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What would be the physiologic basis for a placenta previa? You Selected: low placental implantation Correct response: low placental implantation Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 698. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 698 Add a Note Question 2 See full question 11s Report this Question A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect? You Selected: ensures passage of all the products of conception Correct response: ensures passage of all the products of conception Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 690. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 690 Add a Note Question 3 See full question 28s Report this Question A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time? You Selected: pregnancy loss Correct response: pregnancy loss Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 687. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 687 Add a Note Question 4 See full question 16s Report this Question A client with a history of cervical insufficiency is seen for reports of pink-tinged discharge and pelvic pressure. The primary care provider decides to perform a cervical cerclage. The nurse teaches the client about the procedure. Which client response indicates that the teaching has been effective? You Selected: "Purse-string sutures are placed in the cervix to prevent it from dilating." Correct response: "Purse-string sutures are placed in the cervix to prevent it from dilating." Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 696. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 696 Add a Note Question 5 See full question 12s Report this Question A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? You Selected: fetal distress related to hypoxia Correct response: fetal distress related to hypoxia Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 722. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 722 Add a Note Question 6 See full question 16s Report this Question A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess? You Selected: "knife-like" abdominal pain with vaginal bleeding Correct response: "knife-like" abdominal pain with vaginal bleeding Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 701. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 701 Add a Note Question 7 See full question 11s Report this Question The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client? You Selected: Monitor the client's vital signs and bleeding. Correct response: Monitor the client's vital signs and bleeding. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 691. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 691 Add a Note Question 8 See full question 9s Report this Question A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic of eclampsia? You Selected: Coma occurs after seizure. Correct response: Coma occurs after seizure. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 710. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 710 Add a Note Question 9 See full question 9s Report this Question A woman at 10 weeks gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize? You Selected: fundal height measurement of 18 cm Correct response: fundal height measurement of 18 cm Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 695. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 695 Add a Note Question 10 See full question 15s Report this Question A pregnant women calls the clinic to report a small amount of painless vaginal bleeding. What response by the nurse is best? You Selected: "Please come in now for an evaluation by your health care provider." Correct response: "Please come in now for an evaluation by your health care provider." Explanation: Bleeding during pregnancy is always a deviation from normal and should be evaluated carefully. It may be life-threatening or it may be something that is not a threat to the mother and/or fetus. Regardless, it needs evaluated quickly and carefully. Telling the client it may be harmless or serious is a reassuring statement, but does not advice for urgent evaluation. Having the mother lay on her left side and drink water is indicated for cramping.

A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm/Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next? You Selected: Check deep tendon reflexes. Correct response: Palpate the fundus, and check fetal heart rate. Explanation: The classic signs of abruptio placentae are pain, dark red vaginal bleeding, a rigid, board-like abdomen, hypertonic labor, and fetal distress. Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 703. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 703 Add a Note Question 2 See full question 12s Report this Question A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy? You Selected: use of IUD for contraception Correct response: use of IUD for contraception Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 691. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 691 Add a Note Question 3 See full question 9s Report this Question A pregnant client has been admitted with reports of brownish vaginal bleeding. On examination there is an elevated hCG level, absent fetal heart sounds, and a discrepancy between the uterine size and the gestational age. The nurse interprets these findings to suggest which condition? You Selected: gestational trophoblastic disease Correct response: gestational trophoblastic disease Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 695. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 695 Add a Note Question 4 See full question 9s Report this Question A nurse in the maternity triage unit is caring for a client with a suspected ectopic pregnancy. Which nursing intervention should the nurse perform first? You Selected: Assess the client's vital signs. Correct response: Assess the client's vital signs. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 691. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 691 Add a Note Question 5 See full question 9s Report this Question The nurse is caring for a pregnant client with severe preeclampsia. Which nursing intervention should a nurse perform to institute and maintain seizure precautions in this client? You Selected: Keep the suction equipment readily available. Correct response: Keep the suction equipment readily available. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 711. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 711 Add a Note Question 6 See full question 9s Report this Question The nurse is required to assess a pregnant client who is reporting vaginal bleeding. Which nursing action is the priority? You Selected: assessing the amount and color of the bleeding Correct response: assessing the amount and color of the bleeding Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 688. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 688 Add a Note Question 7 See full question 9s Report this Question A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: You Selected: hydatidiform mole. Correct response: hydatidiform mole. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 694. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 694 Add a Note Question 8 See full question 10s Report this Question A pregnant woman has been admitted to the hospital due to severe preeclampsia. Which measure will be important for the nurse to include in the care plan? You Selected: Institute and maintain seizure precautions. Correct response: Institute and maintain seizure precautions. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 712. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 712 Add a Note Question 9 See full question 10s Report this Question A 28-year-old client with a history of endometriosis presents to the emergency department with severe abdominal pain and nausea and vomiting. The client also reports her periods are irregular with the last one being 2 months ago. The nurse prepares to assess for which possible cause for this client's complaints? You Selected: Ectopic pregnancy Correct response: Ectopic pregnancy Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 692. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 692 Add a Note Question 10 See full question 12s Report this Question A 24-year-old client presents in labor. The nurse notes there is an order to administer RhoGAM after the birth of her infant. When asked by the client the reason for this injection, which reason should the nurse point out? You Selected: prevent maternal D antibody formation. Correct response: prevent maternal D antibody formation.

