EAQ 3

a client who has missed two menstrual periods arrives at the prenatal clinic with vaginal bleeding and one-sided lower quadrant pain. Which condition would the nurse expect

ectopic pregnancy

A 28 year old woman is recovering from her third consecutive spontaneous abortion in 2 years. Which is the most therapeutic nursing intervention for this client at her follow up appointment

encouraging the client to verbalize her feelings about the loss

A pregnant client is admitted to the high risk unit with abruptio placentae. Which priority assessment would be included with vital signs, skin color, uterine, and fetal heart rate

fundal height

the priority assessment for a client with marginal abruptio placentae includes fetal status, vital signs, skin color, and urine output. Which additional assessment is essential

fundal height

At 12 weeks' gestation a client with a history of frequent spontaneous abortions says to the nurse, "Every day I wonder whether I'll be able to have this baby." How should the nurse respond?

"its understandable for you to be worried that you won't be able to carry this pregnancy to term. You've had a difficult time.'

for which complication would a client who has had a spontaneous abortion be assessed

hemorrhage

for which complication would the nurse closely monitor a client with a diagnosis of abruptio placentae

hypovolemic shock

Which diagnosis would the nurse expect in a client at 10 weeks gestation with vaginal bleeding, abdominal cramping, and a cervical dilation of 2 cm

inevitable abortion

A woman at 22 weeks gestation is admitted with heavy bleeding and severe abdominal cramping. When told that no fetal heart sounds can be detected, the client says to the nurse, "we wanted this baby so badly" how would the nurse respond

it must be difficult to lose this baby that was important to you both

A nurse gently performs Leopold's maneuvers on a client with a suspected placenta previa. What does the nurse expect from this assessment?

a high, floating fetal presenting part

which interventions would be included in the plan of care for a client with class I cardiac disease during the last weeks of pregnancy

advising the client to limit stress, promoting rest after meals, and educating the client about the analgesia and anesthesia used during labor

when working with a client who has spontaneously aborted a pregnancy, it is important for the nurse to first deal with her or his own feelings regarding abortion, death, and loss to be able to do which

allow the client to express her grief

which is the priority nursing care for a client at 38 weeks gestation, admitted with the diagnosis of placenta previa

assessing for hemorrhage

what is the most important nursing intervention for a client who is at 26 weeks gestation with pyelonephritis

checking for signs of preterm labor

a client who had tocolytic therapy for preterm labor is being discharged. which instruction would the nurse include in the teaching plan

limit daily activities

A sonogram performed on a client in the third trimester demonstrates a low-lying placenta. The nurse should teach the client that she is at risk for:

painless vaginal bleeding

Which sign would the nurse expect in a client with placenta previa

painless vaginal bleeding in the third trimester

which problem is suggested when a client at 37 weeks gestation experiences a sudden sharp pain in her abdomen with a period of fetal hyperactivity followed by fundal tenderness and a small amount of dark-red bleeding

partial abruptio placentae

A client with frank vaginal bleeding is admitted to the birthing unit at 30 weeks' gestation. The admission data include blood pressure of 110/70 mmHg, pulse of 90 bpm, RR of 22 breaths/min, and FHR if 132 bpm. The uterus is non-tender, the client is reporting no contractions, and the membranes are intact. In light of this information, which problem would the nurse suspect?

placenta previa

the result of a fetal sonogram reveal a small-for-gestational age fetus and a low-lying placenta. Which complication would the nurse assess this client for during the last trimester of pregnancy

placenta previa

Which intervention would the nurse anticipate when caring for a 27-week pregnant woman with a history of heart disease

prophylactic antibiotics at the time of birth

a client being prepared for surgery because of a ruptured tubal pregnancy reports that she feels light-headed. Her pulse is rapid, and her color is pale. which common complication of a ruptured tubal pregnancy is suggested by these findings

shock

a pregnant client is admitted to the high-risk unit with abdominal pain and heavy vaginal bleeding. which is the nurses priority intervention

starting oxygen therapy

when caring for a woman with a probably ruptured tubal pregnancy, which clinical manifestation requires immediate intervention?

sudden onset of knifelike pain in one of the lower quadrants

which sign or symptom indicates at 28 weeks' gestation with previously diagnosed mitral valve stenosis is experiencing cardiac difficulties

syncope on exertion

how would the nurse explain a contraction stress test (CST) result interpreted as negative in a client at 41 weeks' gestation

the fetus at this time is likely to tolerate the stress of labor

after receiving a diagnosis of placenta previa, the client asks the nurse what this means. what is an appropriate response

the placenta is implanted in the lower uterine segment and its covering part or all of the cervical opening

cramping and vaginal spotting occurring at 12 weeks' gestation in conjunction with a closed cervix is characteristic of which problem

threatened abortion

the PCP plans to perform a vaginal examination of a client with a partial placenta previa. Which would the nurse have available when this examination is performed?

two units of typed and cross-matched blood

which procedure would the nurse anticipate when caring for a client with a tentative diagnosis of placenta previa?

ultrasound examination