OB Chapter 21

A woman in labor is at risk for abruptio placentae. Which of the following assessments would most likely lead you to suspect that this has happened?

Sharp fundal pain and discomfort between contractions

A woman of 16 weeks' gestation telephones you because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which of the following would you instruct the woman to do?

"Come to the health facility with any vaginal material passed."

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which of the following would be the priority for this woman on admission?

Assessing fetal heart tones by use of an external monitor

A woman at 32 weeks' gestation is admitted in preterm labor. On your admission assessment, which of following findings would cause you to question the administration of a tocolytic agent?

Cervical dilation of 5 cm

Which of the following nursing diagnoses would be most appropriate for a woman diagnosed with pregnancy-induced hypertension?

Deficient fluid volume related to vasospasm of arteries

Which of the following would be the physiologic basis for a placenta previa?

Low placental implantation

A woman develops HELLP syndrome. During labor, which of the following orders would you question?

Prepare her for epidural anesthesia.

A woman has been diagnosed as having pregnancy-induced hypertension. Which of the following is the most typical symptom of this?

Protein in urine

A pregnant woman at 12 weeks' gestation calls you because she has begun minimal fresh vaginal spotting. She is distressed because her physician says she is not going to do anything for her but "wait and see." Which of the following would you suggest?

Tell her that medication to prolong a 12-week pregnancy usually is not advised.

A woman who is Rh negative asks you how many children she will be able to have before Rh incompatibility causes them to die in utero. Your best response would be that

as long as she receives RhIG, there is no limit

A woman is admitted with a diagnosis of ectopic pregnancy. For which of the following would you anticipate beginning preparation?

Immediate surgery

A woman is being admitted to your hospital unit for severe preeclampsia. When deciding on where to place her, which of the following areas would be most appropriate?

In the back hallway where there is a quiet, private room

A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which of the following assessments would be most important prior to administering a new dose?

Patellar reflex

A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. Which of the following would be the most likely cause of these symptoms?

Premature separation of the placenta

A woman you care for has an Rh-negative blood type. Following the birth of her infant, you administer her RhIG (D immune globulin). The purpose of this is to

prevent maternal D antibody formation.