ob exam #2 ch. 20
For the pregnant woman who is HIV-positive, nurses must always use?
Standard Precautions to reduce the risk of HIV transmission
reasons why class iv should avoid pregnancy
These individuals can be symptomatic at rest or with any physical activity resulting in inability to carry on any physical activity without discomfort. Symptoms or heart failure or the anginal syndrome may be present even at rest. The pregnancy may put too much stress on the woman's body increasing her risk of serious complications or even death.
A woman with class IV disease should
avoid pregnancy
Trust is a developmental task of ?
infancy
Cytomegalovirus (CMV)
most common congenital and perinatal viral infection in the world.
The intake of saturated fats should be limited during pregnancy, just as they should be for any person to reduce
risk for heart disease
Misoprostol
s a prostaglandin that is used for treating postpartum hemorrhage but is contraindicated with asthma clients due to the risk of bronchial spasm and bronchoconstriction.
The nurse is providing care to a neonate whose mother abuses heroin. Which finding would the nurse expect to assess?
sneezing
Women with titers of less than 1:8 should be
immunized
Three specific drugs recommended for use for controlling asthma during pregnancy are ?
e budesonide, albuterol, and salmetero
Iron absorption is enhanced when taken with
foods high in vitamin c
A pregnant woman is determined to be at high risk for gestational diabetes. At which time would the nurse expect the client to undergo rescreening
24 to 28 weeks
A young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity?
breast-feeding
The nurse is teaching a pregnant woman with iron deficiency anemia about her prescribed iron supplement. The nurse determines that the teaching was successful when the client states that she will take the supplement with
citrus juice
A woman with cardiac disease has come to the office for prenatal counseling. According to the functional classification system developed by the Criteria Committee of the New York Heart Association, the woman would be cautioned against pregnancy based on which category?
class iv
After conducting a refresher class on possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common?
cmv
Parvovirus B19
common self-limiting benign childhood virus that causes fifth disease ( A pregnant woman may transmit the virus transplacentally to her fetus if she is exposed to an infected child)
Foods high in iron
dried fruits such as raisins, whole grains, green leafy vegetables such as broccoli and spinach, peanut butter, and ironfortified cereals
Chronic hypertension e
exists when the woman has high blood pressure before pregnancy or before the 20th week of gestation, or when hypertension persists for more than 12 weeks
A woman who immigrated here from a third world country presents to the clinic to find out if she is pregnant. Which signs and/or symptoms would the nurse assess as possible indicators that she might have an active case of tuberculosis as well? Select all that apply.
fatigue night sweats hemoptysis anorexia
Clinical manifestations for TB ?
fatigue, fever or night sweats, nonproductive cough, weakness, slow weight loss, anemia, hemoptysis, and anorexia.
A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the United States
fetal alcohol spectrum disorder
A nurse is reviewing the signs and symptoms of sickle cell crisis with a pregnant woman who has sickle cell anemia. The nurse determines that the teaching was successful when the woman identifies which signs or symptoms? Select all that apply.
fever joint pain
A pregnant woman with sickle cell anemia comes to the emergency department in crisis. Which finding would the nurse expect? Select all that apply.
fever joint pain
A glycosylated hemoglobin level of less than 7% indicates
good control
A nurse is conducting a class on gestational diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is needed when the class identifies which complication as affecting the neonate?
hyperglycemia
The nurse is providing care to a neonate. Review of the maternal history reveals that the mother is suspected of abusing heroin. The nurse would be alert for which finding when assessing the neonate?
hypertonicity
Cytomegalovirus infection can result in different congenital anomalies. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur with which type of transmission of CMV?
in utero transmission
The nurse assists the pregnant adolescent to ?
integrate the tasks of pregnancy, bonding, and preparing to care for another with the tasks of developing selfidentity and independence.
Newborns of mothers who abuse heroin or other narcotics display ...
irritability, hypertonicity, a high-pitched cry, vomiting, diarrhea, respiratory distress, disturbed sleeping, sneezing, diaphoresis, fever, poor sucking, tremors, and seizures.
A pregnant woman with chronic hypertension comes to the clinic for evaluation. The last several blood pressure readings were gradually increasing. On today's visit her blood pressure is 166/100 mm Hg. The health care provider prescribes an antihypertensive agent. The nurse anticipates which agent as being most commonly prescribed?
methyldopa
A pregnant woman with chronic hypertension comes to the clinic. The nurse reviews the client's medication therapy regimen, expecting to find which medication as most commonly prescribed?
methyldopa
Smoking increases
s the risk of spontaneous abortion, preterm labor and birth, maternal hypertension, placenta previa, and abruptio placenta. It has also been considered an important risk factor for low birth weight, sudden infant death syndrome, and cognitive defects.
