Lippencott chapter 2 complications of pregnancy, missed questions, maternity

53. After teaching the diabetic premogravitd client about symptoms of hyperglycemia and hypoglycemia the nurse determines the clients understanding the instructions when she says, hyper glycemia may be manifested by which symptom

Dehydration

66. And 36-year-old multi client is admitted to the hospital with possible ruptured, empt topic, pregnancy, when obtain in the client history, which finding would be most important to identify as a predisposing factor.

Episodes of pelvic, inflammatory disease

71. The multi review client is admitted 16 weeks gestation with a diagnosed of hyper emesis gravidarum. The nurse should explain to the client that this is not to be related to which high levels of which hormone.

Estrogen

84. The client has just had a cesarean section for a prolapsed cord in reviewing a clients history, which actress plays the client at risk for cord prolapse.

--2 station -Low birth weight in -Rupture of membranes -Breech presentation

88. The nurse has an unlicensed assistive personnel are caring for the client in a birthing center which Tasha, the nurse delegate to the UAP.

-emptying the urinary catheter from the postpartum -Assisting an active labor client with breathing and relaxation -Ambulating post cesarean client to the bathroom

18. As the nurse interest in the room of a newly admitted, Primi gravida client diagnosis of your programs to the client begins to experience a seizure. What should the nurse do first

Call for immediate assistance

21. It's a 16-year-old preemie gravity. Client at 37 weeks gestation with severe preeclampsia is in early actively were the clients blood pressure is 164/110 which finding would alert the nurse at the client may be about to experience a seizure.

Epigastric pain

93. The nurses are saving chef report on for clients in the antiting union. The four clients, which should the nurse take first.

Evaluate the client with placenta previa with out an exam

75. 838 year-old client is about 14 weeks. Gestational is admitted to the hospital. What diagnosis have complete hydatidiform mole. Soon after admission, the nurse would assess the client for which sign and symptom.

Gestational, hypertension

57. After instruction of a prima gravida client at eight weeks, gestation diagnosed with class one heart disease about self-care during pregnancy in which client statement what indicates a need for additional teaching.

I should reduce my intake of protein in my diet

52. When teaching a preemie Crevier, client with diabetes about common causes of hyperglycemia turn pregnancy, and the nurse include which information.

Maternal infection

67. A multi review. Client is admitted to the hospital with a diagnosis of eptopic pregnancy. The nurse anticipates that because the clients fall up YouTube has not interrupt which medication may be prescribed.

MeThotrexate

30. When the nurse is assessing a 34 year old motive, aggravated client at 34 weeks gestation experiencing modern version of reading which symptom would most likely alert. The nurse that placenta previa is present.

Painless, vaginal, bleeding

86. A woman who is Rh negative has given birth to an Rh positive infant. The nurse explained to the client that she will receive RHo immune globulin the nurse determines that the client understands the purpose of the treatment when she reports that Rh oh immune globulin has which action

Preventing anybody information, her blood

64. Before surgery to remove the epitopic pregnancy and the fallopian tube which sign or symptom what alert the nurse to the possibility of tubal rapture

Profuse sweating

65. A multi care of your client diagnosed with probable ruptured a topic pregnancy is scheduled for emergency surgery in addition to monitor in the clients blood pressure before surgery which factor is most important for the nurse to assess.

Pulse rate

17. Soon after admissions of a premium graveed client at 38 weeks gestation with severe preeclampsia the healthcare provider prescribes a continuous IV infusion of 5% dextrose in ringer solution, and 4 g of magnesium sulfate on the medication is being administered which assessment finding should the nurse report

Respiratory rate of 12 breaths per minute

74. A client is 15 weeks gestation presents at the OB triage unit with dark brown vaginal bleeding and continuation nausea and vomiting. Our blood pressure is 142/98 and fundal height is 19 cm which prescription is most important for the nurse to request from the primary care provider.

Stat ultrasound

41. He prima gravida client at 30 weeks gestation has been admitted to the hospital with premature rupture of the membranes without contractions. Her cervix is 2 cm dilated and 50%. I faced which factor is most important for the nurse to assess.

Temperature

34. The healthcare provider has determined that a pre-term client at 34 weeks gestation has no fetal fibronectin present based on the finding the nurse should anticipate which other client findings within the next week.

The client will not develop preterm labor

31. Find a cesarean birth for abrupt Ti, placente and multi gravited. Client has the nurse I feel like such a failure. None of my other birth were like this which factor is most important for the nurse to consider responding to the client.

The clients feelings of grief is a normal reaction

56. Which plans to breast-feed her neonate a pregnant client with insulin-dependent diabetes ask the nurse about insulin needs during the postpartum. Which statement about the postpartum Insun requires for a recipe mother should the nurse include in the explanation.

They fall significantly in the immediate postpartum.

27. The nurse is caring for a 22 year old G2 P2 client who has diminished intravascular coagulation after delivering a dead fetus, which is the highest priority to report to the healthcare provider.

Urinary output of 25 ML in the past hour

39. The nurse is planning care for a multi reviewed. Client hospitalized at 36 weeks gestation with no confirmed rupture of membranes, and no evidence of labor. What prescription with the nurse anticipate from the healthcare provider

Vaginal cultures for gonorrhea

14. The client at 28 weeks gestation presents to the emergency department with a splitting headache. What actions are indicated by the nurse at this time

-assess the client for vision changes or epigastric pain -Obtain a nonstress test -assess the client reflexes and presence of the clones

92. As a nurse enters the room for newly admitted, primigravid client diagnosed with severe preeclampsia. The client begins to experience a seizure the nurse to do which, in order to prioritize from first to last.

