Question 1

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

Accepted Answer

A) Total 
B) Partial 
C) Complete 
D) Marginal 
A) Total 
B) Partial 
C) Complete 
D) Marginal

Question 2

A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours.On assessment the nurse finds the following vital signs: temperature of 37.3° C,pulse rate of 88 beats/min,respiratory rate of 10 breaths/min,blood pressure (BP)of 148/90 mm Hg,absent deep tendon reflexes,and no ankle clonus.The client complains,"I'm so thirsty and warm." The nurse:

Accepted Answer

A) Calls for a stat magnesium sulfate level. 
B) Administers oxygen. 
C) Discontinues the magnesium sulfate infusion. 
D) Prepares to administer hydralazine. 
A) Calls for a stat magnesium sulfate level. 
B) Administers oxygen. 
C) Discontinues the magnesium sulfate infusion. 
D) Prepares to administer hydralazine.

Question 3

Which maternal condition always necessitates delivery by cesarean section?

Accepted Answer

A) Partial abruptio placentae 
B) Total placenta previa 
C) Ectopic pregnancy 
D) Eclampsia 
A) Partial abruptio placentae 
B) Total placenta previa 
C) Ectopic pregnancy 
D) Eclampsia

Question 4

Which order should the nurse expect for a patient admitted with a threatened abortion?

Accepted Answer

A) Bed rest 
B) Ritodrine IV 
C) NPO 
D) Narcotic analgesia every 3 hours, prn 
A) Bed rest 
B) Ritodrine IV 
C) NPO 
D) Narcotic analgesia every 3 hours, prn

Question 5

Nurses should be aware that chronic hypertension:

Accepted Answer

A) Is defined as hypertension that begins during pregnancy and lasts for the duration of pregnancy. 
B) Is considered severe when the systolic blood pressure (BP) is greater than 140 mm Hg or the diastolic BP is greater than 90 mm Hg. 
C) Is general hypertension plus proteinuria. 
D) Can occur independently of or simultaneously with gestational hypertension. 
A) Is defined as hypertension that begins during pregnancy and lasts for the duration of pregnancy. 
B) Is considered severe when the systolic blood pressure (BP) is greater than 140 mm Hg or the diastolic BP is greater than 90 mm Hg. 
C) Is general hypertension plus proteinuria. 
D) Can occur independently of or simultaneously with gestational hypertension.

Question 6

A 26-year-old pregnant woman,gravida 2,para 1-0-0-1 is 28 weeks pregnant when she experiences bright red,painless vaginal bleeding.On her arrival at the hospital,what would be an expected diagnostic procedure?

Accepted Answer

A) Amniocentesis for fetal lung maturity 
B) Ultrasound for placental location 
C) Contraction stress test (CST) 
D) Internal fetal monitoring 
A) Amniocentesis for fetal lung maturity 
B) Ultrasound for placental location 
C) Contraction stress test (CST) 
D) Internal fetal monitoring

Question 7

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 aspiration

Accepted Answer

A) Increased oxygen consumption 
B) Increased heart rate 
C) Decreased gastric motility 
D) Displacement of abdominal viscera 
E) Increase in clotting factors 
A) Increased oxygen consumption 
B) Increased heart rate 
C) Decreased gastric motility 
D) Displacement of abdominal viscera 
E) Increase in clotting factors

Question 8

Because pregnant women may need surgery during pregnancy,nurses should be aware that:

Accepted Answer

A) The diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy. 
B) Rupture of the appendix is less likely in pregnant women because of the close monitoring. 
C) Surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy. 
D) When pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses. 
A) The diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy. 
B) Rupture of the appendix is less likely in pregnant women because of the close monitoring. 
C) Surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy. 
D) When pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses.

Question 9

Which condition would not be classified as a bleeding disorder in late pregnancy?

Accepted Answer

A) Placenta previa. 
B) Abruptio placentae. 
C) Spontaneous abortion. 
D) Cord insertion. 
A) Placenta previa. 
B) Abruptio placentae. 
C) Spontaneous abortion. 
D) Cord insertion.

Question 10

A laboring woman with no known risk factors suddenly experiences spontaneous rupture of membranes (ROM).The fluid consists of bright red blood.Her contractions are consistent with her current stage of labor.There is no change in uterine resting tone.The fetal heart rate begins to decline rapidly after the ROM.The nurse should suspect the possibility of:

Accepted Answer

A) Placenta previa. 
B) Vasa previa. 
C) Severe abruptio placentae. 
D) Disseminated intravascular coagulation (DI
C) . 
A) Placenta previa. 
B) Vasa previa. 
C) Severe abruptio placentae. 
D) Disseminated intravascular coagulation (DI
C) .

Exam 12: Pregnancy at Risk: Gestational Conditions

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

Which maternal condition always necessitates delivery by cesarean section?

Which order should the nurse expect for a patient admitted with a threatened abortion?

Nurses should be aware that chronic hypertension:

A 26-year-old pregnant woman,gravida 2,para 1-0-0-1 is 28 weeks pregnant when she experiences bright red,painless vaginal bleeding.On her arrival at the hospital,what would be an expected diagnostic procedure?

Because pregnant women may need surgery during pregnancy,nurses should be aware that:

Which condition would not be classified as a bleeding disorder in late pregnancy?

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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