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A 23-year-old woman consults an obstetrician because of the onset of vaginal bleeding in what she considers to be the fifth month of pregnancy; however, examination reveals the uterus to be enlarged to the size of a 7-month pregnancy. Intravaginal ultrasound fails to detect a fetal heartbeat and instead shows a "snowstorm pattern." HCG is markedly elevated. These findings are strongly suggestive of: ● Eclampsia ● Miscarriage ● Hydatidiform mole ● Placenta previa ● Ectopic pregnancy

Eclampsia

A 19 year old G1P0 40 weeks, not in labor, was seen at the OPD for decreased fetal movement. She was hooked to an electronic fetal monitor and tracing showed: Baseline: FHT -140's, good variability, with more than 2 accelerations of 20 bpm lasting for 20 secs. The tracing will be interpreted by the nurse as which of the following? ● Positive ● Non-reactive ● Reactive ● Negative

Reactive

Wilhelmina is Class B, insulin dependent diabetic, an is receiving prenatal care in a high risk obstetric clinic. Her diabetes has been well controlled since her initial diagnosis. The nurse implements a teaching plan for a pregnant client who was diagnosed with diabetes mellitus. The nurse understands that the diabetic mother's metabolism is significantly altered during pregnancy as a result of: ● The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism ● The lower renal threshold for glucose ● The increased effect of insulin during pregnancy ● An increase in the glucose tolerance level of the blood

The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism

Delilah, a 25 year old woman is four months pregnant. She had rheumatic fever at age 15 and developed a systolic murmur. She reports exertional dyspnea. The client has been instructed on home management. Which instruction should the nurse give her? ● "Get someone to do your housework, and stay in bed or in a wheelchair." ● "Try to keep as active as possible, but eliminate any activity that you find tiring." ● "Avoid heavy housework, shopping, stair climbing, and all unnecessary physical effort." ● "Carry on all your usual activities, but learn to work at a slower pace."

● "Avoid heavy housework, shopping, stair climbing, and all unnecessary physical effort."

Mrs. Zexy Lucero, 30 years old, G1P0, 28 weeks AOG with Type 1 diabetes is being assessed by Nurse Zasha about her understanding regarding changing insulin needs during pregnancy. Nurse Zasha determines that the following statements are accurate and signify that Mrs. Zexy understands control of her diabetes during pregnancy? (Select all that apply). ● "My insulin need should return to normal within 7 to 10 days after birth if I am breastfeeding." ● "Episodes of hypoglycemia are more likely to occur during the first 3 months of pregnancy." ● "I will need to increase my insulin dosage during the first 3 months of pregnancy." ● "My insulin dose will likely need to be increased during the second and third trimesters."

● "Episodes of hypoglycemia are more likely to occur during the first 3 months of pregnancy." ● "My insulin dose will likely need to be increased during the second and third trimesters."

Nurse Marielle is providing instructions to a G1P0, 25 years old on her 30 weeks AOG pregnant client in the maternity center with a history of cardiac disease regarding appropriate dietary measures. Which statement, if made by the client, indicates an understanding of the information provided by the nurse? ● "I should lower my blood volume by limiting my fluids." ● "I should increase my sodium intake during pregnancy." ● "I should maintain a low-calorie diet to prevent any weight gain." ● "I should drink adequate fluids and increase my intake of high-fiber foods."

● "I should drink adequate fluids and increase my intake of high-fiber foods."

Nurse Zasha is imparting instructions to Mrs. Zexy Lucero, 30 years old G1P0, with a history of cardiac disease concerning suitable dietary measures. Which statement, if made by Mrs. Zexy, indicates a need for further instructions provided by Nurse Zasha? (Select all that apply) ● "I should maintain a low-calorie diet to prevent any weight gain." ● "I should increase my sodium intake during pregnancy." ● "I should drink adequate fluids and increase my intake of high-fiber foods." ● "I should lower my blood volume by limiting my fluids."

● "I should maintain a low-calorie diet to prevent any weight gain." ● "I should increase my sodium intake during pregnancy." ● "I should lower my blood volume by limiting my fluids."

Mrs. Zexy Lucero, 25 years old, G1P0, in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and Nurse Zasha instructs her regarding management of care. Which statement made by Mrs. Lucero indicates no need for further instruction? (Select all that apply) ● I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad." ● "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding." ● "I will maintain strict bed rest throughout the remainder of the pregnancy." ● "I will watch for the evidence of the passage of tissue."

● "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding."

Susanna, primigravida, a client is being discharged from the hospital after evacuation of a molar pregnancy. The nurse recognizes that which of the following client statements needs further teaching? ● "I am so sad that I lost this baby. ● "I will need to see the doctor yearly for follow-up. ● "I will use contraception for the next year." ● "I may need to have chemotherapy after this."

● "I will need to see the doctor yearly for follow-up.

The physician ordered to prepare a client suspected of ectopic pregnancy with a negative culdocentesis result. Which statement by the client indicates understanding of the management for her condition? ● "My hemoglobin and hematocrit will be periodically monitored." ● "An abdominal scrub will be performed in preparation for CS!" ● "I will not be asked to sign an informed consent." ● "I will be maintained in a left lateral position."

● "My hemoglobin and hematocrit will be periodically monitored."

Mrs. Zaxy Lucero, 34 year old, G1P0 comes to the emergency room with abdominal cramping and vaginal bleeding. History revealed two missed menstrual periods. Incomplete abortion is considered by Nurse Zasha. Which of the following statements by Nurse Zasha is most appropriate? (Select all that apply) ● "You'll still be able to have children after this is over." ● "This must be difficult for you. I'm sorry." ● "Would you like to speak with a hospital counselor?" ● "Did you really want to be pregnant now?" ● "D and C will be done to clean out your womb.

● "You'll still be able to have children after this is over." ● "This must be difficult for you. I'm sorry." ● "Would you like to speak with a hospital counselor?"

