Question 1

A multiple-gestation pregnancy at 20 weeks is considered normal on ultrasound. At what interval would you have the patient return for serial ultrasounds?

Accepted Answer

In a multiple-gestation pregnancy, it is recommended to have serial ultrasounds every 3-4 weeks to monitor the growth and development of the fetuses, as well as to check for any complications that are more common in multiple pregnancies.

Question 2

A multiple-gestation patient has just had her first biophysical profile (BPP) of 8 at 33 weeks' gestation. When would she return for the next BPP?

Accepted Answer

A patient with a BPP of 8 at 33 weeks' gestation should return for the next BPP in 1-2 weeks, according to the American College of Obstetricians and Gynecologists' guidelines for antepartum fetal surveillance in multiple gestations. This allows for close monitoring of fetal well-being and timely intervention if necessary.

Question 3

The nurse is presenting a class for nursing students on multiple-gestation pregnancy. Which statements about multiple-gestation pregnancies are accurate?

Accepted Answer

The answer of The nurse is presenting a class for...

Question 4

The nurse knows that a baby born to a mother who had oligohydramnios could show signs of:

Accepted Answer

Oligohydramnios refers to low levels of amniotic fluid around the baby during pregnancy. This can lead to poor fetal lung development, which may result in respiratory difficulty after birth.

Question 5

A woman with a multiple-fetus pregnancy asks, "What are the chances of having an uncomplicated pregnancy?" The nurse's best response is that:

Accepted Answer

Multiple-fetus pregnancies, such as twins, have a higher risk of complications, including spontaneous abortion, compared to singleton pregnancies.

Question 6

Slowly removing some amniotic fluid is a treatment for hydramnios. What consequence can occur with too rapid a withdrawal of fluid?

Accepted Answer

Too rapid withdrawal of amniotic fluid can lead to placental abruption, where the placenta detaches from the uterine wall prematurely.

Question 7

The nurse is admitting a patient with possible hydramnios. Hydramnios most likely would be suspected when:

Accepted Answer

Hydramnios, also known as polyhydramnios, is the excessive accumulation of amniotic fluid. This can cause the fundal height to increase disproportionately to the gestation. Option A is incorrect because having less amniotic fluid than normal is called oligohydramnios. Option C is incorrect because a twin gestation can increase amniotic fluid but does not necessarily indicate hydramnios. Option D is incorrect because the quadruple screen is used to detect neural tube defects and Down syndrome, not hydramnios.

Question 8

The nurse is admitting a client who was diagnosed with hydramnios. The client asks why she has developed this condition. The nurse should explain that hydramnios is sometimes associated with: () Standard Text:

Accepted Answer

The answer of The nurse is admitting a client who...

Question 9

When counseling a newly pregnant gravida 1 at 8 weeks' twin gestation, the nurse teaches the woman about the need for increased caloric intake. The nurse would tell the woman that the minimum recommended intake should be:

Accepted Answer

The answer of When counseling a newly pregnant gravida 1...

Question 10

The home health nurse is admitting a patient at 18 weeks who is pregnant with twins. Which nursing action is most important?

Accepted Answer

The answer of The home health nurse is admitting a...

Question 11

When caring for a laboring patient with oligohydramnios, the nurse should be aware that:

Accepted Answer

The answer of When caring for a laboring patient with...

Question 12

The nurse is caring for a patient with hydramnios. The nurse will watch for:

Accepted Answer

Hydramnios, or excessive amniotic fluid, can lead to increased risk of cord prolapse, preterm labor, and postpartum hemorrhage but not to intrauterine growth restriction or maternal prolonged labor. However, newborn congenital anomalies such as gastrointestinal or renal malformations are associated with hydramnios.

Question 13

The patient at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching about the condition has been effective?

Accepted Answer

Oligohydramnios can lead to complications during labor and delivery, so the patient should come to the hospital right away when she goes into labor. The condition can have multiple causes, including gestational diabetes, but this is not always the case. The incidence of oligohydramnios in future pregnancies is not necessarily higher, so it is not accurate to say it will "likely occur." Women with oligohydramnios may deliver before or after their due date, so D is not an accurate statement.

Question 14

The patient is carrying monochorionic-monoamniotic twins. The nurse teaches the patient what this is, and the implications of this finding. The nurse knows that teaching is successful when the patient states:

Accepted Answer

Monochorionic-monoamniotic twins share one placenta and one amniotic sac, which means they are at a higher risk for complications such as cord entanglement and compression. This increases the risk for prematurity, which can lead to a lower chance of survival for the babies. The other answer choices are incorrect: A refers to dizygotic twins (not monochorionic-monoamniotic), B is an incorrect statement about the prevalence of monochorionic-monoamniotic twins, and C is not always the cause for this type of twin pregnancy.

Question 15

The nurse is admitting a patient who was diagnosed with hydramnios. The patient asks why she has developed this condition. The nurse should explain that hydramnios is sometimes associated with:

Accepted Answer

The answer of The nurse is admitting a patient who...

Question 16

The nurse is planning care for a patient with hydramnios. For which interventions might the nurse need to prepare the patient?

Accepted Answer

The answer of The nurse is planning care for a...

Quiz 26: Childbirth at Risk: Prelabor Complications