maternity exam 2
if your patient's gluocse is > _____ mg/dL on their 1-hr glucose challenge, they will be ordered a 3-hour test
140
incomplete abortion occurs when: a.) membrane ruptures and cervix dilates b.) vaginal bleeding occurs c.) some POC have been expelled, but some remain
C
some risk factors for gestational diabetes mellitus include: SATA a.) GDM in previous pregnancy b.) history of PCOS c.) normal pre-pregnancy BMI d.) history of a previous baby small for gestational age
a,b
a nurse is caring for a client who reports manifestations of preterm labor. which of the following findings are risk factors of this condition? SATA a.) UTI b.) multifetal pregnancy c.) hydramnios d.) diabetes emmlitus e.) uterine abnormalities
a,b,c,d,e
which of the following are risk factors for ectopic pregnancy? SATA a.) assisted reproductive technology (like IVF) b.) alcohol use during the first 4 weeks of the pregnancy c.) placement of an IUD d.) parvovirus B19 infection in pregnancy
a,c
you are caring for a patient on magnesium sulfate. as the RN, you remember the following: SATA a.) empty/measure foley catheter output hourly b.) DTR should be absent c.) to monitor vital signs (esp BP, RR) at least every hour d.) make sure UOP is > 10 mL every hour
a,c
as a nurse giving methotrexate for ectopic pregnancy, you remember the following: SATA a.) double verification with a 2nd RN b.) wear single set of gloves c.) PPE when handling excreta d.) providing therapeutic communication to patient and family
a,c,d
which hemorrhaging condition of late pregnancy are we concerned about if a woman experiences abdominal trauma?
abruptio placentae
signs if patient is mag-toxic
absence of DTR; UOP < 30 mL/hr; respirations < 12/min; decreased LOC; cardiac arrhythmias
which assessment finding would convince the nurse to hold the next dose of magnesium sulfate? a.) absence of DTRs b.)UOP of 100 mL total for the previous 2 hours c.) RR of 14 breaths/minute d.) decrease in BP from 160/100 to 140/85
absence of DTRs mag is a CNS depressant (dec DTR, dec resp). UOP < 30 mL/hr is low UOP. mag sulfate has neurological effects
how is an incomplete abortion treated in a pregnancy beyond 14 weeks? a.) D&C b.) D&E
b
a nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. which of the following indicates magnesium sulfate toxicity? a.) respirations greater than 12/min b.) UOP > 100 mL/hr c.) decreased LOC d.) hyperreflexic DTR
c
the provider has updated a pitocin infusion order for augmentation of labor in a patient at 38 weeks gestation. the order is to run pitocin at 15 milliunits/min. the pharmacy has sent up a 1000 mL bag of normal saline that contains 30 units of pitocin. you would set your infusion pump up at _____ mL/hr a.) 3.0 mL/hr b.) 0.3 mL/hr c.) 30 mL/hr d.) 300 mL/hr
c
which of the following statements from the nursing student regarding the management of patients with HIV indicates further teaching is necessary? a.) antiretroviral therapy is recommended and should be started as soon as possible, and taken throughout the pregnancy b.) patients infected with HIV should not breastfeed their infants c.) all infants born in HIV+ mothers will be infected with HIV at birth because of vertical transmission d.) the infant should be bathed after birth before remaining with the mother
c
your patient arrives in active labor. she has a history of genital herpes. upon assessment, you notice lesions on her perineum. your next action will be: a.) to immediately start IV fluids and begin penicillin infusion b.) to assess baseline fetal heart rate c.) to ask her the last time she had anything to eat or drink d.) to ask the patient the last time she had sexual intercourse
c
your pregnant patient was recently diagnosed with HIV. which statement indicates understandings of the risks of this diagnosis? a.) my baby will most likely develop AIDS within the first year of life b.) the usage of condoms is no longer necessary now that i am pregnant c.) even though im HIV+ it's possible that my baby might not be affected d.) i should breastfeed my baby to provide protection against infection
c
