review ex 1 Flashcards
A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of: Eclamptic seizure. Rupture of the uterus Placenta previa. Placental abruption.
Placental abruption.
A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old at 28 weeks gestation; delivered a daughter, now 5 years old, at 39 weeks gestation; had a miscarriage 3 years ago; and had a first trimester abortion 2 years ago. She is currently pregnant. Which of the following correctly portrays her GTPAL?
G5P1122 OR G5P11A2L2
The nurse is caring for a client in the transition phase of labor and notes that the fetal monitor tracing shows average short-term and long-term variability with a baseline of 142 beats per minute. What actions should the nurse take in this situation?
Provide caring labor support
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that:
This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
A pregnant client is admitted to a maternity clinic after experiencing contractions. The assigned nurse observes that the client experiences pauses between contractions. The nurse knows that which event marks the importance of the pauses between contractions during labor?
Restoration of blood flow to uterus and placenta
Immediately prior to amniotomy, the external fetal heart monitor tracing shows 145 bpm with early decelerations. Immediately following the procedure, an internal tracing shows a fetal heart rate of 120 with variable decelerations. A moderate amount of clear amniotic fluid is seen on the bed linens. The nurse concludes that which of the following has occurred?
Prolapsed cord
An Rh(-) mother is given RhoGam during the 2nd trimester. Why is this injection given?
Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby
A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th, 2018. Using Naegele’s rule, the nurse determines the estimated date of confinement as:
June 26, 2019
pregnant woman’s diet may not meet her need for folate. A good source of this nutrient is?
Green leafy vegetables
A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity according to the GTPAL system?
3-1-0-1-0
A patient who Is beginning preterm labor was diagnosed with complete separation of placenta. What would be the priority nursing intervention to ensure the safety of the patient and the fetus at this time?
Immediate delivery
A 26-year old multigravida is 14 weeks’ pregnant and is scheduled for an alpha-fetoprotein test. She asks the nurse, “What does the alpha-fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect what?
Neural tube defects
A multigravida presents to the clinic at 24 weeks gestation. the sonogram revealed this below the nurse should suspect what disorder?
Hydatidiform Mole
The nurse is teaching 16-year-old how to correctly do a breast self-examination. the nurse correctly explains that breast self-examination is best done by the woman on herself every month when?
Right after the menstrual period so that the breast is not being affected by the increase in the hormones particularly estrogen
The nurse explains to a 20 year old primigravida diagnosed with GDM at 28 weeks that women with gestational diabetes are visually managed by which of the following therapies?
Exercise
The patient receiving magnesium sulfate c/o difficulty breathing. The patient has decreased reflexes and has urine output is less than 30 ml/hr. The nurse should anticipate that the MD will order what medication?
Calcium Gluconate
The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?
She will have increased lordosis
A maternity nurse is caring for a client with abruptio placenta and is monitoring the client for disseminated intravascular coagulopathy. Which assessment finding is least likely to be associated with disseminated intravascular coagulation?
Swelling of the labia majora
Petechiae and oozing of blood from the skin
Hematuria
Increased platelet count
Prolonged clotting time
Swelling of the labia majora
Increased platelet count
Which of the following sexually transmitted infections is characterized by a foul- smelling, yellow-green discharge that is often accompanied by vaginal pain and dyspareunia?
Trichomoniasis
Diabetes in pregnancy puts the fetus at risk in several ways. What should the nurse be aware of about fetuses of patients with gestational diabetes?
The most important cause of perinatal loss in diabetic pregnancy is congenital malformations
A maternity nurse should be aware of which fact about the amniotic fluid?
It serves as a source of oral fluid and as a repository for waste from the fetus
The nurse is educating a group of adolescent women regarding sexually transmitted infections (STIs). The nurse knows that learning was achieved when a group member states that the most common signs/symptom of sexually transmitted infections is which of the following?
Lack of signs or symptoms
The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa)?
Intense abdominal pain
On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish white vaginal discharge with a fishy odor; complaint of pruritus. On the basis of these findings, the nurse suspects that this woman has what?
Bacterial vaginosis (BV)
A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview you discover that she has not had any immunizations. Which immunizations should she receive at this point in her pregnancy? Select all that apply. Tetanus Diphtheria Chickenpox Rubella Hepatitis B
Tetanus
Diphtheria
Hepatitis B
What does the maternity nurse understand that vascular volume increases 40% to 60% during pregnancy?
Provide adequate perfusion of the placenta
Which symptom in a woman who is using oral contraceptives should be reported to the physician immediately?
Leg Pain
A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period was September 10, 2013 her expected date of birth would be?
06/17/2014
A nurse is caring for a client who states that she is a lesbian. Which of the following
should the nurse consider when caring for this client?
Lesbian women are at higher risk for bacterial vaginosis than are straight women.
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester?
Increased pulse rate
. A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have?
Amenorrhea
for men who have sex with men (MSM) a red handkerchief means that the wearer is willing to have what type of sex?
Fisting
A pregnant woman wants to know why her diagnosis is marginal placental previa. what answer should the nurse give to the patient?
Placenta is nest in, but not covering the cervical os
.A woman is menstruating. If hormonal studies were to be completed at this time, which of the following hormonal levels would the nurse expect to see?
Both estrogen and progesterone are low.
physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse’s most appropriate response is:
This is a legitimate concern. Would you like to discuss this further before your treatment begins?”
