Midterm Quizzes
It is filled with serous fluid
What is the primary characteristic of a vesicle? a) It is filled with serous fluid b) It flat and circumscribed c) It has a dry crust d) It has an eroded and moist surface
Transverse fracture
What is the type of fracture where the fracture is at the right angles of the long axis of the bone? a) Oblique fracture b) Spiral fracture c) Transverse fracture d) Communited fracture
Results in 3 or more bone fragments
Communited a) Diagonal to a bone's long axis b) One part of the bone has been twisted c) Rright angles of the long axis of bone d) Side of the bone e) Results in 3 or more bone fragments
Sarcoptes scabies
Scabies a) Staphyloccocus aerus b) Sarcoptes scabies c) Streptooccus d) Trichophyton rubrum e) Trichophyton tonsurans
Dilation and curettage.
A 25-year-old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat seen on ultrasound. The nurse would expect the doctor to write an order to prepare the client for which of the following? a) Dilation and curettage. b) Nonstress testing. c) Cervical cerclage. d) Amniocentesis.
Preeclampsia
A 30 year old female came to the clinic, noted to be 33 weeks pregnant with her second child and has uncontrolled hypertension. What risk factor below found in the patient's health history places her at risk for abruptio placentae? a) Age b) Childhood Polio c) History of Cesarean Section d) Preeclampsia
Abruptio placentae
A 40-year-old at 38 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine few hours earlier. Which complication is most likely causing the client's complaint of vaginal bleeding? a) Placenta previa b) Spontaneous miscarriage c) H. mole d) Abruptio placentae
Polyhydramnios
A baby is born with esophageal atresia and tracheoesophageal fistula. Which of the following complications of pregnancy would the nurse expect to note in the mother's history? a) Polyhydramnios b) Preeclampsia c) Severe iron deficiency anemia d) Idiopathic thrombocytopenia
She should be evaluated for fetal heart rate and check for prolapsed cord
A client comes into the labor and delivery suite stating that her membranes ruptured 5 hours ago and that she is not having labor contractions. She wants to be examined to see if she is dilating. She states that her baby has stopped moving, but she wants to return to work if she is not in labor. What will be the nurse priority action? a) She should be evaluated for fetal heart rate and check for prolapsed cord b) The client should be sent home to rest in a familiar environment until she is in true labor c) The client will be routinely admitted because she will most likely develop a regular contraction pattern soon d) Following a vaginal examination to check for dilation, the client will most likely be allowed to return to work until her contractions are in a regular pattern
Regular uterine contrcations with cervical dilation
A client in the 28th week of gestation comes to the emergency department because she thinks that she's in labor. To confirm the diagnosis of PRETERM LABOR, the nurse would expect the physical examinations to reveal: a) Irregular uterine contractions without cervical dilation b) Painful contractions with no cervical dilation c) Regular uterine contrcations with cervical dilation d) Irregular uterine contractions with no cervical dilation
"I will maintain strict bed rest throughout the remainder of the pregnancy."
A client 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 the nurse instructs the client regarding management of care. Which statement if made by the client, indicates a need for further instructions? a) "I will watch for the evidence of the passage of tissue." b) "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding. c) "I will maintain strict bed rest throughout the remainder of the pregnancy." d) "I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad."
