Exam 11: Caring for the Woman Experiencing Complications During Pregnancy

A pregnant patient in the second trimester is in the emergency department after a motor vehicle crash.She has a severe laceration of her arm resulting in a large blood loss.Which assessment should the nurse perform first?

The perinatal nurse describes risk factors for placenta previa to the student nurse.Which of the following risk factors does the nurse include?

A nurse is caring for a pregnant 16-year-old who is homeless and occasionally spends time in a homeless shelter.She has been seen in the clinic before for sexually transmitted infections (STIs).She weighs 92 lb (41.8 kg)and occasionally uses crack cocaine.Which risk factors does this patient have for a negative pregnancy outcome?

A postpartum woman being dismissed complains to the nurse that she has extreme fatigue,shoulder pain,and has noticed what looks like blood in her urine.Which laboratory finding would the nurse correlate with these symptoms?

A woman is hospitalized with hyperemesis gravidarum.Which other member of the health-care team should the nurse ensure is involved in this patient's care as a priority?

A student in a perinatal clinic asks the clinic nurse what an incomplete abortion is.Which response by the nurse is best?

The perinatal nurse is assessing a woman who is at 35 weeks' gestation in her first pregnancy.She is worried about having her baby "too soon," and she is experiencing uterine contractions every 10 to 15 minutes.The fetal heart rate is 136 beats/minute.A vaginal examination performed by the health-care provider reveals no cervical changes since her last examination.Ultrasound examination reveals the presence of V-shaped cervical funneling.Which action by the nurse is most appropriate?

A woman who is 28 weeks pregnant is admitted to the high-risk OB unit with preterm premature rupture of the membranes.Four hours after admission,the nurse notes the following: temperature: 38.5°C (101.5°F),maternal pulse: 122 beats/minute,and white blood cell count: 23,000 mm³.Which action by the nurse takes priority?

A new nurse is caring for a woman previously diagnosed with preeclampsia who was admitted to the high-risk OB unit after suffering a seizure in the perinatal clinic.The new nurse is preparing to administer a dose of magnesium sulfate (Sulfamag).Which action by the nurse warrants intervention by the unit manager?

A perinatal nurse is working with a woman who has had four perinatal losses in the first 20 weeks of pregnancy.The nurse should anticipate orders for which of the following diagnostic tests?

A pregnant patient is admitted with possible deep venous thrombosis (DVT).Orders are left to start warfarin (Coumadin)5 mg p.o.,once daily.Which of the following actions by the nurse is most appropriate?

A patient on the high-risk OB unit is receiving magnesium sulfate.The nurse notes that her magnesium level is 14 mEq/L.Which of the following actions by the nurse is most appropriate?

A nurse is assessing a 52-year-old primigravida woman who presents complaining of moderate dark-brown vaginal bleeding.On physical exam,her uterus is large for dates.Which action by the nurse is most appropriate?

A nurse wants to conduct a community education session for women at high risk of preterm birth.Which teaching site would best meet this objective?

The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth.What practice change might result from this review of the literature?

A nurse is caring for a woman receiving continuous electronic fetal monitoring.Which action by the nurse is most important?

A woman with a history of heart failure is in labor and has the following vital signs: blood pressure: 100/58 mm Hg,pulse: 120 beats/minute,respiratory rate: 36 breaths/minute,oxygen saturation: 88%.Which action should the nurse perform first?

A nurse is caring for a patient who has been diagnosed with an incomplete molar pregnancy.Which action by the nurse is most appropriate?

A nurse is caring for a pregnant woman admitted to the high-risk OB unit.Which finding indicates to the nurse that outcomes for a priority nursing diagnosis have been met?