Reproduction III Questions

The prenatal clinic nurse monitored women for preeclampsia. If all four women were in the clinic at the same time, which one should the nurse see first? a. Blood pressure increase to 138/86 mm Hg b. Weight gain of 0.5 kg during the past 2 weeks C. A dipstick value of 3+ for protein in her urine d. Pitting pedal edema at the end of the day

C. A dipstick value of 3+ for protein in her urine

What order should the nurse expect for a patient admitted with a threatened abortion? a. Abstinence from sexual activity b. Pitocin IV c. NPO d. Narcotic analgesia every 3 hours, prn

a. Abstinence from sexual activity

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to a. assess fetal heart rate (FHR) and maternal vital signs. b. perform a venipuncture for hemoglobin and hematocrit levels. c. place clean disposable pads to collect any drainage. d. monitor uterine contractions.

a. assess fetal heart rate (FHR) and maternal vital signs.

A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash. Although she has no apparent injuries, she is admitted to the hospital. Her partner is upset and wants to know why she just can't come home. What response by the nurse is best? A. "This is standard procedure for all pregnant crash victims." b. "She needs to be monitored for some potential complications." c. "We may have to deliver the baby at any time now." d. "We are giving her medicine to keep her from laboring."

b. "She needs to be monitored for some potential complications."

A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash. Although she has no apparent injuries, she is admitted to the hospital. Her partner is upset and wants to know why she just can't come home. What response by the nurse is best? a. "This is standard procedure for all pregnant crash victims." b. "She needs to be monitored for some potential complications." c. "We may have to deliver the baby at any time now." d. "We are giving her medicine to keep her from laboring."

b. "She needs to be monitored for some potential complications."

A woman is in the emergency department with severe abdominal pain. When her pregnancy test comes back positive, she yells "I can't be pregnant! I had a tubal ligation months ago!" What action by the nurse is the priority? a. Provide emotional support to the woman. b. Facilitate an ultrasound examination. c. Call the lab to have them repeat the test. d. Administer an opioid pain medication.

b. Facilitate an ultrasound examination.

Which laboratory marker is indicative of disseminated intravascular coagulation (DIC)? a. Positive KB test b. Presence of fibrin split products c. Thrombocytopenia d. Positive drug screen

b. Presence of fibrin split products

What data on a patient's health history places her at risk for an ectopic pregnancy? a. Use of oral contraceptives for 5 years b. Recurrent pelvic infections c. Ovarian cyst 2 years ago d. Heavy menstrual flow of 4 days' duration

b. Recurrent pelvic infections

What data on a patient's health history places her at risk for an ectopic pregnancy? a. Use of oral contraceptives for 5 years b. Recurrent pelvie infections c. Ovarian cyst 2 years ago d. Heavy menstrual flow of 4 days' duration

b. Recurrent pelvie infections

What assessment findings indicate to the nurses that a woman's precclampsia should now be considered severe? (Select all that apply.) a. Urine output 40 mL/hour for the past 2 hours b. Serum creatinine 3.1 mg/dL c. Seeing "sparkly" things in the visual field d. Crackles in both lungs e. Soft, non-tender abdomen

b. Serum creatinine 3.1 mg/dL c. Seeing "sparkly" things in the visual field d. Crackles in both lungs

A woman taking magnesium sulfate has respiratory rate of 10 breaths/min. In addition to discontinuing the medication, the nurse should a. vigorously stimulate the woman. b. instruct her to take deep breaths. c. administer calcium gluconate. d. increase her IV fluids.

c. administer calcium gluconate

The primary symptom present in abruptio placentae that distinguishes it from placenta previa is a. vaginal bleeding. b. rupture of membranes. c. presence of abdominal pain. d. changes in maternal vital signs,

c. presence of abdominal pain.

The primary symptom present in abruptio placentae that distinguishes it from placenta previa is a. vaginal bleeding. b. rupture of membranes. c. presence of abdominal pain. d. changes in maternal vital signs.

c. presence of abdominal pain.

