WorksheetsMeds & Testing
Total questions: 15
Worksheet time: 8mins
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min,
but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?
Immediately report the situation to the client's provider and prepare the client for induction of labor
Encourage the client to walk around without the monitoring unit for 10 min, then resume monitoring.
Offer the client a snack of orange juice and crackers.
Turn the client onto her left side.
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Temperature
Fetal heart rate (FHR)
Bowel sounds
Respiratory Rate
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Headaches
Nervousness
Tremors
Dyspnea
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
A client who is experiencing fetal death at 32 weeks of gestation
A client who is experiencing preterm labor at 26 weeks of gestation
A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation
A client who has a post-term pregnancy at 42 weeks of gestation
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Fundus firm to palpation
Increase in Blood Pressure
Increase in lochia
Report of absent breast pain
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Discontinue the medication infusion.
Prepare for an emergency cesarean birth.
Assess maternal blood glucose.
Place the client in Trendelenburg position.
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
A client who has mitral valve prolapse
A client who has been exposed to AIDS
A client who has a history of preterm labor
All of the clients
A nurse is caring for a client who is scheduled for a cesarean birth based upon the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?
Phosphatidylglycerol (PG) absent
Biophysical profile score of 8
Lecithin/sphingomyelin (L/S) ratio of 2:1
Nonstress test is reactive
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Diminished deep-tendon reflexes
Respiratory rate of 16/min
Urine output of 50 mL in 4hr
Heart rate of 56/min
A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Respiratory depression
Facial flushing
Nausea
Drowsiness
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer’s with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Methylergonovine 0.2 mg IM now
Insert an indwelling urinary catheter.
Administer oxygen by nonrebreather mask at 5 L/min
Obtain laboratory study of prothrombin and partial thromboplastin time
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Acarbose
Repaglinide
Insulin
Glipizide
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?
Fetal heart rate 100/min
Weakened uterine contractions
Enhanced production of fetal lung surfactant
Maternal blood glucose 63 mg/dL
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?
"I will have to lie on my back during the test."
"My baby’s heart rate will be monitored during the test."
"I should schedule the test when the baby is usually active."
"It will take 20 to 30 minutes to complete the test."
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Respirations 16/min
Headache for 30 min
Urinary output 40 mL in 2 hr
Fetal heart rate 158/min