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding? You Selected: slight vaginal bleeding Correct response: slight vaginal bleeding Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 689. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 689 Add a Note Question 2 See full question 17s Report this Question Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? You Selected: methotrexate Correct response: methotrexate Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 691. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 691 Add a Note Question 3 See full question 12s Report this Question A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which concern is greatest regarding this client? You Selected: preterm rupture of membranes followed by preterm birth Correct response: preterm rupture of membranes followed by preterm birth Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 719. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 719 Add a Note Question 4 See full question 9s Report this Question A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? You Selected: elevated lipoproteins Correct response: elevated lipoproteins Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 716. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 716 Add a Note Question 5 See full question 9s Report this Question A 28-year-old client and her current partner present for the first antenatal OB appointment. The client has no children but does question a possible miscarriage 2 years ago; however, she never sought medical attention because she felt fine. Labs reveal both client and partner are Rh negative. Which action should the nurse prioritize? You Selected: Assess client for anti-D antibodies Correct response: Assess client for anti-D antibodies Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 718. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 718 Add a Note Question 6 See full question 11s Report this Question The nurse is assessing a 37-year-old woman who has presented in active labor and notes the client has an increased risk for abruptio placentae. Which assessment finding should the nurse prioritize? You Selected: Sharp fundal pain and discomfort between contractions Correct response: Sharp fundal pain and discomfort between contractions Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 700. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 700 Add a Note Question 7 See full question 11s Report this Question A primigravida 28-year-old client is noted to have Rh negative blood and her husband is noted to be Rh positive. The nurse should prepare to administer RhoGAM after which diagnostic procedure? You Selected: Amniocentesis Correct response: Amniocentesis Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 718. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 718 Add a Note Question 8 See full question 12s Report this Question The following hourly assessments are obtained by the nurse on a client with preeclampsia receiving magnesium sulfate: 97.3oF (36.2oC), HR 88, RR 1, BP 148/110 mm Hg. What other priority physical assessments by the nurse should be implemented to assess for potential toxicity? You Selected: Reflexes Correct response: Reflexes Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 711. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 711 Add a Note Question 9 See full question 13s Report this Question A client at 27 weeks' gestation is admitted to the OB unit afer reporting headaches and edema of her hands. Review of the prenatal notes reveals BP consistently above 136/90 mm Hg. The nurse anticipates the health care provider will order magneisum sulfate to accomplish which primary goal? You Selected: Decrease blood pressure Correct response: Prevent maternal seizures Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 710. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 710 Add a Note Question 10 See full question 10s Report this Question A client in her first trimester arrives at the emergency room with reports of severe cramping and vaginal spotting. On examination, the health care provider informs her that no fetal heart sounds are evident and orders a dilatation and curettage. The client looks frightened and confused and states that she does not believe in abortion. Which statement by the nurse is best? You Selected: "Unfortunately, the pregnancy is already lost. The procedure is to clear the uterus to prevent further complications."

