Exam 12: Pregnancy at Risk: Gestational Conditions

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. -Altered pain referral

The labor of a pregnant woman with preeclampsia is going to be induced.Before initiating the Pitocin infusion,the nurse reviews the woman's latest laboratory test findings,which reveal a platelet count of 90,000,an elevated aspartate transaminase (AST)level,and a falling hematocrit.The nurse notifies the physician because the laboratory results are indicative of:

Women with hyperemesis gravidarum:

A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit.She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense,painful abdomen.The nurse suspects the onset of:

The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment to involve:

In caring for an immediate postpartum client,you note petechiae and oozing from her IV site.You would monitor her closely for the clotting disorder:

In planning care for women with preeclampsia,nurses should be aware that:

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy.Nursing care is based on the knowledge that:

What condition indicates concealed hemorrhage when the patient experiences an abruptio placentae?

A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours.The nurse assesses the woman and documents the following findings: temperature of 37.1° C,pulse rate of 96 beats/min,respiratory rate of 24 breaths/min,blood pressure (BP)of 155/112 mm Hg,3+ deep tendon reflexes,and no ankle clonus.The nurse calls the physician,anticipating an order for:

Preeclampsia is a unique disease process related only to human pregnancy.The exact cause of this condition continues to elude researchers.The American College of Obstetricians and Gynecologists has developed a comprehensive list of risk factors associated with the development of preeclampsia.Which client exhibits the greatest number of these risk factors?

Nurses should be aware that HELLP syndrome:

Magnesium sulfate is given to women with preeclampsia and eclampsia to:

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for 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

The reported incidence of ectopic pregnancy in the United States has risen steadily over the past 2 decades.Causes include the increase in STDs accompanied by tubal infection and damage.The popularity of contraceptive devices such as the IUD has also increased the risk for ectopic pregnancy.The nurse who suspects that a patient has early signs of ectopic pregnancy should be observing her for symptoms such as (Select all that apply):

As related to the care of the patient with miscarriage,nurses should be aware that:

Approximately 10% to 15% of all clinically recognized pregnancies end in miscarriage.Which is the most common cause of spontaneous abortion?

Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma. -Increased risk of acidosis

Methotrexate is recommended as part of the treatment plan for which obstetric complication?

A woman arrives for evaluation of her symptoms,which include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination the nurse notices an ecchymotic blueness around the woman's umbilicus and recognizes this assessment finding as: