Quiz 5 OB

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? A. diminished reflexes B. serum magnesium level of 6.5 mEq/L C. elevated liver enzymes D. seizures

A. diminished reflexes

A pregnant woman has been admitted to the hospital due to preeclampsia with severe features. Which measure will be important for the nurse to include in the care plan? A. Plan for immediate induction of labor. B. Institute and maintain seizure precautions. C. Admit the client to the middle of ICU where she can be constantly monitored. D. Institute NPO status.

B. Institute and maintain seizure precautions.

A high-risk pregnant client is determined to have gestational hypertension. The nurse suspects that the client has developed preeclampsia with severe features based on which finding? A. proteinuria of 300 mg per 24 hours B. blurred vision C. mild facial edema D. blood pressure of 150/100 mm Hg

B. blurred vision

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) A. immune globulin? B. molar pregnancy C. STIs D. maternal trauma E. amniocentesis

C. STIs

A nurse is providing discharge teaching for a pregnant client with preeclampsia who will be managed at home on bedrest. The nurse determines that the teaching was successful based on which client statement? A. "I will check how often my baby kicks once per week." B. "I should check my blood pressure about 3 times per week." C. "I should lie on my back as much as I can." D. "I need to drink about 8 glasses of water a day."

D. "I need to drink about 8 glasses of water a day."

A nurse is reviewing the medical record of a pregnant client. The physical exam reveals that the placenta is implanted near the internal os but does not reach it. The nurse interprets this as which condition? A. Placenta accreta B. Placenta percreta C. Placenta increta D. Low-lying placenta

D. Low-lying placenta

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? A. strong abdominal cramping B. slight vaginal bleeding C. no passage of fetal tissue D. closed cervical os

A. strong abdominal cramping

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? A. methotrexate B. oxytocin C. promethazine D. ondansetron

A. methotrexate

A nurse is providing care to a multiparous client. The client has a history of cesarean births. The nurse anticipates the need to closely monitor the client for which condition? A. placenta accreta B. preeclampsia C. oligohydramnios D. placenta abruption

A. placenta accreta

A client has come to the office for a prenatal visit during her 24th week of gestation. On examination, it is noted that her blood pressure has increased to 146/94 mm Hg. Her urine is negative for proteinuria. Blood pressure assessment at 20 weeks' gestation was 142/92 mm Hg and urine was negative for protein. Blood pressure readings at previous visits ranged from 120/76 mm Hg to 126/80 mm Hg. The nurse suspects which condition? A. preeclampsia B. gestational hypertension C. HELLP D. chronic hypertension

B. gestational hypertension

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? A. alleviates strong uterine cramping B. suppresses the immune response to prevent isoimmunization C. ensures passage of all the products of conception D. halts the progression of the abortion

C. ensures passage of all the products of conception

A nurse is teaching a group of pregnant woman about bleeding that can occur early in pregnancy. The nurse determines that additional teaching is needed when the group identifies which condition as a common cause? A. GTD B. ectopic pregnancy C. placenta previa D. spontaneous abortion

C. placenta previa

A nurse is providing care to a pregnant client hospitalized with preeclampsia. The nurse immediately notifies the health care provider that the client has developed eclampsia based on which finding? A. Hyperreflexia B. Proteinuria C. Blood pressure greater than 160/100 mm Hg D. Seizure activity

D. Seizure activity

A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? A. fetal heart rate within normal range B. absence of pain C. bright red vaginal bleeding D. firm, rigid uterus on palpation

D. firm, rigid uterus on palpation