A client in her 20th week of gestation develops HELLP syndrome. What are features of HELLP syndrome? Select all that apply. You Selected: low platelet count hemolysis elevated liver enzymes Correct response: hemolysis elevated liver enzymes low platelet count Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 717. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 717 Add a Note Question 2 See full question 9s Report this Question A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion? You Selected: strong abdominal cramping Correct response: strong abdominal cramping Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 689. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 689 Add a Note Question 3 See full question 10s Report this Question A woman in her 20s has experienced a miscarriage at 10 weeks' gestation and asks the nurse at the hospital what went wrong. She is concerned that she did something that caused her to lose her baby. The nurse can reassure the woman by explaining that the most common cause of spontaneous miscarriage in the first trimester is related to which factor? You Selected: Chromosomal defects in the fetus Correct response: Chromosomal defects in the fetus Explanation: Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 688. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 688 Add a Note Question 4 See full question 9s Report this Question What special interventions would the nurse implement in a client who is carrying twin fetuses? You Selected: Demonstrate to the client how to perform fetal movement counts after 32 weeks. Correct response: Demonstrate to the client how to perform fetal movement counts after 32 weeks. Explanation: Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, pp. 805-806. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 805-806 Add a Note Question 5 See full question 24s Report this Question A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which assessment should the nurse prioritize before administering a new dose? You Selected: blood pressure Correct response: patellar reflex Explanation: A symptom of magnesium sulfate toxicity is loss of deep tendon reflexes. Assessing for the patellar reflex or ankle clonus before administration is assurance the drug administration will be safe. Assessing the blood pressure, heart rate, or anxiety level would not reveal a potential magnesium toxicity.

The nurse is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds every 2 hours. Why would the nurse do this? You Selected: Pulmonary edema Correct response: Pulmonary edema Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 713. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 713 Add a Note Question 2 See full question 9s Report this Question A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client? You Selected: Administer IV NS with vitamins and electrolytes. Correct response: Administer IV NS with vitamins and electrolytes. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 705. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 705 Add a Note Question 3 See full question 21s Report this Question A nurse is describing the use of Rho(D) immune globulin as the therapy of choice for isoimmunization in Rh-negative women and for other conditions to a group of nurses working at the women's health clinic. The nurse determines that additional teaching is needed when the group identifies which situation as an indication for Rho(D) immune globulin? You Selected: STIs Correct response: STIs Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 718. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 718 Add a Note Question 4 See full question 10s Report this Question The nurse is teaching a client who is diagnosed with preeclampsia how to monitor her condition. The nurse determines the client needs more instruction after making which statement? You Selected: "If I have changes in my vision, I will lie down and rest." Correct response: "If I have changes in my vision, I will lie down and rest." Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 709. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 709 Add a Note Question 5 See full question 12s Report this Question The nurse is assessing a new client who is being admitted with gestational hypertension. Which nursing diagnosis should the nurse prioritize for this client? You Selected: Deficient fluid volume related to vasospasm of arteries