Mrs. Xexy Lucero, G0, 25 years old whose blood type is O- (negative) states, "My partner is AB+ (positive)." Mrs. Xexy questions Nurse Zasha about what blood type their baby will have. Which of the following blood types should Nurse Zasha advise Mrs. Xexy that the baby may have? (Select all that apply). ● "Your baby could be type -O (negative)." ● "Your baby could be type O+ (positive)." ● "Your baby could be type AB- (negative)." ● "Your baby could be type B- (negative)" ● "Your baby could be type A+ (positive)"

● "Your baby could be type B- (negative)" ● "Your baby could be type A+ (positive)"

A 32-year-old G1P0 diabetic patient unsure of the date of her last menstrual period (LMP) sought here first prenatal checkup. She says that she missed three menses, but her fundus is palpated slightly below the level of umbilicus. The physician requested for ultrasonography to estimate the gestational age. Family history is positive for DM (father). When should the nurse advise the client to have her GCT checked? ● At term ● 28-32 weeks ● 32-36 weeks ● 24-28 weeks

● 24-28 weeks

If you crossed an individual homozygous for freckles with a person heterozygous for freckles, what would the genotypic ratios be? N - Freckles n - no freckles ● 3NN: 1NN ● 4NN ● 2NN: 2Nn ● 2NN: 2nn ● 1NN: 2 Nn: 1 nn

● 2NN: 2Nn

Hyperglycemia results from poor diabetes control during pregnancy and can result to perinatal morbidity and mortality. When evaluating a 28-year-old pregnant client on her 30 weeks of gestation, the nurse knows that the recommended serum glucose range during pregnancy is: ● 60 mg/dL and 80 mg/dL ● 140 mg/dL and 200 mg/dL ● 50 mg/dL and 140 mg/dL ● 70 mg/dL and 120 mg/dL

● 70 mg/dL and 120 mg/dL

A nurse is caring for four prenatal clients in the clinic. Which among these women presents the most relevant risk factor for spontaneous abortion? ● A 30 year old G1P0 on her 10th week of pregnancy, with a husband who is 44 years of age. ● A 38 year old G1P0 on her 6th week of pregnancy. ● A 24 year old G3P2 (1100) on her 16th week of pregnancy. ● A 28 year old G3P2 (0020) on her 8th week of pregnancy, with a husband 29 years of age

● A 38 year old G1P0 on her 6th week of pregnancy.

A 23-year-old woman (gravida 1, para 0), approximately 6 weeks pregnant, comes to your clinic for treatment. A home pregnancy test was positive 1 1⁄2 weeks ago. She has developed bleeding over the past 2 days. What is the most likely cause of the bleeding? ● Ectopic pregnancy ● Abruptio placentae ● Abortion ● Uterine rupture ● Hydatidiform mole

● Abortion

A 29 years old female, married, G1P0 AOG 16 weeks, complained of vague abdominal wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was temporary relieved of symptoms. A few minutes prior to consultation, she noticed blood tinged urine. Husband is an overseas worker (Seaman). What is the probable clinical impression on consultation? ● Acute cystitis, hemorrhagic ● Acute pyelonephritis uncomplicated ● Acute urethritis syndrome ● Acute pyelonephritis complicated

● Acute cystitis, hemorrhagic

Nurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero, 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply). ● Administer an antibiotic per order and hospital protocol ● Monitor maternal vital signs frequently ● Perform cesarean section immediately ● Perform vaginal examination every shift ● Monitor fetal heart rate continuously

● Administer an antibiotic per order and hospital protocol ● Monitor maternal vital signs frequently ● Monitor fetal heart rate continuously

Mrs. Zaxy Lucero, 34-year-old, G2P1 at 31 weeks' gestation with a known placenta previa presents to the hospital with vaginal bleeding. On assessment, she has normal vital signs and the fetal heart rate tracing is 140 beats per minute with accelerations and no decelerations. No uterine contractions are demonstrated on external tocometer. Heavy vaginal bleeding is noted. Which of the following steps should be questioned by Nurse Zasha in the management of Mrs. Lucero? (Select all that apply). ● Administer intramuscular terbutaline ● Induce labor ● Admit and stabilize the patient ● Administer methylergonovine ● Perform cesarean delivery

● Administer intramuscular terbutaline ● Induce labor ● Admit and stabilize the patient ● Perform cesarean delivery

Mrs. Xexy Lucero, G0, 25 years old has no affected genes. However, his partner Mr. Lucas Narciso, 30 years old has green color blindness, an X-linked recessive genetic disorder. Which of the following statements by Nurse Zasha is false regarding the couple's potential for having a child who is color blind? (Select all that apply). ● All male children will be carriers for color blindness. ● All female children will be carriers for color blindness ● All male children will be color blind ● All female children will be color blind.

● All male children will be carriers for color blindness. ● All male children will be color blind ● All female children will be color blind.

Mrs. Villarosa G2P1 presents to the Obstetrical Unit with complaints of moderate vaginal bleeding and severe abdominal pain. Examination reveals: FH - 34 centimeters. Frequency of contractions is every 1.5 minutes, duration of 60 seconds, strong with increasing resting tone. Fetal monitoring shows late decelerations. Which of the following nursing assessment is consistent with the development of abruptio placenta? ● The client admits to using cocaine ● The client has had no prenatal care. ● The client is HIV-positive. ● All of the choices

● All of the choices

A 28-year-old G3POAB2 has a quantitative hCG of 2.850. She has spotting and abdominal pain. An ultrasound shows fluid in the cul de sac and no intrauterine pregnancy. What is the most likely site of an ectopic pregnancy? ● Ampulla of the fallopian tube ● Ovarian surface ● Mesosalpinx ● External fallopian tube ● Interstitial portion of the fallopian tube

● Ampulla of the fallopian tube

A 30-year-old methamphetamine user presents to L&D in active labor. She has had no prenatal care, but says she is 9 ½ months. The nurse check fetal position and feel face and nose. The nurse are concerned, because the most common associated condition with a face presentation is which of the following? ● Oligohydramnios ● Prematurity ● Placenta previa ● Anencephaly ● Hydrocephalus

● Anencephaly

A client just had an amniocentesis to determine whether or not her baby has an inheritable disease. What priority intervention would the nurse do? ● Acknowledge the client's anxiety ● Answer questions regarding genetic abnormality ● Check the client's temperature ● Assess fetal heart rate

