Exam 13: Pregnancy at Risk: Gestational Conditions

What is the most prevalent clinical manifestation of abruptio placentae,as opposed to placenta previa?

Your patient has been on magnesium sulphate for 20 hours for treatment of pre-eclampsia.She just delivered a viable infant girl 30 minutes ago.What uterine findings would you expect to assess in this patient?

A woman presents to the emergency department complaining of bleeding and cramping.The initial nursing history is significant for a last menstrual period 6 weeks ago.On sterile speculum examination,the primary care provider finds that the cervix is closed.The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion?

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.How should the nurse interpret this assessment finding?

The labour of a pregnant woman with pre-eclampsia is going to be induced.Before initiating the oxytocin 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.These findings are indicative of which of the following?

Which laboratory marker is indicative of disseminated intravascular coagulation ( DIC )?

A woman with severe pre-eclampsia is receiving a magnesium sulphate infusion.Which finding should the nurse be concerned about?

What nursing diagnosis would be most appropriate for a woman experiencing severe pre-eclampsia?

What is occurring when some of the umbilical vessels cross the cervical os below the presenting part?

The perinatal nurse is giving discharge instructions to a woman,status postsuction curettage secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for the next 12 months.What is the best response from the nurse?

What is the purpose of administering magnesium sulphate to women with pre-eclampsia and eclampsia?

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

Which patient exhibits the greatest number of the risk factors associated with pre-eclampsia?

The nurse caring for pregnant women must be aware that the most common medical complication of pregnancy is which of the following?

A pregnant woman has been receiving a magnesium sulphate infusion for treatment of severe pre-eclampsia 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 patient complains,"I'm so thirsty and warm." What is the nurse's initial intervention?

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?

Which statement is true about women who experience hyperemesis gravidarum?

Your patient is being induced because of her worsening pre-eclampsia.She is also receiving magnesium sulphate.It appears that her labour has not become active,despite several hours of oxytocin administration.She asks the nurse,"Why is it taking so long?" What is the most appropriate response by the nurse?

Which statement is true of pre-existing hypertension?

Which of the following is true in relation to HELLP syndrome?