mcn

A clinic nurse has provided home care instructions to a client with a history of cardiac disease who has just been told that she is pregnant. Which statement if made by the client indicates a need for further education?

"During pregnancy, I need to avoid contact with other individuals as much as possible to prevent infection."

A patient who is 25 weeks pregnant has partial placenta previa, As the nurse you're educating the patient about condition and self-care. Which statement by the patient requires you to re- educate the patient?

"I may start to experience dark red vaginal bleeding with pain"

A nurse is providing instructions to a maternity client with a history of cardiac disease regarding appropriate dietary measures. Which statement if made by the client indicates an understanding of the measures to take?

"I need to increase my fluid intake and intake of high fiber foods."

Felize has gone into labor in her 36! week of gestation. She states "I knew I shouldn't have gone to that concert." The nurse best response would be which of the following?

"It's common to feel responsible, but you could not have prevented this."

The best time to treat incompetent cervix is between and weeks of pregnancy before dilatation occurs.

12,18

When assessing a woman who is suspected of having an ectopic pregnancy, the nurse would report which of the following?

A. A history of intrauterine devices for birth control.

Which of the following is true about Cullen's sign in a pregnant female?

A. It indicates the presence of blood in the peritoneal cavity.

Which of the following drugs does the nurse expect to be ordered if preterm delivery is inevitable?

Betamethasone

What would be the primary concern in case of rubella infection during pregnancy?

Birth Defect

Which of the following findings might be noted in a patient with H mole?

C. Extreme nausea and vomiting experienced in early pregnancy

Which of the following nursing diagnosis maybe indicated for a patient diagnosed and treated for H mole?

C. Impaired adjustment related to incomplete grieving of lost pregnancy.

Your patient with pre-eclampsia is started on Magnesium Sulfate. The nurse knows to have what medication on standby?

Calcium gluconate

The nurse monitoring a patient who is experiencing an abortion episode must consider which of the following facts?

D. Incomplete abortions present a greater potential for hemorrhage than do complete abortions

The nurse id assisting a client undergoing induction of labor at 41 week's gestation. The client's contractions are moderate and occurring every 2-3 minutes, with a duration of 60 seconds. An internal fetal heart rate monitor is in place. The baseline fetal heart rate has been 120 to 122bpm for the past hour. Which is the priority nursing action?

Discontinue the infusion of Pitocin.

A woman has undergone cesarean birth is to be discharged. The nurse will instruct the woman to notify her health care provider if she develops which of the following?

Drainage at her incision line.

To determine if a patient with abruptio placenta is developing disseminated intravascular coagulation (DIC), the nurse should do which of the following?

Draw 5ml of blood and monitor for clot formation.

Nurse Juan is caring for a 28-week pregnant woman diagnosed with chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "this is my business and l'm not telling anyone. Beside chlamydia doesn't cause any harm like the other STD's" How should the nurse proceed?

Educate the client about why it's important to inform sexual contacts do they can receive treatment.

A sudden gush of clear watery fluid from the vagina is rays seen in cases of PROM.

False

The nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Which assessment finding would indicate the need to contact the health care provider?

Fetal heart rate of 180 bpm

Which of the following nursing diagnosis would be given priority in the care plan of a pregnant woman who is experiencing hyperemesis gravidarum?

Fluid volume deficit

A nurse in a labor room is assisting with the vaginal delivery of a newborn infant. The nurse would monitor the client closely for the risk of uterine rupture if which of the following occurred?

Forceps Delivery

Mrs. Felize Fiero came to the community health center for pruritus over the perineal area. Upon further assessment the nurse discovered profuse, purulent, vaginal discharge. Mrs. Fiero would be treated for:

Gonorrhea

The nurse should instruct a pregnant patient who has a diagnosis of folic acid deficiency anemia to increase intake of which of the following foods?

Green, leafy vegetables

Upon nursing assessment, the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, LMP 5 months ago, FHT not appreciated. Which of the following is the possible diagnosis of this' condition?

Hydatidiform mole

The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?

Hypoglycemia

The nurse is monitoring a client who is in the active stage of labor. The client has been experiencing contractions that are shirt, irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia?

Hypotonic

Restriction of activities and cervical cerclage are treatments for:

Incompetent cervix

Due to Mrs. Garcia's inability to schedule frequent prenatal appointments, Baby 1 was born with oral thrush. What illness might Mrs. Garcia have had that resulted to in Baby I's oral thrush?

Moniliasis

Mrs. Gaspar is admitted to the labor room, which of the following assessment would prompt the nurse that there is fetal distress.

Mrs. Gaspar's urine output is 50 cc.

The client is diagnosed to have placenta previa. What warning sign should be placed by the nurse in the client's unit?

No vaginal examination

Mrs. Felize Fiero is admitted with placenta previa with 75% coverage of the cervical os. The fetus is at 35 weeks gestation. Which of the following nursing measures should be implemented?

Obtain oxygen equipment to keep on standby in case the fetal heart sounds indicate fetal distress.

Mrs. Felize Fiero's baby may contact which disease upon delivery?

Opthalmia Neonatorum

A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of slowing labor. The nurse is reviewing the physician's orders and would expect to note which of the following prescribed treatments for the condition?

Oxytocin (Pitocin) infusion

Which of the following signs and symptoms will most likely make the nurse suspect that the patient is having hydatidiform mole?

Passage of clear vesicular mass per vagina

A 39-week pregnant patient is in labor. The patient is receiving IV Magnesium Sulfate. Which finding below indicates magnesium Sulfate toxicity and requires you to notify the physician?

Patient reports flushing or feeing hot.

