Test Prep for Nursing Exam about Obstetric Nursing (21-25)

CHEAP BUY ! ! !        
NCLEX E-Book with FREE Saunders and KAPLAN ($4)

21. Which of the following indicates that Brethine (Theophylline) is effective in a woman on premature labor?

a) uterine contractions become more frequent
b) uterine contractions stop
c) cervical dilatation progresses
d) rupture of membrane occurs

22. The woman isi n active labor. The presentation of the fetus is left occiput posterior (LOP). Which of the following measures should be included when caring for the client?

a) provide foods and fluids
b) assist the client to ambulate
c) provide back massage
d) allow the client to sleep

23. The postpartum client is bleeding heavily 2 hours after delivery. The fundus of the uterus is firm; uterus at the center of the abdomen. Which of the following actions should the nurse do next?

a) change perineal pads
b) notify the physician
c) massage the uterus
d) check perineum

24. The client is on her second trimester of pregnancy. Her BP is 159/95 mmHg. Which of the following would give clue to make a diagnosis?

a) weight loss
b) increased urine output
c) protein in the urine
d) fundal height at the level of umbilicus

25. Which of the following assessment findings indicates adverse reaction to Morphine Sulfate in a gravida 5 para 5 client?

a) elevated blood pressure
b) increased respiratory rate
c) boggy fundus of the uterus
d) restlessness



ANSWERS AND RATIONALE

21) B
- brethine (theophylline) is a tocolytic agent. It promotes uterine relaxation and prevents premature labor.

22) C
- LOP presentation causes sever back pain to the mother. The head of the fetus causes pressure on nerves in the spinal area. Providing back massage helps relieve the discomfort.

23) D
- postpartal bleeding may be caused by uterine atony, retained placenta, subinvolution, vaginal lacerations, and perineal lacerations.

24) C
- PIH (pregnancy-induced hypertension) is characterized by: hypertension, edema, proteinuria and hyperlipidemia.

25) C
- morphine sulfate causes relaxation of muscles including uterine muscles.


Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (26-30) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.