The nurse is caring for a client whose membranes

7. The nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this
client, the nurse's highest priority is to evaluate:
A. cervical effacement and dilation.
B. maternal vital signs and fetal heart rate (FHR).
C. frequency and duration of contractions.
D. white blood cell (WBC) count.
8. A pregnant client's last menstrual period began on October 12. The nurse calculates the estimated date of
delivery (EDD) as:
9. Early detection of an ectopic pregnancy is paramount in preventing a life-threatening rupture. Which
symptoms should alert the nurse to the possibility of an ectopic pregnancy?
10. A client who's 7 weeks pregnant comes to the clinic for her first prenatal visit. She reports smoking 20 to
25 cigarettes per day. When planning the client's care, the nurse anticipates informing her that if she
doesn't stop smoking, her fetus will develop:

2
C. intrauterine growth retardation.
D. a renal disorder.
11. The nurse is preparing to auscultate fetal heart tones in a pregnant client. Abdominal palpation reveals a
hard, round mass under the left side of the rib cage; a softer, round mass just above the symphysis pubis;
small, irregular shapes in the right side of the abdomen; and a long, firm mass on the left side of the
abdomen. Based on these findings, what is the best place to auscultate fetal heart tones?
A. Right lower abdominal quadrant
B. Right upper abdominal quadrant
C. Left upper abdominal quadrant
D. Left lower abdominal quadrant
12. A client is admitted to the facility in preterm labor. To halt her uterine contractions, the nurse expects the
physician to prescribe: