Question 1

Which finding in the assessment of a patient following an abruption placenta could indicate a major complication?

Accepted Answer

A)   Urine output of 30 mL in 1 hour
B)   Blood pressure of 110/60 mm Hg
C)   Bleeding at IV insertion site
D)   Respiratory rate of 16 breaths per minuteE) B) and C)
F) B) and D)

Question 2

A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take?

Accepted Answer

A)   Increase the patient's IV fluids.
B)   Administer calcium gluconate.
C)   Vigorously stimulate the patient.
D)   Instruct the patient to take deep breaths.E) None of the above
F) A) and D)

Question 3

The rate of obesity in the United States has reached epidemic proportions. Morbidity and mortality for both the mother and baby are increased in these circumstances. The nurse caring for the patient with an elevated BMI should be cognizant of these potential complications and plan care accordingly. Significant risks include (Select all that apply.)

Accepted Answer

A)   Breech presentation
B)   Ectopic pregnancy
C)   Birth defects
D)   Venous thromboembolism
E)   Postpartum anemiaF) C) and E)
G) D) and E)

Question 4

In which situation would a dilation and curettage (D&C)  be indicated?

Accepted Answer

A)   Complete abortion at 8 weeks
B)   Incomplete abortion at 16 weeks
C)   Threatened abortion at 6 weeks
D)   Incomplete abortion at 10 weeksE) A) and B)
F) B) and C)

Question 5

A patient with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate

Accepted Answer

A)   gastrointestinal upset.
B)   effects of magnesium sulfate.
C)   anxiety caused by hospitalization.
D)   worsening disease and impending convulsion.E) A) and C)
F) A) and B)

Question 6

Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?

Accepted Answer

A)   Cardiomyopathy
B)   Mitral valve prolapse
C)   Rheumatic heart disease
D)   Congenital heart diseaseE) B) and C)
F) A) and D)

Question 7

A patient, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

Accepted Answer

A)   Her two children should be treated with acyclovir before she goes home from the hospital.
B)   The baby will acquire immunity from her and will not be susceptible to chickenpox.
C)   The children can visit their mother and baby in the hospital as planned but must wear gowns and masks.
D)   She must make arrangements to stay somewhere other than her home until the children are no longer contagious.E) A) and B)
F) A) and C)

Question 8

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action?

Accepted Answer

A)   Ask the patient when she last had anything to eat or drink.
B)   Take a culture of the lesions to verify the involved organism.
C)   Ask the patient if she has had unprotected sex since her outbreak.
D)   Use electronic fetal surveillance to determine a baseline fetal heart rate.E) All of the above
F) None of the above

Question 9

For the patient who delivered at 6:30 AM on January 10, Rho(D)  immune globulin (RhoGAM)  must be administered prior to

Accepted Answer

A)   6:30 AM on January 13.
B)   6:30 PM on January 13.
C)   6:30 PM on January 14.
D)   6:30 AM on January 15.E) All of the above
F) B) and D)

Question 10

What is the priority nursing intervention for the patient who has had an incomplete abortion?

Accepted Answer

A)   Methylergonovine (Methergine) , 0.2 mg IM
B)   Preoperative teaching for surgery
C)   Insertion of IV line for fluid replacement
D)   Positioning of patient in left side-lying positionE) C) and D)
F) None of the above

Question 11

A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient's magnesium level is 7.6 mg/dL. What is the nurse's priority action?

Accepted Answer

A)   Stop the infusion of magnesium.
B)   Assess the patient's respiratory rate.
C)   Assess the patient's deep tendon reflexes.
D)   Notify the health care provider of the magnesium level.E) B) and D)
F) A) and C)

Question 12

The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?

Accepted Answer

A)   Edema
B)   Proteinuria
C)   Glucosuria
D)   HypertensionE) A) and B)
F) A) and C)

Question 13

A blood-soaked peripad weighs 900g. The nurse would document a blood loss of _____ mL.

Accepted Answer

A)   1800
B)   450
C)   900
D)   90E) B) and C)
F) A) and B)

Question 14

Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is

Accepted Answer

A)   varied depending on the stage of gestation.
B)   increased throughout pregnancy and the postpartum period.
C)   decreased throughout pregnancy and the postpartum period.
D)   should not change because the fetus produces its own insulin.E) C) and D)
F) None of the above

Question 15

The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose challenge test (GCT) . The nurse determines that the patient understands the teaching when she makes which statement?

Accepted Answer

A)   "I have to fast the night before the test."
B)   "I will drink a sugary solution containing 100 g of glucose."
C)   "I will have blood drawn at 1 hour after I drink the glucose solution."
D)   "I should keep track of my baby's movements between now and the test."E) B) and D)
F) B) and C)

Exam 10: Complications of Pregnancy

For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to

Correct Answer
verified

A patient with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate

Correct Answer
verified

In which situation would a dilation and curettage (D&C) be indicated?

Correct Answer
verified

Correct Answer
verified

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action?

Correct Answer
verified

The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose challenge test (GCT) . The nurse determines that the patient understands the teaching when she makes which statement?

Correct Answer
verified

What is the priority nursing intervention for the patient who has had an incomplete abortion?

Correct Answer
verified

Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is

Correct Answer
verified

A blood-soaked peripad weighs 900g. The nurse would document a blood loss of _____ mL.

Correct Answer
verified

A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take?

Correct Answer
verified

Which finding in the assessment of a patient following an abruption placenta could indicate a major complication?

Correct Answer
verified

A patient, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

Correct Answer
verified

The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?

Correct Answer
verified

A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient's magnesium level is 7.6 mg/dL. What is the nurse's priority action?

Correct Answer
verified

Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?

Correct Answer
verified

Exam 10: Complications of Pregnancy

For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to

Correct AnswerverifiedShow Answer

A patient with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate

Correct AnswerverifiedShow Answer

In which situation would a dilation and curettage (D&C) be indicated?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action?

Correct AnswerverifiedShow Answer

The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose challenge test (GCT) . The nurse determines that the patient understands the teaching when she makes which statement?

Correct AnswerverifiedShow Answer

What is the priority nursing intervention for the patient who has had an incomplete abortion?

Correct AnswerverifiedShow Answer

Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is

Correct AnswerverifiedShow Answer

A blood-soaked peripad weighs 900g. The nurse would document a blood loss of _____ mL.

Correct AnswerverifiedShow Answer

A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take?

Correct AnswerverifiedShow Answer

Which finding in the assessment of a patient following an abruption placenta could indicate a major complication?

Correct AnswerverifiedShow Answer

A patient, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

Correct AnswerverifiedShow Answer

The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia?

Correct AnswerverifiedShow Answer

A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient's magnesium level is 7.6 mg/dL. What is the nurse's priority action?

Correct AnswerverifiedShow Answer

Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?

Correct AnswerverifiedShow Answer

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