A hard, board like abdomen
A client is admitted to the obstetrical unit at 36 weeks gestation. Which of the following symptoms would indicate a concealed abruption placenta? a) Decreased fundal height b) Painless, bright red vaginal bleeding c) A hard, board like abdomen d) A fetal heart rate of 180 bpm
Grape-like clusters
A client makes a routine visit to the prenatal clinic. Although she's 14 weeks pregnant, the size of her uterus approximates that of a 20-week pregnancy. Dr. Gran diagnoses gestational trophoblastic disease and orders ultrasonography. Which of the following would the nurse expects for the ultrasonography to reveal? a) An empty gestational sac b) Grape-like clusters c) An extrauterine pregnancy d) A severely malformed fetus
High levels of human chorionic gonadotropin
A client, 12 weeks gestation, comes to the prenatal clinic complaining of severe nausea and frequent vomiting the nurse suspect hyperemesis gravidarum. Which of the following manifestation is frequently associated with this type of condition? a) Excessive amniotic fluid b) High levels of human chorionic gonadotropin c) Slowed secretion of free hydrochloric acid d) A GI history of cholecystitis
Fetal distress
A client, 42 weeks' gestation, is admitted to the labor and delivery suite with a diagnosis of acute oligohydramnios. The nurse must carefully observe this client for signs of which of the following? a) Fetal distress b) Oliguria c) Jaundice d) Dehydration
"When was the first day of your last menstrual period?"
A client, G2 P1001, telephones the gynecology office complaining of left-sided pain. Which of the following questions by the triage nurse would help to determine whether the one-sided pain is due to an ectopic pregnancy? a) "Did you have any complications with your first pregnancy?" b) "When was the first day of your last menstrual period?" c) "When did you have your pregnancy test done?" d) "How old were you when you first got your period?"
Uterine contractions
A diabetic pregnant client has developed polyhydramnios. The client should be taught to report which of the following? a) Marked fatigue b) Puerperal rash c) Uterine contractions d) Reduced urinary output
Immediately notify the physician
A few hours after being admitted with a diagnosis of inevitable abortion, a client begins to experience bearing-down sensations and suddenly expels the products of conception in bed. To give safe nursing care, the nurse should first: a) Check the fundus for firmness b) Immediately notify the physician c) Give her the sedation ordered d) Take her immediately to the DR
Uterus is tender to palpate
A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the obstetrics unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present? a) Painless, bright red vaginal bleeding b) Absence of abdominal pain c) A soft abdomen d) Uterus is tender to palpate
"I'm here to talk if you would like."
A nurse is caring for a 25-year-old client who has just had a spontaneous first trimester abortion. Which of the following comments by the nurse is appropriate? a) "You can try again very soon." b) "It is probably better this way." c) "At least you weren't very far along." d) "I'm here to talk if you would like."
Monitor renal function and cardiac function closely Keep calcium gluconate on hand in case of a magnesium sulfate overdose Notify the physician if urinary output is less than 30 ml per hour Monitor deep tendon reflexes hourly Monitor I and O's hourly
A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Select all nursing interventions that apply in the care for the client. SELECT ALL THAT APPLY a) Monitor renal function and cardiac function closely b) Keep calcium gluconate on hand in case of a magnesium sulfate overdose c) Notify the physician if urinary output is less than 30 ml per hour d) Monitor maternal vital signs every 2 hours e) Notify the physician if respirations are less than 18 per minute. f) Monitor deep tendon reflexes hourly g) Monitor I and O's hourly
Clean and maintain an open airway
A nurse is caring for patient Poly who is diagnosed with preeclampsia. The nurse prepares a plan of care that if Poly progresses from preeclampsia to eclampsia, which of the following should be the nurse's first action? a) Administer oxygen by face mask b) Clean and maintain an open airway c) Assess the blood pressure and fetal heart rate d) Administer magnesium sulfate intravenously
Evacuation of molar pregnancy Possible chemotherapy Frequent follow ups Serial hCG levels
A patient is admitted to the hospital after noticing that she is experiencing vaginal bleeding with vesicles that passed out into the vagina. The nurse is discussing to her the possible treatment options for the patient. Identify ALL the treatment options for molar pregnancies? a) Radiation b) Evacuation of molar pregnancy c) Possible chemotherapy d) Frequent follow ups e) Serial hCG levels
Proteinuria, headaches, double vision
A patient is diagnosed with Pregnancy-Induced-Hyperetension (PIH). Which of the following symptoms indicates the presence of the problem? a) Proteinuria, headaches, double vision d) Headaches, double vision, vaginal bleeding c) Proteinuria, double vision, uterine contractions d) Proteinuria, headaches, vaginal bleeding
"I may start to experience dark red bleeding with pain."