● Assess fetal heart rate

Sandra, 30 year old, primigravida consulted the Obstetrical Unit for prenatal visit. She complains of abdominal pain and vaginal bleeding. She was diagnosed as G1P0 Pregnancy Uterine 28 weeks AOG, Gestational Hypertension. Which of the following assessment should the nurse perform first? ● Assess serum electrolytes ● Assess strength of contractions ● Assess fetal heart tones ● Assess urinary output

● Assess fetal heart tones

Susanna, a client amenorrheic for 3 months, comes to the hospital with complaints of vaginal discharge and is diagnosed to have Gestational Throphoblastic Disease. Which of the following signs is not consistent with the diagnosis? ● Bright red vaginal bleeding ● Fundic height palpated at the level of the navel ● Bluish discoloration at the navel ● BP of 140/90

● Bluish discoloration at the navel

A client who has just learned she is pregnant tells the nurse that she smokes two packs of cigarettes a day. In counseling, the nurse encourages her to stop smoking because studies show that newborns of mothers who smoke are often: ● Post mature with meconium aspiration syndrome ● Born with congenital facial malformations ● Small for gestational age ● Excessively large for gestational age

● Born with congenital facial malformations

Bettina, 24 year old G1P0 at 40 weeks' gestation is admitted to the lying-in clinic IE findings; 2-3 cm cervical dilatation; 80% effaced; station -1; breech presentation; +BOW.expresses concern about the method of delivery she will undergo considering the status of the fetus. Which of the following methods will the nurse anticipate most likely? ● Low outlet forceps ● Breech extraction ● Cesarean section ● Normal spontaneous delivery

● Cesarean section

Mrs. Villarosa, G4 P3 is admitted to the prenatal clinic at eight and one half months gestation with a diganosis of placenta previa partialis. Chief complaint is vaginal bleeding without contractions. Which action should the nurse perform initially? ● Assess the amount and character of bleeding ● Anticipate and set up for emergency LSTCS ● Check the FHT, anticipate and set up for oxygen therapy ● Elevate the foot of the bed, check cervical dilatation, check vital signs

● Check the FHT, anticipate and set up for oxygen therapy

Marissa, a 17-year-old primigravid registers at 16 weeks' gestation has BP of 150/100 mmHg with no other signs and symptoms. Her prepregnancy BP was 130-140 / 80-90 mmHg controlled by intake of a calcium channel blocker. Urinalysis is negative for proteinuria. The nurse correctly identifies that this is what type of hypertensive disorder in pregnancy? ● Chronic hypertension ● Gestational hypertension ● Pre-eclampsia ● Chronic hypertension w/ superimposed pre-eclampsia

● Chronic hypertension

A 32 year old G1 at 39 weeks gestation is admitted in labot at 4 cm dilated and completely effaced; the fetal head is at station 0. You perform clinical pelvimetry and find the following: the diagonal conjugate is 10 cm, the interischial spine distance is 11 cm with non convergent sidewalls, and the intertuberous distance is 9 cm. These measurements describe which of the following types of pelvis? ● Normal pelvis ● Contracted midpelvis ● Generally contracted pelvis ● Contracted pelvic inlet

● Contracted pelvic inlet

The nurse is asked to consult on a 26-year-old woman (gravida 2, para 1) with prior cesarean section because of breech positioning. She is at term. The nurse is examining a term patient in the labor delivery (L&D) suite. Which of the following signs and symptoms is most likely to indicate ruptured membranes? ● Yellow-green color on nitrazine test ● Vaginal pool of pH 6.5 ● Copious leakage on pants or underwear ● Ferning on a specimen from vaginal pool ● Superficial squamous cells in the vaginal pool

● Copious leakage on pants or underwear

A 19 year old woman comes to the emergency department and reports that she fainted at work earlier in the day. She has mild vaginal bleeding. Her abdomen is diffusely tender and distended. In addition, she complains of shoulder and abdominal pain. Her temperature is 37.2 C. pulse rate is 120 beats/min and blood pressure is 80/42 mm Hg. Which of the following is the best diagnostic procedure to quickly confirm your diagnosis? ● Beta HcG ● Dilation and curettage ● Posterior colpotomy ● CT of the abdomen and pelvis ● Culdocentesis

● Culdocentesis

Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? ● Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia ● The risk of fetal chromosomal abnormalities is increased ● Diabetes ketoacidosis is a common complication during the first trimester ● Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations

● Diabetes ketoacidosis is a common complication during the first trimester

A 35 year old G1P0 had an infertility work-up from which she was prescribed clomiphene citrate. She got pregnant and was diagnosed to have twin pregnancy. What is the most probable type of twinning? ● Dizygotic ● Conjoined ● Monozygotic ● Locked

● Dizygotic

Mrs. Villarosa, a thirty year old G2P1, receives a diagnosis of complete H. Mole which was treated by thorough evacuation with Suction curettage. Which of the following discharge health instruction needs further teaching? ● Report for regular follow up check ups ● Take highly nutritious foods particularly those rich in iron ● Avoid pregnancy for 6 months ● Do not fall to take contraceptive methods

● Do not fall to take contraceptive methods

Mrs. Madlanghari, a 35 year old primigravida, and her husband are seen in the antepartal clinic. Mr. Madlanghari asks the nurse about several tests to analyze the amniotic fluid. The nurse would answer that the following disorders can be identified in an elevated alpha feto protein levels EXCEPT: ● Down syndrome ● Omphalocele ● Gastroschisis ● Neural tube defects

● Down syndrome

Ellisse, a 23-year-old G1 at 35 weeks age of gestation comes in for severe headache and visual blurring. Previous blood pressure on prior prenatal checkup at 14 weeks was at 140/90 mm Hg. Presently, her blood pressure was 170/110 mm Hg. She presented with bipedal edema. There were no uterine contractions. Then she developed generalized tonic-clonic seizures last for about 40 secs. What is the most likely type of hypertensive disorder in pregnancy? ● Eclampsia ● Chronic hypertension ● Chronic hypertension with superimposed hypertension ● Severe pre-eclampsia

