Deck 30: Medical-Surgical Problems in Pregnancy

Question 1

Congenital anomalies can occur with the use of antiepileptic drugs (AEDs),including (choose all that apply):

A)Cleft lip
B)Congenital heart disease
C)Neural tube defects
D)Gastroschisis
E)Diaphragmatic hernia

Answer 1

Cleft lip
Congenital heart disease
Neural tube defects

Question 2

A woman was anemic during her pregnancy.She had been taking iron for 3 months before the birth.She gave birth by cesarean 2 days ago and has been having problems with constipation.After assisting her back to bed from the bathroom,the nurse notes that the woman's stools are dark (greenish-black).The nurse:

A)Performs a guaiac test and records the results
B)Recognizes the finding as abnormal and reports it to the primary health care provider
C)Recognizes the finding as normal as a result of iron therapy
D)Checks the woman's next stool to validate the observation

Answer 2

Recognizes the finding as normal as a result of iron therapy

Question 3

Postoperative care of the pregnant woman who requires abdominal surgery for appendicitis includes which additional assessment?

A)Intake and output (I&O),IV site
B)Signs and symptoms of infection
C)Vital signs and incision
D)Fetal heart rate and uterine activity

Answer 3

Fetal heart rate and uterine activity

Question 4

In providing nutritional counseling for a pregnant woman experiencing cholecystitis,the nurse:

A)Assesses the woman's dietary history for adequate calories and proteins
B)Instructs the woman that the bulk of calories should come from proteins
C)Instructs the woman to eat a low-fat diet and avoid fried foods
D)Instructs the woman to eat a low-cholesterol,low-salt diet

Question 5

While providing care in an obstetric setting,the nurse should understand that postpartum care of the woman with cardiac disease:

A)Is the same as that for any pregnant woman
B)Includes rest,stool softeners,and monitoring of the effect of activity
C)Includes ambulating frequently,alternating with active range-of-motion exercises
D)Includes limiting visits with the infant to once per day

Question 6

A woman with asthma is experiencing a postpartum hemorrhage.Which drug is not used to treat her bleeding because it may exacerbate her asthma?

A)Oxytocin (Pitocin)
B)Nonsteroidal antiinflammatory drugs (NSAIDs)
C)Hemabate
D)Fentanyl

Question 7

Since the gene for cystic fibrosis was identified in 1989,data can be collected for the purposes of genetic counseling for couples regarding carrier status.According to statistics,how often does cystic fibrosis occur in Caucasian live births?

A)1 in 100
B)1 in 1000
C)1 in 2000
D)1 in 3200

Question 8

With regard to anemia,nurses should be aware that:

A)It is the most common medical disorder of pregnancy
B)It can trigger reflex bradycardia
C)The most common form of anemia is caused by folate deficiency
D)Thalassemia is a European version of sickle cell anemia

Question 9

When caring for a pregnant woman with cardiac problems,the nurse must be alert for signs and symptoms of cardiac decompensation,which include:

A)A regular heart rate and hypertension
B)An increased urinary output,tachycardia,and dry cough
C)Shortness of breath,bradycardia,and hypertension
D)Dyspnea,crackles,and an irregular,weak pulse

Question 10

Prophylaxis of subacute bacterial endocarditis (SBE)is given before and after birth when a pregnant woman has:

A)Valvular disease
B)Congestive heart disease
C)Arrhythmias
D)Postmyocardial infarction

Question 11

Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue,joint deformities,ocular dislocation,and weakness of the aortic wall and root.While providing care to a client with Marfan syndrome during labor,the nurse must determine which of the following interventions should be completed first:

A)Antibiotic prophylaxis
B)Beta-blockers
C)Surgery
D)Regional anesthesia

Question 12

The most common neurologic disorder accompanying pregnancy is:

A)Eclampsia
B)Bell's palsy
C)Epilepsy
D)Multiple sclerosis

Question 13

With what heart condition is pregnancy not usually contraindicated?

A)Peripartum cardiomyopathy
B)Severe pulmonary hypertension
C)Heart transplant
D)All of these contraindicate pregnancy.

Question 14

Nurses caring for antepartum women with cardiac conditions should be aware that:

A)Stress on the heart is greatest in the first trimester and the last 2 weeks before labor
B)Women with class II cardiac disease should avoid heavy exertion and avoid any activity that causes even minor symptoms
C)Women with class III cardiac disease should get 8 to 10 hours of sleep every day and limit housework,shopping,and exercise
D)Women with class I cardiac disease need bed rest through most of the pregnancy and face the possibility of hospitalization near term

Question 15

Urinary tract infections (UTIs)are the most common medical complications of pregnancy.Is this statement true or false?

Question 16

Systemic lupus erythematosus (SLE)is a chronic multisystem inflammatory disease that affects the skin,joints,kidney,lungs,central nervous system (CNS),liver,and other organs.A lupus flare-up during pregnancy or early postpartum occurs in 15% to 60% of women with this disorder.Maternal risks include (choose all that apply):

A)Miscarriage
B)Intrauterine growth restriction (IUGR)
C)Nephritis
D)Preeclampsia
E)Cesarean birth

Question 17

In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include:

A)Anemia
B)Endometritis
C)Fever and pain
D)Urinary tract infection