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Terms in this set (77)A woman diagnosed with preeclampsia is to recieve magnesium sulfate. The rationale for this drug is to: A. Reduce CNS irritability and prevent seizures. Reduce CNS irritability and prevent seizures. A woman is suspected of having abruptio placentae. Which of the following would the nurse expect to assess as a classic symptom? A. Painless, bright-red bleeding "Knife-like" abdominal pain RhoGAM is given to Rh-negative women to prevent maternal sensitization. In addition to pregnancy, Rh-negative women would also receive this medication after which of the following? a. Therapeutic or spontaneous abortion Therapeutic or spontaneous abortion After teaching a woman about hyperemesis gravidarum and how it differs from the typical nausea and vomiting of pregnancy, which statement by the woman indicates that the teaching was successful? a. "I can expect the nausea to last through my second trimester." "I need to avoid strong odors, perfumes, or flavors." A pregnant woman, approximately 12 weeks' gestation, comes to the emergency department after calling her health care provider's office and reporting moderate vaginal bleeding. Assessment reveals cervical dilation and moderately strong abdominal cramps. She reports that she has passed some tissue with the bleeding. The nurse interprets these findings to suggest which of the following? a. Threatened
abortion Inevitable abortion A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which of the following would be the priority for this woman on admission? a) Performing a vaginal examination to assess the extent of bleeding Assessing fetal heart tones by use of an external monitor When administering magnesium sulfate to a woman with severe preeclampsia, which finding would alert the nurse to the development of magnesium toxicity? a) Serum magnesium level of 6.5 mEq/L Diminished reflexes A woman you care for has an Rh-negative blood type. Following the birth of her infant, you administer her Rho(D) (D immune globulin). The purpose of this is to a) Stimulate maternal D immune antigens. Prevent maternal D antibody formation. When assessing a pregnant woman with vaginal bleeding, which finding would lead the nurse to suspect an inevitable abortion? a) No passage of fetal tissue Strong abdominal cramping A novice nurse asks to be assigned to the least complex antepartum patient. Which of the following conditions would necessitate the least complex care requirements? a) Pre-ecalmpsia. Gestational hypertension. Rhogam (Rh immune globulin) will be ordered for an RH - mother undergoing which of the following tests? a) Contraction test Amniocentesis A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. Which of the following would be the most likely cause of these symptoms? a) Placenta previa obstructing the cervix Premature separation of the placenta A nurse is caring for a pregnant client with eclamptic seizure. Which of the following should the nurse know as a characteristic of eclampsia? a) Respiration fails after the seizure. Coma occurs after seizure. The nurse is required to monitor a pregnant client with fallopian tube rupture. Which of the following interventions should a nurse perform to identify development of hypovolemic shock in this client? a) Monitor the client's beta-hCG level. Monitor the client's vital signs, bleeding. A woman has been diagnosed as having pregnancy-induced hypertension. Which of the following is the most typical symptom of this? a) Susceptibility to infection Blood pressure elevation A patient is admitted at 22 weeks gestation with advanced cervical dilatation to 5 centimeters, cervical insufficiency, and a visible amniotic sac at the cervical opening. What is the primary goal for this patient at this point? a) Education on causes of cervical insufficiency for the future Bed rest to maintain pregnancy as long as possible A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which of the following instructions should a nurse give this client? a) Avoid dry crackers, toast, and soda. Eat small, frequent meals throughout the day. A young woman presents at the emergency department with complaints of lower abdominal cramping and spotting at 12 weeks' gestation. The physician performs a pelvic examination and finds that the cervix is closed. What does the physician suspect is the cause of the cramps and spotting? a) Habitual abortion Threatened abortion A woman is admitted with a diagnosis of ectopic pregnancy. For which of the following would you anticipate beginning preparation? a) Bed rest for the next 4 weeks Immediate surgery Which of the following changes in B/P assessment findings during the second trimester indicate the highest risk for preeclampsia. a) Initial BP 110/60, current BP 112/86. Initial BP 100/70, current BP 140/90 A woman of 16 weeks' gestation telephones you because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which of the following would you instruct the woman to do? a) "Continue normal activity, but take your pulse every hour." "Come to the health facility with any vaginal material passed." A client at 11 weeks' gestation experiences pregnancy loss. The client asks the nurse if the bleeding and cramping that occurred during the miscarriage were caused by working long hours in a