Maternity complications test: elsevier chapter 5 boxes, NCLEX book questions

The health care provider gives magnesium sulfate IV to a woman diagnosed with preeclampsia. Which of the following nursing interventions are priority when caring for this patient? (Select all that apply) A. Monitor uterine tone B. Monitor uterine output C. Keep patient NPO D. Monitor respiratory rate

B. Monitor uterine output D. Monitor respiratory rate

If a pregnant woman is admitted to the emergency department in shock after an accident, the nurse would help relieve the effect of shock by: select all that apply A. Placing her in trendelenburg position B. Placing her flat in bed in a supine position C. Placing a small pillow under her left hip D. Closely observing and documenting fetal heart rate and contractions

C. Placing a small pillow under her left hip D. Closely observing and documenting fetal heart rate and contractions

if placenta previa is suspected, the physician will perform a

vaginal examination with preparations for both viaginal and cesarean delivery in place

A woman who has gestational trophoblastic disease (hydatidiform mole) should continue to receive follow up medical care after initial treatment because:

Choriocarcinoma sometimes occurs after initial treatment

the nurse is caring for a client with abruptio placentae is monitoring the client for signs of disseminated intravascular coagulopathy (DIC). The nurse should suspect DIC if which is observed?

Petechiae, oozing from injection sites and hematuria

A woman has an incomplete abortion followed by vacuum aspiration. She is now in the recovery room with her husband and is crying softly. Select the most appropriate nursing action.

Express your regret at their loss and remain nearby if they want to talk about it.

During a prenatal visit, your intervention with an abused woman is successful if you have assessed the status of the woman and :

Informed her of her safety options

Select the primary difference between the symptoms of placenta previa and abruptio placentae

Presence of pain

Signs of congestive heart failure during pregnancy

Orthopnea- having to sit up to breathe bloody cough moist lung sounds difficult breathing on exertion Palpitations fatigue fainting on exertion sever pitting edema Changes in fetal heart rate indicating hypoxia or growth restriction if placental blood flow is reduced.

The perinatal client is admitted to the obstetric unit during an exacerbation of a heart condition. When planning for the nutritional requirements of the client, the nurse would consult with the dietitian to ensure which of the following?

a diet that is high in fluids and fiber to decrease constipation

HELLP

hemolysis, elevated liver enzymes, low platelets

a contraction stress test is scheduled for the client. The woman asks the nurse about the test. Which response describes the most accurate description of the test?

the uterus is stimulated to contract by either small amounts of oxytocin or by nipple stimulation

the client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse determines that the client understands what the nurse has taught her about Rh sensitization when the client makes which statement?

"I will tell the nurse at the hospital that i had an Rh shot during pregnancy"

recurrent abortion

two or more consecutive spontaneous abortions (habitual abortion), usually caused by incompetent cervix or progesterone levels inadequate to maintain pregnancy

Danger signs in pregnancy

sudden gush of fluid from vagina vaginal bleeding abdominal pain abnormal "kick count" persistent vomiting epigastric pain edema of face and hands severe, persistent headache blurred vision or dizziness chills with fever greater than 100.4 painful urination or reduced urine output

a pregnant trauma patient should not be placed in

supine position (rolled towel can be placed under the left hip to displace the uterus to the left to avoid compromising fetal oxygenation)

the client is undergoing an amniocentesis at 16 weeks' gestation to detect the presence of biochemical or chromosomal abnormalities. which instructions should the nurse reinforce to the client

the bladder must be full during the examination

the nurse is monitoring a client with mild gestational hypertension (GH). Which data indicate that GH is a concern

the client complains of a headache and blurred vision

The nurse has a teaching session with a malnourished client regarding iron supplementation to prevent anemia during pregnancy. Which of the following statements, if made by the client, would indicate successful learning?

the iron is needed for the red blood cells

the nurse if monitoring a pregnant client with gestation hypertension (GH) who is at risk for preeclampsia. The nurse should check the client for which signs of preeclampsia? SELECT ALL THAT APPLY

Proteinuria Hypertension

pain is an important symptom that distinguishes

abruptio placentae from placenta previa

the nurse is assigned to assist with caring for a client who is at risk for eclampsia. if the client progresses from preeclampsia to eclampsia, the nurse should take which action first?

clear and maintain an open airway

every pregnant woman in the emergency department following a trauma should receive

close uterine and fetal monitoring

the nurse should teach the woman to report promptly any

danger signs that occur during pregnancy

care of the pregnant woman with excessive bleeding

document blood loss closely monitor vital signs including I&O observe for pain and uterine rigidity or tenderness monitor IV infusion prepare for surgery if needed monitor FHR and contractions monitor labs administer oxygen

the pregnant woman complains of being awakened frequently by leg cramps. the nurse reinforce instructions to the client's partner and should tell the client to perform which measure

dorsiflex the client's foot while extending the knee

the nurse id reinforcing instructions to a pregnant client regarding measures to prevent heartburn. The nurse should instruct the client to take which best measure?

drink decaffeinated coffee and tea

supporting and encouraging the grieving process in families who

experience a pregnancy loss

missed abortion

fetus dies in utero but is not expelled; uterine growth stops; sepsis can occur

during a prenatal visit, the nurse is explaining dietary management to a client with diabetes mellitus. the nurse determines that the teaching has been effective when the client makes with statement?

i need to increase the fiber in my diet to control my blood glucose and prevent constipation

the client is in her second trimester of pregnancy. She complains of frequent low back pain and ankle edema at the end of the day. the nurse should recommend which measure to help relieve both discomforts?

lie on the floor with the legs elevated onto a couch or padded chair, with the hips and knees at a right angle

pain during placenta previa

none, other than from normal uterine contractions if in labor