Complications of Pregnancy

A pregnant woman at 36 weeks of gestation is admitted to the high-risk pregnancy unit with hypertension. Assessment findings indicate severe preeclampsia. The nurse should:

Expect a maintenance dose of intravenous magnesium sulfate to be about 2 g/hr

A woman is admitted to the maternity unit with preeclampsia. She is started on magnesium sulfate IV, a urinary catheter is inserted, and she is put on bed rest. The nurse understands it is important to monitor urinary output hourly. It is important that the client have an output of at least:

30 mL

A woman in labor has a long history of uncontrolled hypertension. The hypertension has continued throughout the pregnancy and labor. The nurse is aware that the woman is at high risk for which complication?

Abruptio placentae

During the nursing assessment at a routine prenatal visit, the woman's blood pressure was significantly higher than the last visit. Because of this finding, the nurse should:

Check the urine for presence of protein

When doing a chart review of a client with preeclampsia, the nurse noted that the client was assessed with +3 edema. This indicates:

Edema of lower extremities, face, hands, and sacral area

A woman diagnosed with marginal placenta previa gave birth vaginally 15 minutes ago. At the present time, she is at greatest risk for:

Hemorrhage

During pregnancy a woman has an indirect Coombs test done. The nurse can teach her that this test will show:

Her previous exposure to Rh-positive blood

Which women are at higher risk for an ectopic pregnancy?

History of pelvic infection, Had a tubal ligation 1 year ago, Conception was by assisted reproduction, History of intrauterine contraceptive device, Had five therapeutic abortions

A 20-week-pregnant client attending her first prenatal visit tells the nurse at the maternity clinic that she has had vaginal bleeding and excessive nausea and vomiting for the past 3 days. The nurse assesses her blood pressure at 142/95 mm Hg, pulse 86 bpm, respirations 16 breaths/min. When the nurse helps the client onto the examining table, the abdomen looks larger than normal for a 20-week pregnancy. The nurse is aware that these are signs of:

Hydatidiform mole

The nurse is admitting 37-week-pregnant woman with severe preeclampsia. When choosing a room for her, the nurse would put her in the:

Last room at the end of the hall, close to the nurses' station

A woman has just been admitted to the maternity unit with a diagnosis of incomplete abortion. The physician has written the following orders: (1) NPO (2) Type and crossmatch for two units of blood. (3) Start intravenous line and run Ringer's lactate at 150 mL/hr. (4) Administer Pitocin, 10 units intramuscular. (5) Acetaminophen and codeine (Tylenol with Codeine #3), every 3 to 4 hours as needed for pain (6) Bed rest with bathroom privileges

Start the IV and draw blood to send for the type and crossmatch

Rh factor incompatibility can occur only in which of the following situations?

Mother is Rh-negative, father is Rh-positive

A woman is admitted with a diagnosis of missed abortion. After taking her blood pressure, the nurse notices petechiae on the woman's arm where the cuff was located. The nurse's next action should be to:

Notify the health care provider

During labor, a woman suddenly complains of increasing pain, and the electronic monitor shows no uterine activity. The abdomen is board-like and tender and the fetal heart tones show late decelerations. The nurse should:

Notify the health care provider

Signs of a threatened abortion are noted in a woman at 8 weeks of gestation. Which of the following is an appropriate management approach for this type of abortion?

Prepare the woman for an ultrasound to determine the integrity of the gestational sac

A pregnant woman at 14 weeks of gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. The primary goal of her treatment at this time would be to:

Reverse fluid, electrolyte, and acid-base imbalances that are present

A woman with severe preeclampsia is being treated with an IV infusion of magnesium sulfate. This treatment will be evaluated as successful if:

Seizures do not occur

A woman has just had a spontaneous abortion. She asks the nurse, "Why did this happen?" The nurse is aware that the most common cause of spontaneous abortion is:

Severe congenital abnormalities

A 32-week-pregnant woman calls the prenatal clinic complaining of bleeding without pain or contractions. The nurse should:

Tell her to go to the hospital to be evaluated

A pregnant woman should be taught that the first sign of a threatened abortion is usually:

Vaginal bleeding