse to take in this situation is to reassess the blood glucose level prior to the next feeding. A single low bedside glucometer reading is not sufficient to make treatment decisions, especially in a newborn who is only 6 hours old and with a mother having type 2 diabetes mellitus. It is important to follow up with another blood glucose measurement before taking further action. This will help ensure that appropriate interventions are taken based on accurate and reliable information.

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