Complications Of Pregnancy

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Question 1
Free
Multiple Choice

A patient 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 clinical intervention 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 patient at risk for preeclampsia. Which clinical sign would not present 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 patient 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 for 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

Which maternal condition always necessitates delivery by cesarean birth?

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A
Partial abruptio placentae
B
Total placenta previa
C
Ectopic pregnancy
D
Eclampsia
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Question 7
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 8
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 9
Multiple Choice

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

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A
total.
B
partial.
C
low-lying.
D
marginal.
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Question 10
Multiple Choice

Which finding would indicate concealed hemorrhage in abruptio placentae?

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A
Bradycardia
B
Hard boardlike abdomen
C
Decrease in fundal height
D
Decrease in abdominal pain
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Question 11
Multiple Choice

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

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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 12
Multiple Choice

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

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A
gastrointestinal upset.
B
effects of magnesium sulfate.
C
anxiety caused by hospitalization.
D
worsening disease and impending convulsion.
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Question 13
Multiple Choice

Rh incompatibility can occur if the patient is Rh-negative and the

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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 14
Multiple Choice

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

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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 15
Multiple Choice

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

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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 16
Multiple Choice

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

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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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Question 17
Multiple Choice

Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa?

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A
Determining cervical dilation and effacement
B
Monitoring FHR and maternal vital signs
C
Observing vaginal bleeding or leakage of amniotic fluid
D
Determining frequency, duration, and intensity of contractions
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Question 18
Multiple Choice

A laboratory finding indicative of DIC is one that shows

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A
decreased fibrinogen.
B
increased platelets.
C
increased hematocrit.
D
decreased thromboplastin time.
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Question 19
Multiple Choice

Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication?

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A
Drowsiness
B
Urinary output of 20 mL/hour
C
Normal deep tendon reflexes
D
Respiratory rate of 10 to 12 breaths per minute
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Question 20
Multiple Choice

A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take?

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A
Increase the patient's IV fluids.
B
Administer calcium gluconate.
C
Vigorously stimulate the patient.
D
Instruct the patient to take deep breaths.
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