● Eclampsia

A woman presents from prenatal diagnosis requesting amniocentesis. Of the following issues in a patient history, which would be better diagnosed with ultrasound over amniocentesis? ● Maternal age over 41 years ● Family history of open neural tube defect ● Previous chromosomally abnormal child ● Abnormal serum marker for trisomy 18 ● Possible female carrier of 21 hydroxylase deficiency

● Family history of open neural tube defect

The nurse conducts a prenatal class on high risk factors during pregnancy. Several participants in the prenatal class complain of frequent urination. The nurse correctly explains to the group that the most commonly assessed findings in pyelonephritis are which of the following? ● Nocturia, frequency, urgency, dysuria, hematuria, fever, and suprapubic pain ● Frequency, urgency, hematuria, nausea, chills, and flank pain ● Dehydration, hypertension, dysuria, suprapubic pain, chills and fever ● High fever, chills, flank pain, nausea, vomiting, dysuria and frequency

● Frequency, urgency, hematuria, nausea, chills, and flank pain

A 42-year-old G2P1 at her 32 weeks' gestation with known renal disease and hypertension presents with BP of 220/120 mmHg but is asymptomatic. The diagnostic test that the nurse will perform to detect chronicity of her illness is: ● Fundoscopy ● Elevated serum creatinine ● Doppler velocimetry ● Urine protein

● Fundoscopy

A pregnant 85 lbs woman sought her very first prenatal consult. Being underweight, the physician formulated a good nutritional surveillance for her. The nurse should counsel the patient which of the following constitute a sound part of the plan? ● Give 60 mg iron tablets 3x a day ● Serially weigh her to achieve appropriate weight gain ● Monthly hgb and hct determination ● Ensure she force feeds herself everyday

● Give 60 mg iron tablets 3x a day

During routine ultrasound surveillance of a twin pregnancy, twin A weighs 1200 g and twin B weighs 750 g. Hydramnios is noted around twin A while twin B has oligohydramnios. Which statement concerning the ultrasound findings in this twin pregnancy is trye? ● The donor twin often develops polycthemia ● The donor twin is more likely to develop widespread thromboses ● The donor twin usually suffers from a hemolytic anemia ● Gross indifferences may be observed between donor and recipient placentas ● The donor twin develops hydramnios more often than does the recipient with

● Gross indifferences may be observed between donor and recipient placentas

Mrs. Xexy Lucero, G0, 25 years old asks Nurse Zasha about pre symptomatic genetic testing for Huntington's disease. Nurse Zasha should base her response on which of the following? (Select all that apply) ● If the woman is positive for the gene Huntington's, she will develop the disease later in life ● Both parents are carriers ● One of the parents died of Huntington's disease ● Presymptomatic testing cannot predict whether or not the gene will be expressed.

● If the woman is positive for the gene Huntington's, she will develop the disease later in life

A 26-year-old woman whose last menstrual period (LMP) was 2½ months ago develops bleeding, uterine cramps, and passes tissue per vagina. Two hours later, she is still bleeding heavily. What is the most likely diagnosis? ● Twin pregnancy ● Incomplete abortion ● Threatened abortion ● Inevitable abortion ● Premature labor

● Incomplete abortion

Alex on her 12 weeks gestation with her third baby sough consultation to a nurses clinic for observation. She has a history of spontaneous abortion and is spotting. She told the nurse she had profuse then minimal vaginal bleeding, with passage of placenta with embryonic sac and slight uterine cramping. On examination, the physician on duty determines that her cervix is closed. The nurse would think that the client is exhibiting signs of: ● Septic abortion ● Incomplete abortion ● Missed abortion ● Complete abortion

● Incomplete abortion

Mrs. Zexy Lucero, 32-year-old female, G1P0, presents to the emergency department with abdominal pain and vaginal bleeding. Her last menstrual period was 8 weeks ago and her pregnancy test is positive. On assessment, she is tachycardic and hypotensive. Abdominal examination findings shows peritoneal signs, a bedside abdominal ultrasound reveals free fluid within the abdominal cavity. Which of the following diagnosis if made by Nurse Zasha needs further instructions? (Select all that apply). ● Incomplete abortion ● Hydatidiform mole ● Missed abortion ● Ruptured ectopic pregnancy ● Torsed ovarian corpus luteal cyst

● Incomplete abortion ● Hydatidiform mole ● Missed abortion ● Torsed ovarian corpus luteal cyst

A G2P1 with 14 weeks missed period presents with one week duration of vaginal bleeding and hypogastric pains. She also has watery vaginal discharge before consultation. IE findings: 4-5 cm dilated with BOW ruptured. The client has which of the following conditions? ● Inevitable abortion ● Missed abortion ● Imminent abortion ● Incomplete abortion

● Inevitable abortion

Mrs. Xexy Lucero, G1P1, 25 years old delivered by cesarean section to a live baby girl. The newborn is diagnosed of 47XX18+. Which of the following conclusions can Nurse Zasha make about the female baby? (Select all that apply). ● It is a result of nondisjunction ● The most common chromosomal abnormality ● She has Edward's syndrome ● She has Patau syndrome ● It is a result of mosaicism

● It is a result of nondisjunction ● She has Edward's syndrome ● It is a result of mosaicism

Mrs. Xexy Lucero, G1P1, postpartum mother brought her child Adriana to a Neonatologist for a consultation Physical examination were done. Diagnostic tests were conducted. Karyotyping revealed Turner's syndrome. Which of the following responses are appropriate for Nurse Zasha to make? (Select all that apply). ● It contains 47 chromosomes ● It is a result of nondisjunction chromosomal aberration ● The child with the defect can have children through in vitro fertilization. ● It is a result of deletion of chromosome X ● It contains 45 chromosomes

● It is a result of nondisjunction chromosomal aberration ● It is a result of deletion of chromosome X ● It contains 45 chromosomes

In the 5th month of pregnancy, ultrasonography is performed on a client. The results indicate that the fetus is small for gestational age and there is evidence of placenta previa partialis. The client asks the nurse if this condition will warrant an abdominal delivery/cesarean section. Your response would be: ● The client is financially disadvantaged ● Definitely, because you will ● Your doctor will tell you more about this ● Don't worry, I'm sure you will deliver vaginally ● It would be early to tell since placental migration bleed profusely if vaginal delivery would still be possible as pregnancy progresses be permitted

