Midterm Exams Flashcards
- In addition to the classic symptoms of abdominal pain amenorrhea and abnormal vaginal bleeding, the nurse know that which of the following factors in the woman’s history may be associated with this condition:
a. Multiparity
b. Age under 20
c. Pelvic inflammatory disease (PID)
d. Habitual spontaneous abortion
C
Situation: Vaginal bleeding can indicate a variety of possible complications. The nurse should be skilled in assessing a prenatal client for possible complications so that timely interventions can performed.
- A client with tentative diagnosis of H-mole is most likely to exhibit:
a. Hypotension
b. Decrease FHR
c. Unusual uterine enlargement
d. Foul smelling vaginal discharge
C
3) A client at 34 weeks gestation came to the clinic for her regular prenatal care. While being prepared for abdominal ultrasonography, the client complains of severe abdominal pain.
On further examination, the vital signs revealed sudden hypotension and bradycardia. The nurse informs the doctor immediately of the client’s condition knowing that the signs and symptoms may be that of:
a. Premature labor
b. Rupture of membranes
c. Abruptio placenta
d. Placenta previa
C
A client whose history reveals amenorrhea for the last 2 months and positive pregnancy test 6 weeks ago is experiencing spotting. The client is admitted for observation with a possible diagnosis of:
a. Hydatidiform mole
b. Ectopic pregnancy
c. Inevitable abortion
d. Threatened abortion
D
- Marla, 21year old primigravida, visits the clinic. On assessment, the nurse found out that she is 14-16 weeks pregnant, she is experiencing nausea and vomiting and dark brown vaginal bleeding, her fundus is at the level of umbilicus and her blood pressure is elevated. The nurse suspects that the client experiencing
a. Pregnancy induced Hypertension (PIH)
b. Multifetal Pregnancy
c. Hydatidiform Mole
d. Hydramnios
C
A prenatal client revealed during history taking that she was exposed to DES as a fetus. The nurse understands that this client is at risk for which complication during pregnancy?
a. Placenta previa
b. Post term pregnancy
c. Incompetent pregnancy
d. Herpes genitalis
C
Situation: Miles 10 weeks pregnant with her first baby, calls the clinic to tell the nurse that she has slight vaginal bleeding without abdominal cramping.
- If there is a bleeding and the cervix is closed, this is known as?
a. Imminent abortion
b. Inevitable abortion
c. Incomplete abortion
d.) Threatened abortion
D
- Which of the following information in the client’s history predispose to greater frequency of abortion?
a. Smoking
b. Severe general malnutrition
c. All of these
d. Moderate to heavy alcohol consumption
C
Recognizing that Miles has signs and symptoms of threatened abortion, the most appropriate instruction of the clinic is:
a.) Come to the clinic immediately
b. Restrict her activities and call again if bleeding persist
c. Elevate her legs whenever she rest
d. Continue her activities, but limit her oral intake to fluid only
B
- Miles asks the nurse if she will lose her baby. What is the best response?
a. “Mild bleeding without cramps is normal during early pregnancy”
b. “I know you are afraid of losing your baby but there is no way of knowing if abortion will continue or not”
c. “There is nothing to worry because you are being well taken care of here”
d. “There is always the possibility, but we will try to save the pregnancy”
D
After Miles spontaneous abortion, the priority assessment of the nurse is:
a. Vaginal bleeding
b. Temperature
c. Fluid status
d.) Uterine involution
A
- On discharge, Miles asks the nurse how long after her bleeding has stopped can she and her husband resume sexual intercourse. The nurse should advice her that coitus may be resumed after:
a. 48 hours
b. 1 week
c. 2 weeks
d. 6 weeks
C
Situation: Miguela, 32 years old married woman, is admitted to the hospital because of vaginal bleeding and lower abdominal pain. Pregnancy test is negative but according her, her menstruation is already delayed by 3 weeks to date.
- After taking initial interview of the client, the nurse anticipates which diagnostic test to determine the cause of client’s bleeding:
a. Ultrasound
b. Vaginal Exam
c. Blood test of HCG
d.) Clinical signs and symptoms
A
- Which finding in the client’s history is associated with ectopic pregnancy?
a. History of treated gonorrhea
b. Presence of only one ovary
c. Gravida 3
d. Breastfeeding last baby
A
Situation: Connie, 34 years old and 24 weeks pregnant, is admitted for evacuation of hydatidiform mole.
- On examination of the client, the nurse does not expect to find:
a. Cessation of signs and symptoms of pregnancy
b. Larger abdomen
c. Doughy, soft abdomen
d. Spotting
A
- The nurse expects Connie to describe her vaginal bleeding as:
a. Frequently bright red in color
b. Accompanied by fleshy tissues
c. Oftentimes foul smelling
d. Usually prune juice color
D
- The diagnostic technique of choice for determining the presence of H-mole is:
a.) Urinary chorionic gonadotropin level
b. Physical exam
c. Flat x-ray film of abdomen
d. Ultrasonography
D
- Which of the following signs and symptoms will the nurse not consider in H-mole?
a. Vaginal bleeding
b.) Excessive vomiting
c. FHT & 80BPM
d. Hypertension
C
- The most dangerous complication of h-mole is:
a) placental site trophoblastic tumor
b. Invasive mole
c. Choriocarcinoma
d. Endometrial Cancer
C
- You provide information to Connie about treatment of H-mole. Which statement from Connie necessitates additional teaching?
a. I will undergo D and C to ensure that all grapelike vesicles are removed from my uterus
b. I will take contraceptive pills so that I will not get pregnant for at least a year
C. I will take methotrexate for at least one year to prevent regrowth
d. I will return to the clinic regularly to have my HCG monitored
B
On discharge, the nurse includes which of the following in making the client’s discharge teaching plan?
*
a.) Do not become pregnant for at least one year
b. Have an amniocentesis as soon as you get pregnant
C. Avoid sexual intercourse for the next two to three months
d. You will receive RhoGAM before you become pregnant again
A
Situation: Mrs. Castro has missed her period for two weeks now and is experiencing severe nausea and vomiting. According to her, she vomits anything that she takes.
22. Nausea and vomiting is the most common complaint of pregnancy. If it becomes sever it is diagnosed as:
a.) Hyperemesis gravidarum
b. Pica
c. Ptyalism
d. Pseudocyesis
A
- The severe nausea and vomiting experienced by mane pregnant women is currently believed to be primarily influenced by:
a. Persistently elevated estrogen level
b. Abnormal psychopathology
c. Development of H-mole
d. Increase HCG level
D
