Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?
A. Cramping and backache with light spotting
Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.
B. Cervix is dilated
Cervix is dilated: A dilated cervix indicates an inevitable or incomplete abortion, not a threatened one.
C. Passage of all products of conception has occurred
Passage of all products of conception has occurred: This describes a complete abortion.
D. Fetus died in utero but is not expelled
Fetus died in utero but is not expelled: This describes a missed abortion, not a threatened abortion.
This question is an excerpt from Nurse Dive's nursing test bank - Ati lpn n105t maternal newborn proctored exam. Take the full exam now
Full Explanation
A. Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.
B. Cervix is dilated: A dilated cervix indicates an inevitable or incomplete abortion, not a threatened one.
C. Passage of all products of conception has occurred: This describes a complete abortion.
D. Fetus died in utero but is not expelled: This describes a missed abortion, not a threatened abortion.
Similar Questions
A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
A. Assure the client that the score is within the expected range.
Assure the client that the score is within the expected range: A score of 8–10 on a biophysical profile indicates fetal well-being, requiring no intervention.
B. Offer the client orange juice and repeat the assessment in 1 hour.
Offer the client orange juice and repeat the assessment in 1 hour: This is unnecessary since the score indicates no concern.
C. Administer oxygen and notify the provider.
Administer oxygen and notify the provider: There is no indication of fetal distress.
D. Assist the client into a side-lying position.
Assist the client into a side-lying position: A position change is not needed as there is no evidence of compromise.
Full Explanation
A. Assure the client that the score is within the expected range: A score of 8–10 on a biophysical profile indicates fetal well-being, requiring no intervention.
B. Offer the client orange juice and repeat the assessment in 1 hour: This is unnecessary since the score indicates no concern.
C. Administer oxygen and notify the provider: There is no indication of fetal distress.
D. Assist the client into a side-lying position: A position change is not needed as there is no evidence of compromise.
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
A. The cervix is dilated 5 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines
The cervix is dilated 5 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines: The dilation is incorrectly identified as 5 cm.
B. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines.
The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines: Effacement is expressed as a percentage, not in centimeters.
C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is cm above the ischial spines
The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm above the ischial spines: Effacement and station are incorrectly interpreted.
D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines.
The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines: This interpretation is accurate, matching the documented findings.
Full Explanation
A. The cervix is dilated 5 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines: The dilation is incorrectly identified as 5 cm.
B. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm below the ischial spines: Effacement is expressed as a percentage, not in centimeters.
C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 1 cm above the ischial spines: Effacement and station are incorrectly interpreted.
D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines: This interpretation is accurate, matching the documented findings.
A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?
A. Promoting delivery of the placenta
Promoting delivery of the placenta: The placenta is delivered after the infant, making this a lower priority.
B. Preventing the perineum from tearing
Preventing the perineum from tearing: While important, protecting the infant during birth takes precedence.
C. cutting the umbilical cord
Cutting the umbilical cord: Cutting the cord occurs after delivery and is not the immediate priority.
D. Supporting the infant during the birth
Supporting the infant during the birth: The safety of the infant during rapid delivery is the top priority.
Full Explanation
A. Promoting delivery of the placenta: The placenta is delivered after the infant, making this a lower priority.
B. Preventing the perineum from tearing: While important, protecting the infant during birth takes precedence.
C. Cutting the umbilical cord: Cutting the cord occurs after delivery and is not the immediate priority.
D. Supporting the infant during the birth: The safety of the infant during rapid delivery is the top priority.