a nurse at an antepartum clinic is caring for a client who is at 4 months gestation. the client reports continued nausea; vomiting; and scant, prune-colored discharge. the client has experienced no weight loss and has a fundal height larger than expected. which of the following complications should the nurse expect? a.) hyperemesis gravidarum b.) threatened abortion c.) hydatidiform mole d.) preterm labor
c --> exhibits increased fundal height that is inconsistent with week of gestation, and excessive nausea and vomiting due to elevated hCG levels. scant, dark discharge occurs in second trimester
you are aware of the following nursing actions when caring for your patient with hyperemesis gravidarum: SATA a.) encourage patient to eat a large meal 3 times a day b.) encourage spicy foods c.) monitor strict I&O d.) patient may be prescribed reglan
c,d
a nurse is caring for a client who is receiving IV magnesium sulfate. which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? a.) nifedipine b.) pyridoxine c.) ferrous sulfate d.) calcium gluconate
d
who has the highest risk for developing placenta previa?: makenna: 25 years, african american, primigravida, female fetus, cousin has T1DM jhene: 35, portuguese american, multiparious, hx of previous spontaneous abortion fatima: 18, mexican american, 2 prior vaginal deliveries, female fetus, hx of marijuana use willow: 42, asian american, multiparous, 2 prior C/S deliveries, hx of cocaine use
willow
a nurse is caring for a client who is at 32 weeks gestation and has a placenta previa. what should the nurse include in educating the patient about her condition? SATA 1.) assessing color and amount of vaginal discharge or bleeding, especially after each urination and bowel movement 2.) refraining from sex only when active bleeding 3.) assessing fetal activity (kick counts) daily 4.) assessing uterine activity such as cramping 5.) unrestricted tampon use due to bleeding
1, 3, 4
complications related to postterm pregnancy may include: SATA 1.) placental insufficiency d/t aging and infarction reduces oxygen and nutrients to fetus and removal of waste - increased risk for perinatal morbidity and mortality 2.) polyhydramnios 3.) aspiration of meconium in amniotic fluid before birth 4.) fatigue from extended pergnancy
1, 3, 4
a 22 year old patient is diagnosed with hyperemesis gravidarum. this condition can often result in: a.) electrolyte imbalance b.) pregnancy induced HTN c.) small bowel obstruction d.) bowel perforation
a
a nurse is caring for a client who has gonorrhea. which of the following medications should the nurse expect the provider will prescribe? a.) ceftriaxone b.) fluconazole c.)metronidazole d.)zidovudine
a
a patient arrives in active labor. upon assessment, you see lesions on her perineum. what do you anticipate next? a.) asking her the last time she had anything to eat or drink b.) performing a BPP and checking FHR c.) administering an IV bolus of penicillin d.) administering an IV bolus of zidovudine (an anti-retroviral medication)
a
patients should avoid ___ after receiving the rubella vaccine a.) getting pregnant for at least 4 weeks/28 days b.) meds that treat high BP c.) usage of contraceptives d.) consuming meats like pork and beef
a
the patient is presented to the clinic with her young child in tow. the child has erythematous cheeks, malaise, and joint pain. you suspect that patient's child has which type of infection? a.) parvovirus b19 infection b.) varicella c.) tuberculosis d.) listeriosis
a
which statement by the student nurse regarding gestational trophoblastic disease (GTD) requires further clarification? a.) a classic manifestation of GTD is having lower levels of beta-hCG than normal b.) GTD is also known as hydatidiform mole c.) GTD is characterized by proliferation and edema of the chorionic villi d.) if a pregnant person develops preeclampsia before 24 weeks, GTD should be suspected
a
a nurse is caring for a client who is at 32 weeks gestation and has a placenta previa. the nurse notes that the client is actively bleeding. which of the following medications should the nurse expect the provider will prescribe? a.) betamethasone b.) indomethacin c.) nifedipine d.) methylergonovine