● It would be early to tell since placental migration bleed profusely if vaginal delivery would still be possible as pregnancy progresses be permitted

Mrs. Zexy Lucero, 25 years old, G1P0 on her 27th weeks of gestation with a history of rheumatic heart disease since childhood is concerned about the birth of her baby and asks what to expect. What should Nurse Zasha explain about the birth? (Select all that apply). ● Labor may be induced ● Birth may be vacuum extraction assisted ● Birth may be midforceps assisted ● Regional anesthesia may be administered ● Inhalation anesthesia may be administered

● Labor may be induced ● Birth may be vacuum extraction assisted ● Regional anesthesia may be administered

A couple contemplating a pregnancy are in today for an appointment at a genetic counselling clinic to identify and interpret their risk of an inherited disorder. The nurse explains during teaching that all of the following are features of Edwards syndrome (Trisomy 18) EXCEPT: ● Slopping forehead ● Cardiac malformations ● Closed fists ● Short sternum ● Low birth weight

● Low birth weight

Susanna, an unmarried but sexually active nursing student tells the nurse that she missed one menstrual cycle and her next cycle resulted in a slight amount of blood flow. Considering the history of her menstrual cycle, the nurse suspects she may have a tubal pregnancy. What is the most appropriate initial intervention of the nurse? ● Take her vital signs to determine abnormal findings ● Position her on the examination table and palpate her abdomen for the presence of a unilateral pelvic pain over a mass ● Make her the priority patient to be seen by the physician ● Ask her if she has history of tubal pregnancy

● Make her the priority patient to be seen by the physician

Nurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old, G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply). ● Maternal fatigue ● Coordinated uterine contractions ● Progressive changes in the cervix ● Uncoordinated uterine contractions ● Persistent nonreassuring fetal heart rate

● Maternal fatigue ● Coordinated uterine contractions ● Progressive changes in the cervix

Colette, a 38-year-old G4P3 at 18 weeks age of gestation with a BP of 100/60. At 38 weeks' gestation, she is seen in the clinic with a BP of 146/94 and negative proteinuria. She is admitted in the hospital for further evaluation, where, on overnight observation, she has persistent BP above 140/90. A 24-hour urine protein determination is 20mg. The nurse correctly identifies that this is what type of hypertensive disorder in pregnancy? ● Mild Preeclampsia ● Chronic HPN ● Severe Preeclampsia ● Gestational HPN

● Mild Preeclampsia

Mrs. Villarosa, amenorrheic for two months is diagnosed to have ectopic pregnancy based on the sign and symptoms of sudden, severe low quadrant pain radiating to the shoulder, Cullen sign and minimal external vaginal bleeding. Which of the following actions would be implemented? ● Performing abdominal scrub in preparation for CS ● All of the choices ● Monitoring of vital signs ● Repositioning of the client to the left

● Monitoring of vital signs

zNurse Zasha is performing an assessment on Mrs. Zexy Lucero, who tested positive for HCG. Which assessment findings by Nurse Zasha does not indicate that Mrs. Zexy is at risk for preterm labor? ● Mrs. Zexy's hemoglobin level is 13.5 g/dL ● Mrs. Zexy has a history of cardiac disease ● Mrs. Zexy is a 20 year old primigravida of average weight and height ● Mrs. Zexy is 35 years old primigravida ● Mrs. Zexy's hemoglobin level is 10.5 g/dL

● Mrs. Zexy is a 20 year old primigravida of average weight and height

Mrs. Xexy Lucero, 21 years old, G1P0 at 14 weeks age of gestation was requested several diagnostic tests. She was interested about amniocentesis for alpha feto protein determination. Which of the following disorders can be identified by Nurse Zasha in an elevated alpha feto protein levels? (Select all that apply). ● Neural tube defects ● Gastroschisis ● Omphalocele ● Down syndrome

● Neural tube defects

A 31 year old, primigravid was admitted 5 cms. 50% effaced, cephalic, station -1 at 12 noon. In an hour she was 7cm, 60% effaced, station . At 2 pm she was 9 cm, fully effaced, Station +1 and was fully dilated at 3 pm. The correct assessment of the nurse is which of the following? ● Protracted descent ● Protracted active phase dilatation ● Normal labor ● Precipitate labor

● Normal labor

The under 5 mortality rate which is the death of children between birth and exactly 5 years of age is an important indicator for child health. The numerator for such rate is which of the following? ● Number of mothers who gave birth in the same year ● Number of live births in the same year ● Total population in the same year ● Number of deaths in the given year

● Number of deaths in the given year

Mrs. Zexy Lucero , 19-year-old, G1P0, 12 weeks AOG is expecting her first child. She has vaginal bleeding and an enlarged-for-dates uterus. In addition, no fetal heart sounds are heard. Ultrasound shown below revealed snow storm pattern. Which of the following statements if made by Nurse Zasha needs further instructions? (Select all that apply) ● Partial or incomplete hydatidiform mole has a higher risk of developing into choriocarcinoma than complete mole. ● Older maternal age is not a risk factor for hydatidiform mole. ● The most common chromosomal makeup of a partial or incomplete mole is 46,XX, of paternal origin ● Vaginal bleeding is a common symptom of hydatidiform mole. ● Hysterectomy is contraindicated as primary therapy for molar pregnancy in women who have completed childbearing

● Partial or incomplete hydatidiform mole has a higher risk of developing into choriocarcinoma than complete mole. ● Older maternal age is not a risk factor for hydatidiform mole. ● The most common chromosomal makeup of a partial or incomplete mole is 46,XX, of paternal origin ● Hysterectomy is contraindicated as primary therapy for molar pregnancy in women who have completed childbearing

Mrs. Zexy Lucero, 18 years old, an FEU nursing student as competent maternity care provider should be able to identify early signs of abortion in order to be able to save a product of conception. Which of the following represents an incomplete abortion? (Select all that apply) ● Mild abdominal pain ● Passgae of fetus, placenta, embryonic sac ● Profuse vaginal bleeding ● Severe uterine cramps

● Passage of fetus, placenta, embryonic sac ● Profuse vaginal bleeding ● Severe uterine cramps

