QUIZZES NI MAAM Flashcards
Nurse Jessica is discussing the treatment plan for molar pregnancies
*with her patient. Which of the following are involved in the treatment of molar pregnancies?
- A. Administration of methotrexate to dissolve the molar tissue.
- B. Long-term administration of anticoagulants to prevent clotting disorders.
C. Immediate cesarean section to remove the molar pregnancy.
- D. Dilation and curettage (D&C) to remove molar tissue from the uterus.
D. Dilation and curettage (D&C) to remove molar tissue from the uterus.
- Nurse Jenny is admitting Sarah, a 30-year-old expectant mother, to the
* antepartum unit for hypovolemia related to hyperemesis gravidarum. As Nurse Jenny reviews Sarah’s history, which factor should she recognize as a predisposition for developing this condition?
A. lowlevels of hcg
B. Clients who are malnourished or underweight.
C. Presence of trophoblastic disease.
D. Maternal age greater than 35 years.
C. Presence of trophoblastic disease.
Nurse Stevens is explaining hyperemesis gravidarum to a newly pregnant patient, Jane, who has been experiencing intense symptoms.
Jane wants to understand exactly what this condition entails and its potential impacts. Which of the following best describes hyperemesis
* gravidarum?
C. Severe nausea and vomiting leading to electrolyte, metabolic, and nutritional imbalances without other underlying medical issues.
A nurse is assessing pregnant clients for hyperemesis gravidarum. Which of the following clients is likely to be suffering from hyperemesis gravidarum?
a. A client with potassium of 2.8mmol/L and calcium of 7.2mmol/L
b. A client whose baby is measuring small for gestation
c. A client who is 11 weeks pregnant and vomits every morning when she wakes
d. A client who is pregnant with twins and is having trouble eating 3 meals a day
a. A client with potassium of 2.8mmol/L and calcium of 7.2mmol/L
A nurse is making recommendations for a pregnant client with hyperemesis gravidarum. Which of the following should be recommended to alleviate the hyperemesis? Select all that apply.
Correct Answers:
Ondansetron
Small meals
Vitamin B6
Which of the following findings are consistent with the diagnosis of hyperemesis gravidarum?
A patient that had hyperemesis in her prior pregnancy
Electrolyte imbalances and severe vomiting
Rapid weight gain and high blood sugar
Diarrhea and vomiting every morning
Electrolyte imbalances and severe vomiting.
Nurse Karen is discussing the characteristics of an incompetent cervix with her patient. Which of the following are true regarding an incompetent cervix?
A. It is often associated with painless cervical dilation in the second trimester.
- Nurse Laura is reviewing the risk factors for an incompetent cervix with
*her patient. Which of the following are considered risk factors for this condition?
- A. Advanced maternal age and obesity.
- B. History of preterm labor and multiple gestations.
- C. Prior cervical surgery and uterine anomalies.
- D. Gestational diabetes and preeclampsia,
C. Prior cervical surgery and uterine anomalies.
- Nurse Lewis is assessing Mrs. Rodriguez, a 32-year-old pregnant patient in her third trimester who presents with sudden, severe abdominal pain and heavy bleeding. Nurse Lewis suspects a condition where the placenta detaches prematurely. What condition is characterized by this serious complication?
- A. Abruptio placentae.
B. Incompetent cervix. - C. Placenta previa.
- D. Ectopic pregnancy.
A. Abruptio placentae.
- A woman, who is 22 weeks pregnant, has a routine ultrasound performed. The ultrasound shows that the placenta is located at the edge of the cervical opening. As the nurse you know that which statement is FALSE about this finding:
A. This is known as marginal placenta previa.
B. The placenta may move upward as the pregnancy progresses and needs to be re-evaluated with another ultrasound at about 32 weeks gestation.
C. The patient will need to have a c-section and cannot deliver vaginally.
D. The woman should report any bleeding immediately to the doctor.
C. The patient will need to have a c-section and cannot deliver vaginally.
- Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient’s care? Select all that apply:
A. Routine vaginal examinations
B. Monitoring vital signs
C. Administer RhoGAM per MD order
D. Assess internal fetal monitoring
E. Placing patient on side-lying position
F. Monitoring pad count
G. Monitoring CBC and clotting levels
B, E, F, G
A 28 year old female, who is 33 weeks pregnant with her second child, has uncontrolled hypertension. What risk factor below found in the patient’s health history places her at risk for abruptio placentae?
A. childhood polio
B. preeclampisa
C. c-section
D. her age
B. preeclampisa
A 36 year old woman, who is 38 weeks pregnant, reports having dark red bleeding. The patient experienced abruptio placentae with her last pregnancy at 29 weeks. What other signs and symptoms can present with abruptio placentae? Select all that apply:
A. Decrease in fundal height
B. Hard abdomen
C. Fetal distress
D. Abnormal fetal position
E. Tender uterus
B, C, E
Select all the patients below who are at risk for developing placenta previa:
A. A 37 year old woman who is pregnant with her 7th child.
B. A 28 year old pregnant female with chronic hypertension.
C. A 25 year old female who is 36 weeks pregnant that has experienced trauma to abdomen.
D. A 20 year old pregnant female who is a cocaine user.
A, D
You’re performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician?
A. Oozing around the IV site
B. Tender uterus
C. Hard abdomen
D. Vaginal bleeding
A.
- Select all the signs and symptoms associated with placenta previa:
A. Painless bright red bleeding
B. Concealed bleeding
C. Hard, tender uterus
D. Normal fetal heart rate
E. Abnormal fetal position
F. Rigid abdomen
A, D, E
- Disseminated intravascular coagulation (DIC) can occur in __________________. This happens because when the placenta becomes damaged and detaches from the uterine wall, large amounts of _____________ are released into mom’s circulation, leading to clot formation and then clotting factor depletion.
A. Placenta previa, fibrinogen
B. Placenta previa, platelets
C. Abruptio placentae, fibrinogen
D. Abruptio placentae, thromboplastin
D
- A patient who is 25 weeks pregnant has partial placenta previa. As the nurse you’re educating the patient about the condition and self-care. Which statement by the patient requires you to re-educate the patient?
A. “I will avoid sexual intercourse and douching throughout the rest of the pregnancy.”
B. “I may start to experience dark red bleeding with pain.”
C. “I will have another ultrasound at 32 weeks to re-assess the placenta’s location.”
D. “My uterus should be soft and non-tender.”
B