a --> betamethasone given to promote lung maturity ; indomethacin prescribed for client in preterm labor ; nifedipine prescribed for client in preterm labor ; methylergonovine prescribed for client experiencing postpartum hemorrhage
a nurse is admitting a client who is in labor and has HIV. which of the following interventions should the nurse identify as contraindicated for this client? SATA a.) vaccum extractor b.) oxytocin infusion c.) the use of forceps during delivery should be avoided due to the risk of fetal bleeding d.) cesarean birth e.) internal fetal monitoring
a, c, e
a nurse is caring for a client who is in labor. the nurse should identify that which of the following infections can be treated during labor or immediately following birth? SATA a.) gonorrhea b.) chlamydia c.) HIV d.) group b strep e.) TORCH infection
a,b,c,d
a nurse in an antepartum clinic is assessing a client who has a TORCH infection. which of the following findings should the nurse expect? SATA a.) joint pain b.) malaise c.) rash d.) urinary frequency e.) tender lymph nodes
a,b,c,e
a nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. which of the following indicates magnesium sulfate toxicity? SATA a.) respirations < 12/min b.) UOP < 25 mL/hr c.) hyperreflexic DTR d.) decreased LOC e.) flushing and sweating
a,b,d
which of the following medications could be ordered for a patient in preterm labor? SATA a.) nifedipine b.) indomethacin c.) pitocin (oxytocin) d.) magnesium sulfate
a,b,d
which of the following patients are at risk for experiencing preterm labor? SATA a.) patient 34 weeks pregnant with twins b.) patient with history of cerclage placement in a prior pregnancy c.) patient with an average hemoglobulin of 14 throughout the pregnancy d.) patient with a BMI of 40 with a singleton pregnancy
a,b,d
a nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. the nurse should identify that which of the following are risk factors for the client? SATA a.) diabetes b.) multifetal pregnancy c.) maternal age greater than 40 d.) gestational trophoblastic disease e.) oligohydramnios
a,b,d --> maternal age less than 30 is a risk factor
as her nurse, you note that the following in ms. diaz's health hx are considered risk factors for ectopic pregnancy: SATA a.) IUD b.) one sexual partner c.) multiple induced abortions d.) history of male fetus
a,c
a nurse is caring for a client who has a prescription for magnesium sulfate. the nurse should recognize that which of the following are contraindications for use of this medication? SATA a.) fetal distress b.) preterm labor c.) vaginal bleeding d.) cervical dilation greater than 6 cm e.) severe gestational HTN
a,c,d
which of the following clinical findings at 8 weeks may make you suspect a possible hydatidiform mole? SATA a.) brownish-tinged bleeding b.) BP: 115/72 c.) nausea d.) higher than normal fundal height
a,c,d
a nurse educator is reviewing ways to prevent TORCH infection during pregnancy to a group of newly-licensed nurses. which of the following statements indicates understanding of teaching? a.) a client should avoid consuming all meat, even if cooked well-done, throughout their 3rd trimester b.) a client should continue to be educated on practicing safe sex throughout their pregnancy c.) obtain immunization against rubella in the 1st trimester of pregnancy d.) a client should avoid other pregnant people during their pregnancy
b
a nurse in the emergency department is caring for a client who reports abrupt, sharp, right sided lower quadrant abdominal pain and bright red vaginal bleeding. the client states, "i missed one menstrual cycle and cannot be pregnant because i have an IUD device." the nurse should suspect which of the following? a.) missed abortion b.) ectopic pregnancy c.) severe preeclampsia d.) hydatidiform mole
b
a nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. which of the following findings is a manifestation of this condition? a.) Hgb 12.2 g/dL b.) urine ketones present c.) alanine aminotransferase 20 IU/L d.) blood glucose 114 mg/dL
b
a patient is admitted for preeclampsia. the provider has prescribed an infusion of mag sulfate. the pharmacy sends up a 500 mL bag of normal saline that contains 30 g mag sulfate. a 4-gram bolus dose is to be given over 30 mins, followed by 2 g/hr. the nurse will set the pump rate at _____ to administer the bolus dose. a.) 1.33 mL/hr b.) 133.3 mL/hr c.) 400 mL/hr d.) 4 mL/hr
