Maternity last week prepU

A nurse is providing education to a woman at 28 weeks' gestation who has tested positive for gestational diabetes mellitus (GDM). What would be important for the nurse to include in the client teaching? She is at increased risk for type 1 diabetes mellitus after her baby is born. She is at increased risk for type 2 diabetes mellitus after her baby is born. Her baby is at increased risk for type 1 diabetes mellitus. Her baby is at increased risk for neonatal diabetes mellitus.

She is at increased risk for type 2 diabetes mellitus after her baby is born.

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? methotrexate promethazine ondansetron oxytocin

methotrexate

The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client? Monitor the client's beta-hCG level. Monitor the client's vital signs and bleeding. Monitor the fetal heart rate (FHR). Monitor the mass with transvaginal ultrasound.

monitor the client's vital signs and bleeding

A nurse is caring for a client undergoing treatment for ectopic pregnancy. Which symptom is observed in a client if rupture or hemorrhaging occurs before the ectopic pregnancy is successfully treated? fetal distress tetanic contractions painless bright red vaginal bleeding phrenic nerve irritation

phrenic nerve irritation

A pregnant client has an Rh-negative blood type. Following the birth of the client's infant, the nurse administers her Rho(D) immune globulin. The purpose of this is to: stimulate maternal D immune antigens. prevent maternal D antibody formation. promote maternal D antibody formation. prevent fetal Rh blood formation.

prevent maternal D antibody formation.

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding? cervical dilation passage of fetal tissue slight vaginal bleeding strong abdominal cramping

slight vaginal bleeding

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? "The cervix is glued shut so no amniotic fluid can escape." "Staples are put in the cervix to prevent it from dilating." "Purse-string sutures are placed in the cervix to prevent it from dilating." "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 woman's baby is HIV positive at birth. She asks the nurse if this means the baby will develop AIDS. Which statement would be the nurse's best answer? "The antibodies may be those transferred across the placenta; the baby may not develop AIDS." "She already has AIDS. That's what being HIV positive means." "HIV antibodies do not cross the placenta; this means the baby will develop AIDS." "HIV is transmitted at birth; having a cesarean birth prevented transmission."

"The antibodies may be those transferred across the placenta; the baby may not develop AIDS."

A 28-year-old client and her current partner present for the first antenatal OB appointment. The client has no children but does question a possible miscarriage 2 years ago; however, she never sought medical attention because she felt fine. Labs reveal both client and partner are Rh negative. Which action should the nurse prioritize? Assess client for anti-D antibodies Arrange for an amniocentesis Continue with routine procedures and tasks Perform direct Coombs test

Assess client for anti-D antibodies

The nurse is comforting and listening to a young couple who just suffered a miscarriage. When asked why this happened, which reason should the nurse share as a common cause? Maternal smoking Lack of prenatal care The age of the mother Chromosomal abnormality

Chromosomal abnormality

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? Placenta previa Healthy pregnancy Ectopic pregnancy Molar pregnancy

Ectopic pregnancy

A pregnant woman has been admitted to the hospital due to severe preeclampsia. Which measure will be important for the nurse to include in the care plan? Institute NPO status. Admit the client to the middle of ICU where she can be constantly monitored. Plan for immediate induction of labor. Institute and maintain seizure precautions.

Institute and maintain seizure precautions.

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? Placenta previa obstructing the cervix Premature separation of the placenta Preterm labor that was undiagnosed Possible fetal death or injury

Premature separation of the placenta

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

assessing the amount and color of the bleeding

A woman with a recent incomplete abortion is to receive therapeutic misoprostol. The nurse understands that the rationale for administering this drug is to: ensure passage of all the products of conception. suppress the immune response to prevent isoimmunization. alleviate strong uterine cramping. halt the progression of the abortion.

ensure passage of all the products of conception.

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? suppresses the immune response to prevent isoimmunization halts the progression of the abortion ensures passage of all the products of conception alleviates strong uterine cramping

ensures passage of all the products of conception

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? 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 performing a vaginal examination to assess the extent of bleeding

assessing fetal heart tones by use of an external monitor

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? central nervous system (CNS) involvement fetal distress related to hypoxia infection cord compression

fetal distress related to hypoxia

A client has come to the office for a prenatal visit during her 22nd week of gestation. On examination, it is noted that her blood pressure has increased to 138/90 mm Hg. Her urine is negative for proteinuria. The nurse recognizes which factor as the potential cause? preeclampsia chronic hypertension gestational hypertension HELLP

gestational hypertension

A novice nurse asks to be assigned to the least complex antepartum client. Which condition would necessitate the least complex care requirements? abruptio placenta preecalmpsia placenta previa gestational hypertension

gestational hypertension

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.

hydatidiform mole

A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare? internal uterine monitoring immediate surgery bed rest for the next 4 weeks intravenous administration of a tocolytic

immediate surgery

What would be the physiologic basis for a placenta previa? a uterus with a midseptum a loose placental implantation low placental implantation a placenta with multiple lobes

low placental implantation

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion? closed cervical os strong abdominal cramping no passage of fetal tissue slight vaginal bleeding

strong abdominal cramping

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 IUD for contraception multiple gestation pregnancy use of oral contraceptives high number of pregnancies

use of IUD for contraception