Intrapartum NCLEX Questions 41-45

Let us try to answer Intrapartum NCLEX Questions . . .


41. The client had been diagnosed to have PIH (pregnancy-induced hypertension). Which of the following should be included in her care? Select all that apply

a) administer magnesium sulfate IV drip as ordered
b) check urine for presence of protein
c) have calcium gluconate readily available
d) monitor for elevated liver enzymes
e) observe for elevated platelet counts
f) encourage ambulation

42. A clinic nurse is teaching a pregnant client about the warning signs in pregnancy. Which of the following, if identified as a warning sign by the client would indicate that she understands the teaching?

a) purplish discoloration of the vulva
b) visual disturbances
c) irregular, painless contractions
d) urinary frequency

43. The breastfeeding mother of infant with lactose intolerance asks a nurse about dietary measures. The nurse tells the mother to avoid

a) hard cheeses
b) green leafy vegetables
c) dried beans
d) egg yolk

44. A newborn has a temperature of 35.8 C, pulse rate of 126/min, respiratory rate of 65/min. What action should the nurse take first?

a) dry the newborn and wrap him with blanket
b) put the newborn in a radiant warmer
c) check the newborn's blood sugar level
d) perform phototherapy to the newborn

45. The nurse on a night shift finds a multiparous patient 8 hours postpartum drenched in perspiration. The temperature is 99F, pulse is 66 bpm, and BP is 120/80 mmHg. Which of the following nursing diagnosis would be appropriate?

a) risk for infection related to birth trauma
b) ineffective thermoregulation related to hormonal changes
c) ineffective tissue perfusion
d) excess fluid volume related to normal postpartal diuresis




Intrapartum NCLEX Questions
ANSWERS AND RATIONALE

41) A, B, C, D
- these are appropriate nursing care for a client with PIH. PIH may lead to HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count). Magnesium sulfate is given to the patient to prevent seizures. Calcium gluconate is administered if magnesium toxicity occurs. The client with PIH should be on complete bedrest to prevent further elevation of blood pressure and to prevent seizures.

42) B
- visual disturbances may indicate presence of pregnancy-induced hypertension (PIH). Choices 1, 3, and 4 are normal assessment findings in pregnancy

43) A
- lactose intolerance is characterized by inability to digest and absorb milk and milk products like cheese.

44) A
- drying the newborn and wrapping him with blanket will prevent further heat loss by evaporation.

45) B
- during postpartum period, hormonal changes cause alterations in body temperature. There may be slight dehydration and diuresis.

Related Topics:

• Intrapartum NCLEX Questions 46-50  
• Or go back to Intrapartum NCLEX Questions 1-5 to start the practice test from the beginning.