A 27 year olf has just had an ectopic pregnancy. Which of the following events would be most likely to predispose to ectopic pregnancy? ● Exposure in Diethylstilbestrol (DES) ● Previous cervical conization ● Use of contraceptive uterine device ● Pelvic inflammatory disease ● Induction of ovulation

● Pelvic inflammatory disease

A 21 year old primigravida in labor for 10 hours presented with a 6 cm cervical dilatation. The nurse midwife is monitoring the patient. The BOW ruptured and the presenting fetal head was palpated at station 0. What conclusion regarding the pelvis can be made by the nurse? ● Pelvic midplane is adequate ● Pelvic inlet is inadequate ● Pelvic midplane is inadequate ● Pelvic inlet is adequate

● Pelvic inlet is adequate

Mrs. Zexy Lucero, 34-year-old, G2P1, 31 weeks AOG presents to the Obstetrical Unit with complaints of vaginal bleeding earlier in the day that resolved on its own. She refutes any leakage of fluid or uterine contractions and informs good fetal movement. In her last pregnancy, she had a low transverse cesarean delivery for breech presentation at term. She denies any medical problems. Vital signs are normal and electronic external monitoring reveals a reactive fetal heart rate tracing and no uterine contractions. Which of the following are inappropriate steps in the management of this patient? (Select all that apply) ● Perform a sterile digital examination ● Send her home, since the bleeding has completely resolved and she is experiencing good fetal movements ● Perform an ultrasound examination ● Perform an amniocentesis to rule out infection ● Perform a sterile speculum examination

● Perform a sterile digital examination ● Send her home, since the bleeding has completely resolved and she is experiencing good fetal movements ● Perform an amniocentesis to rule out infection

A 34 year old G2P1 at 31 weeks gestation presents to labor and delivery with complaints of vaginal bleeding earlier in the day that resolved on its own. She denies any leakage of fluid or uterine contractions. She reports good fetal movement. In her last pregnancy, she had a low transverse cesarean delivery for breech presentation at term. She denies any medical problems. Her vital signs are normal and electronic external monitoring reveals a reactive fetal heart rate tracing and no uterine contractions. Which of the following is the most appropriate next step in the management of this patient? ● Perform an amniocentesis to rule out infection ● Perform a sterile digital examination ● Send her home, since the bleeding has completely resolved ans she is experiencing good fetal movements ● Perform a sterile speculum examination ● Perform an ultrasound examination

● Perform an ultrasound examination

A 22 year old G1P0 patient at 39 weeks AOG was admitted for elective Cesarean Section for breech presentation. He requested to her obstetrician that a transverse supraprubic abdominal incision be done to her. The student nurse tasked to assist the operation would correctly identify that the type of incision is which of the following? ● Kronig ● Classical ● LOw segment transverse ● Pfannenstiel ● Kerr

● Pfannenstiel

Klarissa, a 19-year-old primigravida at 34 weeks age of gestation is seen in the Obstetric Unit. She has blood pressure of 160/110 mmHg. Proteinuria of 4 gm/day, with elevated liver enzymes. What is the most likely type of hypertensive disorder in pregnancy? ● Preeclampsia severe ● Gestational hypertension ● Chronic hypertension ● Preeclampsia mild

● Preeclampsia mild

A 30 y/o G1P0 on her 28th weeks of gestation based on her LMP, & early ultrasound. She presents with a history of a "gush of fluids" from her vagina, an hour ago. Speculum exam shows fluid from the os, which is nitrazine and fern positive. The patient's cervix is 1-2 cm dilated, 80% effaced EFM revealed FHR of 170/min and there are occasional uterine contractions. The patient is afebrile and her uterus is not tender. Her WBC is 13,000/cc. Which of the ff, is the most likely problem in this case? ● Intrauterine infection ● Premature labor ● Neonatal intraventricular hemorrhage ● Pulmonary hypoplasia

● Premature labor

The nurse clinical instructor is supervising nursing students monitoring a laboring client in the Obstetrical Unit. During the discussion of abnormalities of labor, which of the following division/phase of labor is most sensitive to analgesia and maternal sedation? ● Deceleration phase ● Dilatational phase ● Pelvic division ● Preparatory division

● Preparatory division

Nurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old, G1P0. Internal examination revealed 3-4cm cervical dilatation, 50% effaced, +(BOW). Station -1, cephalic with uncoordinated uterine contractions that are erratic in their frequency, duration, and intensity. Which of the following nursing actions should not be included in the priority of Nurse Zasha? (Select all that apply). ● Provide pain relief measures ● Monitor the oxytocin infusion closely ● Prepare the client for an amniotomy ● Promote ambulation every 30 minutes ● Encourage the client to rest

● Prepare the client for an amniotomy ● Promote ambulation every 30 minutes

Mrs. Xexy Lucero, G1P0, 40 weeks AOG was ordered by the health care provider a contraction stress test (CST) whose nonstress test (NST) was nonreactive. Which maternal complications should alert Nurse Zasha to question the order? Select all that apply. ● Preterm labor ● Incompetent cervix ● Hypertension ● Drug addiction ● Premature rupture of membrane

● Preterm labor ● Incompetent cervix ● Premature rupture of membrane

Nurse Zasha is monitoring Mrs. Zexy Lucero, G1P0, who is at 6 cms cervical dilatation, 80% effaced, (+) BOW. Station 0 who is experiencing labor dysfunction. Nurse Zasha concludes that which risk factors in Mrs. Zexy's history categorized her at risk for this complication? (Select all that apply). ● Potassium level of 3.5 mEq/L ● Previous Difficulty with infertility ● Age 54 years ● Administration of oxytocin for labor induction ● Body mass index of 28

● Previous Difficulty with infertility ● Age 54 years ● Body mass index of 28

Mrs. Cortez, 32 years old primigravida at 34 weeks AOG is admitted in the obstetrical unit because of preterm labor. The Physician ordered magnesium sulfate deep IM. While the client is receiving magnesium sulfate, the nurse routinely assesses the client's vital signs and notes the following: BP 160/90, and blurring of vision. In caring for the client the nurse should: ● Isolate her in a dark room ● Maintain her in a supine position ● Encourage her to drink clear fluids ● Protect her against strenuous stimuli

