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The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor.
What will the mother likely experience at that time?.

Dysuria.

Urinary frequency.

Constipation.

Dyspnea.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Dysuria is not typically associated with lightening.

Choice B rationale:

Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.

Choice C rationale:

Constipation is not typically associated with lightening.

Choice D rationale:

Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.

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Correct Answer is B

Explanation

Choice A rationale:

Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.

Choice B rationale:

Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.

Choice C rationale:

Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.

Choice D rationale:

Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.

A. Respiratory rate of 10 breaths/minute. B. Difficulty in arousing. C. Urinary output of 20 mL per hour. D. Deep tendons reflexes 2+.

Correct Answer is D

Explanation

Choice A rationale:

A respiratory rate of 10 breaths/minute is low and could indicate magnesium toxicity.

Choice B rationale:

Difficulty in arousing could also indicate magnesium toxicity.

Choice C rationale:

Urinary output of 20 mL per hour is low and could indicate renal impairment.

Choice D rationale:

Deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug.

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The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?.

Correct Answer is B

Explanation

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.

Correct Answer is D

Explanation

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as:.

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor.
What will the mother likely experience at that time?.