Exam 10: Complications of Pregnancy

Which clinical intervention is the only known cure for preeclampsia?

Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Which disease process improves during pregnancy?

Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant patient with diabetes?

The nurse is monitoring a patient with severe preeclampsia who is on IV magnesium sulfate. Which signs of magnesium toxicity should the nurse monitor for? (Select all that apply.)

Which finding in the exam of a patient with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?

Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?

Examination of a newborn in the birth room reveals bilateral cataracts. Which disease process in the maternal history would likely cause this abnormality?

Fraternal twins are delivered by your Rh-negative patient. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the

Which finding would indicate concealed hemorrhage in abruptio placentae?

What should the nurse recognize as evidence that the patient is recovering from preeclampsia?

Which data found on a patient's health history would place her at risk for an ectopic pregnancy?

Which factor is known to increase the risk of gestational diabetes mellitus?

A patient has a history of drug use and is screened for hepatitis B during the first trimester. Which action is most appropriate?

Which instructions should the nurse include when teaching a pregnant patient with Class II heart disease?

A patient has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?

A patient who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the patient presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100°F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/minute (bpm), and respirations, 20 breaths per minute. Based on this assessment data, what does the nurse anticipate as a clinical diagnosis?

Which postpartum patient requires further assessment?

Which assessment by the nurse would differentiate a placenta previa from an abruptio placentae?