A patient who is 28 weeks pregnant has partial placenta previa. The student nurse is providing her health education to the patient about the condition and self-care. Which statement of the patient requires the need to to re-educate her? a) "I may start to experience dark red bleeding with pain." b) "My uterus should be soft and non-tender." c) "I will avoid sexual intercourse and douching throughout the rest of the pregnancy." d) "I will have another ultrasound at 32 weeks to re-assess the placenta's location."
Respiratory rate of 10 breaths per minute
A pregnant client diagnosed with preeclampsia is receiving magnesium sulfate therapy to help control seizure. A nurse discover that the client is experiencing toxicity from the medication in which of the following assessment? a) Respiratory rate of 10 breaths per minute b) Urine output of 30 ml/hr c) Positive for deep tendon reflex d) Serum magnesium level of 7 mEq/L
Recurring hypoglycemic episodes
A pregnant diabetic has been diagnosed with hydramnios. Which of the following would explain this finding? a) Recurring hypoglycemic episodes b) Excessive fetal urination c) Placental vascular damage d) Fetal sacral agenesis
Disseminated intravascular coagulation (DIC).
A pregnant woman arrives at the emergency room with abruptio placentae at 36 weeks' gestation. She's at risk for which of the following blood disorder? a) Heparin-associated thrombosis and thrombocytopenia (HATT). b) Disseminated intravascular coagulation (DIC). c) Thrombocytopenia d) Idiopathic thrombocytopenic purpura (ITP).
Assess for vaginal bleeding and clear fluid leakage every shift.
A sonogram shows Lorna who is beginning preterm labor, has a placenta previa. The nurse identifies which measure as the priority to ensure her safety? a) Perform a daily vaginal exam to assess the extent of the previa. b) Keep her physically active to avoid a deep vein thrombosis. c) Assess for vaginal bleeding and clear fluid leakage every shift. d) Keep her nothing by mouth (NPC) as she will need an emergency cesarean birth.
Swelling of the calf in one leg
A student nurse is caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy. Which assessment finding is least likely to be associated with disseminated intravascular coagulation? a) Prolonged clotting times b) Petechiae, oozing from injection sites, and hematuria c) Swelling of the calf in one leg d) Decreased platelet count
Elevated temperature
A woman who is at 32 weeks gestation has had ruptured membranes for 26 hours. A nurse should assess the womain for which of the following manifestations? a) Elevated temperature b) Proteinuria c) Constipation
The patient will need to have a c-section and cannot deliver vaginally.
A woman, who is on her mid-pregnancy, has a routine ultrasound performed. The ultrasound shows that the placenta is located at the edge of the cervical opening. As the nurse you know that which of the following statement is FALSE about this finding? a) This is known as marginal placenta previa. b) The patient will need to have a c-section and cannot deliver vaginally. c) The woman should report any bleeding immediately to the doctor. d) The placenta may move upward as the pregnancy progresses and needs to be re-evaluated with another ultrasound at about 32 weeks gestation.
