Question 1

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

Accepted Answer

A)  Bed rest 
B)  Ritodrine IV 
C)  NPO 
D)  Narcotic analgesia every 3 hours, prn

Question 2

MATCHING
Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for 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 3

MATCHING
Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for 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 4

Which condition indicates concealed hemorrhage when the patient experiences an abruptio placentae?

Accepted Answer

A)  Decrease in abdominal pain 
B)  Bradycardia 
C)  Hard, board-like abdomen 
D)  Decrease in fundal height

Question 5

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 are an indication of:

Accepted Answer

A)  anxiety due to hospitalization. 
B)  worsening disease and impending convulsion. 
C)  effects of magnesium sulfate. 
D)  gastrointestinal upset.

Question 6

As related to the care of the patient with miscarriage,nurses should be aware that:

Accepted Answer

A)  it is a natural pregnancy loss before labor begins. 
B)  it occurs in fewer than 5% of all clinically recognized pregnancies. 
C)  it often can be attributed to careless maternal behavior such as poor nutrition or excessive exercise. 
D)  if it occurs before the 12th week of pregnancy, it may manifest only as moderate discomfort and blood loss.

Question 7

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:

Accepted Answer

A)  eclampsia. 
B)  disseminated intravascular coagulation (DI
C) . 
C)  HELLP syndrome. 
D)  idiopathic thrombocytopenia.

Question 8

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa)is:

Accepted Answer

A)  bleeding. 
B)  intense abdominal pain. 
C)  uterine activity. 
D)  cramping.

Question 9

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

Accepted Answer

A)  Administration of blood 
B)  Preparation of the patient for invasive hemodynamic monitoring 
C)  Restriction of intravascular fluids 
D)  Administration of steroids

Question 10

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

Accepted Answer

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

Question 11

Which condition would not be classified as a bleeding disorder in late pregnancy?

Accepted Answer

A)  Placenta previa 
B)  Abruptio placentae 
C)  Spontaneous abortion 
D)  Cord insertion

Question 12

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

Question 13

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

Accepted Answer

A)  the diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy. 
B)  rupture of the appendix is less likely in pregnant women because of the close monitoring. 
C)  surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy. 
D)  when pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses.

Question 14

An abortion in which the fetus dies but is retained within the uterus is called a(n):

Accepted Answer

A)  inevitable abortion. 
B)  missed abortion. 
C)  incomplete abortion. 
D)  threatened abortion.

Question 15

A patient who has undergone a dilation and curettage for early pregnancy loss is likely to be discharged the same day.The nurse must ensure that vital signs are stable,bleeding has been controlled,and the woman has adequately recovered from the administration of anesthesia.To promote an optimal recovery,discharge teaching should include: (Select all that apply.)

Accepted Answer

A)  iron supplementation. 
B)  resumption of intercourse at 6 weeks following the procedure. 
C)  referral to a support group if necessary. 
D)  expectation of heavy bleeding for at least 2 weeks. 
E)  emphasizing the need for rest.

Question 16

MATCHING
Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy. Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for 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 17

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 and recognizes this assessment finding as:

Accepted Answer

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

Question 18

Which maternal condition always necessitates delivery by cesarean section?

Accepted Answer

A)  Partial abruptio placentae 
B)  Total placenta previa 
C)  Ectopic pregnancy 
D)  Eclampsia

Question 19

Spontaneous termination of a pregnancy is considered to be an abortion if:

Accepted Answer

A)  the pregnancy is less than 20 weeks. 
B)  the fetus weighs less than 1000 
C)  the products of conception are passed intact. 
D)  no evidence exists of intrauterine infection.

Question 20

In planning care for women with preeclampsia,nurses should be aware that:

Accepted Answer

A)  induction of labor is likely, as near term as possible. 
B)  if at home, the woman should be confined to her bed, even with mild preeclampsia. 
C)  a special diet low in protein and salt should be initiated. 
D)  vaginal birth is still an option, even in severe cases.

Exam 12: High-Risk Perinatal Care: Gestational Conditions

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

Which condition indicates concealed hemorrhage when the patient experiences an abruptio placentae?

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 are an indication of:

As related to the care of the patient with miscarriage,nurses should be aware that:

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

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

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

Which condition would not be classified as a bleeding disorder in late pregnancy?

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:

An abortion in which the fetus dies but is retained within the uterus is called a(n) :

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 and recognizes this assessment finding as:

Which maternal condition always necessitates delivery by cesarean section?

Spontaneous termination of a pregnancy is considered to be an abortion if:

In planning care for women with preeclampsia,nurses should be aware that: