Maternity Exam 2 Practice A

Select All that Apply: What are clinical manifestations of Ectopic Pregnancy?

• Unilateral lower quadrant pain

• Hyperemesis

• Bleeding

• Referred shoulder pain

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?

• Anemia

• Frequent urinary tract infections

• Previous cesarean birth

• Pelvic inflammatory Disease

Select All that Apply: What are clinical manifestations of placental abruption?

• Hard abdomen

• Reports pain 9/10

• Dark, red bleeding

• Increased uterine tone

• Normal uterine tone

What are the risk factors for Placenta Previa? SATA

• Advanced Maternal Age

• Prior c-section

• Tobacco use

• Multiparity

• Cocaine use

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider?

• Perform a vaginal examination

• Perform continuous external fetal monitoring

• Insert a large-bore IV catheter

• Obtain a blood sample for laboratory testing

A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports vaginal bleeding. Which of the following additional manifestations should the nurse expect?

• The fundal height measures greater than gestational age.

• A rigid abdomen is noted on palpation.

• The client reports a pain level of 8 on a 0-to-10 pain scale.

• A urine drug screen is positive for cocaine.

A nurse is assessing a client who has placenta previa. Which of the following findings should the nurse expect?

• Painless, bright red bleeding

• Board-like uterus

• Persistent uterine contractions

• Abdominal pain

A nurse is caring for a client at 34 weeks' gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?

• Uterine tone

• Fetal heart rate

• Blood pressure

• Amount of bleeding

A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take?

• Perform a vaginal examination to determine cervical dilation

• Obtain blood samples for baseline laboratory values

• Place a spiral electrode on the fetal presenting part

• Prepare the client for a transvaginal ultrasound

A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect?

• Increased platelet count

• Fetal distress

• Decreased urinary output

• Dark red vaginal bleeding