Pregnancy-induced hypertension
Abruption placenta is most likely to occur in a woman with: a) Cephalopelvic disproportion b) Hyperthyroidism c) Pregnancy-induced hypertension d) Cardiac disease
Maintain a patent airway
Alicia is pregnant and diagnosed to have eclampsia, begins to experience a seizure. Which of the following would the nurse in charge do first? a) Pad the side rails b) Place a pillow under the left buttock c) Insert a padded tongue blade into the mouth d) Maintain a patent airway
Delivery of the fetus
An ultrasound is performed on a client at 38 week gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placentae is present. Based on these findings, which of the following should the nurse prepare the client for? a) The need for weekly monitoring of coagulation studies until the time of delivery b) Strict monitoring of intake and output c) Complete bed rest for the remainder of the pregnancy d) Delivery of the fetus
Pain
As Nurse Evie is preparing for her care to a patient with ectopic pregnancy, which of the following would be the priority nursing diagnosis? a) Pain b) Knowledge Deficit c) Risk for infection d) Anticipatory Grieving
Metrorrhagia
Bleeding between menstrual periods
Streptooccus
Cellulitis a) Staphyloccocus aerus b) Sarcoptes scabies c) Streptooccus d) Trichophyton rubrum e) Trichophyton tonsurans
Abruptio placenta, thromboplastin
Disseminated intravascular coagulation (DIC) can occur in __________. This happens because when the placenta becomes damaged and detaches from the uterine wall, large amounts of __________ are released into mom's circulation, leading to clot formation and then clotting factor depletion. a) Abruptio placentae, fibrinogen b) Placenta previa, fibrinogen c) Abruptio placenta, thromboplastin d) Placenta previa, platelets
Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.
Ester a 27 -year- old who is in her early trimester with OB score of G2P0 was admitted in the emergency room due to abdominal pain and spotting. she ask the nurse " What did I do wrong that time", what is the best response of the Nurse? a) Avoid sexual intercourse. b) Avoid alcohol intake. c) Avoid cigarette smoking d) Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.
Side of the bone
Greenstick a) Diagonal to a bone's long axis b) One part of the bone has been twisted c) Rright angles of the long axis of bone d) Side of the bone e) Results in 3 or more bone fragments
Maintain hydration and electrolyte levels
Hana is brought to the hospital and admitted with a diagnosis of hyperemesis gravidarum. She is 28 weeks pregnant. Which is the priority nursing intervention, until the hyperemesis can be resolved? a) Decrease gastrointestinal hypermotility b) Maintain hydration and electrolyte levels c) Encourage unlimited visitors d) Increase vitamin and iron intake
WRONG: The tube to rupture
If the ectopic pregnancy is not managed and the fertilized egg continues to grow in the fallopian tube, it can cause which of the following occurence? a) Shock b) All of the choices are correct c) Cause extreme lightheadedness d) The tube to rupture e) Fainting
Staphyloccocus aerus
Impetigo a) Staphyloccocus aerus b) Sarcoptes scabies c) Streptooccus d) Trichophyton rubrum e) Trichophyton tonsurans
Meconium-stained fluid
In which of the following clinical situations would it be appropriate for an obstetrician to order a labor nurse to perform amnioinfusion? Select all a) Late decelerations b) Polyhydramnios c) Meconium-stained fluid d) Placental abruption
True
Infection in the uterus may cause PROM and may also be a complication following PROM. True False
Any bleeding, such as in the gums, petechiae, and purpura.
Irene is pregnant in the last trimester and is admitted to the hospital with a diagnosis of severe preeclampsia. The nurse monitors for complications associated with the diagnosis and assesses her for which of the following manifestations? a) Complaints of feeling hot when the room is cool b) Any bleeding, such as in the gums, petechiae, and purpura. c) Enlargement of the breasts d) Periods of fetal movement followed by quiet periods
Prepare the patient for an immediate surgery
Julianne is admitted to your care with a diagnosis of ectopic pregnancy. Which of the following actions would you anticipate when taking care of a patient with ectopic pregnancy? a) Prepare the patient for an immediate surgery b) Encourage patient to have adequate bed rest c) Provide enema to the patient as prescribed d) Instruct patient that she will maintain an NPO status
Position her in a side lying position and assess fetal heart rate and contractions.
Lorna's partner brought her to the emergency room due to symptoms of preterm labor. The ER nurse identifies which action is priority? a) Obtain blood for an HCG hormone assessment. b) Encourage her to carefully walk so the fetal head maintains pressure on her cervix. c) Ensure no one initiates intravenous fluid infusion because hypervolemia exacerbates preterm labor. d) Position her in a side lying position and assess fetal heart rate and contractions.
