Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | Anticonvulsant
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| Which clinical intervention is the only known cure for preeclampsia? | show 🗑
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| show | Glucosuria
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| Which intrapartal assessment should be avoided when caring for a patient with HELLP syndrome? | show 🗑
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| A nurse is explaining to the nursing students working on the antepartum unit how to assess for edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area? | show 🗑
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| show | Total placenta previa
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| show | the pregnancy is less than 20 weeks.
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| show | missed
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| show | marginal
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| show | Hard boardlike abdomen
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| show | assess fetal heart rate and maternal vital signs.
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| show | worsening disease and impending convulsion.
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| show | fetus is Rh-positive.
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| In which situation would a dilation and curettage (D&C) be indicated? | show 🗑
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| show | Recurrent pelvic infections
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| Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole? | show 🗑
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| Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa? | show 🗑
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| A laboratory finding indicative of DIC is one that shows | show 🗑
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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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| A high-risk labor patient progresses from preeclampsia to eclampsia. Aggressive management is instituted, and the fetus is delivered via cesarean birth. Which finding in the immediate postoperative period indicates that the patient is at risk of developin | show 🗑
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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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| A patient who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse performs the following assessments. The vaginal exam is | show 🗑
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| show | Insertion of IV line for fluid replacement
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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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| show | Pain level 0 on a scale of 0 to 10
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| show | 900
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| Which intervention is the priority for the patient diagnosed with an intact tubal pregnancy? | show 🗑
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| Which finding in the exam of a patient with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion? | show 🗑
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| show | Urine output >100 mL/hour
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| Fraternal twins are delivered by your Rh-negative patient. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the | show 🗑
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| For the patient who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to | show 🗑
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| show | Male fetus, African-American, previous cesarean birth
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| A labor and birth nurse receives a call from the laboratory regarding a preeclamptic patient receiving an IV infusion of magnesium sulfate. The laboratory technician reports that the patient’s magnesium level is 7.6 mg/dL. What is the nurse’s priority act | show 🗑
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| show | Degree of glycemic control before and during the pregnancy
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| show | Hypoglycemia
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| Which factor is known to increase the risk of gestational diabetes mellitus? | show 🗑
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| show | Rheumatoid arthritis
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| show | varied depending on the stage of gestation.
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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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| show | bacterial endocarditis.
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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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| show | “Even though my test is positive, my baby might not be affected.”
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| show | Rubella
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| Which postpartum patient requires further assessment? | show 🗑
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| show | “I will have blood drawn at 1 hour after I drink the glucose solution.”
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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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| show | sexually transmitted diseases.
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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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| Which health concern is most likely to be an issue for the older mother? | show 🗑
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| show | Intrauterine growth restriction
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| show | The fetus is placed at risk for altered brain growth
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| show | While holding the baby, the mother says to her husband, “He has your eyes and
nose.”
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| A patient has delivered twins. The first twin was stillborn, and the second is in the intensive care nursery, recovering quickly from respiratory distress. The patient is crying softly and says, “I wish my baby could have lived.” What is the most therapeu | show 🗑
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| show | Explain the defect and show the baby to the parents as soon as possible.
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| show | School-based mothers’ program
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| show | Anemia
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| show | Sexual activity, contraception, and screening for violence
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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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| show | Gynecoid
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| show | Keeping underpads and linens as dry as possible
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| show | Cloudy amniotic fluid, with strong odor
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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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| Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor? | show 🗑
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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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| A laboring patient in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain? | show 🗑
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| show | Reposition the mother with her hips higher than her head.
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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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| The fetus in a breech presentation is often born by cesarean birth because | show 🗑
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| A patient who is 32 weeks pregnant telephones the nurse at her obstetrician’s office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is | show 🗑
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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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| An obstetric patient has been identified as being high risk. The patient has had activities restricted (placed on bed rest) until the end of the pregnancy. Currently, she is at 32 weeks’ gestation and has two other children at home, ages 3 and 6. The pati | show 🗑
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| show | Cesarean section
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| show | Initiation of CPR and other life support measures
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| show | Inform the patient that there are a number of serious concerns related to a postdate
pregnancy and that she would be better off to be monitored in a clinical setting.
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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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| Which finding would be indicative of an adverse response to terbutaline (Brethine)? | show 🗑
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| show | 0830 hours on March 13th
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| When reviewing the prenatal record of a patient at 42 weeks’ gestation, the nurse recognizes that induction of labor is based upon which indication | show 🗑
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| show | Urine output >30 mL/hour
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| show | Complaint of pain between the scapulae
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| show | Palpate the patient’s bladder for fullness.
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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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Created by:
Cchinwe01