Question 1

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?

Accepted Answer

A)  Incomplete 
B)  Inevitable 
C)  Threatened 
D)  Septic

Question 2

In caring for an immediate postpartum patient,the nurse notes petechiae and oozing from her IV site.Based on this assessment,what clotting disorder would the nurse monitor this patient closely for?

Accepted Answer

A)  Disseminated intravascular coagulation (DI
C)  
B)  Amniotic fluid embolism (AF
E)  
C)  Hemorrhage 
D)  HELLP syndrome

Question 3

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

Accepted Answer

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

Question 4

What is the purpose of administering magnesium sulphate to women with pre-eclampsia and eclampsia?

Accepted Answer

A)  It improves patellar reflexes and increases respiratory efficiency. 
B)  It shortens the duration of labour. 
C)  It prevents or controls convulsions. 
D)  It prevents a boggy uterus and lessens lochial flow.

Question 5

A woman with pre-eclampsia has a seizure.What is the nurse's priority intervention?

Accepted Answer

A)  Ensure a patent airway. 
B)  Suction the mouth to prevent aspiration. 
C)  Administer oxygen by mask. 
D)  Stay with the patient to provide emotional support.

Question 6

A patient who has undergone a dilation and curettage for early pregnancy loss is likely to be discharged the same day.Her vital signs are stable,bleeding has been controlled,and she has a low-normal hemoglobin level.To promote an optimal recovery,which should be part of discharge teaching for this woman? Select all that apply.Express your answer in small letters followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Diet high in iron and protein 
B)  Resumption of intercourse at 6 weeks following the procedure 
C)  Can resume normal activity level with no restrictions 
D)  Expectation of scant,dark discharge for 1 to 2 weeks 
E)  Postpone pregnancy for at least 2 months
F) Expectation of heavy bright red bleeding for 1 week

Question 7

A woman at 39 weeks of gestation with a history of pre-eclampsia is admitted to the labour 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 which condition?

Accepted Answer

A)  Eclamptic seizure 
B)  Rupture of the uterus 
C)  Placenta previa 
D)  Placental abruption

Question 8

Which patient exhibits the greatest number of risk factors associated with pre-eclampsia?

Accepted Answer

A)  A 30-year-old obese White woman with her third pregnancy 
B)  A 41-year-old White primigravida 
C)  An Inuit patient who is 42 years old,weighs 92 kg,and is pregnant with twins 
D)  A 25-year-old Métis woman whose pregnancy is the result of donor insemination

Question 9

A patient has been on magnesium sulphate for 20 hours for treatment of pre-eclampsia.She just delivered a viable infant girl 30 minutes ago.What uterine findings would the nurse expect to assess in this patient?

Accepted Answer

A)  Absence of uterine bleeding in the postpartum period 
B)  A fundus firm below the level of the umbilicus 
C)  Scant lochia flow 
D)  A boggy uterus with heavy lochia flow

Question 10

A woman arrives for evaluation of her symptoms,which include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination the nurse notices an ecchymotic blueness around the woman's umbilicus.How should the nurse interpret this assessment finding?

Accepted Answer

A)  This is a normal integumentary change associated with pregnancy. 
B)  This is Turner's sign,associated with appendicitis. 
C)  This is Cullen's sign,associated with a ruptured ectopic pregnancy. 
D)  This is Chadwick's sign,associated with early pregnancy.

Question 11

Which statement is true of pre-existing hypertension?

Accepted Answer

A)  It is defined as hypertension that begins during pregnancy and lasts for the duration of pregnancy. 
B)  It is considered severe when the systolic blood pressure (BP)is greater than 140 mm Hg or the diastolic BP is greater than 90 mm Hg. 
C)  It is general hypertension plus proteinuria. 
D)  It can be accompanied by pre-eclampsia during pregnancy.

Exam 14: Pregnancy at Risk: Gestational Conditions