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Practice Question

A client arrives at the labor and delivery unit, and it is determined that a complete placental abruption is occurring. What is an appropriate nursing action?

Answer Choices:

Correct Answer:

Prepare the client for delivery

Rationale:

🟣 A complete placental abruption is a life-threatening obstetric emergency that compromises both maternal and fetal oxygenation.

🟣 Because the placenta has fully separated from the uterine wall, immediate delivery is the only definitive intervention to prevent massive hemorrhage and fetal demise.

🟣 Continuing labor or delaying delivery increases the risk of hypovolemic shock, disseminated intravascular coagulation (DIC), and fetal asphyxia.

🟣 The nurse must focus on rapid coordination with the obstetric team, establishing IV access, and preparing the client for emergent operative or vaginal delivery depending on stability.

🟣 Positioning changes or medications cannot correct complete detachment, making expedited delivery the priority.

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This question is from W4 NR327 Exam 1 which contains 72 questions.

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More Practice Questions
A nurse is caring for a client with type O blood who delivers a newborn with type B blood. Which finding should the nurse anticipate?

Answer Choices:

A. Newborn bradycardia
B. Newborn hyperbilirubinemia
C. Maternal thrombocytopenia
D. Maternal hypertension
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A nurse is caring for a client diagnosed with hyperemesis gravidarum. Which clinical finding is most concerning?

Answer Choices:

A. Urine output of 40 mL/hour
B. Trace ketones in the urine
C. No weight gain over one week
D. Serum potassium of 2.8 mEq/L
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The nurse is caring for a pregnant client diagnosed with gestational diabetes. Which finding is consistent with this diagnosis?

Answer Choices:

A. Diagnosis was made during the third trimester
B. Continuous glucose monitoring initiated before pregnancy
C. History of type 1 diabetes since adolescence
D. Elevated hemoglobin A1C noted at 8 weeks of gestation
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A nurse is caring for a client with an order for a blood transfusion. The client does not wish to receive the blood transfusion due to religious beliefs. What action should the nurse take?

Answer Choices:

A. Reinforce education about the risks of refusal
B. Inform the client that their decision is wrong
C. Administer the transfusion if the client becomes unstable
D. Avoid further discussion of the blood transfusion
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The nurse is caring for a client who just received a diagnosis of gestational diabetes. The client states, "I don't understand why this happened. Why did I develop this?" How should the nurse respond? (Select all that apply.)

Answer Choices:

A. "Clients who have a first-degree relative with diabetes are at greater risk."
B. "Clients who have a history of cardiac disease are at greater risk."
C. "Clients who have a history of gestational diabetes are at greater risk."
D. "Clients with a body mass index (BMI) equal to or greater than 20 are at greater risk."
E. "Clients who have a history of polycystic ovary syndrome are at greater risk."
F. "Clients who are older than 20 years of age at the time of pregnancy are at greater risk."
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W4 NR327 Exam 1

72 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Examplify/Examsoft Exams
  • Domain: MATERNAL & NEWBORN NURSING - EXAMSOFT
  • Answer Choices: 4
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