Complications Of Pregnancy

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Question 1
Free
Multiple Choice

A client with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a:

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A

diuretic.

B

tocolytic.

C

anticonvulsant.

D

antihypertensive.

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Question 2
Free
Multiple Choice

Which is the only known cure for preeclampsia?

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A

Magnesium sulfate

B

Delivery of the fetus

C

Antihypertensive medications

D

Administration of aspirin (ASA) every day of the pregnancy

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Question 3
Free
Multiple Choice

The clinic nurse is performing a prenatal assessment on a pregnant client at risk for preeclampsia. Which clinical sign is not included as a symptom of preeclampsia?

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A

Edema

B

Proteinuria

C

Glucosuria

D

Hypertension

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Question 4
Free
Multiple Choice

Which intrapartal assessment should be avoided when caring for a client with HELLP syndrome?

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A

Abdominal palpation

B

Venous sample of blood

C

Checking deep tendon reflexes

D

Auscultation of the heart and lungs

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Question 5
Free
Multiple Choice

A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area?

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A

+1

B

+2

C

+3

D

+4

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Question 6
Multiple Choice

A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?

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A
Placenta previa
B
Hydatidiform mole
C
Abruptio placentae
D
Disseminated intravascular coagulation (DIC)
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Question 7
Multiple Choice

Which maternal condition always necessitates birth by cesarean section?

Choose correct answer/s
A
Partial abruptio placentae
B
Total placenta previa
C
Ectopic pregnancy
D
Eclampsia
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Question 8
Multiple Choice

Spontaneous termination of a pregnancy is considered to be an abortion if:

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A
the pregnancy is less than 20 weeks.
B
the fetus weighs less than 1000 g.
C
the products of conception are passed intact.
D
there is no evidence of intrauterine infection.
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Question 9
Multiple Choice

An abortion when the fetus dies but is retained in the uterus is called:

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A
inevitable.
B
missed.
C
incomplete.
D
threatened.
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Question 10
Multiple Choice

A placenta previa when the placental edge just reaches the internal os is called:

Choose correct answer/s
A
total.
B
partial.
C
low-lying.
D
marginal.
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Question 11
Multiple Choice

Which would indicate concealed hemorrhage in abruptio placentae?

Choose correct answer/s
A
Bradycardia
B
Hard boardlike abdomen
C
Decrease in fundal height
D
Decrease in abdominal pain
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Question 12
Multiple Choice

The priority nursing intervention when admitting a pregnant client who has experienced a bleeding episode in late pregnancy is to:

Choose correct answer/s
A
monitor uterine contractions.
B
assess fetal heart rate and maternal vital signs.
C
place clean disposable pads to collect any drainage.
D
perform a venipuncture for hemoglobin and hematocrit levels.
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Question 13
Multiple Choice

A primigravida of 28 years of age is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Nursing care is based on which of the following?

Choose correct answer/s
A
She should be isolated from her family.
B
This condition is caused by psychogenic factors.
C
The treatment is similar to that for morning sickness.
D
She should be assessed for signs of dehydration and starvation.
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Question 14
Multiple Choice

A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is 140/92 mm Hg. The most important nursing action is to:

Choose correct answer/s
A
advise her to cut down on fast foods that are high in fat.
B
caution her to avoid salty foods and to return in 2 weeks.
C
assess weight gain, location of edema, and urine for protein.
D
recommend she stay home from school for a few days to reduce stress.
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Question 15
Multiple Choice

A client with preeclampsia is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate:

Choose correct answer/s
A
gastrointestinal upset.
B
effects of magnesium sulfate.
C
anxiety caused by hospitalization.
D
worsening disease and impending convulsion.
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Question 16
Multiple Choice

Rh incompatibility can occur if the client is Rh-negative and the:

Choose correct answer/s
A
fetus is Rh-negative.
B
fetus is Rh-positive.
C
father is Rh-positive.
D
father and fetus are both Rh-negative.
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Question 17
Multiple Choice

In which situation would a dilation and curettage (D&C) be indicated?

Choose correct answer/s
A
Complete abortion at 8 weeks
B
Incomplete abortion at 16 weeks
C
Threatened abortion at 6 weeks
D
Incomplete abortion at 10 weeks
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Question 18
Multiple Choice

Which orders should the nurse expect for a client admitted with a threatened abortion?

Choose correct answer/s
A
NPO
B
Pad count
C
Ritodrine IV
D
Meperidine (Demerol), 50 mg now
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Question 19
Multiple Choice

Which data found on a client's health history would place her at risk for an ectopic pregnancy?

Choose correct answer/s
A
Ovarian cyst 2 years ago
B
Recurrent pelvic infections
C
Use of oral contraceptives for 5 years
D
Heavy menstrual flow of 4 days' duration
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Question 20
Multiple Choice

Which finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?

Choose correct answer/s
A
Blood pressure of 120/80 mm Hg
B
Complaint of frequent mild nausea
C
Fundal height measurement of 18 cm
D
History of bright red spotting for 1 day weeks ago
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