The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?

Estrogen

Oxytocin

Human chorionic gonadotropin (hCG)

Progesterone

Answer and Explanation

The Correct Answer is D

Choice A rationale
Estrogen is a hormone that plays a crucial role in pregnancy. It helps develop the placenta and triggers increased blood volume and flow throughout pregnancy. However, it is not the primary hormone responsible for maintaining pregnancy.
Choice B rationale
Oxytocin is a hormone that plays a key role in labor and breastfeeding. It causes contractions during labor and helps eject milk during breastfeeding. However, it is not the primary hormone responsible for maintaining pregnancy.
Choice C rationale
Human chorionic gonadotropin (hCG) is a hormone produced during pregnancy. It is made almost exclusively in the placenta and its main function is to maintain the corpus luteum in the ovary and stimulate it to produce progesterone. However, hCG itself is not the primary hormone responsible for maintaining pregnancy.
Choice D rationale
Progesterone is the primary hormone responsible for maintaining pregnancy. It prevents the uterine muscles from contracting prematurely, which could lead to a miscarriage or preterm birth.

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Correct Answer is D

Explanation

If a patient in labor who has received an epidural anesthesia block has a blood pressure reading of 80/40 mm Hg, the nurse’s immediate course of action should be to position the patient laterally. This helps to maximize venous return and cardiac output, thereby improving maternal blood pressure and fetal perfusion.

A. A client who has missed a menstrual cycle and reports vaginal spotting. B. A client who is at 28 weeks of gestation and reports painless vaginal bleeding. C. A client who is at 38 weeks of gestation and reports symptoms of a cough and fever. D. A client who is at 14 weeks of gestation and reports experiencing nausea and vomiting.

Correct Answer is B

Explanation

Choice A rationale
Missing a menstrual cycle and reporting vaginal spotting could indicate early pregnancy or other non-emergency conditions. While this client should be evaluated, it is not the highest priority.
Choice B rationale
A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both of which are obstetric emergencies. This client should be prioritized for immediate evaluation.
Choice C rationale
A client at 38 weeks of gestation reporting symptoms of a cough and fever may have an upper respiratory infection. While this should be evaluated, it is not the highest priority unless the client is in distress.
Choice D rationale
Nausea and vomiting are common in early pregnancy. A client at 14 weeks of gestation reporting these symptoms would need evaluation, but it is not the highest priority.

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The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient’s blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min. What should be the nurse’s immediate course of action?

Correct Answer is D

Explanation

As a nurse in an antepartum unit performing triage, which client should be prioritized?

Correct Answer is B

Explanation

A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test. Which of the following should the nurse include? (Select all that apply)

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa. Which of the following symptoms would support this diagnosis?

50 grams of Magnesium sulfate is added to 1L of Lactated Ringers. After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr. What rate should the IV pump be set at?

A nurse is caring for a client who is 39 weeks pregnant and in active labor. The nurse detects the fetal heart tones above the client’s umbilicus at the midline. Which of the following positions should the nurse suspect the fetus is in?

A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse’s priority?