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Week 10 BSN 346 Substance Misuse in Pregnancy Questions With Complete Solutions
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Week 10 BSN 346 Substance Misuse in Pregnancy Questions With Complete Solutions
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Week 10 BSN 346 Substance Misuse in Pregnancy QuestionsWith Complete Solutions
Assessment of High-Risk Pregnancy:
Question 1 of 6
The nurse is responsible for intake history at an obstetrics and
gynecology (OB/GYN) office. Which medical conditions would
the nurse recognize as high-risk conditions that could have
adverse outcomes on a pregnancy?
Select all that apply.
Hemophilia
Type 1 diabetes mellitus
Human immunodeficiency virus (HIV)
Chronic hypertension
Xeroderma Correct Answer Hemophilia
Hemophilia is a coagulopathy that increases a woman's risk in
pregnancy.
Type 1 diabetes mellitus
Type 1 diabetes mellitus is a medical condition that exists before
pregnancy and can have serious adverse health outcomes for the
pregnant mother and fetus.
Human immunodeficiency virus (HIV)
HIV is a medical diagnosis that can have adverse outcomes on a
pregnancy.
Chronic hypertension
Chronic hypertension can cause adverse outcomes for a mother
and fetus during pregnancy.
Concurrent Conditions of Pregnancy:
Question 1 of 18
,The nurse understands that which concurrent condition during
pregnancy is the leading cause of maternal mortality in the
United States today?
Cytomegalovirus (CMV)
Human immunodeficiency virus (HIV)
Cardiovascular disease
Anemia secondary to blood loss Correct Answer
Cardiovascular disease
Cardiovascular disease is now the leading cause of maternal
mortality in the United States today.
Hypertensive Disorders of Pregnancy:
Question 1 of 3
The nurse understands that the definition of preeclampsia
includes diagnostic criteria of a blood pressure of ______mm
Hg on two or more occasions at least 4 hours apart. Correct
Answer 140/90
Preeclampsia is new onset hypertension (140/90 on two or more
occasions at least 4 hours apart) usually diagnosed after 20
weeks' gestation that usually, but not always includes the
presence of proteinuria
Mental Health Disorders During Pregnancy:
Question 1 of 7
Which statement by the nurse is an appropriate response when
the pregnant patient asks about the safety of psychiatric
medication during pregnancy?
"The medications used to treat mental illness will cause birth
defects, so you should discontinue your antidepressants."
,"Your mental wellness is an important part of pregnancy
wellness, and continuing your medication is sometimes
necessary."
"All psychiatric medications have been proven to cross the
placenta and cause birth defects in babies."
"Your obstetrician should have enough information to prescribe
your antipsychotics without consulting with your psychiatrist."
Correct Answer "Your mental wellness is an important part of
pregnancy wellness, and continuing your medication is
sometimes necessary."
Many patients are encouraged to continue their medications
throughout pregnancy under the guidance of a health care
provider.
Question 1 of 12
Which finding would the nurse recognize as indicating
progression of preeclampsia to eclampsia?
Proteinuria
Weight gain in the absence of edema
Pitting edema in the absence of weight gain
A generalized seizure not attributed to other causes Correct
Answer A generalized seizure not attributed to other causes
Generalized seizure is the defining sign of eclampsia.
Question 1 of 4
Which hypertensive disorder would the nurse suspect this
patient has based upon the information provided?
Gestational hypertension
Chronic hypertension
Preeclampsia
Eclampsia Correct Answer Preeclampsia
, Preeclampsia is new onset hypertension, usually diagnosed after
20 weeks gestation, that typically, but not always, includes the
presence of proteinuria. This patient has severe hypertension, a
headache, and proteinuria with no previous history of elevated
blood pressure.
Question 1 of 7
How many ounces of alcohol are considered safe in the first
trimester of pregnancy?
18 to 22
12 to 16
0
4 to 8 Correct Answer 0
No amount of alcohol is considered safe at any point in
pregnancy.
Question 1 of 9
Which cause of spontaneous abortion is the most common?
Infectiont
Congenital anomalies
Vaginal bleeding
Anomalies of the maternal reproductive tract Correct Answer
Congenital anomalies
Severe congenital abnormalities that are incompatible with life
are the most common causes of spontaneous abortions.
Question 10 of 12
When assessing a patient with preeclampsia on magnesium
sulfate for seizure prophylaxis, the nurse notes the patient
demonstrates hyperreflexia (+4). How does the nurse interpret
this patient cue?
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