Question 1

The nurse caring for a patient 1 hour post-salpingostomy recognizes which priority of care?

Accepted Answer

One hour post-salpingostomy, pain management should be the priority of care as the patient may experience discomfort and require medication to manage the pain. Psychosocial support, administration of RhoGAM, and fertility planning are important aspects of care for this patient but may not be the immediate priority at this time.

Question 2

When caring for a pregnant patient with a history of recreational cocaine use,the nurse recognizes the woman is at risk for which disorders? (Select all that apply.)

Accepted Answer

A,B

Question 3

The nurse is caring for a patient who is in the third trimester of pregnancy and has been diagnosed with severe pre-eclampsia.Which is the nurse's priority intervention to prevent seizures?

Accepted Answer

Maintaining a low-stimulation environment is the priority intervention to prevent seizures in a patient with severe pre-eclampsia. This includes dimming lights, reducing noise, and limiting the number of visitors to the room. Other interventions such as monitoring urine output and protein, checking for hyperreflexia, and monitoring fetal well-being are also important but do not directly prevent seizures.

Question 4

The nurse is caring for a patient with blood type O-negative following a spontaneous abortion.Which is the priority of care?

Accepted Answer

Administering RhoGAM is the priority for a patient with blood type O-negative following a spontaneous abortion to prevent Rh sensitization, which can lead to complications in future pregnancies.

Question 5

The nurse is caring for one patient with chronic hypertension and another patient with gestational hypertension and recognizes which as the primary difference between the two?

Accepted Answer

The primary difference between chronic hypertension and gestational hypertension is that gestational hypertension typically resolves 12 weeks postpartum, while chronic hypertension is a long-term condition that requires ongoing management. Both types of hypertension can require medication, dietary modifications, and carry risks for fetal complications, but the duration of the hypertension is the key difference.

Question 6

A nursing assessment reveals heavy vaginal bleeding; a firm,boardlike abdomen; contractions lasting 3 minutes with less than 30 seconds between them; and uterine tenderness in a woman last assessed to be 3 cm dilated and in early labor.Which is the nurse's priority of care?

Accepted Answer

The priority of care in this situation is to notify the health-care provider immediately. The signs and symptoms described suggest the woman may be experiencing a uterine rupture or placental abruption, which are medical emergencies. The provider needs to be notified so that appropriate interventions can be initiated promptly. Frequent vital signs and fetal heart tones, pain assessment and documentation, and emotional support can all be addressed once the woman's condition has been stabilized.

Question 7

While caring for a patient diagnosed with an ectopic pregnancy,the nurse recognizes which sign as an indication of hypovolemic shock?

Accepted Answer

Confusion is a sign of hypovolemic shock due to decreased blood flow to the brain.

Question 8

The nurse is caring for a patient who is 18 weeks pregnant and has a complete placenta previa.Which risk factor will the nurse assess for?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

The nurse who is caring for a pregnant woman diagnosed with gestational diabetes includes which topics in the teaching plan? (Select all that apply.)

Accepted Answer

The answer of The nurse who is caring for a...

Question 10

The nurse provides teaching for a patient with hyperemesis gravidarum and determines further teaching is needed when the patient makes which statement?

Accepted Answer

Patients with hyperemesis gravidarum often have difficulty keeping down food and may need to eat small, frequent meals or snacks throughout the day. Aiming for three large meals may not be realistic and could lead to further nausea and vomiting.

Question 11

The nurse teaches a patient with hyperemesis gravidarum when to notify the provider.The nurse recognizes clarification is needed when the patient says she will notify the provider for which sign?

Accepted Answer

Frequent urination is a common symptom of pregnancy and is not a sign of hyperemesis gravidarum. The other options are all potential signs of worsening hyperemesis gravidarum and require notification of the healthcare provider for further evaluation and treatment.

Question 12

Which woman is at greatest risk for Rh incompatibility?

