1. A nurse is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following findings
should the nurse instruct the client to notify the provider?
a. Answer: Shortness of breath
b. Why?: Shortness of breath and cheat pain can indicate a pulmonary embolus or
myocardial infarction.
c. Additional adverse effects to notify the HCP that can indicate potential
complications include abdominal pain, sudden or persistent headaches, blurred
vision, and severe leg pain.
d. Breakthrough bleeding outside of the menstrual period, nausea and vomiting,
and breast tenderness is a common adverse effect of combined oral
contraceptives.
2. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
a. Answer: Leakage of fluid from the vagina
b. Why?: Could indicate premature leakage of amniotic fluid and should be
reported to the HCP
c. Decreased fetal movement is a potential complication that should be reported to
the HCP
d. Upper abdominal discomfort and urinary frequency is not a potential
complication associated with an amniocentesis
3. A nurse is calculating a client’s expected date of birth using Nagele’s rule. The client tells
the nurse that her last menstrual cycle started on November 27th. Which of the following
dates is the client’s expected date of birth?
a. Answer: September 3rd
b. Why?: Subtract 3 months from the first days of the client’s last menstrual cycle
and then add 7 days.
4. A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
a. Answer: Biophysical profile (BPP)
b. Why?: BPP is performed to further assess fetal well-being. BPP uses a real time
ultrasound to visualize physical and physiological characteristics of the fetus and
observe for fetal biophysical responses to stimuli.
c. Percutaneous umbilical blood sampling is the most common method used for
fetal blood sampling and transfusion.
d. Amnioinfusion of normal saline or lactated ringer’s is instilled into the amniotic
cavity through a transcervical catheter introduced into the uterus to supplement
the amount of amniotic fluid. Reduced the severity of variable decelerations
caused by cord compression who clients in labor.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bellasexams. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.