NCM 109 Exam Questions Answered Correctly Latest Version Fully Solved
A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. A nurse
discover that the client is encountering toxicity from the medication in which of the following
assessment? - Answers Respirations of 10 breaths per minute.
Which of the following conditions is associated with elevated serum chloride levels? - Answers
eclampsia
Methergine or pitocin are prescribed for a client with PP hemorrhage. Before administering the
medication(s), the nurse contacts the health provider who prescribed the medication(s) in which of the
following conditions is documented in the client's medical history? - Answers Peripheral vascular disease
A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe
preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client
for: - Answers Any bleeding, such as in the gums, petechiae, and purpura.
A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being
monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a worsening
of the Preeclampsia and the need to notify the physician? - Answers The client complains of a headache
and blurred vision
A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client
and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse's first
action is to: - Answers Clean and maintain an open airway
A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for
Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that apply)?
- Answers Elevated blood pressure
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse
determines the client is experiencing toxicity from the medication if which of the following is noted on
assessment? - Answers Respirations of 10 per minute
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client
determines that the magnesium therapy is effective if: - Answers Seizures do not occur
A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate.
Select all nursing interventions that apply in the care for the client. - Answers -Monitor renal function
and cardiac function closely
-Keep calcium gluconate on hand in case of a magnesium sulfate overdose
-Monitor deep tendon reflexes hourly
-Monitor I and O's hourly
, -Notify the physician if urinary output is less than 30 ml per hour
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most
likely be treated with: - Answers Dinoprostone (Prostin E.)
Upon assessment the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last
menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not appreciated. Which of the following is
the most possible diagnosis of this condition? - Answers Hydatidiform mole
A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding
following the use of cocaine 1 hour earlier. Which complication is most likely causing the client's
complaint of vaginal bleeding? - Answers Abruptio placentae
A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been
experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client
regarding management of care. Which statement, if made by the client, indicates a need for further
education? - Answers "I will maintain strict bedrest throughout the remainder of pregnancy."
A pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks, a 5
year old daughter born at 38 weeks, and 7 year old twin daughters born at 35 weeks. She had a
spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that
the client is: - Answers G5 T2 P1 A1 L4
Bleeding and cramping occur with the cervix closed and membranes intact. - Answers threatened
Some of the products are expelled, but the placenta remains attached. Heavy bleeding and cramping
doesn't subside until entire placenta is removed. - Answers incomplete
Any of the 5 spontaneous abortions occurring with 3 consecutive pregnancies. This condition is a result
of weakened cervix that dilates in the 2nd trimester, and expels the fetus. This condition is call
INCOMPLETE CERVIX. - Answers habitual
Embryo or fetus dies but isn't expelled. It's often discovered by the physician when no FHT is present.
Fetus must be expelled within 6wks or DIC and/or infections can occur. - Answers missed
All of the products of conception are expelled. - Answers complete
A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following
signs, if noted in the mother, would be an early sign of excessive blood loss? - Answers An increase in
the pulse from 88 to 102 BPM
Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these
medications, the priority nursing assessment is to check the: - Answers Blood pressure
Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage? -
Answers Urine retention
A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. A nurse
discover that the client is encountering toxicity from the medication in which of the following
assessment? - Answers Respirations of 10 breaths per minute.
Which of the following conditions is associated with elevated serum chloride levels? - Answers
eclampsia
Methergine or pitocin are prescribed for a client with PP hemorrhage. Before administering the
medication(s), the nurse contacts the health provider who prescribed the medication(s) in which of the
following conditions is documented in the client's medical history? - Answers Peripheral vascular disease
A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe
preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client
for: - Answers Any bleeding, such as in the gums, petechiae, and purpura.
A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being
monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a worsening
of the Preeclampsia and the need to notify the physician? - Answers The client complains of a headache
and blurred vision
A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client
and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse's first
action is to: - Answers Clean and maintain an open airway
A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for
Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that apply)?
- Answers Elevated blood pressure
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse
determines the client is experiencing toxicity from the medication if which of the following is noted on
assessment? - Answers Respirations of 10 per minute
A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client
determines that the magnesium therapy is effective if: - Answers Seizures do not occur
A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate.
Select all nursing interventions that apply in the care for the client. - Answers -Monitor renal function
and cardiac function closely
-Keep calcium gluconate on hand in case of a magnesium sulfate overdose
-Monitor deep tendon reflexes hourly
-Monitor I and O's hourly
, -Notify the physician if urinary output is less than 30 ml per hour
A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most
likely be treated with: - Answers Dinoprostone (Prostin E.)
Upon assessment the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last
menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not appreciated. Which of the following is
the most possible diagnosis of this condition? - Answers Hydatidiform mole
A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding
following the use of cocaine 1 hour earlier. Which complication is most likely causing the client's
complaint of vaginal bleeding? - Answers Abruptio placentae
A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been
experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client
regarding management of care. Which statement, if made by the client, indicates a need for further
education? - Answers "I will maintain strict bedrest throughout the remainder of pregnancy."
A pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks, a 5
year old daughter born at 38 weeks, and 7 year old twin daughters born at 35 weeks. She had a
spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that
the client is: - Answers G5 T2 P1 A1 L4
Bleeding and cramping occur with the cervix closed and membranes intact. - Answers threatened
Some of the products are expelled, but the placenta remains attached. Heavy bleeding and cramping
doesn't subside until entire placenta is removed. - Answers incomplete
Any of the 5 spontaneous abortions occurring with 3 consecutive pregnancies. This condition is a result
of weakened cervix that dilates in the 2nd trimester, and expels the fetus. This condition is call
INCOMPLETE CERVIX. - Answers habitual
Embryo or fetus dies but isn't expelled. It's often discovered by the physician when no FHT is present.
Fetus must be expelled within 6wks or DIC and/or infections can occur. - Answers missed
All of the products of conception are expelled. - Answers complete
A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following
signs, if noted in the mother, would be an early sign of excessive blood loss? - Answers An increase in
the pulse from 88 to 102 BPM
Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these
medications, the priority nursing assessment is to check the: - Answers Blood pressure
Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage? -
Answers Urine retention
