Cristian WILL Pass Pt4

YOU

100

1.  A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the client understands that what is essential?

1. 
   

   1. That she not become pregnant until after the follow-up program is completed

200

1. Whether sensitization is the result of a blood transfusion or maternal-fetal hemorrhage for any reason, what test can be performed to determine the amount of Rh(D) positive blood present in the maternal circulation and to calculate the amount of Rh immune globulin needed?

1. 
   

   1. Kleihauer-Betke

300

1. The nurse begins a prenatal assessment on a 25-year-old primigravida at 20 weeks' gestation and immediately contacts the healthcare provider because of which finding?

1. 
   

   1. 2. Respirations 30/minute

400

1. The nurse is seeing prenatal clients in the clinic. Which client is exhibiting expected findings?

1. 
   

   1. 12 weeks' gestation, with fetal heart tones heard by Doppler fetoscope

500

1. If a woman has the pre-existing condition of diabetes, the nurse knows that she would be prone to what high-risk factor when pregnant?

1. 
   

   1. Episodes of hypoglycemia and hyperglycemia 

FINNA

100

1. What manifestations would a patient report if they are having signs of preeclampsia. Select all that apply.

1. 
   

   1. Blurred Vision

   2. Headaches

   3. Epigastric Pain

200

1. Screening for gestational diabetes mellitus (GDM) is typically completed between which of the following weeks of gestation?

1. 
   

   1.  24 and 28 weeks

300

1. The nurse in a prenatal clinic finds that four clients have called with complaints related to their pregnancies. Which call should the nurse return first?

1. 
   

   1. Pregnant woman at 15 weeks' gestation with nausea and vomiting and a 15-pound weight loss

400

1. The nurse working in an adolescent prenatal clinic knows which of the following about the clients who are 15-17 years old?

1. 
   

   1. They seek independence and identify with their peer group.

500

1. The 19-year-old pregnant woman begins a job to "save money for the baby." What is the most significant developmental task the nurse understands this statement to demonstrate?

1. 
   

   1. Striving for gaining autonomy and independence

PASS

100

1. Which of the following is the most prevalent medical complication of pregnant adolescents?

1. 
   

   1. Preeclampsia-eclampsia 

200

1. A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but we can't tell anyone she is pregnant." The nurse understands that the client's mother's behavior exemplifies which of the following?    

Shame

300

1. The client at 37 weeks' gestation calls the clinic nurse to report that neither she nor her partner has felt fetal movement for the past 48 hours. The nurse anticipates that the physician will order which test to assess fetal viability?

Ultrasound

400

1. A 15-year-old client has delivered a 22-week stillborn fetus. What does the nurse understand?

1. 
   

   1.  Assisting the client might be difficult because of her mistrust of authority figures.

500

1. The client with insulin-dependent type 2 diabetes and an HbA1c of 5.0% is planning to become pregnant soon. What anticipatory guidance should the nurse provide this client?

1. 
   

   1. Insulin needs decrease in the first trimester and usually begin to rise late in the first trimester as glucose use and glycogen storage by the woman and fetus increase.

THIZZ

100

1. Which of the following may be the main presenting symptom of iron deficiency anemia?

1. 
   

   1. Fatigue 

200

1. The client at 20 weeks' gestation has had an ultrasound that revealed a neural tube defect in her fetus. The client's hemoglobin level is 8.5. The nurse should include which statement when discussing these findings with the client?

1. 
   

   1. "You haven't had enough folic acid in your diet. You should take a supplement."

300

1. A woman is 32 weeks pregnant. She is HIV-positive but asymptomatic. The nurse knows what would be important in managing her pregnancy and delivery?

1. 
   

   1. Weekly non-stress testing beginning at 32 weeks' gestation

400

1. Which of the following symptoms, if progressive, are indicative of CHF, the heart's signal of its decreased ability to meet the demands of pregnancy? Select all that apply.

1. 
   

   1. Palpitations

   2. Rales

   3. Dyspnea

   4. Heart Murmur

500

1. The nurse in the OB-GYN office is explaining the benefits and risks associated with Essure to a client and her husband. What would be the appropriate question to ask the patient before the procedure?

1. 
   

   1. Are you allergic to any metal?

MOFO

100

1. Identify where the baby in utero would be at 20 weeks. Diagram of a woman and her belly with the specific landmarks on how far along the baby should be at 20 weeks. 

Should be at the UMBILICUS.

200

1. Patient is being treated for Cervicitis. The nurse knows in order for the patient to conceive, this specific function would need to be treated to cause fertility.?

1. 
   

   1. Cervical mucosa 

300

1. Patient is 165lbs, she is receiving ___ and we have  available 50kg/ml. How much would you plan to administer to the patient?

1. 
   

   1. 165/2.2= 75kg.     75/50= 1.5ml 

400

1. Oxytocin is given to the patient and the medication subsides. What other medications would you anticipated the doctor to order for patient having postpartum hemorrhage. Select all that apply

1. 
   

   1. Methergine 

   2. Misoprostol

500

1. Interventions for a Fetal heart strip of late decelerations and minimal variability. Select all that apply: 

1. 
   

   1. Change position to left lateral 

   2. Increase IV Fluids 

   3. Cease Pitocin 

   4. Keep Monitoring 

   5. Notify MD