b
abortion characterized by vaginal bleeding during first half of pregnancy: a.) inevitable abortion b.) threatened abortion c.) incomplete abortion d.) complete abortion
b
in the event of a placenta previa, which assessment would be contraindicated in labor? a.) assessing for vaginal bleeding or amniotic fluid b.) determining her cervical dilation and effacement via vaginal exam c.) assessing her fetus's baseline heart rate d.) determining the frequency and strength of contractions via external monitor
b
the provider has ordered a magnesium sulfate loading dose of 4g IV STAT for a patient that is experiencing preeclampsia. the nurse has decided to run the loading dose over 30 minutes. how many mL/hr would the nurse set IV flow rate on the pump at given that the medication supplied is 8g/500 mL pre-mixed by the pharmacy? a.) 0.5 mL/hr b.) 500 mL/hr c.) 400 mL/hr d.) 50 mL/hr
b
the provider has updated a pitocin infusion order for augmentation of labor in a pt at 40 weeks gestation. the order is to run pitocin at 15 milliunits/min. the pharmacy has sent up a 500 mL bag of normal saline that contains 20 units of pitocin. you would set your infusion pump up at ______ mL/hr. a.) 2.25 mL/hr b.) 22.5 mL/hr c.) 225 mL/hr d.) 0.225 mL/hr
b
which clinical effect are we concerned about in a newborn of a mom with GDM? a.) low insulin levels b.) low blood glucose levels (hypoglycemia) c.) high calcium levels d.) low fat (lipid) levels
b
which of the following statements by your pregnant patient may pose a concern for safety/ a.) i make sure to thoroughly wash my fruits and veggies before i eat them b.) i meet with my town outdoors club everyday to work on a community garden c.) my partner changes our cat's litterbox each day d.) i only consume meat that is well-done and fully cooked
b
you are caring for a patient who is in labor and is being treated for severe preeclampsia. which of the following clinical presentations would be cause for further concern? a.) hemoglobin 14 g/dL b.) bleeding from IV site c.) UOP 150 mL over 4 hours d.) normal DTR
b
your neighbor lives alone and is pregnant for the first time. she has 3 outside cats. as a high-risk OB nurse, the best neighborly thing to do is offer to: a.) take her cats on a daily walk b.) help change the cats' litter box c.) feed the cats she's at work d.) groom her cats for her
b
your patient asks about safe intercourse in pregnancy. your teaching should include: a.) to abstain from sexual intercourse the week of the pt's estimated due date b.) to avoid sexual intercourse if patient has a known placenta previa c.) alternative positions should be used once membranes have ruptured d.) it's safe to have sex even if pt has experienced signs of preterm labor
b
your patient has just experienced pregnancy loss at 20 weeks. which of the following statements would be appropriate when caring for this patient? a.) you have 3 other beautiful kids! thank goodness they're in good health b.) i am here for you. what can i do that would be most helpful to you? c.) i know exactly how you feel - i had a miscarriage as well d.) i know you're upset. i'll call the priest to come and baptize your baby
b
your patient is admitted to the hospital for hyperemesis gravidarum. your primary goal(s) for this patient will be to : a.) restrict all food and drink for the next 24 hours and to promote GI rest b.) provide treatment that will alleviate electrolyte and acid/base imbalance c.) trend the amount of ketones present in the patient's urine d.) restrict patient from consuming solid foods for 12-24 hours
b
a nurse is providing care for a client who has a marginal abruptio placentae. which of the following findings are risk factors for developing the condition? SATA a.)fetal positioning b.) blunt abdominal trauma c.) cocaine use d.) maternal age e.)cigarette smoking
b, c, e
the following in carrie's assessment may indicate that she is experiencing placental abruption: SATA a.) bradycardia b.) rigid abdomen c.) concealed bleeding d.) high BP
