Question 1

Which finding is of concern in a primigravida that is being monitored in the prenatal clinic for pre-eclampsia?

Accepted Answer

A)  Blood pressure (BP)increase to 138/86 mm Hg 
B)  Weight gain of 0.5 kg during the past 2 weeks 
C)  Urine protein reading of 0.05 g/L on two occasions 
D)  Pitting pedal edema at the end of the day 
A)  Blood pressure (BP)increase to 138/86 mm Hg 
B)  Weight gain of 0.5 kg during the past 2 weeks 
C)  Urine protein reading of 0.05 g/L on two occasions 
D)  Pitting pedal edema at the end of the day C

Question 2

What should the nurse be aware of in relation to women who may need surgery during pregnancy?

Accepted Answer

A)  The diagnosis of appendicitis may be difficult,because the normal signs and symptoms mimic some normal changes in pregnancy. 
B)  Rupture of the appendix is less likely in pregnant women because of the close monitoring. 
C)  Surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy. 
D)  When pregnancy takes over,a woman is less likely to have ovarian problems that require invasive responses. 
A)  The diagnosis of appendicitis may be difficult,because the normal signs and symptoms mimic some normal changes in pregnancy. 
B)  Rupture of the appendix is less likely in pregnant women because of the close monitoring. 
C)  Surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy. 
D)  When pregnancy takes over,a woman is less likely to have ovarian problems that require invasive responses. A

Question 3

Which should the nurse be concerned about when caring for a woman with severe pre-eclampsia who is receiving a magnesium sulphate infusion?

Accepted Answer

A)  A sleepy,sedated affect 
B)  A respiratory rate of 10 breaths/min 
C)  Deep tendon reflexes of 2 
D)  Absent ankle clonus 
A)  A sleepy,sedated affect 
B)  A respiratory rate of 10 breaths/min 
C)  Deep tendon reflexes of 2 
D)  Absent ankle clonus B

Question 4

What is the most common medical complication of pregnancy?

Accepted Answer

A)  Hypertension 
B)  Hyperemesis gravidarum 
C)  Hemorrhagic complications 
D)  Infections 
A)  Hypertension 
B)  Hyperemesis gravidarum 
C)  Hemorrhagic complications 
D)  Infections

Question 5

What is the most prevalent clinical manifestation of placental abruption,as opposed to placenta previa?

Accepted Answer

A)  Bleeding 
B)  Intense abdominal pain 
C)  Uterine activity 
D)  Cramping 
A)  Bleeding 
B)  Intense abdominal pain 
C)  Uterine activity 
D)  Cramping

Question 6

What is occurring when some of the umbilical vessels cross the cervical os below the presenting part?

Accepted Answer

A)  Placenta previa 
B)  Vasa previa 
C)  Severe abruptio placentae 
D)  Disseminated intravascular coagulation (DI
C)  
A)  Placenta previa 
B)  Vasa previa 
C)  Severe abruptio placentae 
D)  Disseminated intravascular coagulation (DI
C)

Question 7

In caring for the woman with disseminated intravascular coagulation (DIC),which order should the nurse anticipate?

Accepted Answer

A)  Administration of blood 
B)  Preparation of the patient for invasive hemodynamic monitoring 
C)  Restriction of intravascular fluids 
D)  Administration of steroids 
A)  Administration of blood 
B)  Preparation of the patient for invasive hemodynamic monitoring 
C)  Restriction of intravascular fluids 
D)  Administration of steroids

Question 8

Which is correct when providing follow-up management for a woman who had a hydatidiform mole?

Accepted Answer

A)  The follow-up assessment period is generally 2 years. 
B)  Weekly hCG levels until normal for 3 consecutive weeks 
C)  Pregnancy is to be avoided for at least 3 months. 
D)  Monthly serum ?-hCG for 6 months 
A)  The follow-up assessment period is generally 2 years. 
B)  Weekly hCG levels until normal for 3 consecutive weeks 
C)  Pregnancy is to be avoided for at least 3 months. 
D)  Monthly serum ?-hCG for 6 months

Question 9

Which laboratory result is indicative of disseminated intravascular coagulation (DIC)?

Accepted Answer

A)  Increased platelets 
B)  Decreased fibrinogen 
C)  Increased factor V 
D)  Decreased fibrin degradation fragment 
A)  Increased platelets 
B)  Decreased fibrinogen 
C)  Increased factor V 
D)  Decreased fibrin degradation fragment

Question 10

What is the classification of placenta previa when the placental edge is 2.0 cm from the internal cervical os?

