A G1P1 patient at 37 weeks' gestation is scheduled for a nonstress test (NST). The nurse's greatest concern is the client's risk of developing related to

dropdown
and
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

The nurse should be most concerned about preeclampsia, which is a hypertensive disorder of pregnancy that typically occurs after 20 weeks' gestation. Primigravida status (first pregnancy) and being at or near term (like 37 weeks) are known risk factors. Monitoring through a nonstress test is part of evaluating fetal well-being in at-risk pregnancies.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

While fetal heart rate (FHR) is a crucial assessment in preterm labor, especially when considering the effects of medications, it is not the immediate priority assessment before initiating magnesium sulfate. Magnesium sulfate primarily affects the mother's central nervous system and neuromuscular system.

Choice B rationale

Respiratory rate is the priority nursing assessment before administering magnesium sulfate. Magnesium sulfate is a central nervous system depressant and can cause respiratory depression, a potentially life-threatening side effect. Establishing a baseline respiratory rate and ensuring it is within the normal range (12-20 breaths per minute for adults) is critical before administering the medication.

Choice C rationale

Temperature is an important vital sign to monitor, but it is not the priority assessment before administering magnesium sulfate. Magnesium sulfate does not typically have a direct impact on body temperature. Other assessments related to the medication's effects take precedence. Normal adult temperature range is typically 97.8°F to 99.1°F (36.5°C to 37.3°C).

Choice D rationale

Bowel sounds are an assessment related to gastrointestinal function and are not the priority assessment before administering magnesium sulfate. While magnesium sulfate can have some effects on smooth muscle, including the intestines, the immediate risk of respiratory depression necessitates prioritizing respiratory assessment. Normal bowel sounds are typically described as normoactive, with clicks and gurgles occurring irregularly.

A. "The fetal heart pumps blood to both the placenta and the developing organs.”. B. "Maternal and fetal blood mix to allow for nutrient and oxygen exchange.”. C. "The placenta is the site of gas exchange for the fetus.”. D. "The umbilical arteries carry deoxygenated blood from the fetus to the placenta.”.

Correct Answer is B

Explanation

Choice A rationale

The fetal heart indeed pumps blood to both the placenta, where oxygen and nutrients are obtained, and to the developing organs, which require these substances for growth and function. This dual circulation is essential for fetal development. The normal circulatory pattern ensures that oxygenated blood returns from the placenta to nourish the fetal tissues, while deoxygenated blood is transported back to the placenta for gas exchange.

Choice B rationale

Maternal and fetal blood do not mix under normal physiological conditions. The exchange of gases, nutrients, and waste products occurs across the placental barrier, which consists of fetal and maternal tissues but keeps their bloodstreams separate. This separation prevents potential immune reactions and maintains distinct circulatory systems for the mother and the fetus.

Choice C rationale

The placenta serves as the vital site for gas exchange in the fetus. Oxygen and carbon dioxide are exchanged between the maternal and fetal blood across the placental membranes via diffusion. Oxygen-rich blood from the mother is delivered to the fetus, while carbon dioxide, a waste product of fetal metabolism, moves from the fetus to the mother for elimination.

Choice D rationale

The umbilical arteries are responsible for carrying deoxygenated blood and waste products from the fetus to the placenta. This deoxygenated blood is then oxygenated and cleared of waste at the placenta before returning to the fetus via the umbilical vein. This flow pattern is crucial for maintaining the fetal environment and supporting its development.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A G1P1 patient at 37 weeks' gestation is scheduled for a nonstress test (NST). The nurse's greatest concern is the client's risk of developing related to dropdown and dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The nurse is reviewing fetal and maternal circulation with a group of nursing students.Which statement by a student demonstrates a need for further clarification?

Correct Answer is B

Explanation

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication.The nurse should provide which of the following explanations?

A nurse is caring for a client with the nursing diagnosis of acute pain related to breast engorgement.Which interventions should the nurse include in the plan of care?

Which assessment findings might raise the nurse's suspicion of endometriosis in the client they are evaluating?

A nurse is monitoring a client in active labor who has an epidural in place.Which of the following findings should be reported to the anesthesiologist immediately?

A 19-year-old client comes to the clinic seeking information about the use of the morning-after pill (levonorgestrel) for emergency contraception.Which of the following statements made by the client indicates a need for further teaching?

A G1P1 patient at 37 weeks' gestation is scheduled for a nonstress test (NST). The nurse's greatest concern is the client's risk of developing related to

dropdown
and
dropdown
.