b,c
trichomoniasis is highly associated with which of the following complications: SATA a.) placenta previa b.) premature rupture of membranes c.) postpartum endometritis d) HELLP syndrome
b,c
your patient is 35 weeks with severe preeclampsia. which of the following lab work correlates with HELLP syndrome? SATA a.) hemoglobin 12 g/dL b.) elevated AST and ALT c.) platelets 80,000 uL d.) platelets 200,000 uL
b,c
patients with gestational diabetes mellitus may need: SATA a.) statin drugs like atorvastin b.) subq insulin c.) modifications in their diet d.) testing for fetal anomalies
b,c,d
your patient goes in for her prenatal check-up and asks which vaccinations are recommended during her pregnancy. SATA a.) varicella b.) influenza c.) MMR d.) Tdap
b,d
a nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks gestation. which of the following statements by the client indicates understanding of the teaching? a.) i will take this pill with my breakfast b.) i will take this medication with a glass of milk c.) i plan to drink more orange juice while taking this pill d.) i plan to add more calcium rich foods to my diet while taking this medication
c
a nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks gestation. which of the following instructions should the nurse include in her teaching? a.) avoid bubble bath solution when taking tub baths b.) use condom with sex c.) keep a daily record of fetal kick counts d.) wipe from back to front when performing perineal hygiene
c
a patient is admitted for preeclampsia. the provider has prescribed an infusion of magnesium sulfate. the pharmacy sends up a 500 mL bag of LR's that contains 25 g of magnesium sulfate. a 4-gram bolus dose is to be given over 30 minutes, followed by 2 g/hr. the nurse will set the pump rate at _______ to administer the bolus dose. a.) 1.6 mL/hr b.) 0.16 mL/hr c.) 160 mL/hr d.) 16 mL/hr
c
condition when fetus becomes so anemic that generalized fetal edema and fetal congenital heart failure occurs: a.) kernicterus b.) erythroblastosus fetalis c.) hydrops fetalis d.) fetal gastroschisis
c
during your shift on the L&D unit, a patient has come into triage. her abdomen is rigid upon palpation. when connected to monitor, her uterine tone shows a high baseline and minimal relaxation btwn contractions. what condition is this patient most likely experiencing? a.) total placental previa b.) preterm labor c.) placental abruption d.) PROM
c
if reported by the patient to the nurse, which of the following activities would pose a concern for the patient's safety? a.) receiving the flu vaccine while pregnant b) consuming organic veggies c.) spending 30 mins in the sauna everyday d.) using condoms with each episode of sex with their partner
c
in which of the following conditions would a caesarian birth be completely necessary? a.) partial placental abruption b.) HIV c.) total placenta previa d.)preeclampsia
c
one of your patients is experiencing ectopic pregnancy. what is our priority for these patients? a.) pain relief b.) dilation and curettage procedure c.) prevention of hemorrhage d.) counseling due to patient's new status of infertility
c
the nurse is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red bleeding. the client states, "i missed one menstrual cycle and cannot be pregnant because i have an intrauterine device." the nurse should suspect which of the following? a.) severe preeclampsia b.) hydatidiform mole c.) ectopic pregnancy d.) missed abortion
c
the patient in your clinic is complaining of severe cramping paired with heavy, profuse vaginal bleeding. her cervix is dilated with evidence of tissue in the cervical canal. this is an example of: a.) complete abortion b.) inevitable abortion c.) incomplete abortion d.) threatened abortion
c
your patient is 40 weeks and comes to L&D after her membranes ruptured at home at 8 AM. she is admitted to the unit, and her labor process continues. at 10 AM the next day, you notice that the FHR baseline is at 170 BPM. your patient's temperature is 101.2 F. you anticipate that the provider will: a.) perform a membrane sweep so all amniotic fluid is removed from the cervix b.) do no intervention. elevated temp and HR are normal at this stage of labor c.) order penicillin IV to be given every few hours until baby is born d.) order magnesium for fetal neuroprotection
