midterms Flashcards
What is the most appropriate nursing diagnosis for a client with a ruptured ectopic pregnancy
would be?
Decreased cardiac output
Ester a 27 -year- old who is in her early trimester with OB score of G2P0 was admitted in the emergency room due to abdominal pain and spotting. she ask the nurse “ What did I do wrong that time”, what is the best response of the Nurse?
Early miscarriage is largely not preventable because of abnormal chromosome formation and poor uterine implantation.
A client, 12 weeks gestation, comes to the prenatal clinic complaining of severe nausea and frequent vomiting the nurse suspect hyperemesis gravidarum. Which of the following manifestation is frequently associated with this type of condition?
High levels of human chorionic gonadotropin
Nausea and vomiting that continues past the first trimester and is severe in nature is termed:
Hyperemesis gravidarum
A few hours after being admitted with a diagnosis of inevitable abortion, a client begins to experience bearing-down sensations and suddenly expels the products of conception in bed. To give safe nursing care, the nurse should first:
Immediately notify the physician
A nurse is caring for a 25-year-old client who has just had a spontaneous first trimester abortion. Which of the following comments by the nurse is appropriate?
“I’m here to talk if you would like.”
A 25-year-old client is admitted with the following history: 12 weeks pregnant, vaginal bleeding, no fetal heartbeat seen on ultrasound. The nurse would expect the doctor to write an order to prepare the client for which of the following?
Dilation and curettage.
A client comes into the labor and delivery suite stating that her membranes ruptured 5 hours ago and that she is not having labor contractions. She wants to be examined to see if she is dilating. She states that her baby has stopped moving, but she wants to return to work if she is not in labor. What will be the nurse priority action?
She should be evaluated for fetal heart rate and check for prolapsed cord
Myrna had a miscarriage when she was younger, after addressing her immediate psychosocial needs, the nurse identifies which nursing education is best for a woman who says she is miscarrying?
Save any clots or material passed for your health care provider to examine.
A client, G2 P1001, telephones the gynecology office complaining of left-sided pain. Which of the following questions by the triage nurse would help to determine whether the one-sided pain is due to an ectopic pregnancy?
“When was the first day of your last menstrual period?”
A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected and the nurse instructs the client regarding management of care. Which statement if made by the client, indicates a need for further instructions?
“I will maintain strict bed rest throughout the remainder of the pregnancy.”
Rina has an Rh-negative blood type. Her electronic record shows she had a previous miscarriage at 16 weeks into her last pregnancy. What medication should the nurse check of what she received following her miscarriage to minimize isoimmunization?
RhIG
Hana is brought to the hospital and admitted with a diagnosis of hyperemesis gravidarum. She is 28 weeks pregnant. Which is the priority nursing intervention, until the hyperemesis can be resolved?
Maintain hydration and electrolyte levels
Mrs. Cruz is admitted to the ER complaining of a sharp lower right abdominal pain. During the
nursing history, she reports that her last menstrual period was 7 weeks ago. A question the nurse would ask is:
“Are you experiencing any shoulder pain?”
To which of the following nursing diagnosis should the nurse assign highest priority for the client with hyperemesis gravidarum?
Potential fluid volume deficit
