Exam 14: Pregnancy at Risk: Gestational Conditions

Nurses should be aware that chronic hypertension:

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:

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

The antidote administered to reverse magnesium toxicity is _____________________.

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

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

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

_________________________ is responsible for 9% of all maternal mortality and is the leading cause of infertility.

Women with hyperemesis gravidarum:

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:

A woman with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse becomes concerned after assessment when the woman exhibits:

With regard to miscarriage,nurses should be aware that:

In caring for the woman with disseminated intravascular coagulation (DIC),what order should the nurse anticipate?

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:

Your client is being induced because of her worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active despite several hours of oxytocin administration. She asks the nurse,"Why is it taking so long?" The most appropriate response by the nurse would be:

Nurses should be aware that HELLP syndrome:

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

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 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?

Your client has been on magnesium sulfate for 20 hours for treatment of preeclampsia. She just delivered a viable infant girl 30 minutes ago. What uterine findings would you expect to observe/assess in this client?