Maternal Newborn Nursing Test Maternity Nursing: Antepartum 3

Question 1

A client at 26 weeks gestation is diagnosed with placenta previa. The nurse should prioritize which assessment?

Accepted Answer

Amount and characteristics of vaginal bleeding

Answer

Painless, bright-red vaginal bleeding is the hallmark of placenta previa and its amount must be monitored to assess maternal and fetal stability.

Question 2

A nurse is caring for a client with hyperemesis gravidarum at 10 weeks gestation. Which laboratory result is MOST likely to be abnormal?

Accepted Answer

Serum potassium 2.9 mEq/L

Answer

Persistent vomiting in hyperemesis gravidarum causes loss of hydrogen and chloride ions, leading to hypokalemia and metabolic alkalosis.

Question 3

Which assessment finding in a client at 38 weeks gestation is MOST consistent with lightening?

Accepted Answer

Increased urinary frequency and easier breathing

Answer

Lightening (engagement of the fetal head into the pelvis) relieves diaphragmatic pressure, easing breathing, but increases bladder pressure, causing urinary frequency.

Question 4

A client at 24 weeks gestation with no prior history of diabetes has a 1-hour glucose challenge test result of 152 mg/dL. The nurse explains that the next step is:

Accepted Answer

Perform a 3-hour oral glucose tolerance test

Answer

A 1-hour GCT value ≥140 mg/dL is a positive screen that requires confirmation with a 3-hour 100-g OGTT for gestational diabetes diagnosis.

Question 5

A primigravida at 36 weeks asks the nurse about warning signs to report immediately. Which symptom is MOST urgent?

Accepted Answer

Sudden severe headache and visual disturbances

Answer

Sudden severe headache and visual changes (scotoma, blurring) are signs of severe preeclampsia or impending eclampsia requiring emergency evaluation.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Antepartum 3