Question 1

The nurse caring for a patient 1 hour post-salpingostomy recognizes which priority of care?&#10;A) Psychosocial support&#10;B) Administration of RhoGAM&#10;C) Pain management&#10;D) Fertility planning&#10;

Accepted Answer

One hour post-salpingostomy, pain management should be the priority of care as the patient may experience discomfort and require medication to manage the pain. Psychosocial support, administration of RhoGAM, and fertility planning are important aspects of care for this patient but may not be the immediate priority at this time.

Question 2

When caring for a pregnant patient with a history of recreational cocaine use,the nurse recognizes the woman is at risk for which disorders? (Select all that apply.)&#10;A) Placenta previa&#10;B) Placenta abruption&#10;C) Placenta accreta&#10;D) Hydatidiform mole&#10;E) Pre-eclampsia&#10;

Accepted Answer

Placenta previa&#10;Placenta abruption

Question 3

The nurse is caring for a patient who is in the third trimester of pregnancy and has been diagnosed with severe pre-eclampsia.Which is the nurse's priority intervention to prevent seizures?&#10;A) Monitoring hourly urine output and protein&#10;B) Monitoring fetal well-being&#10;C) Checking for hyperreflexia&#10;D) Maintaining a low-stimulation environment&#10;

Accepted Answer

Maintaining a low-stimulation environment is the priority intervention to prevent seizures in a patient with severe pre-eclampsia. This includes dimming lights, reducing noise, and limiting the number of visitors to the room. Other interventions such as monitoring urine output and protein, checking for hyperreflexia, and monitoring fetal well-being are also important but do not directly prevent seizures.

Question 4

The nurse is caring for a patient with blood type O-negative following a spontaneous abortion.Which is the priority of care?&#10;A) Providing emotional support&#10;B) Administering oxytocin&#10;C) Notifying the laboratory for a blood type and crossmatch&#10;D) Administering RhoGAM&#10;

Accepted Answer

Administering RhoGAM is the priority for a patient with blood type O-negative following a spontaneous abortion to prevent Rh sensitization, which can lead to complications in future pregnancies.

Question 5

The nurse is caring for one patient with chronic hypertension and another patient with gestational hypertension and recognizes which as the primary difference between the two?&#10;A) The patient with gestational hypertension does not require medication.&#10;B) The patient with chronic hypertension needs to maintain a low-sodium diet.&#10;C) Blood pressure in gestational hypertension returns to normal 12 weeks postpartum.&#10;D) Chronic hypertension carries greater risk of fetal complications.&#10;

Accepted Answer

The primary difference between chronic hypertension and gestational hypertension is that gestational hypertension typically resolves 12 weeks postpartum, while chronic hypertension is a long-term condition that requires ongoing management. Both types of hypertension can require medication, dietary modifications, and carry risks for fetal complications, but the duration of the hypertension is the key difference.

Question 6

A nursing assessment reveals heavy vaginal bleeding; a firm,boardlike abdomen; contractions lasting 3 minutes with less than 30 seconds between them; and uterine tenderness in a woman last assessed to be 3 cm dilated and in early labor.Which is the nurse's priority of care?

A) Frequent vital signs and fetal heart tones
B) Notification of the health-care provider
C) Assessment and documentation of pain levels
D) Providing emotional support

Accepted Answer

The priority of care in this situation is to notify the health-care provider immediately. The signs and symptoms described suggest the woman may be experiencing a uterine rupture or placental abruption, which are medical emergencies. The provider needs to be notified so that appropriate interventions can be initiated promptly. Frequent vital signs and fetal heart tones, pain assessment and documentation, and emotional support can all be addressed once the woman's condition has been stabilized.

Question 7

While caring for a patient diagnosed with an ectopic pregnancy,the nurse recognizes which sign as an indication of hypovolemic shock?&#10;A) Elevated blood pressure&#10;B) Decreased heart rate&#10;C) Lethargy&#10;D) Confusion&#10;

Accepted Answer

Confusion is a sign of hypovolemic shock due to decreased blood flow to the brain.

Question 8

The nurse is caring for a patient who is 18 weeks pregnant and has a complete placenta previa.Which risk factor will the nurse assess for?&#10;A) Multiple pregnancies&#10;B) History of premature delivery&#10;C) Endometriosis&#10;D) Excessive exercise&#10;

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

The nurse who is caring for a pregnant woman diagnosed with gestational diabetes includes which topics in the teaching plan? (Select all that apply.)&#10;A) Blood sugar monitoring four times a day&#10;B) Eating six meals per day&#10;C) Including carbohydrates with every meal&#10;D) Maintaining blood sugar level at less than 120 mg/dL&#10;E) Reducing daily activity&#10;

Accepted Answer

The answer of The nurse who is caring for a...

