Question 1

A preterm labor patient is receiving betamethasone.When the patient asks what this is for,the best response by the nurse would be:

Accepted Answer

Betamethasone is a corticosteroid given to women at risk of preterm delivery to help mature the baby's lungs and reduce the severity of respiratory distress in the newborn. It does not reduce uterine irritability, prevent seizures, or reduce softening of the cervix.

Question 2

The piece of assessment data that would constitute a diagnosis of preterm labor is:

Accepted Answer

Preterm labor is diagnosed when there are more frequent contractions, specifically eight or more in one hour, which indicates increased uterine activity that could lead to premature birth.

Question 3

A multiple-gestation client has just had her first biophysical profile (BPP)of 8 at 33 weeks' gestation.When would she return for the next BPP?

Accepted Answer

The normal interval for BPP testing in a multiple-gestation pregnancy is every 2-3 weeks. Given that the client had a BPP of 8 (which is normal) at 33 weeks' gestation, she should return for the next BPP in 1-2 weeks.

Question 4

A baby born to a mother who had oligohydramnios could show signs of:

Accepted Answer

Oligohydramnios is a condition where there is a low level of amniotic fluid around the baby in the uterus. This can lead to compression of the baby's lungs and restricted lung development, causing respiratory difficulty after birth. Hypertension, heart murmur, and decreased temperature are not directly associated with oligohydramnios.

Question 5

Which statements about multiple-gestation pregnancies are accurate? Select all that apply.

Accepted Answer

The answer of Which statements about multiple-gestation pregnancies are accurate?...

Question 6

A client is admitted to Labor and Delivery with a history of ruptured membranes for 2 hours.This is her sixth delivery;she is 40 years old,and smells of alcohol and cigarettes.This client is at risk for:

Accepted Answer

The client's history of ruptured membranes for 2 hours puts her at risk for chorioamnionitis, which is an infection of the fetal membranes and amniotic fluid. This infection can lead to premature labor and premature rupture of membranes. The use of alcohol and cigarettes can also increase the risk of placenta abruption, a serious condition where the placenta separates from the uterine wall before delivery. Placenta previa and placenta accreta are not directly linked to the client's history of ruptured membranes and substance use. While gestational diabetes is a risk factor for pregnant women, it is not specifically connected to this client's situation.

Question 7

Slowly removing some amniotic fluid is a treatment for hydramnios.What consequence can occur with too rapid a withdrawal of fluid?

Accepted Answer

The answer of Slowly removing some amniotic fluid is a...

Question 8

A nurse is caring for a client with hydramnios.The nurse will watch for:

Accepted Answer

Hydramnios, also known as polyhydramnios, is a condition where there is excessive amniotic fluid in the uterus. This can increase the risk of several complications to the developing fetus, including congenital anomalies, such as gastrointestinal or neurological defects. Therefore, the nurse should watch for newborn congenital anomalies, making option B the best choice. While the other options may also be associated with hydramnios, they are less likely to occur than newborn congenital anomalies.

Question 9

A multiple-gestation pregnancy at 20 weeks is considered normal on ultrasound.At what interval would you have the client return for serial ultrasounds?

Accepted Answer

In a multiple-gestation pregnancy, it is recommended to have serial ultrasounds every 3-4 weeks to closely monitor the development of the fetuses and identify any potential complications early. This frequency helps in tracking growth, amniotic fluid levels, and the overall health of each fetus more effectively than longer intervals.

Question 10

A client was admitted to the labor area at 5 cm with ruptured membranes about 14 hours ago.The assessment data that would be most beneficial is:

Accepted Answer

The client's temperature would be the most beneficial assessment data because she has ruptured membranes and has been in labor for 14 hours, putting her at risk for developing an infection. An elevated temperature could indicate the onset of an infection and prompt further evaluation and intervention. Blood pressure, pulse, and respiration are also important assessments, but they may not provide as much immediate information about the client's condition as her temperature.

Question 11

Which condition places a mother at risk for developing disseminating intravascular coagulation (DIC)?

Accepted Answer

Abruptio placentae is a condition where the placenta separates from the uterine wall before delivery, which can lead to significant bleeding and subsequent activation of the coagulation system. This can result in DIC, a serious and potentially life-threatening condition. Diabetes mellitus, cesarean delivery, and multiparity are not specifically associated with an increased risk of DIC.

Question 12

A client in her second trimester is complaining of spotting.Causes for spotting in the second trimester are diagnosed primarily through the use of:

Accepted Answer

Ultrasound is the most appropriate diagnostic tool for identifying the causes of spotting in the second trimester, as it can be used to visualize the fetus, placenta, and cervix to check for any abnormalities or problems. Nonstress tests, vibroacoustic stimulation tests, and contraction stress tests are typically used to assess fetal well-being and are not specific to the diagnosis of spotting.

Question 13

A client at 32 weeks' gestation is admitted with painless vaginal bleeding.Placenta previa has been confirmed by ultrasound.What should be included in the nursing plan? Select all that apply.

Accepted Answer

With a diagnosis of placenta previa, vaginal exams should be avoided to prevent further bleeding. Fetal heart rate should be monitored to assess fetal well-being, and any bleeding, pain, or uterine contractions should be closely observed. Encouraging activity may increase the risk of bleeding and should be avoided. Intravenous access should be established in case of emergency, but it is not necessary to wait until labor begins.

Question 14

At 22 weeks' gestation,a client is diagnosed with placenta previa.The doctor tells the client that the placenta is covering the internal cervical os.This is classified as what type of previa?

Accepted Answer

According to the description given in the question, where the placenta is covering the internal cervical os, this is classified as a complete previa.

Question 15

A pre-eclampsia patient is on magnesium sulfate.The nurse understands that magnesium sulfate will relax the smooth muscles,and should be alert for the development of:

Accepted Answer

Magnesium sulfate is a smooth muscle relaxant that can lead to vasodilation, which in turn can cause hypotension as a side effect.

Quiz 21: Childbirth at Risk: Prelabor Complications