Accepted Answer

A)  Complete 
B)  Marginal 
C)  Class 2 
D)  Class 3 
A)  Complete 
B)  Marginal 
C)  Class 2 
D)  Class 3

Question 11

The perinatal nurse is giving discharge instructions to a woman who had a suction curettage secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for the next 12 months.What is the basis for the nurse's response?

Accepted Answer

A)  The chance of a successful pregnancy within 1 year of this condition is very small. 
B)  A major risk after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that the body produces during pregnancy;therefore,pregnancy would make the diagnosis of this cancer more difficult. 
C)  The chance of developing a second molar pregnancy after 1 year is rare. 
D)  Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar pregnancy. 
A)  The chance of a successful pregnancy within 1 year of this condition is very small. 
B)  A major risk after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that the body produces during pregnancy;therefore,pregnancy would make the diagnosis of this cancer more difficult. 
C)  The chance of developing a second molar pregnancy after 1 year is rare. 
D)  Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar pregnancy.

Question 12

The labour of a pregnant woman with pre-eclampsia is going to be induced.Before initiating the oxytocin infusion,the nurse reviews the woman's latest laboratory test findings,which reveal a platelet count of 96 x 10?/L,an elevated aspartate transaminase (AST)level,and a falling hematocrit.What are these findings indicative of?

Accepted Answer

A)  Eclampsia 
B)  Disseminated intravascular coagulation (DI
C)  
C)  HELLP syndrome 
D)  Idiopathic thrombocytopenia 
A)  Eclampsia 
B)  Disseminated intravascular coagulation (DI
C)  
C)  HELLP syndrome 
D)  Idiopathic thrombocytopenia

Question 13

Which are a bleeding disorder in late pregnancy? Select all that apply.Express your answer in small letters followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Placenta previa 
B)  Abruptio placentae 
C)  Spontaneous abortion 
D)  Vasa previa 
E)  Velamentous insertion of the cord
F) Eclampsia 
A)  Placenta previa 
B)  Abruptio placentae 
C)  Spontaneous abortion 
D)  Vasa previa 
E)  Velamentous insertion of the cord
F) Eclampsia

Question 14

Which is true about women who experience hyperemesis gravidarum?

Accepted Answer

A)  Seventy percent of all pregnant women suffer from it at some point in pregnancy. 
B)  Such women have vomiting severe and persistent enough to cause weight loss,dehydration,and electrolyte imbalance. 
C)  They need intravenous (IV)fluid and nutrition for most of their pregnancy. 
D)  They often inspire similar,milder symptoms in their male partners and mothers. 
A)  Seventy percent of all pregnant women suffer from it at some point in pregnancy. 
B)  Such women have vomiting severe and persistent enough to cause weight loss,dehydration,and electrolyte imbalance. 
C)  They need intravenous (IV)fluid and nutrition for most of their pregnancy. 
D)  They often inspire similar,milder symptoms in their male partners and mothers.

Question 15

A 26-year-old pregnant woman,2-1-0-0-1,is 28 weeks pregnant when she experiences bright red,painless vaginal bleeding.On her arrival at the hospital,what would be an expected diagnostic procedure?

Accepted Answer

A)  Amniocentesis for fetal lung maturity 
B)  Ultrasound for placental location 
C)  Contraction stress test (CST) 
D)  Internal fetal monitoring 
A)  Amniocentesis for fetal lung maturity 
B)  Ultrasound for placental location 
C)  Contraction stress test (CST) 
D)  Internal fetal monitoring

Question 16

What should the nurse be aware of when planning care for women with pre-eclampsia?

Accepted Answer

A)  Induction of labour is likely,as near term as possible. 
B)  If at home,the woman should be confined to her bed,even with mild pre-eclampsia. 
C)  A special diet low in protein and salt should be initiated. 
D)  Vaginal birth is still an option,even in severe cases. 
A)  Induction of labour is likely,as near term as possible. 
B)  If at home,the woman should be confined to her bed,even with mild pre-eclampsia. 
C)  A special diet low in protein and salt should be initiated. 
D)  Vaginal birth is still an option,even in severe cases.