A pregnant client has been admitted with reports of brownish vaginal bleeding. On examination there is an elevated hCG level, absent fetal heart sounds, and a discrepancy between the uterine size and the gestational age. The nurse interprets these findings to suggest which condition? You Selected: gestational trophoblastic disease Correct response: gestational trophoblastic disease Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 695. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 695 Add a Note Question 2 See full question 17s Report this Question During a routine prenatal visit, a client is found to have proteinuria and a blood pressure rise to 140/90 mm Hg. The nurse recognizes that the client has which condition? You Selected: mild preeclampsia Correct response: mild preeclampsia Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 709. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 709 Add a Note Question 3 See full question 13s Report this Question A client has been admitted to the hospital with a diagnosis of severe preeclampsia. Which nursing intervention is the priority? You Selected: Confine the client to bed rest in a darkened room. Correct response: Confine the client to bed rest in a darkened room. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 712. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 712 Add a Note Question 4 See full question 12s Report this Question A client tells that nurse in the doctor's office that her friend developed high blood pressure on her last pregnancy. She is concerned that she will have the same problem. What is the standard of care for preeclampsia? You Selected: Have her blood pressure checked at every prenatal visit. Correct response: Have her blood pressure checked at every prenatal visit. Explanation: Reference: Ricci, S. S., Kyle, T., & Carman, S., Maternity and Pediatric Nursing, 3rd ed., Philadelphia, Wolters Kluwer, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 708. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 708 Add a Note Question 5 See full question 10s Report this Question The nurse is assessing a client at 12 weeks' gestation at a routine prenatal visit who reports something doesn't feel right. Which assessment findings should the nurse prioritize? You Selected: gestational hypertension, hyperemesis gravidarum, absence of FHR

Question 1 See full question 10s Report this Question A nurse is caring for a young woman who is in her 10th week of gestation. She comes into the clinic reporting vaginal bleeding. Which assessment finding best correlates with a diagnosis of hydatidiform mole? You Selected: Dark red, "clumpy" vaginal discharge Correct response: Dark red, "clumpy" vaginal discharge Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 695. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 695 Add a Note Question 2 See full question 11s Report this Question The nurse is caring for a pregnant client with severe preeclampsia. Which nursing intervention should a nurse perform to institute and maintain seizure precautions in this client? You Selected: Keep the suction equipment readily available. Correct response: Keep the suction equipment readily available. Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 711. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 711 Add a Note Question 3 See full question 11s Report this Question A 28-year-old client and her current partner present for the first antenatal OB appointment. The client has no children but does question a possible miscarriage 2 years ago; however, she never sought medical attention because she felt fine. Labs reveal both client and partner are Rh negative. Which action should the nurse prioritize? You Selected: Assess client for anti-D antibodies Correct response: Assess client for anti-D antibodies Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 718. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 718 Add a Note Question 4 See full question 10s Report this Question A woman at 37 weeks gestation presents to the labor and delivery area with symptoms of abruptio placentae. Which action should the nurse prioritize? You Selected: Ensure large bore IV access is obtained Correct response: Ensure large bore IV access is obtained Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 701. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 701 Add a Note Question 5 See full question 14s Report this Question A nurse is taking a history of a client at 5 weeks' gestation in the prenatal clinic; however, the client is reporting dark brown vaginal discharge, nausea, and vomiting. Which diagnosis should the nurse suspect? You Selected: gestational trophoblastic disease

Which measure would the nurse include in the plan of care for a woman with premature rupture of membranes if her fetus's lungs are mature? You Selected: labor induction Correct response: labor induction Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 722. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 722 Add a Note Question 2 See full question 8s Report this Question A pregnant client with multiple gestation arrives at the maternity clinic for a regular antenatal check up. The nurse would be aware that client is at risk for which perinatal complication? You Selected: congenital anomalies Correct response: congenital anomalies Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 721. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 721 Add a Note Question 3 See full question 9s Report this Question A pregnant client with severe preeclampsia has developed HELLP syndrome. In addition to the observations necessary for preeclampsia, what other nursing intervention is critical for this client? You Selected: observation for bleeding Correct response: observation for bleeding Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 717. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 717 Add a Note Question 4 See full question 10s Report this Question A nurse is assessing a pregnant client for the possibility of preexisting conditions that could lead to complications during pregnancy. The nurse suspects that the woman is at risk for hydramnios based on which preexisting condition? You Selected: diabetes Correct response: diabetes Explanation: Reference: Ricci, S. S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications, p. 719. Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications - Page 719 Add a Note Question 5 See full question 9s Report this Question The nurse understands the need to be aware of the potential of bleeding disorders in her pregnant clients. Which disorder should she be aware of that occurs in the second trimester? You Selected: Placenta previa