Nursing and Pregnancy Issues Chapter.8 Test Bank 2nd Edition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 8: Nursing Care of the Woman With Complications During Pregnancy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse provides teaching for a patient with hyperemesis gravidarum and determines that further teaching is needed when the patient makes which statement?
1) | “I will sip water throughout the day.” |
2) | “I will call the provider if there is any blood in the vomit.” |
3) | “I will be sure to eat three good meals a day.” |
4) | “I will not eat spicy or fatty foods till I feel better.” |
____ 2. The nurse recognizes which of the following as an appropriate intervention for the patient with hyperemesis gravidarum?
1) | Providing patient education on the signs and symptoms of dehydration |
2) | Initial management with ondansetron |
3) | Instructing the patient to drink a glass of water before each meal |
4) | Recommending foods with strong odors |
____ 3. A pregnant woman presents to the clinic at 13 weeks’ gestation with vaginal bleeding. Upon examination her cervix is found to be closed. How does the nurse document this pregnancy?
1) | Threatened abortion |
2) | Inevitable abortion |
3) | Complete abortion |
4) | Missed abortion |
____ 4. A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion with acute vaginal bleeding and abdominal pain accompanied by shoulder pain. What does the nurse suspect as the cause?
1) | Threatened abortion |
2) | Ectopic pregnancy |
3) | Gestational trophoblastic disease |
4) | Hyperemesis gravidarum |
___ 5. The nurse is caring for a patient with blood type O-negative following a spontaneous abortion. Which is the priority of care?
1) | Providing emotional support |
2) | Administering oxytocin |
3) | Notifying the laboratory for a blood type and crossmatch |
4) | Administering RhoGAM |
____ 6. When discharging a woman following a spontaneous abortion, the nurse instructs her to report which priority complication?
1) | Vaginal bleeding similar to a period |
2) | Cramping |
3) | Foul-smelling vaginal discharge |
4) | Diarrhea |
____ 7. The nurse caring for a patient 1 hour post-salpingostomy recognizes which priority of care?
1) | Psychosocial support |
2) | Administration of RhoGAM |
3) | Pain management |
4) | Fertility planning |
____ 8. A patient who has been diagnosed with preeclampsia should be educated to be aware of which of the following symptoms?
1) | Nausea |
2) | Abdominal itching |
3) | Severe headache |
4) | Increase in vaginal discharge |
____ 9. Most placental abruptions are caused by which of the following?
1) | Cervical examinations |
2) | Short umbilical cords |
3) | Cocaine use |
4) | Hypertension |
____ 10. A patient is informed that her pregnancy is a complete molar pregnancy and says to the nurse, “So my baby died?” What is the nurse’s best response?
1) | “Yes, I’m afraid that’s true, but you can get pregnant again.” |
2) | “The pregnancy resulted in the development of a placenta, but there was no baby.” |
3) | “This is a genetic abnormality that resulted in a nonviable fetus.” |
4) | “Have you ever experienced a molar pregnancy before?” |
____ 11. The nurse is caring for a patient who is 18 weeks pregnant and has a complete placenta previa. Which risk factor will the nurse assess for?
1) | Multiple pregnancies |
2) | History of premature delivery |
3) | Endometriosis |
4) | Excessive exercise |
____ 12. While caring for a patient with placental abruption, the nurse recognizes which sign is not an indication of hypovolemic shock?
1) | Low blood pressure |
2) | Increased heart rate |
3) | Increased urine output |
4) | Confusion |
____ 13. Which woman is at greatest risk for Rh incompatibility?
1) | A mother who has O- blood type, the father has A- blood type |
2) | A mother who has AB- blood type, the father has O+ blood type |
3) | A mother who has O+ blood type, the father has B- blood type |
4) | A mother who has A+ blood type, the father has B+ blood type |
____ 14. Which complication would put the patient at the greatest risk for an emergency hysterectomy?
1) | Placenta previa |
2) | Placental abruption |
3) | Ectopic pregnancy |
4) | Placenta accreta |
____ 15. The nurse is caring for a woman carrying multiple gestations. When providing nutritional teaching, the nurse encourages which dietary changes?
1) | Increased calories, protein, and iron |
2) | Increased folic acid and calcium and reduced protein |
3) | Increased calcium and reduced fat and calories |
4) | Increased fat and calories with reduced protein |
____ 16. The labor nurse admits a patient who is known to be carrying quadruplets at 28 weeks’ gestation and is in active labor. The nursing plan of care will include all of the following except what?
1) | Encouraging the woman to verbalize her fears and ask questions |
2) | Continuous monitoring of fetal heart rates |
3) | Preparing the woman for prolonged vaginal delivery times |
4) | Ensuring that extra nurses and physicians will attend the birth |
____ 17. Nursing care for a patient pregnant with twins should include all of the following except which one?
1) | During labor, monitoring fetal heart rates for 20 minutes each hour |
2) | Preparing the patient for the possibility of a cesarean birth |
3) | Ensuring that there will be additional staff available to attend the birth |
4) | Encouraging the patient to verbalize her fears and ask questions |
____ 18. Which statement is true in relation to gestational hypertension?
1) | It is diagnosed before 20 weeks of pregnancy. |
2) | Proteinuria is diagnostic for gestational hypertension. |
3) | Delivery is recommended upon diagnosis. |
4) | It is diagnosed in the second half of pregnancy. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 19. The nurse who is caring for a pregnant woman diagnosed with gestational diabetes includes which topics in the teaching plan? (Select all that apply.)
1) | Blood sugar monitoring |
2) | Not eating carbohydrates |
3) | Need for a cerclage |
4) | Bringing glucose logs to all appointments |
5) | Increasing exercise |
____ 20. When caring for a pregnant patient with a history of recreational cocaine use, the nurse recognizes that the woman is at risk for which disorders? (Select all that apply.)
1) | Placenta previa |
2) | Placenta abruption |
3) | Placenta accreta |
4) | Hydatidiform mole |
5) | Pre-eclampsia |
____ 21. The nurse recognizes that which of the following factors increase the risk of developing pre-eclampsia and eclampsia? (Select all that apply.)
1) | Chronic hypertension |
2) | Gestational diabetes |
3) | Obesity |
4) | Taking aspirin daily |
5) | Primigravida |
____ 22. When caring for a pregnant patient the nurse recognizes that the woman is at risk for developing gestational diabetes when she notes which of the following? (Select all that apply.)
1) | The patient is underweight. |
2) | The patient previously delivered a 10-pound baby. |
3) | The patient has type 1 diabetes. |
4) | The patient is African American. |
5) | The patient is of advanced maternal age. |
____ 23. A patient who is 19 weeks pregnant reports to the hospital complaining of painless vaginal bleeding. Which complications should the nurse consider? (Select all that apply.)
1) | Pre-eclampsia |
2) | Placenta previa |
3) | Gestational diabetes |
4) | Isoimmunization |
5) | Ectopic pregnancy |
____ 24. A patient known to have an incompetent cervix should be offered which of the following? (Select all that apply.)
1) | Cerclage |
2) | Cervical length checks |
3) | D&C |
4) | Emotional support |
____ 25. The nurse caring for an Rh-negative patient knows that RhoGAM should be administered when? (Select all that apply.)
1) | At 12 weeks’ gestation |
2) | At 28 weeks’ gestation |
3) | After chorionic villus sampling |
4) | Upon admission to the hospital for delivery |
5) | After a car accident |
Chapter 8: Nursing Care of the Woman With Complications During Pregnancy
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer