Question 1

The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment involves

Accepted Answer

A)  corticosteroids to reduce inflammation. 
B)  IV therapy to correct fluid and electrolyte imbalances. 
C)  an antiemetic, such as pyridoxine, to control nausea and vomiting. 
D)  enteral nutrition to correct nutritional deficits. 
A)  corticosteroids to reduce inflammation. 
B)  IV therapy to correct fluid and electrolyte imbalances. 
C)  an antiemetic, such as pyridoxine, to control nausea and vomiting. 
D)  enteral nutrition to correct nutritional deficits.

Question 2

A woman with preeclampsia has a seizure.What action by the nurse takes priority?

Accepted Answer

A)  Insert an oral airway. 
B)  Suction the mouth to prevent aspiration. 
C)  Administer oxygen by mask. 
D)  Stay with the patient and call for help. 
A)  Insert an oral airway. 
B)  Suction the mouth to prevent aspiration. 
C)  Administer oxygen by mask. 
D)  Stay with the patient and call for help.

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

What data on a patient's health history places her at risk for an ectopic pregnancy?

Accepted Answer

A)  Use of oral contraceptives for 5 years 
B)  Recurrent pelvic infections 
C)  Ovarian cyst 2 years ago 
D)  Heavy menstrual flow of 4 days' duration 
A)  Use of oral contraceptives for 5 years 
B)  Recurrent pelvic infections 
C)  Ovarian cyst 2 years ago 
D)  Heavy menstrual flow of 4 days' duration

Question 5

What assessment findings indicate to the nurses that a woman's preeclampsia should now be considered severe? (Select all that apply.)

Accepted Answer

A)  Urine output 40 mL/hour for the past 2 hours 
B)  Serum creatinine 3.1 mg/dL 
C)  Seeing "sparkly" things in the visual field 
D)  Crackles in both lungs 
E)  Soft, non-tender abdomen 
A)  Urine output 40 mL/hour for the past 2 hours 
B)  Serum creatinine 3.1 mg/dL 
C)  Seeing "sparkly" things in the visual field 
D)  Crackles in both lungs 
E)  Soft, non-tender abdomen

Question 6

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

Accepted Answer

A)  Complete hydatidiform mole 
B)  Missed abortion 
C)  Unruptured ectopic pregnancy 
D)  Abruptio placentae 
A)  Complete hydatidiform mole 
B)  Missed abortion 
C)  Unruptured ectopic pregnancy 
D)  Abruptio placentae

Question 7

The student nurse is assessing a woman with abruptio placentae.The student reports to the registered nurse "I can't really palpate her abdomen,it's as hard as a board." What action by the nurse is the priority?

Accepted Answer

A)  Tell the student to document the findings. 
B)  Have the student teach the woman relaxation techniques. 
C)  Assess the woman's fundal height and vital signs. 
D)  Administer a dose of opioid pain medication. 
A)  Tell the student to document the findings. 
B)  Have the student teach the woman relaxation techniques. 
C)  Assess the woman's fundal height and vital signs. 
D)  Administer a dose of opioid pain medication.

Question 8

A pregnant woman has been diagnosed with gestational hypertension and is crying.She asks the nurse if this means she has to take blood pressure medicine for the rest of her life.What answer by the nurse is best?

Accepted Answer

A)  "Yes, you will have hypertension for the rest of your life." 
B)  "No, this always goes away after you deliver." 
C)  "Maybe, we have to wait and see at your 6-week postpartum checkup." 
D)  "I don't know. But if you need medicine you should take it." 
A)  "Yes, you will have hypertension for the rest of your life." 
B)  "No, this always goes away after you deliver." 
C)  "Maybe, we have to wait and see at your 6-week postpartum checkup." 
D)  "I don't know. But if you need medicine you should take it."

Question 9

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache,visual changes,and epigastric pain.Nursing care is based on the knowledge that these signs indicate

Accepted Answer

A)  Anxiety due to hospitalization 
B)  Worsening disease and impending seizure 
C)  Effects of magnesium sulfate 
D)  Gastrointestinal upset 
A)  Anxiety due to hospitalization 
B)  Worsening disease and impending seizure 
C)  Effects of magnesium sulfate 
D)  Gastrointestinal upset

Question 10

The prenatal clinic nurse monitored women for preeclampsia.If all four women were in the clinic at the same time,which one should the nurse see first?

