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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Report the findings to the provider and prepare the client for induction of labor. While the nonstress test may require further evaluation, there is no indication to prepare for induction based on a lack of movement for 15 minutes.

B. Encourage the client to walk around and then resume monitoring. The client should remain in a semi-Fowler’s or side-lying position during the nonstress test. Walking around is not part of this assessment.

C. Apply vibroacoustic stimulation to the woman's abdomen. Vibroacoustic stimulation is a method used during a nonstress test to elicit fetal movement and assess fetal well-being. This is the appropriate intervention for a lack of fetal movement.

D. Turn the client onto her left side. While turning onto the left side can improve uteroplacental blood flow, there is no indication in this case that uteroplacental insufficiency is a concern. The primary concern is lack of fetal movement, which can be addressed with vibroacoustic stimulation.

A. Facial edema B. Urinary frequency C. Mood swings D. Decreased energy

Correct Answer is A

Explanation

A. Facial edema: Facial edema, especially in the second or third trimester, can be a sign of preeclampsia, a serious condition that requires prompt medical attention.

B. Urinary frequency: Urinary frequency is common in pregnancy, particularly during the first and third trimesters, and is not usually a sign of a complication.

C. Mood swings: Mood swings are common due to hormonal changes during pregnancy and are typically not a cause for concern unless they are severe or accompanied by other symptoms like depression.

D. Decreased energy: Feeling fatigued or having decreased energy is common during pregnancy, especially in the first trimester, and does not typically require medical intervention unless accompanied by other concerning symptoms.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

Correct Answer is A

Explanation

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's 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 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 is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

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?