What routine nursing assessment is contraindicated in the patient admitted with suspected placenta previa? a. Monitoring FHR and matemal vital signs b. Observing vaginal bleeding or leakage of amniotic fluid c. Determining frequency, duration, and intensity of contractions d. Determining cervical dilation and effacement

d. Determining cervical dilation and effacement

Which clinical sign is not included in the symptoms of preeclampsia? a. Hypertension b. Edema e. Proteinuria d. Glycosuria

d. Glycosuria

In which situation is a dilation and curettage (D&C) indicated? a. Complete abortion at 8 weeks b. Incomplete abortion at 16 weeks c. Threatened abortion at 6 weeks d. Incomplete abortion at 10 weeks

d. Incomplete abortion at 10 weeks

A woman with preeclampsia has a seizure. What action by the nurse takes priority? a. Insert an oral airway, b. Suction the mouth to prevent aspiration. e. Administer oxygen by mask. d. Stay with the patient and call for help.

d. Stay with the patient and call for help.

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that a. bed rest and analgesics are the recommended treatment b. she will be unable to conceive in the future. c. a D&C will be performed to remove the products of conception. d. hemorrhage is the major concen.

d. hemorrhage is the major concen.

Methotrexate is recommended as part of the treatment plan for which obstetric complication? a. Complete hydatidiform mole b. Missed abortion C. Unruptured ectopic pregnancy d. Abruptio placentae

e. Unruptured ectopic pregnancy

The maternity nurse is preparing for the admission of a client in their third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the PCP's prescriptions and should question which prescription?

obtain equipment for manual pelvic examination

What finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole? a. Complaint of frequent mild nausea b. Blood pressure of 120/80 mm Hg c. Fundal height measurement of 18 cm d. History of bright red spotting for 1 day, weeks ago

c. Fundal height measurement of 18 cm

What finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole? a. Complaint of frequent mild nausea b. Blood pressure of 120/80 mm Hg C. Fundal height measurement of 18 cm d. History of bright red spotting for 1 day, weeks ago

C. Fundal height measurement of 18 cm

The labor of a pregnant woman with preeclampsia is going to be induced. The nurse reviews the woman's latest laboratory test findings, which reveal a low platelet count, an elevated aspartate transaminase (AST) level, and a falling hematocrit. What action by the nurse is most important? a. Palpate the woman's abdomen for tenderness. b. Document findings and begin the Pitocin infusion. c. Instruct the woman to ask for help getting out of bed. d. Assess the woman's drinking history.

c. Instruct the woman to ask for help getting out of bed.

A woman taking magnesium sulfate has respiratory rate of 10 breaths/min. In addition to discontinuing the medication, the nurse should a. vigorously stimulate the woman. b. instruct her to take deep breaths. c. administer calcium gluconate. d. increase her IV fluids.

c. administer calcium gluconate.

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that a. bed rest and analgesics are the recommended treatment. b. she will be unable to conceive in the future. c. a D&C will be performed to remove the products of conception. d. hemorrhage is the major concem.

d. hemorrhage is the major concern

An ultrasound is performed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruptio placentae is present. On the basis of these findings, the nurse should prepare the client for which anticipated prescription?

delivery of the fetus

Methotrexate is recommended as part of the treatment plan for which obstetric complication? a. Complete hydatidiform mole b. Missed abortion c. Unnuptured ectopic pregnancy d. Abruptio placentae

e. Unnuptured ectopic pregnancy

The nurse in the postpartum unit is caring for a client who just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa?