The nurse is reviewing orders on a patient, admitted for preterm premature of membranes. Which physician order will the nurse question?

Perform a vaginal exam every shift.

A pregnant client is admitted to the labor room. An assessment is performed and the nurse notes that the client's hemoglobin and hematocrit levels are low indicating anemia. The nurse determines that the client is at risk for which of the following.

Postpartum infections

In evaluating the effectiveness of IV Pitocin for a client with dystocia, the nurse should expect:

Progressive cervical dilatation

A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention would be to:

Provide pain relief measures.

If an RH- negative woman experiences an abortion during her first pregnancy, she should be instructed to di which of the following?

Receive RhO immune globulin to prevent buildup of antibodies.

A patient had been diagnosed to have placenta previa. Which of the following is not a characteristic manifestation of the condition?

Rigid abdomen.

The client experiences abruptio placenta. Which of the following signs and symptoms supports the diagnosis?

Rising fundal height

Which of the following statements best describes hyperemesis gravidarum?

Severe nausea and vomiting leading to an electrolyte, metabolic, and nutritional imbalance in the absence of other medical problems

Which of the following is most likely effect on the fetus if the woman is severely anemic during pregnancy?

Small for gestational age baby

Infection in the uterus may cause PROM and may also be a complication following PROM.

TRUE

Nurse Carlos is teaching his pregnant clients with genital herpes. Education for these clients should include an explanation of:

The importance of informing one's partner of the disease.

The surgeon plans to perform a low segment incision rather than a classic incision. This type of incision is more advantageous because:

The likelihood of postpartal uterine infection is decreased.

The main reason for an expected increased need for iron in pregnancy is:

The mother may have physiologic anemia due to increase need for red blood cell mass as well as the fetal requires about 350-400 mg iron to grow.

A nurse is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which finding should alert the nurse to a compromise?

The passage of meconium.

A woman who is 30 weeks pregnant and attending the prenatal clinic, has symptoms of pregnancy induced hypertension. Which of the following findings is indicative of this condition?

The woman has had a blood pressure of 130/90 mmHg, compared with 110/90mmHg a month ago.

After determining that a pregnant client id Rh-negative, Dr. Fiero orders an indirect Coomb's test. What is the purpose of performing this test in a pregnant client?

To detect maternal antibodies against fetal Rh+ positive factor

Which of the following is not a triad assessment for fetal distress?

Urine output of 20 cc.

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment finding would cause the nurse to immediately discontinue the oxytocin infusion?

Uterine hyperstimulation

A client is admitted to the L & D suite at 36 week's gestation. She has a history of C- section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?

Uterine rupture

Which of the following support a diagnosis of potential for infection related to premature rupture of membranes, with no labor.

a discharge without a ferning pattern under microscope, with premature labor

A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe pre-eclampsia. A nurse monitors for complications associated with the diagnosis and assess the client for:

any bleeding, such as in the gums, petechiae, and purpura.

on performing Leopold's maneuvers on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mod quadrant. The nurse notifies the admitting physician and anticipates:

cesarean section

An 18 year old primigravida is admitted at 34 weeks gestation with pre preeclampsia. The nurse should observe her carefully for manifestations of eclampsia which include:

convulsions, seizure and coma

An ultrasound is performed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abpruptio placenta is present. Based on these findings, the nurse would prepare the client

delivery of the fetus

Which of the following evaluation data would indicate that the nursing interventions to help control mild pre-eclampsia had not been effective?

edema is noticed around the eyes.

Which of the following is an appropriate outcome criterion for the premature labor patient?

expression of the need to notify the physician only if less than two fetal movements per hour are noted

A client makes a routine visit to the prenatal clinic. Although she's 14 weeks pregnant, the size of her uterus approximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal:

grapelike clusters

Felize's premature labor is being treated with tocolytic agents. Appropriate nursing measures when caring for Felize would include which of the following?

increasing ritodrine infusion slowly until contractions halt.

When caring for a patient with placenta previa, the nurse might establish which of the following outcome criteria?

indication of intent to contact physician if bleeding is noted.

Nursing measures implemented with the eclampsia patient would indicate which of the following?

monitoring for hypertension, which may result from excessive hydralazine (Apresoline) administration

A 28-year old woman who is seven weeks pregnant has had IDDM since she was 16. A common symptom of pregnancy that could lead to problems for this pregnant woman is:

nausea

Nurse B will prepare which medication for Mrs. Fiero?

penicillin

A 24-week pregnant patient consulted her obstetrician and was diagnosed with trichomoniasis. Which of the following sign and symptoms describes the disease?

profuse, foamy white to greenish vaginal discharge

A nurse assists a pregnant client with cardiac disease to identify resources to help her care for her 18- month-old child during the last trimester of pregnancy. The nurse encourages the pregnant client to use these resources primarily to:

reduce excessive maternal stress and fatigue

Which of the following would be a cause for concern if it were noted during a prenatal assessment in the third trimester?

reports of additional, severe pain occurring with each contraction

Because a woman is receiving magnesium sulfate for pregnancy- induced hypertension, it is essential for the nurse to assess the woman's:

respiratory rate

A pregnant woman experiencing severe abruptio placenta would most likely exhibit:

rigid, board like abdomen

Measures the nurse should implement for the patient in premature labor include which of the following?

teaching the woman to monitor her pulse if she is placed on oral terbutaline.

Which of the following is true about RH incompatibility?

the RH-positive fetus inside of an RH-negative mother is perceived as foreign agent and stimulates the formation of antibodies

Which of the following maternal history increases the risk for abprutio placenta?

the patient has history of hypertension