rn 300 week 4 hw: concurrent conditions of pregnancy
A patient who is positive for human immunodeficiency virus (HIV) is about to be discharged from the hospital with her new infant. Which patient statement indicates that further patient teaching is required?
"I'm glad I'll still be able to breastfeed my baby."
A woman tests positive for group B streptococcus (GBS) at 36 weeks gestation before a vaginal birth. Which interventions would the nurse include in the plan of care?
Administer antibiotics during labor until delivery as prescribed. Monitor the neonate for signs and symptoms of respiratory distress.
When cardiovascular disease is severe during pregnancy, which health care providers may be a part of the interdisciplinary care team?
Anesthesiologists Nurses Neonatologists Obstetricians Maternal-fetal medicine specialists
Which antihypertensive classifications are contraindicated in pregnancy?
Angiotensin-converting enzyme (ACE) inhibitors Angiotensin receptor blockers (ARBs)
Which considerations would the nurse recognize for a pregnant patient with human immunodeficiency virus (HIV)?
Antiretroviral therapy for the mother and neonate helps reduce transmission at birth. Testing all pregnant women for HIV at the beginning of pregnancy is a best practice. Breastfeeding should be avoided. An elective cesarean birth at 38 weeks helps prevent transmission to the neonate.
A patient reports a fishy, greenish, malodorous vaginal discharge after intercourse. The nurse understands these findings to be classic symptoms of which condition?
Bacterial vaginosis (Gardnerella)
Which description is true of congenital cytomegalovirus (CMV)?
Can lead to neonatal hearing loss
The nurse understands that which concurrent condition during pregnancy is the leading cause of maternal mortality in the United States today?
Cardiovascular disease
Which characteristics are associated with sickle cell anemia?
Causes frequent hospitalization throughout the life span Characterized by distorted and decreased erythrocytes Can lead to preterm birth Causes severe pain
The nurse understands that which physiologic changes in the thyroid are considered abnormal in pregnancy?
Fatigue, edema, and muscle aches may be the result of thyroid activity in pregnancy. The thyroid gland enlarges and becomes palpable. Increased free thyroxine (T4) levels lead to weight loss and goiter.
Which supplement would the nurse recommend to prevent fetal neural tube defects as a result of pernicious anemia?
Folic acid
Which viral infection can result in neonatal brain complications?
Herpes infection
Which action would the nurse take if a pregnant patient opts out of prenatal human immunodeficiency virus (HIV) testing?
Inform the mother that the baby will likely be screened for HIV after birth.
Which major concern regarding epilepsy in pregnancy would the nurse recognize?
Many antiseizure medications are known teratogens.
A pregnant woman presents with clumpy, white vaginal discharge, vulvar pruritus, and burning. Which treatment would the nurse expect for this patient?
Miconazole
Which nursing intervention would be included in the care of a woman with lupus during her first trimester of pregnancy?
Monitor for liver function.
Which type of anemia is an inherited anemia?
Sickle cell anemia
Which statements are true regarding rubella in pregnancy?
The virus can cross the placental barrier. Most women of childbearing age in the United States have received this vaccine already.
