In the beginning
Which finding would the nurse view as normal when evaluating the laboratory reports of a client at 34 weeks’ gestation?
A. Mild anemia.
B. Thrombocytopenia.
C. Polycythemia.
D. Hyperbilirubinemia.
What is A? mild anemia
A third-trimester client is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the visit? Select all that apply.
A. Blood glucose.
B. Blood pressure.
C. Fetal heart rate.
D. Urine protein.
E. Pelvic ultrasound.
What is B, C, and D?
blood pressure, fetal heart rate, and urine protein
A client at 36 weeks of gestation is admitted with a diagnosis of placenta previa. Which of the following signs and symptoms would the nurse expect to find? A) Abdominal pain and tenderness B) Vaginal bleeding C) Severe headache and blurred vision D) Decreased fetal movement
Answer: B Vaginal bleeding
The healthcare provider prescribes magnesium sulfate for a client with severe preeclampsia. The nurse knows that this medication is primarily administered to:
a) Lower blood pressure b) Prevent seizures c) Stimulate uterine contractions d) Promote fetal lung maturity
Answer: b) Prevent seizures
What are the functions of the placenta?
What is Transfer of nutrients and antibodies, gas exchange, waste removal, and secrete hormones?
What is the recommended weight gain for a client with a prepregnancy BMI of 22?
What is 25-35 lbs
The fetus of a client at 38 weeks’ gestation has been diagnosed with intrauterine growth restriction (IUGR). The nurse would expect that which of the following diagnostic assessments would be appropriate for the primary healthcare provider to order at this time? Select all that apply.
A. Biophysical profile (BPP).
B. Nonstress test (NST).
C. Umbilical artery (UA) Doppler assessment.
D. Chorionic villus sampling (CVS).
E. Human chorionic gonadotropin test (HCG)
What is A, B, and C?
BPP, NST, and UA doppler assessment
A patient with gestational diabetes is at increased risk for which of the following complications during pregnancy?
A) Preterm labor and low birth weight.
B) Polyhydramnios and macrosomia.
C) Hyperthyroidism and preeclampsia.
D) Placenta previa and intrauterine growth restriction (IUGR).
Pregnant women with gestational diabetes are at risk for this term indicating excessive amniotic fluid volume.
What is B? polyhydramnios and macrosomia
A pregnant client at 32 weeks gestation is diagnosed with preeclampsia. Which assessment finding would the nurse expect to observe?
a) Hypotension b) Bradycardia c) Proteinuria d) Increased fetal movement
Answer: c) Proteinuria
A 28-year-old woman with a history of pelvic inflammatory disease (PID) presents with lower abdominal pain, vaginal spotting, and dizziness. Her vital signs show a blood pressure of 90/55 mm Hg and a heart rate of 110 bpm. Which of the following is the most likely cause of the patient’s symptoms?
A) Spontaneous abortion.
B) Ectopic pregnancy.
C) Ovarian cyst rupture.
D) Endometriosis.
What is a B? Ectopic pregnancy
A 32-year-old woman presents for her first prenatal visit. Her obstetric history includes: A full-term pregnancy (born at 39 weeks) delivered vaginally. A preterm pregnancy (born at 34 weeks) delivered via cesarean section. A miscarriage at 8 weeks gestation in her third pregnancy. A current pregnancy at 10 weeks gestation. Calculate the GTPAL
What is G4 T1 P1 A1 L2?
A pregnant patient has a nonstress test performed. The results showed the baby had 4 fetal heart rate accelerations of at least 15 beats/min that lasted 15 seconds from start to finish in association with fetal movement during 20 minutes. The results of this would be documented as:
A. "Reactive" Nonstress Test
B. "Nonreactive" Nonstress Test
C. Negative Contraction Stress Test
D. Positive Contraction Stress Test
What is A? Reactive Nonstress test
A client at 28 weeks of gestation with a diagnosis of placenta previa presents to the labor and delivery unit with painless vaginal bleeding. What should the nurse instruct the client to avoid?
A. Sexual intercourse
B. Walking or physical activity
C. Taking iron supplements
D. Drinking caffeinated beverages.
A. Sexual intercourse.
The nurse is assessing a pregnant client with suspected preeclampsia. Which symptom would be of most concern?
a) Mild headache b) Mild lower back pain c) Visual disturbances d) Mild swelling in the ankles
Answer: c) Visual disturbances
A pregnant woman at 12 weeks gestation asks the nurse why her breasts have become tender and enlarged. The nurse explains that this is due to the action of a hormone that prepares the breasts for lactation. Which hormone is responsible for these changes?
A) Human chorionic gonadotropin (hCG)
B) Progesterone
C) Estrogen
D) Relaxin
What is C? Estrogen
A 28-year-old pregnant woman, 18 weeks gestation, is diagnosed with a severe fetal anomaly that is incompatible with life. After extensive counseling, the woman requests to terminate the pregnancy, but the healthcare provider is morally opposed to abortion. Which of the following ethical principles should guide the nurse in this situation?
A) Justice
B) Autonomy
C) Beneficence
D) Veracity
What is B? Autonomy
Amniocentesis is performed at which point in the pregnancy?
What is 15-20 weeks?
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. Oozing around the IV site can indicate the patient is entering into DIC (disseminated intravascular coagulation) because clotting levels have been depleted.
A nurse is caring for a patient receiving magnesium sulfate for preeclampsia. Which of the following findings would be most concerning and suggest the patient may be developing magnesium toxicity?
A) A respiratory rate of 16 breaths per minute.
B) Hyperactive deep tendon reflexes (DTRs).
C) Urine output of 50 mL over the past 4 hours.
D) A blood pressure of 140/90 mm Hg.
What is C) Urine output of 50 mL over the past 4 hours?
Using Nagele's rule, calculate the EDD based on an LMP of May 6
What is Feb 13?
Which of the following skin changes should the nurse highlight for a pregnant woman’s healthcare practitioner?
A. Linea nigra.
B. Melasma.
C. Petechiae.
D. Spider nevi.
What is C? Petechiae
A patient completes a one hour glucose tolerance test. The patient’s result is 190 mg/dL. As the nurse you know that the next step in the patient’s care is to?
A. Continue monitoring pregnancy, the test is normal
B. Reassess blood glucose in 2 weeks
C. Notify the physician who will order the patient to take a 3 hour glucose tolerance test
D. Provide education to the patient about how to manage gestational diabetes during pregnancy
C.
A test result >140 mg/dL for 1 hour glucose tolerance test requires that the patient take a 3 hour glucose tolerance test. This test will be used to diagnose if the patient has gestational diabetes.
Tubal pregnancy or ectopic pregnancy management with the goal of saving the fallopian tube
What is methotrexate?
Hyperemesis gravidarum management includes:
replacement of fluids/electrolytes, small frequent bland meals, TPN, medications- Pyridoxine/doxylamine, prilosec, reglan, benadryl, pepcid, zofran pump
A 30-year-old patient presents with heavy bleeding and cramping at 10 weeks of pregnancy. An ultrasound confirms the presence of retained products of conception in the uterus. The patient is diagnosed with an incomplete abortion. Which of the following is the priority nursing intervention?
A) Administer Rh immunoglobulin (RhoGAM) if the patient is Rh-negative.
B) Encourage the patient to go home and allow the miscarriage to resolve on its own.
C) Monitor for signs of shock and prepare for surgical intervention if needed.
D) Provide emotional support and reassure the patient that all will be well.
What is C? Monitor for signs of shock and prepare for surgical intervention if needed.