Deck 16: Pregnancy at Risk: Gestational Onset

Question 1

The pharmacy sends 500 cc of NS with 40 grams of magnesium sulfate.The order is for the medication to infuse at 2 grams per hour.The nurse would set the pump at __________ cc/hour.

Answer 1

25

Question 2

During a prenatal exam,a client expresses several psychosomatic symptoms and has several vague complaints.What could these behaviors indicate?

A)Abuse
B)Mental illness
C)Depression
D)Nothing,they are normal.

Answer 2

Abuse

Question 3

A client is concerned because she has been told her blood type and her baby's are incompatible.The best response by the nurse would be:

A)"This is called ABO incompatibility,and if the baby becomes jaundiced,she can be treated with a special light treatment."
B)"This is a serious condition,and additional blood studies are currently in process to determine whether you need a medication to prevent it from occurring with a future pregnancy."
C)"This is a condition caused by a blood incompatibility between you and your husband,but does not affect the baby."
D)"This type of condition is very common,and the baby can receive a medication to prevent jaundice from occurring."

Answer 3

"This is called ABO incompatibility,and if the baby becomes jaundiced,she can be treated with a special light treatment."

Question 4

A clinic nurse is planning when to administer Rh immune globulin (RhoGAM)to an Rh-negative pregnant client.When should the first dose of RhoGAM be administered?

A)After the birth of the infant
B)1 month postpartum
C)During labor
D)At 28 weeks' gestation

Question 5

What form of trauma is the leading cause of fetal and maternal death?

A)Falls
B)Domestic violence
C)Gun accidents
D)Motor vehicle accidents

Question 6

The nurse is assessing a client who has severe pre-eclampsia.The assessment finding that should be reported to the physician is:

A)11 proteinuria.
B)Platelet count of 20,000.
C)Urine output of 50 ml per hour.
D)21 DTRs.

Question 7

A woman is at 7 weeks' gestation,and is diagnosed with hyperemesis gravidarum.Which nursing diagnosis would receive priority?

A)Fluid volume deficit
B)Decreased cardiac output
C)Risk for injury
D)Alteration in nutrition: less than body requirements

Question 8

A woman is 16 weeks pregnant.She has had cramping,backache,and mild bleeding for the past 3 days.Her physician determines that her cervix is dilated to 2 centimeters,with 10% effacement,but membranes are still intact.She is crying,and says to the nurse,"Is my baby going to be okay?" In addition to acknowledging the client's fear,the nurse should also say:

A)"Your baby will be fine.We'll start IV,and get this stopped in no time at all."
B)"Your cervix is beginning to dilate.That is a serious sign.We will continue to monitor you and the baby for now."
C)"You are going to miscarry.But you should be relieved,because most miscarriages are the result of abnormalities in the fetus."
D)"I really can't say.However,when your physician comes,I'll ask her to talk to you about it."

Question 9

A client at 10 weeks' gestation has developed cholecystitis.If surgery is required,the safest time during pregnancy would be:

A)Immediately,before the fetus gets any bigger.
B)Early in the second trimester.
C)As close to term as possible.
D)The risks are too high to do it anytime in pregnancy.

Question 10

The following are assessment findings for a client with pre-eclampsia: blood pressure 158/100;urinary output 50 mL/hour;lungs clear to auscultation;urine protein 11 on dipstick;edema of the hands,ankles,and feet.On the next hourly assessment,which new assessment finding would be an indication of worsening of the pre-eclampsia?

A)Blood pressure 158/104
B)Urinary output 20 ml/hour
C)Reflexes 21
D)Platelet count 150,000

Question 11

A woman has a hydatidiform mole (molar pregnancy)evacuated,and is prepared for discharge.The nurse should make certain that the client understands that it is essential that she:

A)Not become pregnant for at least 1 year.
B)Receive RhoGAM with her next pregnancy and birth.
C)Have her blood pressure checked weekly for the next 30 days.
D)Seek genetic counseling with her partner before the next pregnancy.

Question 12

A woman is hospitalized with severe pre-eclampsia.The nurse is meal-planning with the client.The nurse should encourage a diet that is high in:

A)Sodium.
B)Carbohydrates.
C)Protein.
D)Fruits.

Question 13

A pregnant client has been identified as being at risk for preterm labor.The nurse knows the client understands signs of preterm labor when she states,"I might be in labor if I:

A)"Have breast tenderness."
B)"Have uterine contractions that occur every 10 minutes or less for 1 hour."
C)"Feel the baby move more than three times in an hour."
D)"Have some morning nausea."

Question 14

A woman is 10 weeks pregnant.Her initial prenatal laboratory screening test for rubella showed an antibody titer of less than 1:6.The woman calls the clinic and tells the nurse that she has been exposed to measles.The nurse's best response is:

A)"Since you are in your first trimester of pregnancy,this is not likely to be a problem."
B)"Would you like to see a counselor to talk about your options for the remainder of your pregnancy?"
C)"You should come to the clinic in the next day or two for further evaluation."
D)"You need to have a rubella vaccination immediately.Can you get a ride to the clinic today?"

Question 15

A woman is 30 weeks pregnant.She has come to the hospital because her membranes have ruptured.Based on this information,which nursing diagnosis could be made for the mother? Risk for:

A)Impaired gas exchange.
B)Infection.
C)Ineffective individual coping.
D)Fluid volume deficit.