Mittelschmerz
Match the items correctly Abdominal pain during ovulation a) Menorrhagia b) Dysmenorrhea c) Amenorrhea d) Mittelschmerz e) Metrorrhagia
Menorrhagia
Match the items correctly Abnormally heavy menstrual flow greater than 80 ml per menses a) Menorrhagia b) Dysmenorrhea c) Amenorrhea d) Mittelschmerz e) Metrorrhagia
Amenorrhea
Match the items correctly Absence or cessation of menstrual flow a) Menorrhagia b) Dysmenorrhea c) Amenorrhea d) Mittelschmerz e) Metrorrhagia
Dysmenorrhea
Match the items correctly Painful menstruation a) Menorrhagia b) Dysmenorrhea c) Amenorrhea d) Mittelschmerz e) Metrorrhagia
"Are you experiencing any shoulder pain?"
Mrs. Cruz is admitted to the ER complaining of a sharp lower right abdominal pain. During the nursing history, she reports that her last menstrual period was 7 weeks ago. A question the nurse would ask is: a) "Can you feel a hard mass on your right side?" b) "Are you experiencing any shoulder pain?" c) "How many children do you have?" d) "Have you ever been pregnant before?"
Save any clots or material passed for your health care provider to examine.
Myrna had a miscarriage when she was younger, after addressing her immediate psychosocial needs, the nurse identifies which nursing education is best for a woman who says she is miscarrying? a) Use tampon to put pressure on your cervix and stop the bleeding. b) Save any clots or material passed for your health care provider to examine. c) Continue light activity as usual because most spotting during pregnancy is harmless. d) Lie down and remain on bed rest for 24 hours to stop the bleeding.
Hyperemesis gravidarum
Nausea and vomiting that continues past the first trimester and is severe in nature is termed: a) Hyperemesis gravidarum b) Toxoplasmosis c) Toxemia of pregnancy d) Morning sickness
Monitoring apical pulse
Nurse Evie is preparing to care for a patient who is newly admitted to the hospital with a possible diagnosis of ectopic pregnancy. Nurse Evie develops a plan of care for the client and determines that which of the following nursing actions is the priority for her patient with ectopic pregnancy? a) Monitoring temperature b) Assessing for edema c) Monitoring weight d) Monitoring apical pulse
Diagonal to a bone's long axis
Oblique a) Diagonal to a bone's long axis b) One part of the bone has been twisted c) Rright angles of the long axis of bone d) Side of the bone e) Results in 3 or more bone fragments
True
PROM may occur if the uterus is over-stretched by malpresentation of the fetus, multiple pregnancy or excess amniotic fluid. True False
RhIG
Rina has an Rh-negative blood type. Her electronic record shows she had a previous miscarriage at 16 weeks into her last pregnancy. What medication should the nurse check of what she received following her miscarriage to minimize isoimmunization? a) RhIG b) Packed RBC transfusion c) Ferrous Sulfate d) Misoprostol
Decreased cardiac output
What is the most appropriate nursing diagnosis for a client with a ruptured ectopic pregnancy would be? a) Risk for infection b) Fluid volume excess c) Altered health maintenance d) Decreased cardiac output
One part of the bone has been twisted
Spiral a) Diagonal to a bone's long axis b) One part of the bone has been twisted c) Rright angles of the long axis of bone d) Side of the bone e) Results in 3 or more bone fragments
False
The fetal membranes are so strong that blunt trauma to the abdomen is unlikely to cause PROM. True False
Seizures do not occur
The nurse is monitoring her patient with preeclampsia who is receiving magnesium sulfate. The patient is receiving effective therapy with which of the following manifestations? a) Ankle clonus in noted b) The blood pressure decreases c) Scotomas are present d) Seizures do not occur
Stimulate the production of surfactant.
The physician ordered Betamethasone to a pregnant woman at 34 weeks of gestation with sign of preterm labor. The nurse expects that the drug will: a) Treat infection. b) Stimulate the production of surfactant. c) Suppress labor contraction. d) Reduce the risk of hypertension.