Question 10

The nurse provides teaching for a patient with hyperemesis gravidarum and determines further teaching is needed when the patient makes which statement?&#10;A) &#34;I will sip water throughout the day.&#34;&#10;B) &#34;I will call the provider if there is any blood in the vomit.&#34;&#10;C) &#34;I will be sure to eat three good meals a day.&#34;&#10;D) &#34;I will not eat spicy or fatty foods till I feel better.&#34;&#10;

Accepted Answer

Patients with hyperemesis gravidarum often have difficulty keeping down food and may need to eat small, frequent meals or snacks throughout the day. Aiming for three large meals may not be realistic and could lead to further nausea and vomiting.

Question 11

The nurse teaches a patient with hyperemesis gravidarum when to notify the provider.The nurse recognizes clarification is needed when the patient says she will notify the provider for which sign?&#10;A) Dark urine&#10;B) Bloody vomit&#10;C) Inability to keep food down for 24 hours&#10;D) Frequent urination&#10;

Accepted Answer

The answer of The nurse teaches a patient with hyperemesis...

Question 12

Which woman is at greatest risk for Rh incompatibility?&#10;A) A mother who has O- blood type,the father has A- blood type&#10;B) A mother who has AB- blood type,the father has O+ blood type&#10;C) A mother who has O+ blood type,the father has B- blood type&#10;D) A mother who has A+ blood type,the father has B+ blood type&#10;

Accepted Answer

The answer of Which woman is at greatest risk for...

Question 13

The nurse is caring for a pregnant woman with a positive indirect Coombs test and type O- blood.Her last pregnancy resulted in the delivery of an infant with hemolytic anemia.Which is the priority of care?

A) Administer RhoGAM
B) Monitor the woman for anemia
C) Administer immunoglobulin at 28 weeks' gestation
D) Prepare the patient for premature delivery

Accepted Answer

The answer of The nurse is caring for a pregnant...

Question 14

A pregnant woman presents to the clinic at 16 weeks' gestation with lack of fetal movement.Ultrasonography reveals fetal demise.How does the nurse document this pregnancy?&#10;A) Threatened abortion&#10;B) Inevitable abortion&#10;C) Complete abortion&#10;D) Missed abortion&#10;

Accepted Answer

The answer of A pregnant woman presents to the clinic...

Question 15

When planning care,the nurse recognizes which pregnant woman as being at greatest risk for gestational diabetes?&#10;A) A Caucasian adolescent with a diabetic mother who participates on the high school swim team&#10;B) A 28-year-old Native American whose last pregnancy ended with a stillbirth&#10;C) An African American adolescent with a history of cystic fibrosis and hypertension&#10;D) A 22-year-old Caucasian woman whose last baby weighed 11 lb 3 oz at birth&#10;

Accepted Answer

The answer of When planning care,the nurse recognizes which pregnant...

Question 16

When discharging a woman following a spontaneous abortion,the nurse instructs her to report which priority complication?&#10;A) Difficulty becoming pregnant again&#10;B) Increased risk of future fetal demise&#10;C) Infection&#10;D) Weakness and lethargy&#10;

Accepted Answer

The answer of When discharging a woman following a spontaneous...

Question 17

A patient is informed that her pregnancy is a complete molar pregnancy and says to the nurse,&#34;So my baby died?&#34; What is the nurse's best response?&#10;A) &#34;Yes,I'm afraid that's true,but you can get pregnant again.&#34;&#10;B) &#34;The pregnancy resulted in the development of a placenta,but there was no baby.&#34;&#10;C) &#34;This is a genetic abnormality that resulted in a nonviable fetus.&#34;&#10;D) &#34;Have you ever experienced a molar pregnancy before?&#34;&#10;

Accepted Answer

The answer of A patient is informed that her pregnancy...

Question 18

The labor nurse admits a patient who is known to be carrying quadruplets at 28 weeks' gestation and is in active labor.The nursing plan of care will include all of the following except what?&#10;A) Encouraging the woman to verbalize her fears and ask questions&#10;B) Continuous monitoring of fetal heart rates&#10;C) Preparing the woman for prolonged vaginal delivery times&#10;D) Ensuring that extra nurses and physicians will attend the birth&#10;

Accepted Answer

The answer of The labor nurse admits a patient who...

Question 19

The nurse is caring for a woman carrying multiple gestations.When providing nutritional teaching,the nurse encourages which dietary changes?&#10;A) Increased calcium and reduced fat and calories&#10;B) Increased folic acid and calcium and reduced protein&#10;C) Increased calories,protein,and iron&#10;D) Increased fat and calories with reduced protein&#10;

Accepted Answer

The answer of The nurse is caring for a woman...

Question 20

A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion,with acute vaginal bleeding and abdominal pain accompanied by shoulder pain.What does the nurse suspect as the cause?

A) Threatened abortion
B) Ectopic pregnancy
C) Gestational trophoblastic disease
D) Hyperemesis gravidarum

Accepted Answer

The answer of A woman presents to the emergency department...

Deck 7: Nursing Care of the Woman With Complications During Pregnancy