A client at 34 weeks' gestation is diagnosed with polyhydramnios. What is the nurse's priority assessment?

Questions 47

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PN Maternal Newborn Online Practice 2023 A Questions

Question 1 of 5

A client at 34 weeks' gestation is diagnosed with polyhydramnios. What is the nurse's priority assessment?

Correct Answer: B

Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension, requiring close monitoring.

Question 2 of 5

What is the initial action for a mother experiencing severe vaginal bleeding during labor?

Correct Answer: C

Rationale: Administering oxygen improves maternal and fetal oxygenation during significant bleeding.

Question 3 of 5

A couple who has stated that they are LGBTQIA+ during prior visits arrives at the clinic for prenatal care. What can the nurse say in the waiting area to help them feel welcome and safe?

Correct Answer: A

Rationale: Providing a neutral and respectful approach helps create a welcoming environment for LGBTQIA+ patients.

Question 4 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 5 of 5

Which complication of adolescent pregnancy should the nurse plan to monitor?

Correct Answer: D

Rationale: Incompetent cervix, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely due to weak cervical tissue. This can lead to late miscarriage or preterm birth. Adolescent mothers are at a higher risk for this complication due to their immature reproductive systems. Therefore, the nurse should plan to monitor for signs and symptoms of incompetent cervix in adolescent pregnant clients to prevent adverse maternal and fetal outcomes. Anemia, placenta previa, and abruptio placenta are other potential complications of pregnancy, but they are not specifically associated with adolescent pregnancy.

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