A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy. red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can "feel the baby moving." The client should undergo an ultrasound to determine which of the following findings?

Location of the placenta

Rh incompatibility

Fetal lung maturity

Frequency and duration of contractions

Answer and Explanation

The Correct Answer is A

A. Location of the placenta: Heavy, painless vaginal bleeding without contractions is a classic sign of placenta previa, where the placenta is abnormally positioned near or over the cervix. An ultrasound is used to determine placental location.

B. Rh incompatibility: Rh incompatibility is not associated with heavy vaginal bleeding, and ultrasound is not used to diagnose it. A blood test is required to assess Rh status.

C. Fetal lung maturity: Fetal lung maturity may be assessed in certain situations, but this is not related to the client's bleeding. The immediate concern is placental location.

D. Frequency and duration of contractions: The client has no contractions, and contractions are not the cause of heavy bleeding in this case. The priority is identifying placental issues.

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Correct Answer is D

Explanation

A. Naloxone: Naloxone is the antidote for opioid overdose, not for magnesium toxicity. The client is receiving magnesium sulfate, not opioids.

B. Flumazenil: Flumazenil is the antidote for benzodiazepine overdose. It is not used to reverse magnesium sulfate toxicity.

C. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose and has no effect on magnesium toxicity.

D. Calcium gluconate: Calcium gluconate is the antidote for magnesium sulfate toxicity. It is used to reverse the effects of magnesium sulfate when signs of toxicity (such as respiratory depression) occur.

A. A high-fiber meal B. Milk C. Scrambled eggs D. orange juice

Correct Answer is D

Explanation

A. A high-fiber meal: While fiber is beneficial for preventing constipation, which can occur with iron supplementation, fiber may decrease iron absorption.

B. Milk. Calcium in milk interferes with the absorption of iron and should be avoided when taking ferrous sulfate.

C. Scrambled eggs. Eggs contain phosphates and other compounds that may reduce iron absorption.

D. Orange juice. Vitamin C (found in orange juice) enhances the absorption of iron from supplements and is the best option for improving iron absorption.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client’s respiratory rate is 8/min. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?

A nurse is caring for a client who is at 38 weeks of gestation and has a positive contraction stress test. Which of the following actions should the nurse take?

A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

. A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. Which of the following statements should the nurse tell the client?

A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply.)