Accepted Answer

Rh incompatibility occurs when the mother is Rh-negative and the baby is Rh-positive, meaning the baby inherited the Rh factor from the father. In the given options, only option B has a mother with Rh-negative (AB-) blood type and a father with Rh-positive (O+) blood type, putting the baby at risk for Rh incompatibility.

Question 13

The nurse is caring for a pregnant woman with a positive indirect Coombs test and type O- blood.Her last pregnancy resulted in the delivery of an infant with hemolytic anemia.Which is the priority of care?

Accepted Answer

The answer of The nurse is caring for a pregnant...

Question 14

A pregnant woman presents to the clinic at 16 weeks' gestation with lack of fetal movement.Ultrasonography reveals fetal demise.How does the nurse document this pregnancy?

Accepted Answer

A missed abortion is defined as the absence of fetal heartbeat or growth in a viable intrauterine pregnancy. In this case, the pregnancy has progressed to 16 weeks' gestation and there is no fetal movement, indicating fetal demise. The other options (threatened, inevitable, and complete abortion) are not applicable as they refer to different types of pregnancy loss.

Question 15

When planning care,the nurse recognizes which pregnant woman as being at greatest risk for gestational diabetes?

Accepted Answer

Native American women have a higher risk for gestational diabetes, and a history of stillbirth can indicate previous complications that may increase the risk.

Question 16

When discharging a woman following a spontaneous abortion,the nurse instructs her to report which priority complication?

Accepted Answer

Infection is the priority complication following a spontaneous abortion, as it can lead to serious health consequences if left untreated. Difficulty becoming pregnant again and increased risk of future fetal demise are potential complications, but they are not immediate priorities. Weakness and lethargy are common after a spontaneous abortion, but they are not considered a complication.

Question 17

A patient is informed that her pregnancy is a complete molar pregnancy and says to the nurse,"So my baby died?" What is the nurse's best response?

Accepted Answer

A complete molar pregnancy occurs when there is an abnormal fertilization of an empty egg, resulting in the growth of a placenta without an embryo. Therefore, there was no actual baby that died. Choice B provides a clear and correct explanation of what happened.

Question 18

The labor nurse admits a patient who is known to be carrying quadruplets at 28 weeks' gestation and is in active labor.The nursing plan of care will include all of the following except what?

Accepted Answer

A woman carrying quadruplets at 28 weeks' gestation is likely to have a high-risk pregnancy, and medical intervention may be necessary for the safety of both the mother and the fetuses. Therefore, preparing the woman for a prolonged vaginal delivery time may not be the best plan of care. Rather, preparing for possible cesarean delivery or other interventions may be more appropriate. Encouraging the woman to verbalize her fears and ask questions, continuous monitoring of fetal heart rates, and ensuring that extra nurses and physicians will attend the birth are all appropriate components of the nursing plan of care for a woman with a high-risk pregnancy.

Question 19

The nurse is caring for a woman carrying multiple gestations.When providing nutritional teaching,the nurse encourages which dietary changes?

Accepted Answer

A woman carrying multiple gestations requires increased calories, protein, and iron intake to meet the needs of multiple developing fetuses. It is important to note that the woman's individual nutritional needs and medical history should be taken into account when developing a plan for her specific dietary requirements. Increased calcium and folic acid intake are also important during pregnancy, but reducing protein or increasing fat and calories would not be recommended for the health of the mother or fetuses.

Question 20

A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion,with acute vaginal bleeding and abdominal pain accompanied by shoulder pain.What does the nurse suspect as the cause?

Accepted Answer

The symptoms described, especially the combination of acute vaginal bleeding, abdominal pain, and referred shoulder pain (which can indicate diaphragmatic irritation due to intra-abdominal bleeding), are highly suggestive of an ectopic pregnancy. This is a condition where the embryo implants outside the uterine cavity, most commonly in the fallopian tubes, and can lead to serious complications if not treated promptly.

Quiz 7: Nursing Care of the Woman With Complications During Pregnancy