Nursing 155-Ch 8, Success Qs
Take the woman's blood pressure.
A 24-week-gravid client is being seen in the prenatal clinic. She states, "I have had a terrible headache for the past 2 days." Which of the following is the most appropriate action for the nurse to perform next?
Weight change from 128 pounds to 138 pounds.
A 32-week-gestation client was last seen in the prenatal client at 28 weeks' gestation. Which of the following changes should the nurse bring to the attention of the certified nurse midwife?
Grand mal seizure.
A client with 4 protein and 4 reflexes is admitted to the hospital with severe preeclampsia. The nurse must closely monitor the woman for which of the following?
"The bacteria are living in your vagina. They will not hurt you but we will give you medicine in labor to protect your baby from getting sick."
A client, 37 weeks' gestation, has been advised that she is positive for group B streptococci. Which of the following comments by the nurse is appropriate at this time?
Draw 5 units regular first and 15 units NPH second into the same syringe and inject.
A diabetic client is to receive 5 units regular and 15 units NPH insulin at 0800. In order to administer the medication appropriately, what should the nurse do?
Diet control with exercise.
A gravid client, 27 weeks' gestation, has been diagnosed with gestational diabetes. Which of the following therapies will most likely be ordered for this client?
Assess deep tendon reflexes.
A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first?
Verify the identity of the woman.
A woman is to receive RhoGAM at 28 weeks' gestation. What action must the nurse take before giving the injection?
Weight loss.
The nurse is evaluating the effectiveness of bed rest for a client with mild preeclampsia. Which of the following signs/symptoms would the nurse determine is a positive finding?
G1P0000, age 44 with history of diabetes mellitus.
Which of the following clients is at highest risk for developing a hypertensive illness of pregnancy?
Dark brown vaginal bleeding.
Which of the following findings should the nurse expect when assessing a client, 8 weeks' gestation, with gestational trophoblastic disease (hydatiform mole)?