Oozing around the IV site
The student nurse is performing a head-to-toe assessment on a pregnant patient admitted with abruptio placentae. Which of the following assessment findings would the student immediately report to the physician? a) Hard abdomen b) Vaginal bleeding c) Tender uterus d) Oozing around the IV site
Scoliometer
This is being use to measure trunk asymmetry: a) Scoliometer b) Speedometer c) Scalometer d) All of the choices
Trichophyton tonsurans
Tinea Capitis a) Staphyloccocus aerus b) Sarcoptes scabies c) Streptooccus d) Trichophyton rubrum e) Trichophyton tonsurans
Trichophyton rubrum
Tinea Pedis a) Staphyloccocus aerus b) Sarcoptes scabies c) Streptooccus d) Trichophyton rubrum e) Trichophyton tonsurans
Potential fluid volume deficit
To which of the following nursing diagnosis should the nurse assign highest priority for the client with hyperemesis gravidarum? a) Altered health maintenance b) Potential fluid volume deficit c) Risk for fatigue Risk for infection d) Risk for infection
Rright angles of the long axis of bone
Transverse a) Diagonal to a bone's long axis b) One part of the bone has been twisted c) Rright angles of the long axis of bone d) Side of the bone e) Results in 3 or more bone fragments
Painless bright red bleeding Normal fetal heart rate Abnormal fetal position
What are the expected signs and symptoms are expected of pregnant client with placenta previa? SELECT ALL THAT APPLY a) Hard, tender uterus b) Normal fetal heart rate c) Painless bright red bleeding d) Rigid abdomen e) Abnormal fetal position
Glucocorticoids
What can be given to women in preterm labor in order to induce fetal surfactant production? a) NSAIDs b) Mineralocorticoids c) Immunomodulators d) Sex hormones e) Glucocorticoids
To enlarge and deepen the socket
What is the main goal of management in a case of congenital hip dislocation? a) To enlarge and deepen the socket b) To minimize movement c) To facilitate ambulation d) To straighten the lower limbs
It should not be given to clients with hypotension. It is a calcium channel blocker. Aids in relaxing the uterus
What is true about nifedipine? Select all that apply a) It is given by IV. b) It is a CNS depressant. c) It aids in relaxing the uterus. d) It should not be given to clients with hypotension. e) It is a calcium channel blocker.
Nifedipine Progesterone
What may a doctor prescribe to help prevent preterm labor or birth? Select all that apply a) Estrogen b) Oxytocin c) Cerclage d) Nifedipine e) Progesterone
Prevent seizures
When administering Magnesium Sulfate (MgSO4) to a pregnant client diagnosed with preeclampsia, which of the following indicates that the nurse understands that the drug is given to? a) Slow the process of labor b) Increase dieresis c) Prevent seizures d) Reduce blood pressure
Is the back pain coming and going at regular time intervals?
When assessing a pregnant client, which question should be asked by the student nursen to rule out preterm labor in a client reporting back pain? a) Is the back pain worse when you change positions? b) Is the back pain constant? c) Is the back pain coming and going at regular time intervals? d) Is the back pain worse when you urinate?
