Exam 14: Pregnancy at Risk: Gestational Conditions

A woman presents to the emergency department complaining of bleeding and cramping.The initial nursing history is significant for a last menstrual period 6 weeks ago.On sterile speculum examination,the primary care provider finds that the cervix is closed.The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion?

In caring for an immediate postpartum patient,the nurse notes petechiae and oozing from her IV site.Based on this assessment,what clotting disorder would the nurse monitor this patient closely for?

Methotrexate is recommended as part of the treatment plan for which obstetrical complication?

What is the purpose of administering magnesium sulphate to women with pre-eclampsia and eclampsia?

A woman with pre-eclampsia has a seizure.What is the nurse's priority intervention?

A patient who has undergone a dilation and curettage for early pregnancy loss is likely to be discharged the same day.Her vital signs are stable,bleeding has been controlled,and she has a low-normal hemoglobin level.To promote an optimal recovery,which should be part of discharge teaching for this woman? Select all that apply.Express your answer in small letters followed by a comma and a space-e.g. ,a,b,

A woman at 39 weeks of gestation with a history of pre-eclampsia is admitted to the labour and birth unit.She suddenly experiences increased contraction frequency of every 1 to 2 minutes;dark red vaginal bleeding;and a tense,painful abdomen.The nurse suspects the onset of which condition?

Which patient exhibits the greatest number of risk factors associated with pre-eclampsia?

A patient has been on magnesium sulphate for 20 hours for treatment of pre-eclampsia.She just delivered a viable infant girl 30 minutes ago.What uterine findings would the nurse expect to assess in this patient?

A woman arrives for evaluation of her symptoms,which include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination the nurse notices an ecchymotic blueness around the woman's umbilicus.How should the nurse interpret this assessment finding?

Which statement is true of pre-existing hypertension?