Quiz yourself by thinking what should be in
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on it to display the answer.
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| show | Anticonvulsant
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| show | Delivery of fetus
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| The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia? | show 🗑
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| show | Abdominal palpation
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| show | +3
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| show | Total placenta previa
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| Spontaneous termination of a pregnancy is considered to be an abortion if | show 🗑
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| An abortion when the fetus dies but is retained in the uterus is called | show 🗑
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| A placenta previa when the placental edge just reaches the internal os is called | show 🗑
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| show | Hard boardlike abdomen
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| The priority nursing intervention when admitting a pregnant patient who has experienced a bleeding episode in late pregnancy is to | show 🗑
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| show | worsening disease and impending convulsion.
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| show | fetus is Rh-positive.
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| show | Incomplete abortion at 10 weeks
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| Which data found on a patient’s health history would place her at risk for an ectopic pregnancy? | show 🗑
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| show | Fundal height measurement of 18 cm
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| Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa? | show 🗑
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| show | decreased fibrinogen.
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| show | Normal deep tendon reflexes
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| A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take? | show 🗑
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| show | Hemorrhage is the primary concern.
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| A patient who was pregnant had a spontaneous abortion at approximately 4 weeks’ gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the patient presents at the clinic office complaining | show 🗑
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| show | Undiagnosed chronic hypertension
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| show | Platelet count of 50,000/mcL
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| As the triage nurse in the emergency room, you are reviewing results for the high-risk obstetric patient who is in labor because of traumatic injury experienced as a result of a motor vehicle accident (MVA). You note that the Kleihauer–Betke test is posit | show 🗑
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| show | Hidden placental abruption
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| What is the priority nursing intervention for the patient who has had an incomplete abortion? | show 🗑
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| Which finding in the assessment of a patient following an abruption placenta could indicate a major complication? | show 🗑
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| Which assessment by the nurse would differentiate a placenta previa from an abruptio placentae? | show 🗑
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| A blood-soaked peripad weighs 900 g. The nurse would document a blood loss of mL. | show 🗑
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| Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy? | show 🗑
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| show | Clear fluid from vagina
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| show | Urine output >100 mL/hour
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| show | indirect Coombs test of the mother.
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| show | 6:30 AM on January 13
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| show | Male fetus, African-American, previous cesarean birth
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| show | Assess the patient’s respiratory rate.
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| Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant patient with diabetes? | show 🗑
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| show | Hypoglycemia
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| show | Previous birth of large infant
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| show | Rheumatoid arthritis
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| Nursing intervention for pregnant patients with diabetes is based on the knowledge that the need for insulin is | show 🗑
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| Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy? | show 🗑
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| Which instructions should the nurse include when teaching a pregnant patient with Class II heart disease? | show 🗑
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| Anti-infective prophylaxis is indicated for a pregnant patient with a history of mitral valve stenosis related to rheumatic heart disease because the patient is at risk of developing | show 🗑
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| show | She must make arrangements to stay somewhere other than her home until the
children are no longer contagious.
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| A patient has a history of drug use and is screened for hepatitis B during the first trimester. Which action is most appropriate? | show 🗑
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| A patient has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis? | show 🗑
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| Examination of a newborn in the birth room reveals bilateral cataracts. Which disease process in the maternal history would likely cause this abnormality? | show 🗑
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| Which postpartum patient requires further assessment? | show 🗑
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| The nurse is reviewing the instructions given to a patient at 24 weeks’ gestation for a glucose challenge test (GCT). The nurse determines that the patient understands the teaching when she makes which statement? | show 🗑
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| show | Ask the patient when she last had anything to eat or drink.
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| show | Altered sensorium
Respiratory rate of less than 12 breaths per minute
Absence of deep tendon reflexes
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| show | C. Birth defects
d. Venous thromboembolism
e. Postpartum anemia
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| A pregnant patient who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for | show 🗑
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| show | c. Seeing a different nurse and/or health care provider at every visit.
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| In planning sex education classes for the middle school age group, more emphasis should be placed on | show 🗑
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| show | Affirm her decision while acknowledging her maturity in making it.
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| A patient who is older than 35 years may have difficulty achieving pregnancy because | show 🗑
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| show | Having enough rest and sleep
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| Which is the most dangerous effect on the fetus of a patient who smokes cigarettes while pregnant? | show 🗑
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| A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake? | show 🗑
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| Which of the following is an example of healthy grieving? | show 🗑
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| show | “I am so sorry about your loss. Would you like to talk about it?”