c
your patient is receiving IV magnesium sulfate for preeclampsia. she begins to experience dizziness and suddenly becomes unresponsive. her respirations are 6 breaths/min. your next intervention will be to: a.) vigorously stimulate the patient using a sternal rub technique b.) administer naloxone (narcan) to the patient c.) administer calcium gluconate to patient d.) increase the rate of the patient's IV fluids
c
if infection with parvovirus B19 occurs during pregnancy, it may cause: SATA a.) elevated fetal blood glucose b.) macrosomia c.) fetal demise d.) fetal hydrops
c,d
what would be cause for further concern of a patient with placental abruption? SATA a.) FHR accelerations that rise 15 BPM from baseline and last 20 seconds b.) maternal BP of 125/72 c.) epistaxis d.) bleeding from patient's IV site
c,d
a 30 year old patient gave birth 18 weeks ago. she received scant prenatal care. during her labor and postpartum period, her BP was normal. she is being seen in her primary care clinic, and her BP reading is 170/98. the blood pressure is repeated 4 hours later and reads 168/95. what type of HTN is this patient exhibiting? a.) HELLP b.) gestational HTN c.) preeclampsia d.) chronic HTN
d
a nurse is caring for a patient who has gonorrhea. vertical transmission from pregnant person to newborn during birth may cause: a.) pruritic vesicular lesions b.) kernicterus c.) klopik spots d.) ophthalmia neonatorum
d
a nurse is providing care for a client who is in preterm labor at 32 weeks gestation. which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? a.) calcium gluconate b.) indomethacin c.) nifedipine d.) betamethasone
d
a nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks gestation. which of the following instructions should the nurse include in the teaching? a.) use a condom with sex b.) avoid bubble bath solution when taking a tub bath c.) wipe from back to front when performing perineal hygiene d.) keep a daily record of fetal kick counts
d
a nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. which of the following statements by a nurse indicates understanding of the teaching? a.) obtain an immunization against rubella early in pregnancy b.) seek prophylactic treatment if CMV is detected during pregnancy c.) a client should avoid crowded places during pregnancy d.) a client should avoid consuming undercooked meat while pregnant
d
a patient at 34 weeks of gestation arrives in preterm labor. the provider orders a dose of betamethasone: 12 mg IM dose now and one 24 hours from now. the pharmacy sends betamethasone in a vial that reads 6 mg/5mL. how much betamethasone (in mL) will this nurse have administered after both doses are completed? a.) 0.2 mL b.) 2.0 mL c.) 10 mL d.) 20 mL
d
a patient is admitted for preeclampsia. the provider has prescribed an infusion of mag sulfate. the pharmacy sends up a 1000 mL bag of normal saline that contains 40 g of mag sulfate. a 4-gram bolus dose is to be given over 30 minutes, followed by 3 g/hr. the nurse will set the pump rate at ______ to administer the bolus dose a.) 20 mL/hr b.) 0.2 mL/hr c.) 0.02 mL/hr d.) 200 mL/hr
d
a pt at 34 weeks gestation arrives in preterm labor. the provider orders a dose of betamethasone: 12 mg IM dose now and one 24 hours from now. the pharmacy sends betamethasone in a vial that reads 15 mg/3 mL. how much betamethasone (in mL) will the nurse have administered after both doses are completed? a.) 2.4 mL b.) 0.25 mL c.) 0.48 mL d.) 4.8 mL
d
how are pregnant patients able to tolerate the blood loss that occurs during childbirth? a.) they usually cannot - often, blood products will need to be administered b.) lowered clotting factors c.) higher leukocyte count d.) increased blood volume in pregnancy
d
if untreated in pregnancy, chlamydia can cause which of the following a.) macrosomia b.) immunity for pregnant patient against further re-infection c.) protection for fetus against other STIs d.) preterm labor and premature rupture of membranes
d