stressful environment. What is the most appropriate response from the nurse? a) "I can understand your need to find an answer to what caused this. Let's talk about this further." "I can understand your need to find an answer to what caused this. Let's talk about this further." A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which of the following is a known risk factor for ectopic pregnancy? a) Use of IUD for contraception Use of IUD for contraception A pregnant client is admitted to a health care unit with disseminated intravascular coagulation (DIC). Which of the following orders is the nurse most likely to receive regarding the therapy for such a client? a) Give each unit of blood to raise the hematocrit by 3 g/dL Administer cryoprecipitate and platelets A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy? a) Reverse edema Prevent maternal seizures 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? a) Obtain a voided urine specimen and determine blood type. Palpate the fundus and check fetal heart rate. A 28-year-old woman presents in the emergency room with severe abdominal pain. She has not had a normal period for 2 months but she reports that that is not abnormal for her. She has a history of endometriosis. What might the nurse suggest to the physician as a possible cause of the patient's abdominal pain? a) Molar pregnancy Ectopic pregnancy Vaginal bleeding during pregnancy is always a deviation from the normal. a) False True A nurse is caring for a client with hyperemesis gravidarum. Which of the following should be the first choice for fluid replacement for this client? a) IV fluids and antiemetics 5% dextrose in lactated Ringer solution with vitamins and electrolytes The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving Magnesium Sulfate: 97.3, P88, R10, blood pressure 148/110. What other priority physical assessment by the nurse should be implemented to assess for potential toxicity? a) Reflexes Reflexes A woman with an incomplete abortion is to receive misoprostol. The nurse understands that the rationale for administering this drug is to: a) Ensure passage of all the products of conception Ensure passage of all the products of conception
A patient with preeclampsia is receiving magnesium sulfate. Which of the following nursing assessments should be ongoing while the medication is being administered? a) Hemoglobin. Respiratory rate. A young mother delivers twin boys who shared the same placenta. What serious complication are they at risk for? a)
TORCH syndrome Twin-to-twin transfusion syndrome (TTTS) A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does this indicate? a) Fetal distress related to hypoxia Fetal distress related to hypoxia A woman is being admitted to your hospital unit for severe preeclampsia. When deciding on where to place her, which of the following areas would be most appropriate? a) In the back hallway where there is a quiet, private room In the back hallway where there is a quiet, private room In returning to the hospital floor after a weekend off, the nurse takes over care of a pregnant patient who is resting in a darkened room. The patient is receiving betamethasone and magnesium sulfate. What could the nurse deduce from those findings? a) The patient is suffering from severe
preeclampsia and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby's lungs mature quickly so that they can deliver as soon as possible. The patient is suffering from severe preeclampsia and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby's lungs mature quickly so that they can deliver as soon as possible. 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? a) Hypertension. Pregnancy loss. A pregnant client has been admitted with complaints 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 of the following? a) Placenta previa Molar pregnancy Which of the following would the nurse prepare to administer if ordered as treatment for an unruptured ectopic pregnancy? a) Promethazine Methotrexate A client experiences a threatened abortion. She is concerned about losing the pregnancy and asks what activity level she should maintain. What is the most appropriate response from the nurse? a) "Carry on with the activity you engaged in before this happened." "Restrict your physical activity to moderate bedrest." The nurse is required to assess a pregnant client who is complaining of vaginal bleeding. Which of the following assessments should be considered as a priority by the nurse? a) Monitoring uterine contractility Assessing the amount and color of the bleeding What makes the diagnosis of gestational hypertension different from the diagnosis of preeclampsia? a) Proteinuria Proteinuria A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which of the following is the biggest concern regarding this client? a) Hemorrhaging Preterm rupture of membranes followed by preterm birth A client is seeking advice for his pregnant wife, who is experiencing mild elevations in blood pressure. In which of the following positions should a nurse recommend the pregnant client rest? a) Left lateral lying position Lateral recumbent position A client visits a health care facility with complaints of amenorrhea for 10 weeks, fatigue, and breast tenderness. Which of the following additional signs and symptoms suggest the presence of molar pregnancy? Select all that apply. a) Dyspareunia • Elevated hCG levels A client in her 20th week of gestation develops HELLP syndrome. Which of the following should the nurse consider as features of HELLP syndrome? Select all that apply. a) Hemolysis • Hemolysis Which of the following would be the physiologic basis for a placenta previa? a) A placenta with
