NCLEX SATA QUESTIONS AND ANSWERS, ALL CORRECT AND .

1.The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should 

be prepared for which maternal adverse reactions?

Select all that apply:

1. Hypertension

2. Jaundice

3. Dehydration

4. Fluid overload

5. Uterine tetany

6. Bradycardia

1, 4, 5

2. A client who is 29 weeks pregnant comes to the labor and delivery unit. She states that she's having 

contractions every 8 minutes. The client is also 3 cm dilated. Which medications can the nurse expect to 

administer?

Select all that apply:

1. Folic acid (Folvite)

2. Terbutaline (Brethine)

3. Betamethasone

4. Rho (D) immune globulin (Rhogam)

5. I.V. fluids

6. Meperidine (Demerol)

2, 3, 5

3. The nurse is evaluating a client who is 34 weeks pregnant for premature rupture of the membranes 

(PROM). Which findings indicate that PROM has occurred?

Select all that apply:

1. Fernlike pattern when vaginal fluid is placed on a glass slide and allowed to dry

2. Acidic pH of fluid when tested with nitrazine paper

3. Presence of amniotic fluid in the vagina

4. Cervical dilation of 6 cm

5. Alkaline pH of fluid when tested with nitrazine paper

6. Contractions occurring every 5 minutes

1, 3, 5