Question 1

After teaching a woman who has had an evacuation for a hydatidiform mole (molarpregnancy. about her condition, which of the following statements indicates that the nurses teaching was successful?

Accepted Answer

Following a molar pregnancy, it is recommended to avoid pregnancy for at least one year to ensure that hCG levels return to normal and to monitor for any signs of gestational trophoblastic disease.

Question 2

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?

Accepted Answer

Deep tendon reflexes (DTRs) graded as 2+ indicate a normal, therapeutic level of magnesium sulfate. Magnesium sulfate is used in gestational hypertension to prevent seizures, and monitoring DTRs helps assess for magnesium toxicity or effectiveness. Urinary output less than 30 mL/hr, respiratory rate below 12 breaths/minute, and difficulty in arousing are signs of magnesium toxicity.

Question 3

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which of the following responses by the nurse would be most appropriate?

Accepted Answer

Expressing empathy and acknowledging the client's loss is the most appropriate and compassionate response. Saying "I'm sorry you lost your baby" validates the client's feelings and provides emotional support during this difficult time.

Question 4

In a woman who is suspected of having a ruptured ectopic pregnancy, the nurse would expect to assess for which of the following as a priority?

Accepted Answer

Hemorrhage is a priority assessment in a suspected ruptured ectopic pregnancy due to the risk of significant internal bleeding, which can lead to hypovolemic shock and is a life-threatening emergency.

Question 5

Which of the following findings would the nurse interpret as suggesting a diagnosis of gestational trophoblastic disease?

Accepted Answer

The answer of Which of the following findings would the...

Question 6

It is determined that a clients blood Rh is negative and her partners is positive. To help prevent Rh isoimmunization, the nurse anticipates that the client will receive RhoGAM at which time

Accepted Answer

RhoGAM is typically administered at 28 weeks gestation to prevent the mother's immune system from developing antibodies against Rh-positive blood cells, and again within 72 hours after delivery if the baby is found to be Rh-positive, to prevent isoimmunization in future pregnancies.

Question 7

The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse includes interventions focusing on which of the following because of the womans increased risk?

Accepted Answer

Women pregnant with twins are at a higher risk for preeclampsia, a condition characterized by high blood pressure and often a significant amount of protein in the urine, compared to women pregnant with a single fetus. This increased risk necessitates careful monitoring and management to prevent complications.

Question 8

A woman hospitalized with severe preeclampsia is being treated with hydralazine tocontrol blood pressure. Which of the following would the lead the nurse to suspectthat the client is having an adverse effect associated with this drug?

Accepted Answer

Hydralazine, a vasodilator used to treat high blood pressure, can cause reflex tachycardia as an adverse effect. This occurs because the drug lowers blood pressure by dilating blood vessels, which can trigger the heart to beat faster in an attempt to maintain adequate blood flow.

Question 9

After reviewing a clients history, which factor would the nurse identify as placing her at risk for gestational hypertension?

Accepted Answer

A family history of gestational hypertension, especially in the mother, is a known risk factor for the condition.

Question 10

A client with hyperemesis gravidarum is admitted to the facility after being cared for athome without success. Which of the following would the nurse expect to include in the clients plan of care?

Accepted Answer

The answer of A client with hyperemesis gravidarum is admitted...

Question 11

The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following findings would alert the nurse to the development of HELLP syndrome?

Accepted Answer

HELLP syndrome is characterized by Hemolysis, Elevated Liver enzymes, and Low Platelet count. Elevated liver enzymes are a key indicator of this condition.

Question 12

Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?

Accepted Answer

Calcium gluconate is used as an antidote for magnesium sulfate toxicity. In the treatment of severe preeclampsia with magnesium sulfate, it's important to have calcium gluconate available to counteract potential magnesium overdose, which can lead to respiratory depression, loss of deep tendon reflexes, and cardiac arrest.

Question 13

Which assessment finding would lead the nurse to suspect infection as the cause of aclients PROM?

Accepted Answer

Foul odor is a sign of infection.

Question 14

While assessing a pregnant woman, the nurse suspects that the client may be at risk forhydramnios based on which of the following? (Select all that apply.)

Accepted Answer

Hydramnios, also known as polyhydramnios, is a condition characterized by an excessive amount of amniotic fluid. Factors that increase the risk for hydramnios include maternal diabetes, which can lead to fetal hyperglycemia and increased fetal urine output, contributing to excess amniotic fluid. Complaints of shortness of breath and difficulty obtaining fetal heart rate can be associated with the increased abdominal size and altered maternal anatomy due to the excessive amniotic fluid, making it challenging to assess the fetus. Identifiable fetal parts on abdominal palpation and fundal height below that for expected gestational age are not typically associated with hydramnios; in fact, an increased fundal height might be expected.

Question 15

After teaching a group of nursing students about the possible causes of spontaneous abortion, the instructor determines that the teaching was successful when the students identify which of the following as the most common cause of first trimester abortions?

Accepted Answer

Fetal genetic abnormalities are the most common cause of first trimester abortions, accounting for a significant percentage of spontaneous miscarriages during this period.

Question 16

A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which of the following would lead the nurse to suspect that the woman is developing an infection? (Select all that apply.)

Accepted Answer

B) Abdominal tenderness, C) Elevated maternal pulse rate, and E) Cloudy malodorous fluid are indicators of infection. Abdominal tenderness can suggest intra-abdominal or uterine infection. An elevated maternal pulse rate is a common systemic response to infection. Cloudy malodorous fluid is a direct sign of infection in the amniotic fluid.

Question 17

A nurse is teaching a pregnant woman with preterm premature rupture of membraneswho is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching?

Accepted Answer

Sexual intercourse should be avoided in cases of preterm premature rupture of membranes (PPROM) to reduce the risk of infection and further complications.

Question 18

A nurse is assessing a pregnant woman with gestational hypertension. Which of thefollowing would lead the nurse to suspect that the client has developed severe preeclampsia?

Accepted Answer

Hyperreflexia is a sign of severe preeclampsia, indicating increased reflexes which can be associated with neurological irritability due to the condition.

Question 19

A nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following? (Select all that apply.)

Accepted Answer

Abruption placenta is characterized by dark red vaginal bleeding, a rigid uterus due to blood accumulation, and absent fetal heart tones due to compromised fetal blood supply.

Question 20

The health care provider orders PGE2 for a woman to help evacuate the uterus followinga spontaneous abortion. Which of the following would be most important for the nurse to do?

Accepted Answer

Maintaining the client for an hour after administration is important to monitor for any adverse reactions and ensure the drug's effectiveness in evacuating the uterus.

Quiz 4: Gestational Trophoblastic Disease Molar Pregnancy and Advanced Maternal Age