in which of the following situations would a dilation and evacuation be recommended? a.) complete abortion at 16 weeks b.) threatened abortion at 6 weeks c.) incomplete abortion at 10 weeks d.) incomplete abortion at 14 weeks
d
the implantation of the placenta in the lower uterus is called a.) uterine irritability b.) abruptio placentae c.) disseminated intravascular coagulation (DIC) d.) placenta previa
d
the provider has ordered a magnesium sulfate loading dose of 6g IV STAT for a patient that is experiencing preeclampsia. the nurse has decided to run the loading dose over 20 mins. how many mL/hr would the nurse set IV flow rate on the pump at given that the medication supplied is 6g/250 mL pre-mixed by the pharmacy? a.) 125 mL/hr b.) 7.5 mL/hr c.) 12.5 mL/hour d.) 750 mL/hr
d
which of the following medications shuold the nurse anticipate administering if mag sulfate toxicity is suspected? a.) pyridoxine b.) nifedipine c.) ferrous sulfate d.) calcium gluconate
d
which of the following treatments would be prescribed for patient whose laboratory testing shows a positive GBS culture? a.) methylergonovine (methergine) IM b.) antiretroviral therapy (ART) PO c.) group B strep vaccine at 35 weeks d.) penicillin IV
d
willow comes to her prenatal visit at 37 weeks. her BP is 160/95. she reports seeing bright spots when she looks around the room and a pounding headache. after analyzing her urine sample, the lab notes proteinuria. what condition is willow experiencing? a.) chronic HTN b.) HELLP syndrome c.) gestational HTN d.) preeclampsia
d
your patient has a BP of 151/110. has protein in urine, a persistent headache, and seeing spots. she may have: a.) gestational HTN b.) chronic HTN c.) eclampsia d.) preeclampsia
d
your patient is 34 weeks pregnant and in PTL. the provider has ordered 2 separate doses of 12 mg of betamethasone to be given 24 hours apart. the dosage of the vial from the pharmacy is 30 mg/5mL. how many mL in total will this patient have received after both doses are complete? a.) 0.4 mL b.) 0.2 mL c.) 4 mL d.) 2 mL
d
a nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. which of the following findings is expected with this condition? a.) no alteration b.) transvaginal ultrasound indicating a fetus in the uterus c.)blood progesterone greater than the expected reference range d.) report of severe shoulder pain
d --> blood progesterone level lower than the expected reference range is an indication of ectopic pregnancy; client's report of severe should pain is a finding associated with a ruptured ectopic pregnancy due to presence of blood in abdominal cavity, which irritates the diaphragm and phrenic nerve
a nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. the nurse should monitor the client for which of the following manifestations? a.) blood-tinged sputum b.) dizziness c.) pallor d.) somnolence
dizziness
implantation of a fertilized egg outside the uterine cavity is called a(n) _____ pregnancy
ectopic
who would be most at risk for preterm labor? helen: 45, african american, BMI 42, hx of delivering infant at 32 weeks, currently 34 weeks pregnant with twins priya: 19, indian-american, BMI 19, primipara, singleton pregnancy, HgB 13 sage: 28, italian american, BMI 45, hx of PTM at 32 weeks in prior pregnancy, singleton pregnancy at 36 weeks alex: 30, filipina-american, BMI 28, hx of C/S 1 year ago at 38 weeks gestation, singleton pregnancy at 35 weeks
helen
interventions of mag-toxicity
immediately discontinue infusion; administer antidote; prepare for actions to prevent respiratory or cardiac arrest
signs of concealed hemorrhage in placental abruption
increase in fundal height; hard, board-like abdomen; high uterine baseline tone on electronic monitoring strip, especially when an intrauterine pressure catheter is used; persistent abdominal pain; systemic signs of early hemorrhage (tachycardia, tachypnea, falling BP, falling UOP, restlessness); persistent late decelerations in FHR or decreasing baseline variability; slight or absent vaginal bleeding
what do we administer to prevent eclampsia in patients with severe preeclampsia?
magnesium sulfate
sudden onset painless uterine bleeding in the last half of pregnancy could most likely be:
placenta previa
