Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

32-week patient with preeclampsia receiving magnesium sulfate

9-week client with hyperemesis receiving IV therapy

34-week client with no fetal heartbeat

38-week client with complete previa

Answer and Explanation

The Correct Answer is B

A. 32-week patient with preeclampsia receiving magnesium sulfate – Magnesium sulfate requires close monitoring for toxicity (e.g., respiratory depression, loss of deep tendon reflexes), making this client inappropriate for a nurse with no OB experience.

B. 9-week client with hyperemesis receiving IV therapy – This client is the most stable and requires routine care, such as IV fluid administration and antiemetics, making them the best assignment for a new nurse without OB experience.

C. 34-week client with no fetal heartbeat – This client requires significant emotional support and possibly induction of labor, making them inappropriate for a nurse unfamiliar with OB care.

D. 38-week client with complete previa – Placenta previa poses a high risk for hemorrhage, and this client requires close monitoring. A new nurse without OB experience would not be the best choice for this assignment.

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 C

Explanation

A. "It halts cervical dilation."
This is incorrect because betamethasone does not stop cervical dilation or preterm labor. Medications like tocolytics (e.g., nifedipine, magnesium sulfate, terbutaline) are used to delay labor, while betamethasone is given to enhance fetal lung maturity.

B. "It increases the fetal heart rate."
This is incorrect because betamethasone does not directly increase fetal heart rate. While corticosteroids may cause temporary fetal tachycardia, their primary role is enhancing fetal lung development.

C. "It promotes fetal lung maturity."
This is correct because betamethasone is a corticosteroid given to promote the production of surfactant in the fetal lungs, reducing the risk of respiratory distress syndrome (RDS) in preterm infants. It is typically administered between 24 and 34 weeks of gestation in cases of anticipated preterm birth.

D. "It is used to stop preterm labor contractions."
This is incorrect because betamethasone does not stop contractions. Tocolytics like nifedipine, magnesium sulfate, and terbutaline are used for that purpose, whereas betamethasone is specifically for fetal lung development.

A. During the next attempt to get pregnant B. Immediately after delivery C. During the third trimester of pregnancy D. During the first trimester of pregnancy

Correct Answer is B

Explanation

A. During the next attempt to get pregnant
This is incorrect because waiting until the next pregnancy increases the risk of congenital rubella syndrome in future pregnancies. The vaccine should be given immediately postpartum to provide immunity.

B. Immediately after delivery
This is correct because the rubella vaccine (MMR) is a live vaccine and is contraindicated during pregnancy due to teratogenic effects. It should be given postpartum before hospital discharge to prevent future rubella infections.

C. During the third trimester of pregnancy
This is incorrect because live vaccines are contraindicated in pregnancy due to the risk of fetal infection.

D. During the first trimester of pregnancy
This is incorrect because administering a live vaccine early in pregnancy is dangerous and could cause fetal harm or congenital anomalies.

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

Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is caring for a client in the first trimester of pregnancy and discovers that the client lacks immunity to rubella based on her blood work. When is the recommended time for administering rubella immunization?

Correct Answer is B

Explanation

While caring for a client in labor, which assessment finding best indicates fetal well-being to the nurse?

Based on the clients assessment on 2/11 at 1200, indicate if the client's condition is improving, worsening or not related based on the condition.

Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

A client is admitted with a threatened abortion. Which assessment findings would the nurse expect? Select all that apply. (Select All that Apply.)

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?

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?