Unit 1 Test OB
Hand face edema
A client at 24 weeks gestation has gained 6 pounds in 4 weeks. which of the following would be the priority when assessing the client?
Increased fiber intake
A client in her this trimester tells the nurse, "i'm constipated all the time!" Which of the following should the nurse recommend?
Above the umbilicus on the client's right side.
A client presents to a labor and delivery unit at 38 weeks gestation. Before applying an external fetal monitor, the nurse presorts Leopold's Maneuver and finds a hard, distinct mass in the upper right quadrant of the client's uterus. Where should the RN anticipate finding the fetal heart tones?
-- Place the client on electronic fetal monitor -- Administer betamethasone IM
A client who is 23 years old, gravid 2, para 1 with a twin gestation is admitted to a labor and delivery at 20 weeks gestation with complaints of lower abdominal pain and decreased fetal movement. which interventions should a nurse expect to preform? (Select all that apply)
Keep her room darkened and limit nursing visits. Modified bed rest in a lateral position can decrease the client's blood pressure and increase that placental perfusion.
A nurse is caring for a client hospitalized with severe pregnancy- induced hypertension (PIH). What would be an appropriate intervention for this client?
-- Tetonic uterine contractions -- Premature rupture of membranes -- Severe abdominal pain -- Rigid, board- like abdomen
A nurse is caring for a patient at 35 weeks gestation who has been admitted to an obstetrics unit with abrupt placentae. Which symptoms are likely to be a result of the placental abruption? (select all that apply)
Prolapsed umbilical cord. In a breech postion, because of the space between the presenting part and the cervix, prolapse of the umbilical cord his common.
A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?
"There is a possibility that you may develop the 2 diabetes at some point in the future" There is about 75% chance that a woman with gestational diabetes will develop type 2 diabetes in the future.
A pregnant client expresses concern about her gestational diabetes and asks the nurse, "Does this mean I will be diabetic for the rest of my life?" Which is the most appropriate response by the nurse?
Chadwick's sign
During a pelvic exam the nurse notes a purple-blue tinge of the cervix. the nurse documents this as which of the following?
Preeclampsia with liver involvement Hemolysis Elevated Liver function test Low Platelet count
HELLP Syndrome
calcium gluconate
Magnesium toxicity is treated with
Implantation of the placenta in the lower segment of the uterus. - Must have C-section with complete previa - Bleeding with no pain
Placenta previa
Classic - Hypertension - Proteinuria (protein in urine) Additional - Vasoconstriction in retina - Brisk DTR's(deep tendon reflexes) - Liver, renal, hepatic dysfunction - Generalized edema
Preeclampsia Signs (patient will most likely not notice)
-- Headache, drowsiness, mental confusion -- Visual disturbances -- Numbness or tingling of hands and feet
Preeclampsia Symptoms (patient will notice)
20-37 weeks gestation
Preterm
Meconium
The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?
September 27
The client tells the nurse that her last menstrual period started on January 14 and ended on January 10. Using Naegele's rule, the nurse determines her EDD to be which of the following?
The woman diagnosed with phenylketonuria (PKU). The client with PKU must receive counseling from a registered dietitian.
The nurse has taken the history on four primigravida clients at their first prenatal visits. It is high priority that which of the following clients receives nutritional counseling?
Dietary intake
When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?
Doppler placed midline at the suprapubic region
When preparing to listen to the fetal heart rate at 12 weeks gestation, the nurse would use which of the following?
Pain
Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
A total gain of 25 to 30 pounds
Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?
Fetal heart rate via a Doppler.
The nurse notes each of the following finding in a 10 week gestation client. which of the findings would enable the nurse to tell the client that she is positively pregnant?
Separation of a normally implanted placenta before the fetus is born. - bleeding with pain
Abruptio Placenta
Obtaining an order to begin IV oxytocin infusion
After 4 hours of active labor, the nurse notes that the contractions of a primigravida patient are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?
Passive movement of the unengaged fetus
Ballottement