multiple lobes Low placental implantation Select the statement by the pregnant woman that indicates the need for more teaching about preeclampsia. a) "If I have changes in my vision, I will lie down and rest." "If I have changes in my vision, I will lie down and rest." A primipara at 36 weeks gestation is being monitored in the prenatal clinic for risk of preeclampsia. Which of the following signs or symptoms is the priority concern for the nurse? a) A systolic blood pressure increase of 10 mm
hg. A dipstick value of 2+ for protein. A pregnant client is brought to the health care facility with signs of PROM. Which of the following are the associated conditions and complications of premature rupture of the membranes? Select all that apply. a) Placenta previa • Prolapsed cord A woman and her partner present at her first antenatal obstetrics appointment. She is 6 weeks pregnant. Her blood tests show that she is Rh negative although she has not previously known this. She has no other children but suspects that she miscarried early in a pregnancy 2 years previously. She felt fine afterward so she never received medical attention for that suspected episode. Her partner reports that he is also Rh negative. What action will the nurse be likely to take? a) The nurse will perform all normal procedures and follow-up tasks because the Rh status of the patient and the child are not a concern at this time. The nurse will perform all normal procedures and follow-up tasks because the Rh status of the patient and the child are not a concern at this time. Which of the following would the nurse most likely include when planning the care for a woman requiring hospitalization for hyperemesis gravidarum? Select all that apply. a) Obtaining baseline blood electrolyte levels • Maintaining NPO status for the first day or two The nurse is caring for a pregnant client with severe preeclampsia. Which of the following nursing interventions should a nurse perform to institute and maintain seizure precautions in this client? a) Keep head of bed slightly elevated. Keep the suction equipment readily available. A pregnant woman is diagnosed with abruptio placentae. When reviewing the woman's medical record, which of the following would the nurse expect to find? a) Firm, rigid uterus on palpation Firm, rigid uterus on palpation A client in her first trimester has just experienced a miscarriage. The nurse knows that which of the following is the most likely cause of the miscarriage? a) Lack of sufficient progesterone produced by the corpus luteum Abnormal fetal development You are caring for a patient with preeclampsia. You know that you need to auscultate this patient's lung sounds every two hours. Why would you do this? a) Pulmonary emboli Pulmonary edema When providing counseling on early pregnancy loss, the nurse should include what as the most common cause for spontaneous abortion? a) The age of the mother Chromosomal defect A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which of the following assessments would be most important prior to administering a new dose? a) Pulse rate Patellar reflex Sometimes an ectopic pregnancy occurs outside the woman's uterus. This usually occurs in one of the fallopian tubes. If the embryo continues to grow, it may rupture the tube. What are the signs and symptoms of a ruptured fallopian tube? a) Shoulder pain Shoulder pain When caring for a client with premature rupture of membranes (PROM), the nurse observes an increase in the client's pulse. What does this increase in pulse indicate? a) Preterm labor Infection A nurse is explaining to a group of nursing students that eclampsia or seizures in pregnant women are preceded by an acute increase in maternal blood pressure. Which of the following are features of an acute increase in blood pressure? Select all that apply. a) Proteinuria • Proteinuria When assessing a woman with an ectopic pregnancy, which of the following would lead the nurse to suspect that the tube has ruptured? a) Nausea Referred shoulder pain A woman is 9 weeks gestation and admitted to the obstetrical unit for hyperemesis gravidarum. The highest priority intervention the nurse should anticipate is which of the following? a) IV rehydration NPO for 24 hours A client has been admitted to the hospital with a diagnosis of severe pre-eclampsia. Which of the following is the priority nursing? a) Administer oxygen by face mask Confine the client to bed rest in a darkened room A postpartum mother has the following lab data recorded: RH negative and rubella titer is positive. What is the appropriate nursing intervention? a) Administer RhoGam within 72 hours. Administer RhoGam within 72 hours. To which of the following patients being discharged for home must the nurse stress that it is absolutely critical the patient return for monthly follow-up visits? A woman who: a) Has experienced a complete spontaneous abortion Has experienced a molar pregnancy 