● Protect her against strenuous stimu

A 30 year old G1P0, term was admitted for labor pains. FH- 34 cm, FHT- 140 bpm. IEcervix is 4 cm dilated, 60% effaced, cephalic, station -2, rupture BOW, Uterine contractions every 2-3 mins, moderate. After 2 hours, IE- cervix 4-5 cm dilated, 70% effaced, station -2. After 2 hours, IE cervix is 5-6 cm dilated, 80% effaced, station -1. The nurse would correctly describe the progress of labor as which of the following? ● Arrest in cervical dilatation ● Protracted cervical dilatation ● Normally progressing ● Protracted descent ● Arrest in descent

● Protracted cervical dilatation

The nurse in the labor room is preparing to care for client with hypertonic uterine contractions. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. What is the priority nursing action? ● Promote ambulation every 30 minutes ● Provide pain relief measures ● Prepare the client for an amniotomy ● Monitor the oxytocin infusion closely

● Provide pain relief measures

Mrs. Zexy, Lucero, 19-year-old appears at the emergency department and states that she fainted at work earlier in the day. She has mild vaginal bleeding and complains of shoulder and abdominal pain. Her abdomen is diffusely tender and distended. Vital signs reveals the following: temperature is 37.2ºC, pulse rate is 120 beats per minute, and blood pressure is 80/42 mm Hg. Which of the following diagnostic procedures would not quickly confirm the diagnosis of Mrs. Xexy's condition? (Select all that apply). ● Quantitative β-human chorionic gonadotropin (β-hCG) ● Dilatation and curettage ● Culdocentesis ● Posterior colpotomy ● Computed tomography of the abdomen and pelvis

● Quantitative β-human chorionic gonadotropin (β-hCG) ● Dilatation and curettage ● Posterior colpotomy ● Computed tomography of the abdomen and pelvis

G3P2 Maxine at 16 weeks gestation was admitted to the maternity unit for a McDonald cerclage procedure. When asked about the purpose of this procedure, the client needs no further teaching if Maxine explained that this procedure is to: ● Reinforce an incompetent cervix permanently ● Dilate the cervix ● Reinforce an incompetent cervix temporarily ● Evaluate cephalopelvic disproportion

● Reinforce an incompetent cervix permanently

Nurse Nora is monitoring a 28 year old client G1P0, 26 weeks AOG who is receiving magnesium sulfate for preeclampsia and is assessing the client every 30 minutes. Which of the following findings would indicate a need to immediately report the findings? ● Urinary output of 20 ml ● Respirations of 10 breaths/min ● Deep tendon reflexes of +2 ● Fetal heart rate of 120 beats/min

● Respirations of 10 breaths/min

A 26-year-old woman whose last menstrual period (LMP) was 2½ months ago develops bleeding, uterine cramps, and passes tissue per vagina. Two hours later, she is still bleeding heavily. The bleeding is most likely due to which of the following? ● Retained products of conception ● Vaginal Lacerations ● Systemic coagulopathy ● Ruptured uterus ● Bleeding hemorrhoids

● Retained products of conception

Mrs. Zexy Lucero, 25 years old, G1P0, in the first trimester of pregnancy arrives at a healthcare clinic for prenatal check-up. What information should Nurse Zasha include when counseling her about human immunodeficiency virus (HIV) testing? (Select all that apply). ● Disclosure of risk factors for contracting HIV ● Requirement that pregnant women are tested for HIV ● Risks of passing the virus to the fetus ● Emotional, legal, and medical implications of test results ● Meaning of positive or negative test results

● Risks of passing the virus to the fetus ● Emotional, legal, and medical implications of test results ● Meaning of positive or negative test results

A 32 year old woman presents to the emergency department with abdominal pain and vaginal bleeding. Her last menstrual period was 8 weeks ago and her pregnancy test is positive. On examination she is tachycardic and hypotensive and her abdominal examination findings reveal peritoneal signs, a bedside abdominal ultrasound shows free fluid within the abdominal cavity. The decision is made to take the patient to the operating room for emergency exploratory laparotomy. Which of the following is the most likely diagnosis? ● Torsed ovarian corpus luteum cyst ● Hydatidiform mole ● Incomplete abortion ● Ruptured ectopic pregnancy ● Missed abortion

● Ruptured ectopic pregnancy

A 25 year old G1P0, 38-39 wks. AOG consulted at the emergency room due to labor pains. She has no prenatal check-ups and family history revealed diabetes mellitus in sister and mother. Abdominal exam revealed fundic height = 40 cm, uterine contractions every 2-3 mins, 45-50 secs, duration. Internal exam has remained unchanged at 6cms dilated, fully effaced, station -2, cephalic, (-) BOW for the past 2 ½ hrs. The serious complication during vaginal delivery of this baby where there is arrest in delivery of the shoulder is: ● Prolonged second stage of labor ● Erb's palsy ● Shoulder dystocia ● Deep transverse of the head

● Shoulder dystocia

A 25 year old G1P0, 38-49 weeks, AOG consulted at the emergency room due to labor pains. She has no prenatal check-ups and family history revealed diabetes mellitus in sister and mother. Abdominal exam revealed fundic height = 40 cm, uterine contractions every 2-3 mins, 45-50 secs duration. Internal exam has remained unchanged at 6 cms dilated, fully effaced, station -2 cephalic, (-) BOW for the past 2 ½ hrs. The serious complication during vaginal delivery of this baby where there is arrest in delivery of the shoulder is: ● Erb's play ● Shoulder dystocia ● Prolonged second stage of labor ● Deep transverse of the head

● Shoulder dystocia

Mrs. Zexy Lucero, 25 years old, G1P0, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply). ● Slow the intravenous flow rate ● Continue the oxytocin drip if infusing ● Administer oxygen, 8-10 L/minute, via face mask ● Place the client in a high Fowler's position

● Slow the intravenous flow rate ● Administer oxygen, 8-10 L/minute, via face mask