Question 17

A woman with severe pre-eclampsia has been receiving magnesium sulphate by intravenous infusion for 8 hours.The nurse assesses the woman and documents the following findings: temperature of 37.1° C,pulse rate of 96 beats/min,respiratory rate of 24 breaths/min,blood pressure (BP)of 155/112 mm Hg,3+ deep tendon reflexes,and no ankle clonus.Which medication should the nurse anticipate will be ordered for this patient?

Accepted Answer

A)  Hydralazine 
B)  Magnesium sulphate bolus 
C)  Diazepam 
D)  Calcium gluconate 
A)  Hydralazine 
B)  Magnesium sulphate bolus 
C)  Diazepam 
D)  Calcium gluconate

Question 18

A pregnant woman has been receiving a magnesium sulphate infusion for treatment of severe pre-eclampsia for 24 hours.On assessment the nurse finds the following vital signs: temperature of 37.3° C,pulse rate of 88 beats/min,respiratory rate of 10 breaths/min,blood pressure (BP)of 148/90 mm Hg,absent deep tendon reflexes,and no ankle clonus.The patient complains,"I'm so thirsty and warm." What is the nurse's initial intervention?

Accepted Answer

A)  Call for a stat magnesium sulphate level. 
B)  Administer oxygen. 
C)  Discontinue the magnesium sulphate infusion. 
D)  Prepare to administer hydralazine. 
A)  Call for a stat magnesium sulphate level. 
B)  Administer oxygen. 
C)  Discontinue the magnesium sulphate infusion. 
D)  Prepare to administer hydralazine.

Question 19

What should nurses be aware of regarding miscarriage?

Accepted Answer

A)  It is a natural pregnancy loss before labour begins. 
B)  It occurs in fewer than 5% of all clinically recognized pregnancies. 
C)  It often can be attributed to careless maternal behaviour,such as poor nutrition or excessive exercise. 
D)  If it occurs before the twelfth week of pregnancy,it may present only as moderate discomfort and blood loss. 
A)  It is a natural pregnancy loss before labour begins. 
B)  It occurs in fewer than 5% of all clinically recognized pregnancies. 
C)  It often can be attributed to careless maternal behaviour,such as poor nutrition or excessive exercise. 
D)  If it occurs before the twelfth week of pregnancy,it may present only as moderate discomfort and blood loss.

Question 20

Which is true in relation to HELLP syndrome?

Accepted Answer

A)  It is a mild form of pre-eclampsia. 
B)  It can be diagnosed by a nurse alert to its symptoms. 
C)  It is characterized by hemolysis,elevated liver enzymes,and low platelets. 
D)  It is associated with preterm labour but not perinatal mortality. 
A)  It is a mild form of pre-eclampsia. 
B)  It can be diagnosed by a nurse alert to its symptoms. 
C)  It is characterized by hemolysis,elevated liver enzymes,and low platelets. 
D)  It is associated with preterm labour but not perinatal mortality.

Exam 14: Pregnancy at Risk: Gestational Conditions

Which finding is of concern in a primigravida that is being monitored in the prenatal clinic for pre-eclampsia?

What should the nurse be aware of in relation to women who may need surgery during pregnancy?

Which should the nurse be concerned about when caring for a woman with severe pre-eclampsia who is receiving a magnesium sulphate infusion?

What is the most common medical complication of pregnancy?

What is the most prevalent clinical manifestation of placental abruption,as opposed to placenta previa?

What is occurring when some of the umbilical vessels cross the cervical os below the presenting part?

In caring for the woman with disseminated intravascular coagulation (DIC),which order should the nurse anticipate?

Which is correct when providing follow-up management for a woman who had a hydatidiform mole?

Which laboratory result is indicative of disseminated intravascular coagulation (DIC)?

What is the classification of placenta previa when the placental edge is 2.0 cm from the internal cervical os?

The perinatal nurse is giving discharge instructions to a woman who had a suction curettage secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for the next 12 months.What is the basis for the nurse's response?

Which are a bleeding disorder in late pregnancy? Select all that apply.Express your answer in small letters followed by a comma and a space-e.g. ,a,b,

Which is true about women who experience hyperemesis gravidarum?

A 26-year-old pregnant woman,2-1-0-0-1,is 28 weeks pregnant when she experiences bright red,painless vaginal bleeding.On her arrival at the hospital,what would be an expected diagnostic procedure?

What should the nurse be aware of when planning care for women with pre-eclampsia?

What should nurses be aware of regarding miscarriage?

Which is true in relation to HELLP syndrome?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

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The School-Age Child and Family

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Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

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