Question 1

Which important component of nutritional counseling should the nurse include in health teaching for a pregnant woman who is experiencing cholecystitis?

Accepted Answer

A)   Assess the woman's dietary history for adequate calories and proteins.
B)   Teach the woman that the bulk of calories should come from proteins.
C)   Instruct the woman to eat a low-fat diet and to avoid fried foods.
D)   Instruct the woman to eat a low-cholesterol,low-salt diet. C

Question 2

Because most pregnant women continue their usual activities,trauma remains a common complication during pregnancy.Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year.Because of the physiologic alterations that accompany pregnancy,special considerations for the 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

Accepted Answer

A)  Increased oxygen consumption
B)  Increased heart rate
C)  Decreased gastric motility
D)  Displacement of abdominal viscera
E)  Increase in clotting factors A

Question 3

Since the gene for cystic fibrosis was identified in 1989,data can be collected for the purposes of genetic counseling for couples regarding carrier status.According to the most recent statistics,how often does cystic fibrosis occur in Caucasian live births?

Accepted Answer

A)   1 in 100
B)   1 in 1000
C)   1 in 2000
D)   1 in 3200 D

Question 4

When caring for a pregnant woman with cardiac problems,the nurse must be alert for the signs and symptoms of cardiac decompensation.Which critical findings would the nurse find on assessment of the client experiencing this condition?

Accepted Answer

A)   Regular heart rate and hypertension
B)   Increased urinary output,tachycardia,and dry cough
C)   Shortness of breath,bradycardia,and hypertension
D)   Edema,crackles,and cyanosis of nails and lips

Question 5

Another common pregnancy-specific condition is pruritic urticarial papules and plaques of pregnancy (PUPPP).A client asks the nurse why she has developed this condition and what can be done.What is the nurse's best response?

Accepted Answer

A)   PUPPP is associated with decreased maternal weight gain.
B)   The rate of hypertension decreases with PUPPP.
C)   This common pregnancy-specific condition is associated with a poor fetal outcome.
D)   The goal of therapy is to relieve discomfort.

Question 6

Postoperative care of the pregnant woman who requires abdominal surgery for appendicitis includes which additional assessment?

Accepted Answer

A)   Intake and output (I&O) and intravenous (IV) site
B)   Signs and symptoms of infection
C)   Vital signs and incision
D)   Fetal heart rate (FHR) and uterine activity

Question 7

Which congenital anomalies can occur because of the use of antiepileptic drugs (AEDs)in pregnancy? (Select all that apply. )

Accepted Answer

A)   Cleft lip
B)   Congenital heart disease
C)   Neural tube defects
D)   Gastroschisis
E)   Diaphragmatic hernia

Question 8

Because most pregnant women continue their usual activities,trauma remains a common complication during pregnancy.Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year.Because of the physiologic alterations that accompany pregnancy,special considerations for the mother and fetus are necessary when trauma occurs.Match the maternal system adaptation in pregnancy with the clinical response to trauma.

-Increased risk of thrombus formation

Accepted Answer

A)  Increased oxygen consumption
B)  Increased heart rate
C)  Decreased gastric motility
D)  Displacement of abdominal viscera
E)  Increase in clotting factors

Question 9

Which neurologic condition would require preconception counseling,if possible?

Accepted Answer

A)   Eclampsia
B)   Bell palsy
C)   Epilepsy
D)   Multiple sclerosis

Question 10

Because most pregnant women continue their usual activities,trauma remains a common complication during pregnancy.Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year.Because of the physiologic alterations that accompany pregnancy,special considerations for the mother and fetus are necessary when trauma occurs.Match the maternal system adaptation in pregnancy with the clinical response to trauma.

-Increased risk of aspiration

Accepted Answer

A)  Increased oxygen consumption
B)  Increased heart rate
C)  Decreased gastric motility
D)  Displacement of abdominal viscera
E)  Increase in clotting factors

Question 11

In caring for a pregnant woman diagnosed with sickle cell anemia,the nurse must be aware of the signs and symptoms of a sickle cell crisis.What do these include? (Select all that apply. )

Accepted Answer

A)   Fever
B)   Endometritis
C)   Abdominal pain
D)   Joint pain
E)   Urinary tract infection (UTI)

Question 12

A woman with asthma is experiencing a postpartum hemorrhage.Which drug should be avoided when treating postpartum bleeding to avoid exacerbating asthma?

Accepted Answer

A)   Oxytocin (Pitocin) 
B)   Nonsteroidal antiinflammatory drugs (NSAIDs) 
C)   15-methyl PGF2 α\alphaα 
D)   Fentanyl

Question 13

Because most pregnant women continue their usual activities,trauma remains a common complication during pregnancy.Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year.Because of the physiologic alterations that accompany pregnancy,special considerations for the mother and fetus are necessary when trauma occurs.Match the maternal system adaptation in pregnancy with the clinical response to trauma.

-Altered pain referral

Accepted Answer

A)  Increased oxygen consumption
B)  Increased heart rate
C)  Decreased gastric motility
D)  Displacement of abdominal viscera
E)  Increase in clotting factors

Question 14

It is extremely rare for a woman to die in childbirth;however,it can happen.In the United States,the annual occurrence of maternal death is 12 per 100,000 cases of live birth.What are the leading causes of maternal death?