A G5P4 pregnant uterine 39 weeks was in active labor for 3 hours. IE showed cervix 7 cms dilated, fetal head at station -1 to 0. Suddenly, fetal heart rate decelerated abd maternal blood pressure dropped from 120/80 to 90/60 mm Hg. On doing IE, the presenting part appeared to retract. The nurse would identify which of the following is the most probable diagnosis? ● Uterine atomy ● Spontaneous uterine rupture ● Acute cord torsion ● Abruption placenta

● Spontaneous uterine rupture

After a precipituous delivery, the nurse noted that the new mother is passive and only touches her newborn infant briefly with her fingertips. What should the nurse do to help the woman process the delivery? ● Document a complete account of the mother's reaction on the birth record ● Support the mother in her reaction to the newborn infant ● Tell the mother that it is important to hold the newborn infant ● Encourage the mother to breastfeed soon after birth

● Support the mother in her reaction to the newborn infant

A couple contemplating a pregnancy are in today for an appointment at a genetic counselling clinic to identify and interpret their risk of an inherited disorder. The nurse explains during teaching that the following statements are true about genetic counseling EXCEPT: ● Constructing family pedigree up to the third degree ● Collecting health files about affected family members ● Talking about rewarding gene therapy ● Refer to support groups ● Performing appropriate genetic testing

● Talking about rewarding gene therapy

Mrs. Villarosa G2P1 presents to the Obstetrical Unit with complaints of moderate vaginal bleeding and severe abdominal pain. Examination reveals: FH - 34 centimeters. Frequency of contractions is every 1.5 minutes, duration of 60 seconds, strong with increasing resting tone. Fetal monitoring shows late decelerations. Which of the following nursing assessment is consistent with the development of abruptio placenta? ● The client is HIV-positive. ● The client has had no prenatal care. ● The client admits to using cocaine ● All of the choices

● The client admits to using cocaine

In the labor unit, Mrs. Amelia Tan, 39 weeks AOG, primigravida was subjected to labor monitoring. During clinical pelvimetry, the ischial spines were noted to be prominent, the sidewalls convergent and the sacrosciatic notch is narrow. The nurse would understand that of the following, what is the most common consequence of these findings? ● There is increase likelihood for transverse arrest of fetal head ● Production of abnormal presentation is facilitated ● Extreme posterior asynclitism is favored ● This promotes cord prolapse

● There is increase likelihood for transverse arrest of fetal head

A 20-year-old primigravida at 14 weeks gestation visits the clinic with symptoms of slight reddish vaginal bleeding and an occasional uterine cramp. The pregnancy test is positive. The patient states that no tissue has been passed. The nurse should explain to the patient that these symptoms are indicative of a type of abortion termed: ● Incomplete abortion ● Threatened abortion ● Inevitable abortion ● Missed Abortion ● Spontaneous abortion

● Threatened abortion

A 19 year old primigravida is 12 weeks pregnant by dates. She has vaginal bleeding and an enlarged for dates uterus. In addition, no fetal heart sounds are heard. Ultrasound revealed snow storm pattern. Which of the following is true regarding the patient's diagnosis? ● Hysterectomy is contraindicated as primary therapy for molar pregnancy in women who have completed childbearing. ● Partial or incomplete hydatidiform mole has a higher risk of developing into choriocarcinoma than complete mole. ● The most common chromosomal make up or a partial or incomplete H.mole is 46, xx of paternal origin. ● Vaginal bleeding is a common symptom of hydatidiform mole ● Older maternal age is not a risk factor for hydatidiform mole

● Vaginal bleeding is a common symptom of hydatidiform mole

A couple contemplating a pregnancy are in today for an appointment at a genetic counselling clinic to identify and interpret their risk of an inherited disorder. The nurse explains during teaching that all the following are characteristic features of autosomal recessive inheritance EXCEPT: ● Vertical transmission ● No affected family members in other generations ● Consanguinity plays important role ● Males and females are equally affected ● 25% recurrence risk

● Vertical transmission

Mrs. Zexy Lucero, 25 years old, G1P0, 35 weeks age of gestation is admitted to the birthing suite with a blood pressure of 150/90 mm Hg, 3+ proteinuria, and edema of the hands and face. She was diagnosed as Pregnancy Uterine 35 weeks AOG, G1P0 Severe Preeclampsia. What other clinical findings by Nurse Zasha support this diagnosis? (Select all that apply). ● Vaginal bleeding ● Visual disturbances ● Headache ● Constipation ● Abdominal pain

● Visual disturbances ● Headache ● Abdominal pain

Myrna, a primigravida, on her 32nd week AOG, came in for prenatal check-up. Auscultation of the FHT yields negative result and the ultrasound revealed fetal death in utero. The nurse will inform Myrna which of the following will be done to manage her? ● hysterotomy ● Wait for spontaneous labor ● Prostaglandins ● Curettage

● Wait for spontaneous labor

The genetic counselor informs a couple that they have a 25% probability of getting pregnant with a child with severe genetic disease. The couple asks the nurse exactly what that means. Which of the following responses by the nurse is appropriate? ● If they have four children, one of the children will have the disease ● Whenever they get pregnant, the fetus may have the disease ● The first child will have the genetic disease ● Their fourth child will have the genetic disease

● Whenever they get pregnant, the fetus may have the disease

Donita Rose, a 14-year old high school graduate, her first pregnancy on her 20 weeks gestation sought consultation at your clinic for her initial prenatal visit. History revealed that this is an unpleasant pregnancy with her 3 rd boyfriend who broke up with her upon hearing about the pregnancy. During the 1 st 3-months of her pregnancy, she had several episodes of nausea and vomiting for which she noticed apparent weight loss. Which of the following reasons could lead to a mortality of Donita Rose? ● Weak referral system ● Domestic violence ● Young age and first pregnancy ● Lack of competent health care provider

● Young age and first pregnancy

Milette, a 22 year old primigravid patient is in her 22nd week of pregnancy. The physician informed the client that she has pregnancy induced hypertension. She is admitted to the hospital. The nurse concludes that the client was diagnosed with pregnancy induced hypertension when the vital signs taken today show that the blood pressure has increased during pregnancy from 100/60 to 130/80. When assessing the client, the nurse should thoroughly explore which finding at each visit? ● A decrease in urine protein level ● Any sudden weight gain ● An increase in urine output ● A decrease in pulse rate

Any sudden weight gain.