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| Which action is the most appropriate nursing measure when a baby has an unexpected defect at birth? | show 🗑
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| Which environment can assist a pregnant teen to achieve the task of establishing a stable identity? | show 🗑
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| show | Anemia
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| The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. Which topics will the nurse include in the teen’s teaching plan? | show 🗑
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| show | “My baby will not have to go through withdrawal when I take methadone.”
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| Which data in the patient’s history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression? | show 🗑
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| show | a.Risk for spiritual distress
b. Risk for injury
e. Situational low self-esteem
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| Many teens wait until the second or even third trimester to seek prenatal care. The nurse should understand that the reasons behind this delay include which of the following? (Select all that apply. | show 🗑
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| Which characteristics of fetal alcohol syndrome (FAS) should the nurse expect to assess in affected neonates? (Select all that apply.) | show 🗑
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| Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.) | show 🗑
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| Which pelvic shape is most conducive to vaginal labor and birth? | show 🗑
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| show | Keeping underpads and linens as dry as possible
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| A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicates a potential infection? | show 🗑
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| A patient with polyhydramnios is admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her membranes rupture and the fluid is clear and odorless; however, the fetal heart monitor indicates bradycardia and variable decelerations. Which action should | show 🗑
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| show | Lying supine and relaxing
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| show | cesarean birth.
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| show | A multiparous patient at 39 weeks of gestation who is expecting twins
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| show | Incomplete uterine relaxation
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| After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should | show 🗑
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| show | I have notified the doctor that you are having a lot of discomfort. Let me rub your
back and see if that helps.”
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| Which nursing action should be initiated first when there is evidence of prolapsed cord? | show 🗑
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| A patient who has had two previous cesarean births is in active labor when she suddenly complains of pain between her scapulae. Which should be the nurse’s priority action? | show 🗑
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| Which factor should alert the nurse to the potential for a prolapsed umbilical cord? | show 🗑
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| show | compression of the umbilical cord is more likely
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| show | “You should come into the office and let the doctor check you.”
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| Which is the priority nursing assessment for the patient undergoing tocolytic therapy with terbutaline (Brethine)? | show 🗑
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| Which clinical finding during assessment indicates uterine rupture? | show 🗑
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| show | Preparing the patient for epidural administration as ordered by the physician
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| show | Ask the physician if he or she would like you to prepare for a surgical method of
birth.
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| A pregnant patient who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered a fetal fibronectin test. Which instructions should be given to the patient regarding this clinical test? | show 🗑
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| show | The patient and husband will make arrangements for child care routine activity
assistance for the rest of the pregnancy.
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| A labor patient has been diagnosed with cephalopelvic disproportion (CPD) following attempts at pushing for 2 hours with no progress. Based on this information, which birth method is most appropriate? | show 🗑
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| A patient is diagnosed with anaphylactoid syndrome of pregnancy. Which therapeutic intervention does the nurse expect will be included in the plan of care? | show 🗑
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| A 20-year-old gravida 1, para 0 woman, is evaluated to be at 42 weeks’ gestation on admission to the labor and birth unit. The patient is not in labor at the current time; however, she has been sent over by the physician to be admitted for the induction o | show 🗑
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| show | Fetal distress
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| Which finding on vaginal examination would be a concern if a spontaneous rupture of the membranes has occurred? | show 🗑
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| show | Position the patient in the knee-chest position.
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| show | Heart rate of 122 bpm
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| show | 0830 hours on March 13th
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| show | reduced amniotic fluid volume
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| Which assessment finding in the postpartum patient following a uterine inversion indicates normovolemia? | show 🗑
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| Which assessment finding indicates a complication in the patient attempting a vaginal birth after cesarean (VBAC)? | show 🗑
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| The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80%, and +2. An epidural was administered shortly thereafter. Two hou | show 🗑
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| Which patient is most at risk for a uterine rupture? | show 🗑
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| show | Reduced placental blood flow
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| After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. Which clinical finding would increase the nurse’s concern regarding this risk? | show 🗑
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| show | Administration of oxygen via face mask at 8 to 10 L/minute
b. Maternal change of position to knee-chest
c. Administration of tocolytic agent
e. Administration of tocolytic agent
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| show | Painful uterine contractions
Increased resting tone
e. Increased uterine pressure
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Cchinwe01