Exam 12: High-Risk Perinatal Care: Gestational Conditions

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

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:

The patient that you are caring for has severe preeclampsia and is receiving a magnesium sulfate infusion.You become concerned after assessment when the woman exhibits:

The perinatal nurse is giving discharge instructions to a woman after suction curettage secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for the next 12 months.The best response from the nurse would be:

A woman presents to the emergency department with complaints 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?

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

MATCHING 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

Women with hyperemesis gravidarum:

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

A primigravida is being monitored in her prenatal clinic for preeclampsia.What finding should concern her nurse?

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 patient complains,"I'm so thirsty and warm." The nurse:

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:

Nurses should be aware that HELLP syndrome:

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

In providing nutritional counseling for the pregnant woman experiencing cholecystitis,the nurse would:

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

The reported incidence of ectopic pregnancy in the United States has risen steadily over the past two 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.)

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:

MATCHING 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. -Decreased placental perfusion in supine position