Exam 30: Medical-Surgical Disorders

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for the mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. -Altered pain referral

Autoimmune disorders often occur during pregnancy because a large percentage of women with an autoimmune disorder are of childbearing age.Which disorders fall into the category of collagen vascular disease? (Select all that apply).

A woman has experienced iron deficiency anemia during her pregnancy.She had been taking iron for 3 months before the birth.The client gave birth by cesarean 2 days earlier 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).What should the nurse's initial action be?

Which information should the nurse take into consideration when planning care for a postpartum client with cardiac disease?

What form of heart disease in women of childbearing years generally has a benign effect on pregnancy?

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for the mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. -Decreased placental perfusion in the supine position

Bell palsy is an acute idiopathic facial paralysis,the cause for which remains unknown.Which statement regarding this condition is correct?

Which congenital anomalies can occur as a result of the use of antiepileptic drugs (AEDs)in pregnancy? (Select all that apply).

Another common pregnancy-specific condition is pruritic urticarial papules and plaques of pregnancy (PUPPP).A client asks the nurse why she has developed this condition and what can be done.What is the nurse's best response?

A woman at 28 weeks of gestation experiences blunt abdominal trauma as the result of a fall.The nurse must closely observe the client for what?

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

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 the most recent statistics,how often does cystic fibrosis occur in Caucasian live births?

A woman with asthma is experiencing a postpartum hemorrhage.Which drug should be avoided when treating postpartum bleeding to avoid exacerbating asthma?

Which condition would require prophylaxis to prevent subacute bacterial endocarditis (SBE)both antepartum and intrapartum?

The client makes an appointment for preconception counseling.The woman has a known heart condition and is unsure if she should become pregnant.Which is the only cardiac condition that would cause concern?

It is extremely rare for a woman to die in childbirth; however,it can happen.In the United States,the annual occurrence of maternal death is 12 per 100,000 cases of live birth.What are the leading causes of maternal death?

Which information regarding the care of antepartum women with cardiac conditions is most important for the nurse to understand?

In caring for a pregnant woman with sickle cell anemia,the nurse must be aware of the signs and symptoms of a sickle cell crisis.What do these include? (Select all that apply).

When caring for a pregnant woman with cardiac problems,the nurse must be alert for the signs and symptoms of cardiac decompensation.Which critical findings would the nurse find on assessment of the client experiencing this condition?

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for the mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. -Increased risk of thrombus formation