N271 EXAM 1 QUESTIONS AND ACCURATE
ANSWERS
A primigravida client at 23 weeks gestation reports that they have head a headache for 2
days. The nurse assesses the client's blood pressure and finds that it is 148/96. What will
the nurse do next?
A) Obtain a urine sample and evaluate it for the presence of protein.
B) Reassure the client that its normal for BP to increase during the 2nd trimester
C) Start an IV and administer Labetalol
D) Decrease stimuli and recheck BP in 10min - answer A) Obtain a urine sample and
evaluate it for the presence of protien.
A laboring gestational diabetic (GDM) client at 40 weeks gestation is about to deliver her
first baby. Which nursing action does the nurse anticipate during the second stage of
labor?
A) Administration of an IV fluid bolus
B) Manual compression of the uterus
C) Placing the client in trendelenburg position
D) Performance of Mc Robert's Maneuver - answer D) Performance of Mc Robert's
Maneuver.
**Anticipating possible shoulder distocia r/t LGA. This maneuver can add a couple
centimeters to birthing canal.
The client at 37 weeks gestation has severe pre-eclampsia. She reports a frontal headache
and epigastric pain, both 7/10 on the pain scale. Which medication will the nurse
administer first?
A) Pitocin
B) Fentanyl
