Prep U CH 20

A pregnant women called the clinical to report a small amount of painless vaginal bleeding. What response by the nurse is best?

"Please come in now for an evaluation by your health care provider"

A RN is teaching a pregnant woman how to perform fetal kick counts. RN determines that the teaching was successful when client states that she will call her provider if it takes longer than what time frame to reach 10 kicks?

2 hours

A pregnant women with type 2 diabetes is scheduled for a lab test of HbA1C. What does the RN tell the client is a normal level for this test?

6%

RN is teaching a woman diagnosed with gestational diabetes about meal planning and nutrition. RN determines that additional teaching is need based on which client statement?

I need to avoid any fat with my meals

RN is teaching a client who is diagnosed with preeclampsia how to monitor her condition. RN determine the client needs more instruction after making which statement?

If I have changes in my vision, I will lie down and rest

RN is caring for a multigravida who experienced a placental abruption 4 hours ago. For which potential situation will the RN prioritize assessment

Uterine atony

A woman who is 8 months' pregnant comes with urinary frequency and pain with urination. She has a UTI. What meds do the physician prescribe?

amoxicillin

a woman in her 20s has experienced a miscarriage at 10 weeks and asks the RN what went wrong. She is concerned she did something that caused her to lose her baby. The nurse can reassure the woman by explaining that the most common cause of miscarriage in the first trimester is related to which factor?

chromosomal defects in the fetus

Client with a high-risk pregnancy has been prescribed inpatient bed rest. When assessing the client each morning, which risk factor of is common with this treatment plan?

depression

A woman at 10 weeks gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize?

fundal height measurement of 18cm

A client in her 20th week of gestation develops HELLP syndrome. What are features of HELLP syndrome? Select all that apply.

hemolysis elevated liver enzymes low platelets

The nurse is caring for a woman at 32 weeks' gestation with severe preeclampsia. Which assessment findings should the nurse prioritize after the administration of hydralazine to this client?

tachycardia

nurse is caring for a client who is scheduled to undergo an amnioinfusion. The RN would question this prescription if which finding is noted upon client assessment?

uterine hypertonicity

During a routine prenatal visit, a client is found to heave proteinuria and blood pressure rise to 140/90 mmHg. RN recognizes that the client has which condition?

Mild preeclampsia

25 year old pregnant client just diagnosed with hyperemesis agravidarum. Which instruction should the nurse prioritize during teaching session?

Take your anti-nausea medicine around the clock

the obstetric RN is caring for a pregnant client who has been diagnosed with hydatidiform mole. What assessment should the RN prioritize?

Vaginal bleeding

patient in her twenties visits clinic to begin the process of IVF. Her husband in late 50s asks if there are any tests to check for any irregularities. What tests should the nurse discuss with this couple?

examination of egg and sperm

A client at 25 weeks gestation presents with a blood pressure of 152/99, HR 78, no edema, urine negative for protein. What would the nurse do next?

notify the health care provider

A pregnant woman diagnosed with diabetes should be instructed to perform which action?

notify the primary care provider if unable to eat b/c of N/V

RN is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds q 2hrs. Why would the RN do this?

pulmonary edema