Question 1

A nurse is providing prenatal education.The nurse will explain that pregnancy affects glucose metabolism in what way?

Accepted Answer

A)  Placental hormones increase the resistance of cells to insulin. 
B)  Insulin cells cannot meet the body's demands as the woman's weight increases. 
C)  There is a decreased production of insulin during pregnancy. 
D)  The speed of insulin breakdown is decreased during pregnancy. 
A)  Placental hormones increase the resistance of cells to insulin. 
B)  Insulin cells cannot meet the body's demands as the woman's weight increases. 
C)  There is a decreased production of insulin during pregnancy. 
D)  The speed of insulin breakdown is decreased during pregnancy.

Question 2

A woman who is 35 weeks pregnant has a total placenta previa.She asks the nurse,"Will I be able to deliver vaginally?" What explanation by the nurse is the most appropriate?

Accepted Answer

A)  "Yes,you can deliver vaginally until 36 weeks." 
B)  "A vaginal delivery can be attempted,but if bleeding occurs,a cesarean section will be done." 
C)  "A cesarean section is performed when the mother has a total placenta previa." 
D)  "There is no reason why you cannot have a vaginal delivery." 
A)  "Yes,you can deliver vaginally until 36 weeks." 
B)  "A vaginal delivery can be attempted,but if bleeding occurs,a cesarean section will be done." 
C)  "A cesarean section is performed when the mother has a total placenta previa." 
D)  "There is no reason why you cannot have a vaginal delivery."

Question 3

The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate.What is the highest priority nursing intervention?

Accepted Answer

A)  Count respirations and report a rate of less than 12 breaths/minute. 
B)  Count respirations and report a rate of more than 20 breaths/minute. 
C)  Check blood pressure and report a rate of less than 100/60 mm Hg. 
D)  Monitor urinary output and report a rate of less than 100 mL/hr. 
A)  Count respirations and report a rate of less than 12 breaths/minute. 
B)  Count respirations and report a rate of more than 20 breaths/minute. 
C)  Check blood pressure and report a rate of less than 100/60 mm Hg. 
D)  Monitor urinary output and report a rate of less than 100 mL/hr.

Question 4

The nurse is caring for a prenatal patient diagnosed with a placenta previa.What is the best position for this patient?

Accepted Answer

A)  Flat on her back with knees flexed to help prevent hemorrhage 
B)  On her side to prevent supine hypotension 
C)  In the semi-Fowler's position to prevent supine hypotension 
D)  In the knee-chest position to reduce pressure on the placenta 
A)  Flat on her back with knees flexed to help prevent hemorrhage 
B)  On her side to prevent supine hypotension 
C)  In the semi-Fowler's position to prevent supine hypotension 
D)  In the knee-chest position to reduce pressure on the placenta

Question 5

A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED).What should the ED nurse offer the patient? (Select all that apply. )

Accepted Answer

A)  Privacy 
B)  An opportunity to hold the infant 
C)  Materials about support groups 
D)  A memento (footprint or lock of hair) 
E)  A warm beverage 
A)  Privacy 
B)  An opportunity to hold the infant 
C)  Materials about support groups 
D)  A memento (footprint or lock of hair) 
E)  A warm beverage

Question 6

A primigravida in her first trimester is Rh negative.What will this woman receive to prevent anti-Rh antibodies from forming?

Accepted Answer

A)  Rh immune globulin during labor 
B)  Intrauterine transfusions with O-negative blood 
C)  Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant 
D)  Rh immune globulin now and again in the last trimester 
A)  Rh immune globulin during labor 
B)  Intrauterine transfusions with O-negative blood 
C)  Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant 
D)  Rh immune globulin now and again in the last trimester

Question 7

What symptom presented by a pregnant women is indicative of abruptio placentae?

Accepted Answer

A)  Painless vaginal bleeding 
B)  Uterine irritability with contractions 
C)  Vaginal bleeding and back pain 
D)  Premature rupture of membranes 
A)  Painless vaginal bleeding 
B)  Uterine irritability with contractions 
C)  Vaginal bleeding and back pain 
D)  Premature rupture of membranes

Question 8

A woman seeking prenatal care relates a history of macrosomic infants,two stillbirths,and polyhydramnios with each pregnancy.What does the nurse recognize these factors highly suggest?

