Exam 11: Caring for the Woman Experiencing Complications During Pregnancy

A pregnant woman in her second trimester arrives at the labor unit triage station with complaints of lower abdominal cramping and urinary frequency.Appropriate nursing actions include which of the following?

The perinatal nurse is educating a group of women on common causes of miscarriage,or spontaneous abortion.Which of the following does the nurse describe?

A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa.Which information is most important to document?

A 22-year-old woman presents to the emergency department with abdominal pain and Vaginal bleeding.Her blood pressure is 90/58 mm Hg,her pulse is 120 beats/minute,and she complains of dizziness.Which action by the nurse takes priority?

A woman is being dismissed after undergoing placement of a cerclage.The woman is married with a husband who travels frequently and the couple has two other children.Which action by the nurse is most helpful?

A nurse is assessing all patients in the perinatal clinic for culturally related increased risk for gestational diabetes mellitus.Which patients would the nurse assess as being in the highest risk groups?

The nurse finds a woman who has recently suffered her third complete abortion crying and saying "Why me? What did I do to deserve being punished like this?" Which response by the nurse is best?

A woman who is in her third trimester and is at risk for preterm birth calls the clinic to get the results of her fetal fibronectin test (fFN).The nurse sees the result is negative.Which advice to the patient is most appropriate?

A nurse has admitted a woman pregnant in her third trimester with moderate vaginal bleeding and severe abdominal pain.After assessing maternal vital signs,obtaining the fetal heart rate,and starting an IV line,which action should the nurse do next?

The prenatal clinic nurse assesses a woman at 15 weeks' gestation.The patient's blood pressure,measured twice at intervals 1 hour apart with a cuff that fits appropriately,is 146/96 mm Hg.The nurse understands the patient has which condition?

Which of the following does the nurse recognize as complications of premature birth?

A nurse is conducting an educational class for expectant couples.What information about preterm birth does the nurse include in the discussion?

A pregnant woman who has diabetes mellitus is in the high-risk OB clinic for a checkup.The nurse notes that her hemoglobin A₁C (HbAIC)is 5%.Which action by the nurse is most appropriate?

A pregnant patient with a long-standing history of cardiovascular disease is admitted to the high-risk OB unit.The patient will have internal continuous electronic fetal monitoring until delivery.Which action by the nurse takes priority?

A nurse is caring for a laboring woman from an unfamiliar culture who has limited English skills.Which nursing actions are important to provide nursing care to this patient?

The perinatal nurse knows that tocolytic agents are most often used to do which of the following?

A woman who is 36 weeks pregnant presents to the perinatal clinic with complaints of backache,pelvic fullness,and uterine contractions.Which action by the nurse is most appropriate?

A nurse has admitted a patient with hyperemesis gravidarum and is reviewing the physician's orders.Which order should the nurse question?

A nurse is conducting a nonstress test on a pregnant woman.The nurse understands that which of the following conditions can lead to loss of fetal heart rate reactivity?

A nurse manager on the OB unit is auditing patient charts.One record documents the care of a patient having a seizure.The record describes the time and length of the seizure,medications given,maternal and fetal vital signs,and outcome of treatment.Which action by the manager is best?