Exam 11: Caring for the Woman Experiencing Complications During Pregnancy

A woman presents to the perinatal clinic with abdominal pain.She has missed one period and,following a transvaginal ultrasound,pregnancy is confirmed.However,implantation has occurred in the right fallopian tube.The ectopic mass is 3 cm and has not ruptured.The nurse prepares the patient for which therapy?

A woman is admitted to the high-risk OB unit with the diagnosis of preterm labor.Orders include bedrest with continuous fetal monitoring,administration of magnesium sulfate (Sulfamag)and betamethasone (Celestone),and laboratory work.In reviewing the patient's record,the nurse notes a history of hypertension that is well controlled with nifedipine (Procardia)and diet-controlled diabetes mellitus type 2.Which action by the nurse is best?

A pregnant woman is HIV-positive.She is asking about ways to decrease the risk of vertical transmission to her baby.Which option given by the nurse would confer the least risk to the baby?

A woman in her second trimester of pregnancy presents to the perinatal clinic with complaints of scant vaginal bleeding,abdominal pain,and shoulder pain.What action should the nurse perform first?

A nurse is caring for a pregnant woman on the high-risk OB unit who is anticipating a long stay on bedrest.Which action by the nurse would be most helpful to help diminish the physical complications associated with imposed bedrest?

A nurse is assessing a woman in the perinatal clinical with diagnosed cervical insufficiency.The woman is in her 18th week of a viable pregnancy.Which action by the nurse is most appropriate?

A nurse in the perinatal clinic explains to a student nurse that which of the following patients are at highest risk of developing gestational diabetes?

The nurse has admitted a patient to the high-risk OB unit with preterm premature rupture of the membranes.After obtaining maternal vital signs and the fetal heart rate,which action should the nurse do next?

A woman with a history of previous abruptio placentae with fetal demise is being seen in the Perinatal clinic.She is now pregnant again in her early second trimester.She tells the nurse she is a Jehovah's Witness and she wants her chart to reflect her refusal to accept blood products if she hemorrhages again.Which action by the nurse is best?

A woman at 32 weeks' gestation is admitted to the high-risk OB unit with a diagnosis of preterm labor.On assessment the nurse finds the following: blood pressure,182/96 mm Hg; pulse,106 beats/minute; respirations,16 breaths/minute; regular uterine contractions of 5 in 10 minutes; and fetal heart rate of 145 beats/minute.She is dilated to 8 cm.Which action by the nurse is best?

A perinatal nurse has developed a birth plan with a woman who is in her third trimester and has a physical disability.Which action by the nurse would be best for this patient?

A nurse is teaching a woman the actions to take in the event the woman believes she is in preterm labor.Which of the following should the nurse include in the teaching plan?

A woman who recently had a miscarriage is in the clinic for follow-up.She sees the diagnosis "spontaneous abortion" on her chart and becomes visibly upset,stating,"I did not have an abortion!" Which response by the nurse is best?

A pregnant patient is brought to the emergency department after a roll-over motor vehicle crash.After assessing and stabilizing the patient's airway,breathing,and circulation,which of the following actions should the nurse perform next?

A student nurse asks the perinatal nurse why teenagers might be vulnerable to intimate partner violence.Which answer by the nurse is best?

A woman pregnant with triplets is a patient in the high-risk OB unit.Which action by the nurse is most appropriate?

A nurse is preparing to dismiss a woman and her infant from the hospital.The woman is Rh(D)-negative and the infant is Rh(D)-positive.This was her first pregnancy.Which nursing action is most appropriate?

A nurse is caring for a woman on a continuous IV of magnesium sulfate.Which actions are appropriate for patient safety?

The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled.Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick.Which initial action by the nurse is most appropriate?

A patient in the high-risk OB unit has suffered a seizure and is now postictal.She is on oxygen at 2L/minute.Which assessment by the nurse warrants immediate intervention?