A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? correct answers Dehydration which impairs perfusion of the placenta and electrolyte and acid-base imbalance. (There are others...
A pregnant patient tells the nurse that she has been nauseated and vomiting. How will
the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?
correct answers Dehydration which impairs perfusion of the placenta and electrolyte
and acid-base imbalance. (There are others but these are the two she said we needed
to know for the test).
A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She
reports passing some tissue. Cervical dilation is noted on examination. What is the most
likely cause of these symptoms? correct answers Incomplete Abortion
What is a statement that gives an explanation of an ectopic pregnancy? correct
answers When the fertilized ovum (zygote) is implanted outside the uterine cavity.
An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted
over the entire cervical os. What does the nurse understand best describes this
condition? correct answers Placenta previa
What symptom presented by a pregnant women is indicative of abruptio placentae?
correct answers Pain and bleeding
What situation would concern the nurse about the presence of Rh incompatibility?
correct answers Erythroblastosis fetalis - Occurs when the maternal anti-Rh antibodies
cross the placenta and destroy fetal erythrocytes.
A primigravida in her first trimester is Rh negative. What will this woman receive to
prevent anti-Rh antibodies from forming? correct answers RhoGAM to be given at 28
weeks and within 72 hours of delivery to the mother.
A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths,
and polyhydramnios with each pregnancy. What does the nurse recognize these factors
highly suggest? correct answers Gestational Diabetes Mellitus
A nurse is providing prenatal education. The nurse will explain that pregnancy affects
glucose metabolism in what way? correct answers Hormones and the enzymes
(estrogen and progesterone) that are produced by the placenta have two effects:
§ Increasing the resistance of cells to insulin
§ Increase the speed of insulin breakdown
Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need
to take insulin during pregnancy? correct answers Oral hypoglycemic agents are
contraindicated during pregnancy.
, A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B.
She is afraid that her infant will also contract hepatitis B. What will the nurse explain to
this woman? correct answers Fetus may be infected transplacentally or by contact with
blood or vaginal secretions during delivery. Upon delivery, the neonate should receive a
single dose of hepatitis B immune globulin, followed by the hepatitis B vaccine.
A patient with gestational hypertension is exhibiting signs. What should the nurse report
immediately? correct answers Blood pressure of 140/90 or above, or proteinuria
because it is an indication that gestational hypertension has advanced to preclampsia;
which can lead to seizures
The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the
nurse explain is the objective of magnesium sulfate therapy for this patient? correct
answers Magnesium Sulfate is an anticonvulsant that is administered to prevent
seizures, it also slightly reduces blood pressure.
The nurse is caring for a pregnant woman receiving an intravenous infusion with
magnesium sulfate. What is the most appropriate nursing intervention? correct answers
Monitor respiratory rate because excessive magnesium can lead to respiratory
depression.
What drug will the nurse plan to have available for immediate IV administration
whenever magnesium sulfate is administered to a maternity patient? correct answers
Calcium gluconate: reverses the effects of magnesium sulfate
A woman who is 35 weeks pregnant has a total placenta previa. Will she be able to
deliver vaginally? correct answers NO. She will have to have a cesarean section.
What can result from maternal rubella during pregnancy? correct answers
Microcephally (small head size), mental retardation, congenital cataracts, deafness,
cardiac defects, Intrauterine Growth Restriction.
What symptom reported by a pregnant patient would lead the nurse to suspect
pyelonephritis? correct answers Flank pain/tenderness, high fever, chills,
nausea/vomiting
What does the nurse note when measuring the frequency of a laboring woman's
contractions? correct answers Elapsed time (in minutes or half minutes measured by
fractions EX: 4 ½ minutes) from the beginning of one contraction until the beginning of
the next contraction.
Why are the intervals between contractions important? correct answers The intervals
between contractions allow time for replenishment of oxygen to the fetus.
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