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True or false: the treatment for an incompetent cervix include performing a cerclage.

True.

The young prenatal patient which gestational diabetes mellitus says, "I am frightened that I will have to deal with insulin injections for the rest of the life." The nurse's best response would be:

It will most likely resolve 6 weeks or so after the baby is born.

A woman's glucose challenge test (GCT) results are 155 mg/dL at 1 hour post-glucose ingestion. Which of the following actions, as ordered by the physician, is appropriate?

Send the woman for a glucose tolerance test. & Teach the woman how to inject herself with insulin.

Incomplete abortion is when:

Some products of conception are expelled and some are retained.

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?

"I'm here to talk if you would like."

A client, who is 2 weeks postpartum, calls her obstetrician's nurse and states that she has had whitish discharge for 1 week but today she is "bleeding and saturating a pad about every 1/2 hour." Which of the following is an appropriate response by the nurse?

"The physician should see you. Please go to the emergency department."

A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, "Will I be able to deliver vaginally?" The nurse should explain:

A cesarean section is performed when the mother has total placenta previa.

A 25 week pregnant client, who had eaten a small breakfast, has been notified that her glucose challenge test results were 142 mg/dL 1 hour after ingesting the glucose. Which of the following is appropriate for the nurse to say at this time?

Because your test results are higher than normal, you will have to have another, more specific test.

A labor nurse is caring for a client, 38 weeks gestation, who has been diagnosed with symptomatic placenta previa. Which of the following physician orders should the nurse question?

Begin Oxytocin drip rate at 0.5 milliunits/min

A woman has had persistent lochia rubra for two weeks after her delivery and is experiencing pelvic discomfort. When subinvolution is diagnosed, the nurse explains that the usual treatment for this disorder is:

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 and order to prepare the client for which of the following?

Dilation and curettage.

Abruptio placentae is best defined as

Early separation of the placenta from the uterine wall.

A woman has an incomplete abortion followed by vacuum aspiration. She is now in the recovery room with her husband and is crying softly. Select the most appropriate nursing action.

Express your regret at their loss and remain nearby if they want to talk about it.

True or False: Hypotension is an early sign of postpartum hemorrhage.

False (Hypertension is more likely due to the fact that the heart needs to pump more to push what little blood is left)

True or false: A missed abortion is when the embryo dies and the placenta continues to grow.

False.

A 38 week gestation woman is in labor and delivery with a painful, board-like abdomen and progressively larger abdominal measurements. Which of the following assessments is appropriate at this time?

Fetal heart rate.

The labor nurse has just received a shift report on four gravid patients. Which of the patients should the nurse see first?

G1 P0000, 32 weeks, placenta abruption, fetal heart rate (15 min ago) 120 bpm.

A nurse is caring for four laboring women. Which of the women will the nurse carefully monitor for signs of abruptio placentae?

G5 P1211, cocaine abuser.

An insulin-dependent diabetic woman will require higher doses of insulin as which of the following pregnancy hormones increases in her body?

Human placental lactogen.

Because the mother is diabetic, the nurse caring for a macrosomic infant will do a focused assessment for which complication?

Hypoglycemia

A client has just been diagnosed with gestational diabetes. She cries, "Oh no! I will never be ale to give myself shots!!" Which of the following responses by the nurse is appropriate at this time?

I will work with you until you feel comfortable giving yourself the insulin.

A woman who is 9 weeks pregnant is experiencing heavy vaginal bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. The woman most likely had which type of spontaneous abortion?

Incomplete.

Which of the following signs/symptoms would the nurse expect to see in a woman with abruptio placentae?

Increasing fundal height measurements.

A woman is recovering at the gynecologist's office following a late first-trimester spontaneous abortion. At this time, it is essential for the nurse to check which of the following?

Maternal blood type.

A type 1 diabetic is being seen for preconception counseling. The nurse should emphasize that during the first trimester the woman may experience which of the following?

Need for less insulin that she normally injects.

A gravid woman, 36 weeks gestation with type diabetes, has just had a biophysical profile (BPP). Which of the following results should be reported to the obstetrician?

One fetal heart acceleration in 20 minutes.

A characteristic sign of placenta previa is:

Painless bleeding from the vagina.

A gestational diabetic, who requires insulin therapy to control her blood glucose levels, telephones the triage nurse complaining of dizziness and headache. Which of the following actions should the nurse take at this time?

Tell the client immediately to telephone her medical doctor.

Recurrent abortion occurs when:

There is a spontaneous loss of several pregnancies.

An ultrasound of a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. The nurse understands that this condition is known as:

Total placenta previa.

True or False: If massage and putting the infant to breast is not effective in controlling a boggy uterus, the physician may order methergine.

True.

A nurse who is caring for a pregnant diabetic should carefully monitor the client for which of the following? Select all that apply:

Urinary tract infection & Metabolic acidosis

Although the nurse has massaged the uterus every 15 minutes it remains flaccid, and the patient continues to pass large clots. The nurse recognizes that these signs indicate:

Uterine atony

A woman, 2 hours postpartum, is now experiencing increased lochia rubra, has passed several large clots, and is tachycardic. Priority nursing intervention should include which of the following? Select all that apply.

Uterine massage, Assessment of blood pressure, Assist the woman to breast feed, Notify the physician.

The nurse would suspect abruption placentae when the pregnant woman presents with:

Vaginal bleeding and back pain.