Accepted Answer

A)   Embolism and preeclampsia
B)   Falls and motor vehicle accidents (MVAs) 
C)   Hemorrhage and infection
D)   Underlying chronic conditions

Question 15

Bell palsy is an acute idiopathic facial paralysis,the cause for which remains unknown.Which statement regarding this condition is correct?

Accepted Answer

A)   Bell palsy is the sudden development of bilateral facial weakness.
B)   Women with Bell palsy have an increased risk for hypertension.
C)   Pregnant women are affected twice as often as nonpregnant women.
D)   Bell palsy occurs most frequently in the first trimester.

Question 16

Because most pregnant women continue their usual activities,trauma remains a common complication during pregnancy.Approximately 1 in 12 pregnancies in the United States are complicated by trauma each year.Because of the physiologic alterations that accompany pregnancy,special considerations for the 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 the supine position

Accepted Answer

A)  Increased oxygen consumption
B)  Increased heart rate
C)  Decreased gastric motility
D)  Displacement of abdominal viscera
E)  Increase in clotting factors

Question 17

Which information should the nurse take into consideration when planning care for a postpartum client with cardiac disease?

Accepted Answer

A)   The plan of care for a postpartum client is the same as the plan for any pregnant woman.
B)   The plan of care includes rest,stool softeners,and monitoring of the effect of activity.
C)   The plan of care includes frequent ambulating,alternating with active range-of-motion exercises.
D)   The plan of care includes limiting visits with the infant to once per day.

Question 18

Autoimmune disorders often occur during pregnancy because a large percentage of women with an autoimmune disorder are of childbearing age.Which disorders fall into the category of collagen vascular disease? (Select all that apply. )

Accepted Answer

A)   Multiple sclerosis
B)   Systemic lupus erythematosus (SL
E)  
C)   Antiphospholipid syndrome
D)   Rheumatoid arthritis
E)   Myasthenia gravis

Question 19

A pregnant woman at term is transported to the emergency department (ED)after a severe vehicular accident.The obstetric nurse responds and rushes to the ED with a fetal monitor.Cardiopulmonary arrest occurs as the obstetric nurse arrives.What is the highest priority for the trauma team?

Accepted Answer

A)   Obtaining IV access,and starting aggressive fluid resuscitation
B)   Quickly applying the fetal monitor to determine whether the fetus viability
C)   Starting cardiopulmonary resuscitation (CPR) 
D)   Transferring the woman to the surgical unit for an emergency cesarean delivery in case the fetus is still alive

Question 20

The client makes an appointment for preconception counseling.The woman has a known heart condition and is unsure if she should become pregnant.Which is the only cardiac condition that would cause concern?

Accepted Answer

A)   Marfan syndrome
B)   Eisenmenger syndrome
C)   Heart transplant
D)   Ventricular septal defect (VS
D)

Exam 30: Medical-Surgical Disorders

Which important component of nutritional counseling should the nurse include in health teaching for a pregnant woman who is experiencing cholecystitis?

Since the gene for cystic fibrosis was identified in 1989,data can be collected for the purposes of genetic counseling for couples regarding carrier status.According to the most recent statistics,how often does cystic fibrosis occur in Caucasian live births?

When caring for a pregnant woman with cardiac problems,the nurse must be alert for the signs and symptoms of cardiac decompensation.Which critical findings would the nurse find on assessment of the client experiencing this condition?

Another common pregnancy-specific condition is pruritic urticarial papules and plaques of pregnancy (PUPPP) .A client asks the nurse why she has developed this condition and what can be done.What is the nurse's best response?

Postoperative care of the pregnant woman who requires abdominal surgery for appendicitis includes which additional assessment?

Which congenital anomalies can occur because of the use of antiepileptic drugs (AEDs) in pregnancy? (Select all that apply. )

Which neurologic condition would require preconception counseling,if possible?

In caring for a pregnant woman diagnosed with sickle cell anemia,the nurse must be aware of the signs and symptoms of a sickle cell crisis.What do these include? (Select all that apply. )

A woman with asthma is experiencing a postpartum hemorrhage.Which drug should be avoided when treating postpartum bleeding to avoid exacerbating asthma?

It is extremely rare for a woman to die in childbirth;however,it can happen.In the United States,the annual occurrence of maternal death is 12 per 100,000 cases of live birth.What are the leading causes of maternal death?

Bell palsy is an acute idiopathic facial paralysis,the cause for which remains unknown.Which statement regarding this condition is correct?

Which information should the nurse take into consideration when planning care for a postpartum client with cardiac disease?

Autoimmune disorders often occur during pregnancy because a large percentage of women with an autoimmune disorder are of childbearing age.Which disorders fall into the category of collagen vascular disease? (Select all that apply. )

A pregnant woman at term is transported to the emergency department (ED) after a severe vehicular accident.The obstetric nurse responds and rushes to the ED with a fetal monitor.Cardiopulmonary arrest occurs as the obstetric nurse arrives.What is the highest priority for the trauma team?

The client makes an appointment for preconception counseling.The woman has a known heart condition and is unsure if she should become pregnant.Which is the only cardiac condition that would cause concern?