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 of the following conditions? a) Gestational hypertension Mild pre-eclampsia A 45-year-old pregnant woman with type O blood has had an amniocentesis to rule out Down syndrome. The fetus has type AB blood. What can the nurse warn the patient is a likely outcome if some fetal blood mixed with maternal blood during the procedure? a) The baby will develop hemolytic anemia. The baby will have postdelivery jaundice. A woman in labor is at risk for abruptio placentae. Which of the following assessments would most likely lead you to suspect that this has happened? a) Painless vaginal bleeding and a fall in blood pressure. Sharp fundal pain and discomfort between contractions. Which of the following would the nurse include in the plan of care for a woman with premature rupture of membranes if her fetus's lungs are mature? a) Reduction in physical activity level Labor induction A woman develops HELLP syndrome. During labor, which of the following orders would you question? a) Assess
her blood pressure every 15 minutes. Prepare her for epidural anesthesia. The nurse is caring for a woman who is 28 weeks pregnant and has been hospitalized with moderate bleeding which seems to be stabilizing; she is asleep on her side. While checking the fetal monitor tape the nurse notices that the baseline has gradually increased with late decelerations. What is the first action the nurse will take? a) Reposition the mother in a semirecumbent position on her back. Administer oxygen to the mother. Immediate treatment is O2. A client reports to her obstetrician complaining of a significant amount of bright red, painless vaginal bleeding. A sonogram reveals that her placenta has implanted low in the uterus and is partially covering the cervical os. Which of the following immediate care measures should the nurse initiate? (Select all that apply.) a) Perform a pelvic examination • Place the woman on bed rest in a side-lying position You are caring for a young woman who is in her 10th week of gestation. She comes into the clinic complaining of vaginal bleeding. Which assessment finding best correlates with a diagnosis of hydatidiform mole? a) Bright red painless vaginal bleeding Dark red, "clumpy" vaginal discharge A nurse is assessing pregnant clients for the risk of placenta previa. Which of the following clients faces the greatest risk for this condition? a) A client who had undergone a myomectomy to remove fibroids A client who had undergone a myomectomy to remove fibroids A pregnant client with severe pre-eclampsia has developed the HELLP syndrome. In addition to the observations necessary for pre-eclampsia, what other nursing intervention is critical for this patient? a) Maintaining a patent airway Observation for bleeding A client in her 38th week of gestation is admitted into the labor and birth unit with painless bleeding from the vagina. The client is diagnosed with placenta previa. When reviewing the client's history, which of the following would the nurse identify as a risk factor for placenta previa? a) Maternal age more than 30 years Previous cesarean birth Sets found in the same folderOB: Chapter 20 Nursing Management of the Pregnancy…79 terms Tiffany_Sloan Chapter 22: Nursing Management of the Postpartum W…90 terms
krystal_nicole5 Chapter 12 Nursing Management during Pregnancy24 terms mirela_sparano Chapter 20- Nursing Management of the Pregnancy at…27 terms Mcody83 Other sets by this creatorMark Klimek Blue book (ALL) NCLEX Study Guide793 terms hillarymalara Mark Klimek Yellow Book (KV)500 terms hillarymalara ATI2 terms hillarymalara ATI Lab Values 201965 terms hillarymalara Other Quizlet setsATI: Enteral Tube Feeding Test10 terms AshleyAnn00 Ch 6 infection control fundamentals41 terms Maria_Garcia16 Sollars Genetics94 terms RachelMaddox Related questionsQUESTION How much folic acid does a pregnant woman need? 15 answers QUESTION What is the zygote made of? 7 answers QUESTION Why are babies at risk for hypoglycemia? 8 answers QUESTION What are some causes of vaginal prolapse? 13 answers What is the nursing priority for placenta previa?Administering oxygen may be helpful, but the priority is to change the woman's position and relieve cord compression. Treatment of partial placenta previa includes bed rest, hydration, and careful monitoring of the client's bleeding.
What are nursing interventions for placenta previa?Planning. How will you manage a patient with placenta previa?Treatment / Management. With the diagnosis of placenta previa, the patient is scheduled for elective delivery at 36 to 37 weeks via cesarean section. ... . Patients with excessive or continuous vaginal bleeding should be delivered via cesarean section regardless of gestational age.. When Managing placenta previa What is the plan of care if the patient is at home?Home care is not always appropriate, and women who remain at home must be able to access medical care immediately should bleeding resume. Women with placenta previa in the 3rd trimester of pregnancy are advised to avoid sexual intercourse and exercise and to reduce their activity level.
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When planning care for a patient admitted to the hospital with placenta previa the nurses primary goal is to?
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