Question 1

A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B.She is afraid that her infant will also contract hepatitis B.What will the nurse explain to this woman?

Accepted Answer

A)   The infant will be given a single dose of hepatitis immune globulin after birth.
B)   The infant will be able to use the antibodies from the immunizations given to the patient before delivery.
C)   The infant will not have hepatitis B because the virus does not pass through the placental barrier.
D)   The infant will be immune to hepatitis B because of the mother's infection. A

Question 2

What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply. )

Accepted Answer

A)   Citrus fruits enhance absorption of iron.
B)   Bran products support iron deficiency.
C)   Milk will disguise the taste of the iron.
D)   The iron therapy will continue for about 3 months.
E)   Tea should be avoided while taking iron. A,D,E

Question 3

The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E)for a missed abortion.What is the most appropriate statement by the nurse?

Accepted Answer

A)   "There is usually something wrong with the fetus when this happens early in pregnancy."
B)   "Now there.You can try to conceive on your next cycle."
C)   "I'm here if you need to talk."
D)   "You are young and strong.I know you can have a healthy pregnancy." C

Question 4

The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus.What can result from maternal rubella during pregnancy?

Accepted Answer

A)   Facial abnormalities
B)   Mental retardation
C)   Liver failure
D)   Limb deformities

Question 5

The nurse is preparing a pregnant patient for an abdominal ultrasound at 8 weeks' gestation.What intervention will the nurse implement before this diagnostic test?

Accepted Answer

A)   Instruct the patient to take nothing by mouth after midnight the night before the test.
B)   Initiate an IV.
C)   Encourage the patient to drink 1 to 2 quarts of water before the test.
D)   Instruct the patient to remove all jewelry.

Question 6

An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os.What does the nurse understand best describes this condition?

Accepted Answer

A)   Low-lying placenta
B)   Marginal placenta previa
C)   Partial placenta previa
D)   Total placenta previa

Question 7

What will the nurse begin with when asking a patient about drug use during a prenatal history?

Accepted Answer

A)   "Do you smoke,drink alcohol,or use drugs?"
B)   "Do you ever use prescription or street drugs?"
C)   "What over-the-counter and prescription drugs have you taken in the past 3 months?"
D)   "We need to know if you take drugs so we can help your baby."

Question 8

A patient who is 28 weeks pregnant presents with consistent hypertension.What need would the home health nurse make the first priority?

Accepted Answer

A)   Activity restriction
B)   Balanced nutrition
C)   Increased fluid intake to ensure adequate hydration
D)   Instruction about the effect of diuretics

Question 9

Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy?

Accepted Answer

A)   Insulin can cross the placental barrier to the fetus.
B)   Insulin does not cross the placental barrier to the fetus.
C)   Oral agents do not cross the placenta.
D)   Oral agents are not sufficient to meet maternal insulin needs.

Question 10

What situation would concern the nurse about the presence of Rh incompatibility?

Accepted Answer

A)   Rh-negative mother,Rh-positive fetus
B)   Rh-positive mother,Rh-negative fetus
C)   Rh-negative mother,Rh-negative fetus
D)   Rh-positive mother,Rh-positive fetus

Question 11

The nurse is obtaining history and physical information on a new patient attending her first prenatal visit.After recording current height,weight,and BMI,it is determined that the patient is obese.What complications related to obesity will the nurse assess this patient for during pregnancy? (Select all that apply. )

Accepted Answer

A)   Gestational diabetes
B)   RH incompatibility
C)   Hypertension
D)   Pre-eclampsia
E)   Infection

Question 12

The nurse is caring for a macrosomic newborn of a diabetic patient.What complications will the nurse assess for in the newborn?

Accepted Answer

A)   Meconium ileus
B)   Diarrhea
C)   Hypoglycemia
D)   Muscle tremors

Question 13

The nurse educates prenatal patients about the threat of TORCH infections.Which infections are included in this classification? (Select all that apply. )

Accepted Answer

A)   Toxoplasmosis
B)   Toxemia
C)   Cytomegalovirus
D)   Rubella
E)   Herpes simplex

Question 14

A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping.She reports passing some tissue.Cervical dilation is noted on examination.What is the most likely cause of these symptoms?

Accepted Answer

A)   Inevitable abortion
B)   Incomplete abortion
C)   Complete abortion
D)   Missed abortion

Question 15

A patient with gestational hypertension is exhibiting all of the signs below.What should the nurse report immediately?

Accepted Answer

A)   Diarrhea
B)   Urticaria
C)   Blurred vision
D)   Backache

Question 16

What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?

Accepted Answer

A)   Frequency and urgency of urination
B)   Nausea and weight loss
C)   Burning sensation when voiding
D)   Tenderness in the flank area

Question 17

The nurse takes into consideration that the patient with placenta previa is at risk for postpartum infection for what reasons? (Select all that apply. )

Accepted Answer

A)   Vaginal organisms can invade the placenta.
B)   The undernourished placenta becomes necrotic.
C)   The amniotic fluid can become infected.
D)   The placenta is an excellent growth medium.
E)   The misplaced placenta weakens the uterine wall.

Question 18

The nurse is caring for a pregnant woman diagnosed with preeclampsia.What will the nurse explain is the objective of magnesium sulfate therapy for this patient?

Accepted Answer

A)   To prevent convulsions
B)   To promote diaphoresis
C)   To increase reflex irritability
D)   To act as a saline cathartic

Question 19

The nurse assesses a pregnant woman for pregnancy-induced hypertension.What is the first sign of fluid retention suggestive of this complication?

Accepted Answer

A)   Abdominal enlargement
B)   Facial swelling
C)   Sudden weight gain
D)   Swelling of the feet and ankles

Question 20

The nurse emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems? (Select all that apply. )

Accepted Answer

A)   Disruption of family roles
B)   Financial pressures
C)   Excessive attachment to infant
D)   Frustration with activity restriction
E)   Alteration in child care practices

Exam 5: Nursing Care of Women With Complications During Pregnancy