-call family assistance -Turn the clan on her side -Maintain air way -Assess for rupture of membranes

91. My client with gestational hypertension is to receive magnesium sulfate to run 3 g/h with normal saline to maintain a total IV rate at 125 the nurse giving the N shift report stating that the clients blood pressure has been elevated during the night the oncoming nurse checked the client and found magnesium sulfite running 2 g identify the nursing action to be taken from the first to last.

-correct the IV right -Assess the clients current status -Notify the healthcare provider of the inside -Initiate an incident report

81. The nurse notice is that the client who has given birth is short of breath is ashen and color and begins to cough. She becomes the length on the breading table at the last assessment 30 minutes ago. Her temperature was 98 polls for 78 respirations are 16 determine all the nursing actions and order they should occur.

-establish unresponsiveness -Asked staff to activate emergency response system -Begin compressions -Open airway using head tilt chin lift -Give two breaths

63. The nurse is assessing a multi client at 12 weeks gestation who has been admitted to the emergency department with sharp right sided abdominal pain and vaginal spotting which information to the nurse obtain about the clients history and select all that apply.

-history of sexually transmitted infections -Number of sexual partners -Last menstrual period -Contraceptive use

25. After the nursery enforces the dangerous sense to report with a gravited to client at 32 weeks gestation with an elevator blood pressure which client's statement with demonstrang the understanding of when to call the primary healthcare provider.

-if I see any bleeding even if I have no pain -If I have a pounding headache, that will not go away -If the baby seems to be more active than usual

45. The anti-natal clinic nurse is educating a client with gestational diabetes soon after diagnosis evaluation for the client session would include which outcome select all that apply

-my clients is the need to maintain blood glucose levels between 70 and 110 -The client described her planned walking program while pregnant -The client will strive to maintain a hemoglobin A1c below 6%

16. The nurse is administering IV magnesium sulfate as prescribed for a client at 34 weeks gestation with severe preeclampsia what are desired outcomes of this therapy

-temperature 98+72 respiratory rate 14 -Deep tendon reflexes 2+ -Magnesium level equals 5.6.

78. After section and evacuation of a complete.Hydatidiform mall the 28 year old multigravida client asked the nurse when she can become pregnant again the nurse would advise the client not to become pregnant again for how long.

12 months

20. A Primi gravida client with severe preeclampsia exhibit hyperactive very brisk refax it with two bits of income clonus present. How does the nurse document the reflexive?

4+

5. At 32 weeks gestation a 15-year-old Premier Kabir client who is at 5',2" has get a total of 20 pounds with a 1 pound cane in the last two weeks. Urinalysis reveals negative glucose and trace of protein. The nurse should advise the client that which factor increases service for pre-clamp Sia

Adolescence, age group

4. A 29 year old multigravida and 37 weeks gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 3 g/h. What is the priority intervention to maintain safety for the client

And says reflexes, clonus, visual disturbances, and headache

26. A client presents to the LB triage unit with no prenatal care and painless, right red vaginal bleeding, which interventions are most indicated.

Applying an external fetal monitor and completing a physical assessment

37. And which maternal location with the nurse placed the ultrasound transducer of the external electronic fetal heart rate monitor if the fetus is 34 weeks gestation is in the left optical anterior position.

Below the umbilicus on the left side

77. When preparing a multigraphy client who has undergone evacuation of a hydatadifirm mom for discharge. The nurse explains the need for a follow up care the nurse determines if the client understands instruction when she says that she is at risk for developing which problem.

Chiriocarcinoma

9. A woman with preeclampsia is receiving magnesium sulfite the infusion pump at 1 g/h. The nurse assessment includes temperature 36.7 pulse 70 respirations 12 blood pressure 128 already two urinary output 90 ML in the last four hours via urinary catheter, tender reflex absent and Coconis absent fetal heart rate 120 cervix, 4 cm dilated 80% effaced station -1 which is the most appropriate action for the nurse to take.

Discontinue the magnesium sulfite infusion and notify the healthcare provider

62. On arrival at the emergency department a client tells the nurse that she suspects that she may be pregnant but has been having a small amount of bleeding and severe pain in the lower abdomen. The clients blood pressure is 70/50 and her pulse is 120 the nurse notifies the primary healthcare provider immediately because of the possibility of which complication.

Ectopic pregnancy

28. A 24 year old client G3 T1 P1 A-1 a one at 32 weeks. Gestation is admitted to the hospital because of vaginal bleeding after reviewing the clients history which factor might have led to the nurse to suspect abruptio placenta.

History of cocaine use

33. Which action should the nurse take first and admitting a mole take of your client at 36 weeks gestation with a probable diagnosis of abruptio placenta

Insert a large gauge IV catheter

42. A multigravey client at 34 weeks gestation with premature rheum shirt of the membranes tested positive for group B strep the client is having contractions every 4 to 6 minutes. Her vital signs are follows but pressure 120 of 80s temperature hundred pol 100 respirations 18, which medication with the nurse expect the primary house hair provider to prescribe.

Intravenous penicillin

48. Which statement about the fetal biophysical profile would be incorporated into the teaching plan for a primitive lead client with an insulin dependent diabetes.

It is a noninvasive using real time ultrasound

83. Elaborate client at -2 station has a spontaneous rupture of a membrane and accord immediately per truth from vagina. What should the nurse do first

Play gentle pressure upward on the fetal head

59. When developing the collaborative plan for care with the healthcare provider for a multigravida client at 10 weeks, gestation with a history of cardiac disease, has been treated with digital therapy before pregnancy. The nurse instruct the client about which modification regarding the clients drug therapy regime.

Possible need for increased dosage