hemorrhage

The nurse in a maternity unit is reviewing the client's records. Which clients should the nurse identify as being the most at risk for developing disseminated intravascular coagulation (DIC)? a. a primigravida with abruptio placenta b. a primigravida who delivered a 10-lb infant 3 hours ago c. a gravida 2 who has just been diagnosed with dead fetus syndrome d. a gravida 4 who delivered 8 hours ago and has lost 500mL of blood e. a primigravida at 29 weeks of gestation who was recently diagnosed with gestational hypertension

a. a primigravida with abruptio placenta c. a gravida 2 who has just been diagnosed with dead fetus syndrome e. a primigravida at 29 weeks of gestation who was recently diagnosed with gestational hypertension

Rh incompatibility can occur if the woman is Rh negative and her a. fetus is Rh positive. b. husband is Rh positive. c. fetus is Rh negative. d. husband and fetus are both Rh negative.

a. fetus is Rh positive.

The nurse in a maternity unit is providing emotional support to a client and her significant other who are preparing to be discharged from the hospital after the birth of a dead fetus. Which statement made by the client indicates a component of the normal grieving process? a. we want to attend a support group b. we never want to try to have a baby again c. we are going to try to adopt a child immediately d. we are okay, we are going to try to have another baby immediately

a. we want to attend a support group

The nurse learns that which is the most common cause of spontaneous abortion? a. Chromosomal abnormalities b. Infections c. Endocrine imbalance d. Immunologic factors

a. Chromosomal abnormalities

A nurse is assessing a woman receiving magnesium sulfate. The nurse assesses her deep tendon reflexes at 0 and 1+. What action by the nurse is best? a. Hold the magnesium sulfate. b. Ask the provider to order a 24-hour UA. c. Assess the woman's temperature. d. Take the woman's blood pressure.

a. Hold the magnesium sulfate.

The nurse is performing an assessment on a client diagnosed with placenta previa. Which assessment findings should the nurse expect to note? SATA

bright red vaginal bleeding soft, relaxed, nontender uterus fundal height may be greater than expected for gestational age

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate a. Anxiety due to hospitalization b. Worsening disease and impending seizure c. Effects of magnesium sulfate d. Gastrointestinal upset

b. Worsening disease and impending seizure

A client in the first trimester of pregnancy arrives at the health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement made by the client indicates a need for further instruction? a. i will watch to see if i pass any tissue b. i will maintain strict bed rest throughout the remainder of this pregnancy c. i will count the number of perineal pads used on a daily basis and not the amount and color of blood on the pad d. i will avoid sexual intercourse until the bleeding has stopped and for 2 weeks following the last episode of bleeding

b. i will maintain strict bedrest throughout the remainder of this pregnancy

The nurse is explaining how to assess edema to the nursing students working on the antepartum unit. Which score indicates edema of lower extremities, face, hands, and sacral area? a. +1 edema b. +2 edema c. +3 edema d. +4 edema

c. +3 edema

The nurse who suspects that a patient has early signs of ectopic pregnancy should be observing her for which symptoms? (Select all that apply.) a. Pelvic pain b. Abdominal pain c. Unanticipated heavy bleeding d. Vaginal spotting or light bleeding e. Missed period

a. Pelvic pain b. Abdominal pain d. Vaginal spotting or light bleeding e. Missed period

The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment involves a. corticosteroids to reduce inflammation. b. IV therapy to correct fluid and electrolyte imbalances. c. an antiemetic, such as pyridoxine, to control nausea and vomiting. d. enteral nutrition to correct nutritional deficits.

b. IV therapy to correct fluid and electrolyte imbalances.

A woman has several relatives who had gestational hypertension and wants to decrease her risk for it. What information does the nurse provide this woman? (Select all that apply.) a. There is no way to reduce risk factors for gestational hypertension. b. Losing weight before you get pregnant will help prevent it c. Eating a diet high in protein and iron may help prevent it. d. The father contributes no risk factors for hypertension in pregnancy e. Waiting until you are 35 to get pregnant cuts the risk in half.

b. Losing weight before you get pregnant will help prevent it c. Eating a diet high in protein and iron may help prevent it.