Accepted Answer

A)  Blood pressure increase to 138/86 mm Hg 
B)  Weight gain of 0.5 kg during the past 2 weeks 
C)  A dipstick value of 3+ for protein in her urine 
D)  Pitting pedal edema at the end of the day 
A)  Blood pressure increase to 138/86 mm Hg 
B)  Weight gain of 0.5 kg during the past 2 weeks 
C)  A dipstick value of 3+ for protein in her urine 
D)  Pitting pedal edema at the end of the day

Question 11

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

Accepted Answer

A)  Abstinence from sexual activity 
B)  Pitocin IV 
C)  NPO 
D)  Narcotic analgesia every 3 hours, prn 
A)  Abstinence from sexual activity 
B)  Pitocin IV 
C)  NPO 
D)  Narcotic analgesia every 3 hours, prn

Question 12

A placenta previa in which the placental edge just reaches the internal os is called

Accepted Answer

A)  total. 
B)  partial. 
C)  complete. 
D)  marginal. 
A)  total. 
B)  partial. 
C)  complete. 
D)  marginal.

Question 13

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to

Accepted Answer

A)  assess fetal heart rate (FHR) and maternal vital signs. 
B)  perform a venipuncture for hemoglobin and hematocrit levels. 
C)  place clean disposable pads to collect any drainage. 
D)  monitor uterine contractions. 
A)  assess fetal heart rate (FHR) and maternal vital signs. 
B)  perform a venipuncture for hemoglobin and hematocrit levels. 
C)  place clean disposable pads to collect any drainage. 
D)  monitor uterine contractions.

Question 14

A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash.Although she has no apparent injuries,she is admitted to the hospital.Her partner is upset and wants to know why she just can't come home.What response by the nurse is best?

Accepted Answer

A)  "This is standard procedure for all pregnant crash victims." 
B)  "She needs to be monitored for some potential complications." 
C)  "We may have to deliver the baby at any time now." 
D)  "We are giving her medicine to keep her from laboring." 
A)  "This is standard procedure for all pregnant crash victims." 
B)  "She needs to be monitored for some potential complications." 
C)  "We may have to deliver the baby at any time now." 
D)  "We are giving her medicine to keep her from laboring."

Question 15

Rh incompatibility can occur if the woman is Rh negative and her

Accepted Answer

A)  fetus is Rh positive. 
B)  husband is Rh positive. 
C)  fetus is Rh negative. 
D)  husband and fetus are both Rh negative. 
A)  fetus is Rh positive. 
B)  husband is Rh positive. 
C)  fetus is Rh negative. 
D)  husband and fetus are both Rh negative.

Exam 25: Pregnancy-Related Complications

The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment involves

A woman with preeclampsia has a seizure.What action by the nurse takes priority?

Which maternal condition always necessitates delivery by cesarean section?

What data on a patient's health history places her at risk for an ectopic pregnancy?

What assessment findings indicate to the nurses that a woman's preeclampsia should now be considered severe? (Select all that apply.)

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

The student nurse is assessing a woman with abruptio placentae.The student reports to the registered nurse "I can't really palpate her abdomen,it's as hard as a board." What action by the nurse is the priority?

A pregnant woman has been diagnosed with gestational hypertension and is crying.She asks the nurse if this means she has to take blood pressure medicine for the rest of her life.What answer by the nurse is best?

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache,visual changes,and epigastric pain.Nursing care is based on the knowledge that these signs indicate

The prenatal clinic nurse monitored women for preeclampsia.If all four women were in the clinic at the same time,which one should the nurse see first?

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

A placenta previa in which the placental edge just reaches the internal os is called

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to

A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash.Although she has no apparent injuries,she is admitted to the hospital.Her partner is upset and wants to know why she just can't come home.What response by the nurse is best?

Rh incompatibility can occur if the woman is Rh negative and her

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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