When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which of the following?
self-identity
In preparing a class for a group of pregnant couples, the nurse includes information about smoking and possible complications associated with it. Which complications would the nurse most likely include? Select all that apply.
spontaneous abortion maternal hypertension abruptio placenta
methyldopa
the most commonly prescribed agent because of its safety record during pregnancy. It is a slow-acting antihypertensive agent that also helps to improve uterine perfusion.
The pregnant woman with diabetes is encouraged to eat
to eat three meals a day plus three snacks, with 40% of calories derived from good-quality complex carbohydrates, 35% of calories from protein sources, and 35% of calories from unsaturated fat
Autonomy is a developmental task of?
toddlerhood
A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection?
toxoplasmosis
Toxoplasmosis
transferred by hand to mouth after touching cat feces while changing the litter box or through gardening in contaminated soil.
Cytomegalovirus
transmitted via sexual contract, blood transfusions, kissing, and contact with children in daycare centers
Women emigrating from developing countries are at high risk for
tuberculosis
A pregnant client has tested positive for hepatitis B virus. When discussing the situation with the client, the nurse explains that her infant should be vaccinated with an initial HBV vaccine dose at which time?
within 12 hours of birth ( The second dose will be given at 1 month and the third dose at 6 months)
severe hypertension (
(systolic 160 mm Hg or higher, diastolic 100 mm Hg or higher).
prehypertension
(systolic 120 to 139 mm Hg, diastolic 80 to 89 mm Hg)
mild hypertension
(systolic 140 to 159 mm Hg, diastolic 90 to 99 mm Hg)
Fetal alcohol spectrum disorder
a lifelong yet completely preventable set of physical, mental, and neurobehavioral birth defects. It is the leading cause of intellectual disability in the United States.
A pregnant woman who is HIV-positive comes to the labor and birth unit in labor. When developing the plan of care for this client, which intervention would be most important for the nurse to include?
adhering to standard precautions
An HbA1C level of more than 8% indicate
poor control and the need for intervention, necessitating a revision in the woman's plan of care
The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? Select all that apply
raisins broccoli peanut butter
normotensive
systolic less than 120 mm Hg, diastolic less than 80 mm H
When developing a plan of care for a pregnant woman who is HIV-positive and in labor, the nurse recognizes that which measure is essential?
using Standard Precautions
A pregnant woman with diabetes is having a glycosylated hemoglobin (HbA1C) level drawn. Which result would require the nurse to revise the client's plan of care?
8.5%
just know this
Any blood glucose level over 140 mg/dL with a 1-hour glucose challenge test is considered abnormal and warrants follow up testing with a 3-hour glucose tolerance test.
When providing nutritional counseling to a pregnant woman with diabetes, the nurse would urge the client to obtain most of her calories from which source?
complex carbohydrates
Signs and symptoms of a sickle cell crisis commonly include
severe abdominal pain, muscle spasm, leg pains, joint pain, fever, stiff neck, nausea and vomiting, and seizures
A woman with diabetes is in labor. To reduce the likelihood of neonatal hypoglycemia, the nurse monitors the client's blood glucose level closely with the goal to maintain which level?
below 110 mg/dL
A pregnant woman determined to be at high risk for gestational diabetes is undergoing a 1-hour glucose challenge test. The nurse schedules the client for a 3-hour glucose tolerance test based on which result
146 mg/dL
Part of the assessment of the first prenatal visit includes screening for rubella antibodies. The nurse determines that a client with which titer shows evidence of immunity against rubella?
1:8
A woman with systemic lupus erythematosus is interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if she is symptom-free or in remission for how long before getting pregnant?
6 months
a pregnant woman with diabetes is having her glycosylated hemoglobin level evaluated. The nurse determines that the woman's glucose is under control and continues the woman's plan of care based on which result?
6.5%
Over the past 20 weeks, the following blood pressure readings are documented for a pregnant client with chronic hypertension: week 16 ? 124/86 mm Hg; week 20 ? 138/90 mm Hg; week 24 ? 140/92 mm Hg; and week 28 ? 142/94 mm Hg. The nurse interprets these findings as indicating which classification of her blood pressure?
mild hypertensive
A pregnant client has a history of asthma. After reveiwing the possible medications that may be prescribed during her pregnancy to control her asthma, the nurse determines additional teaching is needed when the client identifies which drug as being used?
misoprostol
Gestational diabetes is associated with
neonatal complications such as macrosomia, hypoglycemia, and birth trauma or maternal complications such as preeclampsia and cesarean birth.
Herpesvirus infection
occurs by direct contact of the skin or mucous membranes with an active lesion through kissing, sexual contact, or routine skin-to-skin contact.