411 ch 19 nursing mang pregnancy risk and complications

A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy? use of oral contraceptives multiple gestation pregnancy history of endometriosis high number of pregnancies

history of endometriosis

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: hydatidiform mole. ectopic pregnancy. hydramnios. placenta accrete.

hydatidfrom mole

A client with a history of cervical insufficiency is seen for reports of pink-tinged discharge and pelvic pressure. The primary care provider decides to perform a cervical cerclage. The nurse teaches the client about the procedure. Which client response indicates that the teaching has been effective? "Purse-string sutures are placed in the cervix to prevent it from dilating." "Staples are put in the cervix to prevent it from dilating." "The cervix is glued shut so no amniotic fluid can escape." "A cervical cap is placed so no amniotic fluid can escape."

"Purse-string sutures are placed in the cervix to prevent it from dilating."

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? performing a vaginal examination to assess the extent of bleeding assessing uterine contractions by an internal pressure gauge assessing fetal heart tones by use of an external monitor helping the woman remain ambulatory to reduce bleeding

assessing fetal heart tones by use of an external monitor

The nurse is required to assess a pregnant client who is reporting vaginal bleeding. Which nursing action is the priority? determining the amount of funneling assessing the amount and color of the bleeding assessing signs of shock monitoring uterine contractility

assessing the amount and color of the bleeding

A 28-year-old client with a history of endometriosis presents to the emergency department with severe abdominal pain and nausea and vomiting. The client also reports her periods are irregular with the last one being 2 months ago. The nurse prepares to assess for which possible cause for this client's complaints? Molar pregnancy Ectopic pregnancy Placenta previa Healthy pregnancy

ectopic pregnancy

A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? hemolysis liver enzyme elevation low platelet count elevated lipoproteins

elevated lipoproteins

A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect? halts the progression of the abortion ensures passage of all the products of conception alleviates strong uterine cramping suppresses the immune response to prevent isoimmunization

ensures passage of all products of conception

A client at 11 weeks' gestation experiences pregnancy loss. The client asks the nurse if the bleeding and cramping that occurred during the miscarriage were caused by working long hours in a stressful environment. What is the most appropriate response from the nurse? "Something was wrong with the fetus." "Your spontaneous bleeding is not work-related." "It is hard to know why a woman bleeds during early pregnancy." "I can understand your need to find an answer to what caused this. Let's talk about this further."

i can understand your need to find an answer to what caused this, lets talk about this further

The nurse is preparing the plan of care for a woman hospitalized for hyperemesis gravidarum. Which interventions would the nurse most likely include? Select all that apply. maintaining NPO status for the first day or two administering antiemetic agents obtaining baseline blood electrolyte levels monitoring intake and output preparing the woman for insertion of a feeding tube

maintaining NPO status for the first day or two administering antiemetic agents obtaining baseline blood electrolyte levels monitoring intake and output

Which medication will the nurse anticipate the health care provider will prescribe as treatment for an unruptured ectopic pregnancy? methotrexate ondansetron promethazine oxytocin

methotrexate

A woman at 34 weeks' gestation presents to labor and delivery with vaginal bleeding. Which finding from the obstetric examination would lead to a diagnosis of placental abruption (abruptio placentae)? Uterus is soft between contractions Onset of vaginal bleeding was sudden and painful Fetus is in a breech position Sonogram shows the placenta covering the cervical os

onset of vaginal bleeding was sudden and painful

A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next?

palpate the fundus and check heart rate

A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which assessment should the nurse prioritize before administering a new dose? heart rate blood pressure anxiety level patellar reflex

patellar reflex

A woman in labor suddenly reports sharp fundal pain accompanied by slight dark red vaginal bleeding. The nurse should prepare to assist with which situation? Preterm labor that was undiagnosed Premature separation of the placenta Possible fetal death or injury Placenta previa obstructing the cervix

premature separation of the placenta

The following hourly assessments are obtained by the nurse on a client with preeclampsia receiving magnesium sulfate: 97.3oF (36.2oC), HR 88, RR 12 breaths/min, BP 148/110 mm Hg. What other priority physical assessments by the nurse should be implemented to assess for potential toxicity? magnesium sulfate level lung sounds reflexes oxygen saturation

reflexes

A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time? premature birth preterm labor spontaneous abortion (miscarriage) hypertension

spontaneous abortion (miscarriages)

A young mother gives birth to twin boys who shared the same placenta. What serious complication are they at risk for? Twin-to-twin transfusion syndrome (TTTS) HELLP syndrome ABO incompatibility TORCH syndrome

twin to twin transfusion syndrome (TTTS)

The nurse is caring for a client who has remained in stable condition at 37 weeks' gestation. The client's condition suddenly changes. Which assessment change should the nurse prioritize? Uterine contractions with vaginal mucus Size and contour of the abdomen Fundal height and fetal heart rate Vaginal bleeding and no pain

vaginal bleeding and no pain