Accepted Answer

A)  Toxoplasmosis 
B)  Abruptio placentae 
C)  Hydatidiform mole 
D)  Diabetes mellitus 
A)  Toxoplasmosis 
B)  Abruptio placentae 
C)  Hydatidiform mole 
D)  Diabetes mellitus

Question 9

A woman,gravida 3,para 2,is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband.She is assessed to have multiple bruises at various stages of healing.What nursing actions are appropriate for the nurse to implement? (Select all that apply. )

Accepted Answer

A)  Tell the husband that authorities will be notified immediately. 
B)  Provide privacy for the assessment. 
C)  Determine if children are being hurt. 
D)  Communicate in a nonjudgmental way. 
E)  Determine factors that increase the risk of injury. 
A)  Tell the husband that authorities will be notified immediately. 
B)  Provide privacy for the assessment. 
C)  Determine if children are being hurt. 
D)  Communicate in a nonjudgmental way. 
E)  Determine factors that increase the risk of injury.

Question 10

The young prenatal patient with gestational diabetes mellitus (GDM)says,"I am frightened that I will have to deal with insulin injections for the rest of my life." What is the best response by the nurse?

Accepted Answer

A)  "After delivery your doctor will prescribe oral hypoglycemic medication to control your disease.Pills are so much simpler than insulin injections." 
B)  "Have you considered an insulin pump?" 
C)  "After a while those insulin injections won't seem so bad." 
D)  "It will most likely resolve 6 weeks or so after the baby is born." 
A)  "After delivery your doctor will prescribe oral hypoglycemic medication to control your disease.Pills are so much simpler than insulin injections." 
B)  "Have you considered an insulin pump?" 
C)  "After a while those insulin injections won't seem so bad." 
D)  "It will most likely resolve 6 weeks or so after the baby is born."

Question 11

A pregnant patient tells the nurse that she has been nauseated and vomiting.How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?

Accepted Answer

A)  Hyperemesis gravidarum usually lasts for the duration of the pregnancy. 
B)  Hyperemesis gravidarum causes dehydration and electrolyte imbalances. 
C)  Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum. 
D)  The woman with hyperemesis gravidarum will have persistent vomiting without weight loss. 
A)  Hyperemesis gravidarum usually lasts for the duration of the pregnancy. 
B)  Hyperemesis gravidarum causes dehydration and electrolyte imbalances. 
C)  Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum. 
D)  The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.

Question 12

What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient?

Accepted Answer

A)  Ergonovine maleate (Ergotrate) 
B)  Oxytocin 
C)  Calcium gluconate 
D)  Hydralazine (Apresoline) 
A)  Ergonovine maleate (Ergotrate) 
B)  Oxytocin 
C)  Calcium gluconate 
D)  Hydralazine (Apresoline)

Question 13

A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain.An ectopic pregnancy is confirmed by ultrasound.Which statement indicates that the woman understands the explanation of an ectopic pregnancy?

Accepted Answer

A)  "The chorionic villi develop vesicles within the uterus." 
B)  "The placenta develops in the lower part of the uterus." 
C)  "The fetus dies in the uterus during the first half of the pregnancy." 
D)  "The embryo is implanted in the fallopian tube." 
A)  "The chorionic villi develop vesicles within the uterus." 
B)  "The placenta develops in the lower part of the uterus." 
C)  "The fetus dies in the uterus during the first half of the pregnancy." 
D)  "The embryo is implanted in the fallopian tube."

Exam 5: Nursing Care of Women With Complications During Pregnancy

A nurse is providing prenatal education.The nurse will explain that pregnancy affects glucose metabolism in what way?

A woman who is 35 weeks pregnant has a total placenta previa.She asks the nurse,"Will I be able to deliver vaginally?" What explanation by the nurse is the most appropriate?

The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate.What is the highest priority nursing intervention?

The nurse is caring for a prenatal patient diagnosed with a placenta previa.What is the best position for this patient?

A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED).What should the ED nurse offer the patient? (Select all that apply. )

A primigravida in her first trimester is Rh negative.What will this woman receive to prevent anti-Rh antibodies from forming?

What symptom presented by a pregnant women is indicative of abruptio placentae?

A woman seeking prenatal care relates a history of macrosomic infants,two stillbirths,and polyhydramnios with each pregnancy.What does the nurse recognize these factors highly suggest?

A woman,gravida 3,para 2,is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband.She is assessed to have multiple bruises at various stages of healing.What nursing actions are appropriate for the nurse to implement? (Select all that apply. )

The young prenatal patient with gestational diabetes mellitus (GDM)says,"I am frightened that I will have to deal with insulin injections for the rest of my life." What is the best response by the nurse?

A pregnant patient tells the nurse that she has been nauseated and vomiting.How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?

What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient?

A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain.An ectopic pregnancy is confirmed by ultrasound.Which statement indicates that the woman understands the explanation of an ectopic pregnancy?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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