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1. A young mother gives birth to twin boys who shared the same placenta. What serious
complication are they at risk for?
A) Twin-to-twin transfusion syndrome (TTTS)
B) HELLP syndrome abirb.com/test
C) TORCH syndrome
D) ABO incompatibility
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2. Why is a woman with a molar pregnancy at risk for disseminated intravascular

coagulation (DIC)?
A) Molar tissue releases substances that increase clotting factors
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B) Molar tissue releases substances that break down clotting factors

C) Molar tissue inhibits the production of vitamin K
D) Molar tissue causes emboli to form within the uterusabirb.com/test

3. A woman with severe preeclampsia is receiving magnesium sulfate. The woman's serum
magnesium level is 9.0 mEq/L. Which finding would theabirb.com/test
nurse most likely note?
A) diminished reflexes
B) elevated liver enzymes
C) seizures abirb.com/test
D) serum magnesium level of 6.5 mEq/L

4. A woman pregnant with twins comes to the clinic for an abirb.com/test

evaluation. The nurse closely
assesses the client for which potential problem?
A) oligohydramnios
B) preeclampsia abirb.com/test
C) post-term labor
D) chorioamnionitis
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5. A student nurse asks the instructor what percentage of clinically recognized pregnancies
end in miscarriages during the first trimester. Which response from the nurse is the most
accurate? abirb.com/test
A) 5% to 10%
B) 15% to 20%
C) 21% to 30%
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D) 31% to 40%

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6. A patient who is 16 weeks pregnant is passing pieces of body tissue along with blood
clots and dark red blood from the vagina. What should the nurse direct the patient to do
at this time?
A) Begin immediate bed rest. abirb.com/test
B) Count the number of perineal pads that are saturated with blood.
C) Continue with normal daily activity and monitor pulse rate every hour.
D) Seek immediate medical attention and bring the expressed vaginal material.
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7. Which assessment findings, experienced by the client at 36 weeks' gestation, would the
nurse document as diagnostic signs of severe preeclampsia? Select all that apply.
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A) blood pressure of 164/110 mm Hg

B) elevated liver enzymes
C) edema abirb.com/test
D) +1 proteinuria
E) Elevated serum creatinine

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8. A nurse is caring for a client undergoing treatment for ectopic pregnancy. Which
symptom is observed in a client if rupture or hemorrhaging occurs before the ectopic
pregnancy is successfully treated? abirb.com/test
A) phrenic nerve irritation
B) painless bright red vaginal bleeding
C) fetal distress
D) tetanic contractions abirb.com/test

9. A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic
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of eclampsia?
A) Muscle rigidity is followed by facial twitching.
B) Respirations are rapid during the seizure.
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C) Coma occurs after seizure.
D) Respiration fails after the seizure.

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10. The nurse is required to assess a client for HELLP syndrome. Which are the signs and
symptoms of this condition? Select all that apply.
A) blood pressure higher than 160/110 mm Hg
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B) epigastric pain
C) oliguria
D) upper right quadrant pain
E) hyperbilirubinemia abirb.com/test

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11. The nurse is caring for a client with an ectopic pregnancy. Which symptom is a sign that
the tube has ruptured?
A) Foul-smelling discharge
B) Hypovolemic shock abirb.com/test
C) Pelvic pain
D) Vaginal spotting
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12. A patient in labor and delivery has just been diagnosed with pre-eclampsia. Which signs
and symptom should the nurse prioritize when assessing this client? Select all that
apply. abirb.com/test

A) BP 140/90 mm Hg
B) slow reflexes
C) glucose in urine abirb.com/test
D) edema of face
E) headache

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13. The nurse is preparing the plan of care for a woman hospitalized for hyperemesis
gravidarum. Which interventions should the nurse prioritize? Select all that apply.
A) maintaining NPO status for the first day abirb.com/test
B) preparing the woman for insertion of a feeding tube
C) administering antiemetic agents
D) obtaining baseline blood electrolyte levels
E) monitoring intake and output abirb.com/test

14. A nurse is caring for a client who just experienced a miscarriage in her first trimester.
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When asked by the client why this happened, which is the best response from the nurse?
A) abnormal fetal development
B) rejection of the embryo through an immune response
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C) implantation abnormality
D) lack of sufficient progesterone produced by the corpus luteum

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15. A pregnant client is being admitted for severe preeclampsia. When assigning room
placement, which area would be most appropriate?
A) Beside the supply room
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B) Near the staff elevator
C) Across from the nurse's station
D) At the end of the hallway
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16. A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which
assessment should the nurse prioritize before administering a new dose?
A) blood pressure
B) patellar reflex abirb.com/test
C) heart rate
D) anxiety level
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17. The nurse is assessing a client at 12 weeks' gestation at a routine prenatal visit who
reports something doesn't feel right. Which assessment findings should the nurse
prioritize? abirb.com/test

A) elevated hCG levels, enlarged abdomen, quickening

B) vaginal bleeding, absence of FHR, increased hPL levels
C) visible fetal skeleton on ultrasound, absence of quickening, enlarged abdomen
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D) gestational hypertension, hyperemesis gravidarum, absence of FHR

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18. A pregnant client at 20 weeks' gestation arrives at the health care facility reporting
excessive vaginal bleeding and no fetal movements. Which assessment finding would
the nurse anticipate in this situation?
A) cervical incompetence abirb.com/test
B) ectopic pregnancy
C) congenital malformations
D) placenta previa
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19. A pregnant client is admitted to a health care facility after her laboratory results reveal
elevated liver enzymes, thrombocytopenia, and low hemoglobin and hematocrit. Which
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assessment findings should the nurse prioritize for this client? Select all that apply.
A) Watery diarrhea
B) Nausea and vomiting
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C) Generalized edema
D) Epigastric pain and tenderness
E) Excessive weight loss
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20. A client visits a health care facility reporting amenorrhea for 10 weeks, fatigue, and
breast tenderness. Which assessment findings should the nurse prioritize for immediate
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intervention? Select all that apply.
A) elevated hCG levels
B) whitish discharge from the vagina
C) absence of fetal heart sound abirb.com/test
D) dyspareunia
E) hyperemesis gravidarum
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Answer Key
1. A
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2. D
3. A
4. B
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6. D
7. A, B, D, E
8. A
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9. C
10. B, D, E
11. B
12. A, D, E abirb.com/test
13. A, C, D, E
14. A
15. D
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16. B
17. D
18. A
19. B, C, D abirb.com/test
20. A, C, E

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