The Pregnant Client with a Chronic Hypertensive Disorder

After instructing a multigravid client at 10 weeks' gestation diagnosed with chronic hyper- tension about the need for frequent prenatal visits, the nurse determines that the instructions have been successful when the client states which of the following?

"I need close monitoring because I may have a small-for-gestational-age infant."

An obese 36-year-old multigravid client at 12 weeks' gestation has a history of chronic hypertension. She was treated with methyldopa (Aldomet) before becoming pregnant. When counseling the client about diet during pregnancy, the nurse realizes that the client needs additional instruction when she states which of the following?

"I need to reduce my caloric intake to 1,200 calories a day."

After reinforcing the danger signs to report with a gravida 2 client at 32 weeks' gestation with an elevated blood pressure, which client statements would demonstrate her understanding of when to call the physician's office? Select all that apply.

2. "If I see any bleeding, even if I have no pain." 3. "If I have a pounding headache that doesn't go away." 6. "If the baby seems to be more active than usual."

After giving instruction about the cause of the vaginal bleeding to a multigravid client at 36 weeks' gestation diagnosed with placenta previa, the nurse determines that the teaching has been effective when the client says that the bleeding results from which of the following?

Exposure of maternal blood sinuses.

When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, which of the following would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation (DIC)?

Fresh frozen platelets.

A 24-year-old client, G 3, P 1, at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's his- tory, which of the following factors might lead the nurse to suspect abruptio placentae?

History of cocaine use.

The nurse should do which of the following actions first when admitting a multigravid client at 36 weeks' gestation with a probable diagnosis of abruptio placentae?

Insert a large-gauge intravenous catheter.

When assessing a 34-year-old multigravid client at 34 weeks' gestation experiencing moderate vaginal bleeding, which of the following would most likely alert the nurse that placenta previa is present?

Painless vaginal bleeding.

Following a cesarean delivery for abruptio placentae, a multigravid client tells the nurse, "I feel like such a failure. None of my other deliveries were like this." The nurse's response to the client is based on the understanding of which of the following?

The client's feeling of grief is a normal reaction.

The nurse is caring for a 22-year-old G 2, P 2 client who has disseminated intravascular coagula- tion after delivering a dead fetus. Which fi ndings are the highest priority to report to the health care provider?

Urinary output of 25 mL in the past hour.

The physician orders whole blood replace- ment for a multigravid client with abruptio placen- tae. Before administering the intravenous blood product, the nurse should first:

Validate client information and the blood product with another nurse.