Hydatidiform mole
When teaching students about molar pregnancy, which term is used to refer to a type of gestational trophoblastic neoplasm? a) Bartholin's cyst b) Hydatidiform mole d) Dermoid cyst e) Doderlein's bacilli
Snowstorm" pattern on ultrasound with no fetus or gestational sac
When teaching students about patient with molar pregnancy, which of the following symptoms occur with the condition? a) Benign tumors found in the smooth muscle of the uterus b) Heavy, bright red bleeding every 21 days c) Fetal cardiac motion after 6 weeks gestation d) "Snowstorm" pattern on ultrasound with no fetus or gestational sac
Symmetrical rib cage
Which among the following assessment findings is least likely to a patient with scoliosis? a) Uneven hips b) Symmetrical rib cage c) Uneven shoulders d) Uneven bra strap marks
Fluconazole
Which among the following is a drug of choice for tinea capitis? a) Econazole b) Fluconazole c) Penicillin d) Erythromycin
Miconazole
Which among the following is a drug of choice for tinea corporis? a) Miconazole b) Econazole c) Penicillin d) Erythromycin
Atopic eczema
Which among the following skin alterations is characterized by inflammation that results in itchy, red, swollen and cracked skin? a) Atopic eczema b) Cellulitis c) Tinea cruris d) Impetigo
Type 1 & 4
Which among the following types of OI is a mild manifestation of the disease? a) Type 1 & 4 b) Type 1 & 3 c) Type 3 & 4 d) Type 2 & 3
Ritodrine
Which drug is used to manage preterm labor by causing smooth muscle relaxation? a) Ritodrine b) Estrogen c) Oxytocin d) Prostaglandin
Facial edema Elevated blood pressure
Which of the following are specific manifestations indicative of Preeclampsia? SELECT ALL THAT APPLY a) Facial edema b) Negative urinary protein c) Increased respirations d) Elevated blood pressure
The client complains of a headache and blurred vision
Which of the following assessment findings would indicate that a pregnant client with mild preeclampsia is worsening and the need to notify the physician? a) Urinary output has increased b) Blood pressure reading is at the prenatal baseline c) The client complains of a headache and blurred vision d) Dependent edema has resolved
Corticosteroids
Which of the following drugs is given to a patient in preterm labor to specifically prevent surfactant deficient? a) Terbutaline b) Magnesium c) Surfactant d) Corticosteroids
Hepa B vaccine
Which of the following is not classified as personal protective equipment? a) Gloves b) Goggles c) Hepa B vaccine d) Lab coat
Pelvic pain and vaginal bleeding
Which of the following is the firs warning sign of ectopic pregnancy? a) Pelvic pain and vaginal bleeding b) Headache c) Nausea and vomiting d) Lightheadedness
A 20 year old pregnant female who is a cocaine user A 37 year old woman who is pregnant with her 7th child.
Which of the following patients are at risk for developing placenta previa? A 28 year old pregnant female with chronic hypertension. SELECT ALL THAT APPLY a) A 28 year old pregnant female with chronic hypertension. b) A 20 year old pregnant female who is a cocaine user. c) A 25 year old female who is 36 weeks pregnant that has experienced trauma to abdomen. d) A 37 year old woman who is pregnant with her 7th child.
Passage of clear vesicular mass per vagina
Which of the following signs and symptoms will most likely make the student nurse suspect and report that the patient is having hydatidiform mole? a) Enlargement of the uterus b) Passage of clear vesicular mass per vagina c) Absence of fetal heart beat d) Slight bleeding
Nursing interventions for this condition includes measuring the fundal height.
Which of the following statement is TRUE about abruptio placenta? a) A marginal abruptio placenta occurs when the placenta is located near the edge of the cervical opening. b) Fetal distress is not common in this condition as it is in placenta previa. c) Nursing interventions for this condition includes measuring the fundal height. d) This condition occurs due to an abnormal attachment of the placenta in the uterus near or over the cervical opening.
Pooling of amniotic fluid on speculum exam with valsalva
Which of the following tests is most diagnostic of rupture of membranes? a) Nitrazine paper or swab changing color when placed in the vagina b) Reported history of a large gush of fluid c) Ferning of suspected amniotic fluid seen under a microscope d) Maximum vertical pocket less than 2cm on ultrasound e) Pooling of amniotic fluid on speculum exam with valsalva
Monitor CBC and clotting levels Placing patient on side-lying position Monitoring pad count
Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient's care? SELECT ALL THAT APPLY a) Assess internal fetal monitoring b) Monitoring CBC and clotting levels c) Routine vaginal examinations d) Administer RhoGAM per physician's order e) Placing patient on side-lying position f) Monitoring pad count
