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Maternity Case 1 Olivia Jones (Core) Exam Questions And Answers
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Maternity Case 1 Olivia Jones (Core) ExamQuestions And Answers
Which of the following findings in a patient's prenatal history would be indicative to the
nurse of a risk for developing preeclampsia? (Select all that apply) a) Asian ethnicity b)
Body mass index less than 20 c) Low socioeconomic status d) First pregnancy e)
African-American ethnicity - Answer C,D,E Rationale: Risk factors include first
pregnancy, low socioeconomic status, poor nutrition, obesity, and African-American
ethnicity. Low BMI and Asian ethnicity are not risk factors for preeclampsia.
While providing the discharge education for a pregnant woman with preeclampsia, the
nurse would inform the patient that which fetal test will be done twice a week until the
baby is born?
A) Nonstress test
B) Biophysical profile
C) Fetal kick counts
D) Lecithin-sphingomyelin (L/S) ratio - Answer A
Rationale: A nonstress test is done to assess FHR reactivity to fetal movement and as an
indicator of fetal well-being. If the nonstress test is nonreactive, a biophysical profile
would be done. Fetal kick counts are done daily by the patient. An L/S ratio refers to a
measure of pulmonary maturity and is not specific to care of the patient with
preeclampsia.
During the physical examination the nurse discovers that the patient has swelling of the
hands and feet. The nurse presses her finger against the edematous skin and gets a 4
mm indentation that takes 15 seconds to disappear. The nurse records
A) 1+ pitting edema
B) 2+ pitting edema
C) 3+ pitting edema
D) 4+ pitting edema - Answer B
, Rationale:This finding exactly meets the criteria for 2+ pitting edema.
When the pregnant client is in which of the following positions does the nurse identify
that the blood pressure measurement is lowest?
a) Side lying
b) Supine
c) Sitting
d) Standing - Answer A
Rationale:A side-lying position has the lowest blood pressure measurements because
this position displaces the weight of the gravid uterus from the major vessels, thereby
decreasing resistance to blood flow.
Which of the following best describes the presentation of preeclampsia?
A) Hypertension with proteinuria, which develops after 20 weeks gestation
B) Hypertension with pedal edema which develops after 20 weeks gestation
C) Hypertension with seizure activity after the 28th week of pregnancy
D) Preexisting hypertension before pregnancy, with proteinuria developing before
20Wks gestation ANS A
Rationale: Preeclampsia is a disease of the latter half of pregnancy, characterized by
the presence of pregnancy-related hypertension and proteinuria. The development of
seizures changes the diagnosis to eclampsia.
The patient's support person asks the nurse, "What kind of care will she need at home?"
The nurse would tell the patient and support person that they need to monitor which of
the following at home? (Select all that apply)
a) Blood pressure twice a day
b) Changes in fundal height
c) Fetal movement
d) Daily weight
e) Oral temperature - Answer A,C,D
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