Nokea
A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should recognize that the adolescent is at a greater risk for which problem?
- A. Calcium deficit
- B. Cephalopelvic disproportion
- C. Bleeding tendency
- D. Low hemoglobin levels
Correct Answer: B
Rationale: There are several physiologic concerns for pregnant adolescents, including cephalopelvic disproportion.
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Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
What condition is a possible cause of gestational hypertension?
- A. Too much salt
- B. A toxin
- C. Renal disease
- D. Diabetes
Correct Answer: C
Rationale: Gestational hypertension may be caused by other existing conditions, such as renal disease.
Following an abruptio placentae the patient suddenly becomes dyspneic complains of chest pain and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of ___ coagulation.
Correct Answer: intravascular
Rationale: DIC is characterized by dyspnea, chest pain, and uncontrolled bleeding.
A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however the mother would become sensitized during delivery. If this were the case the mother would produce what in subsequent pregnancies?
- A. Rh-negative blood cells
- B. Rh-positive blood cells
- C. Rh-negative antibodies
- D. Rh-positive antibodies
Correct Answer: D
Rationale: If the mother is exposed to the Rh antigen, Rh-positive antibodies will be produced after delivery of an Rh-positive baby. If the baby is Rh negative, no antibodies will be produced.
A pregnant patient who has type 2 diabetes (NIDDM) may require insulin. Why is the insulin necessary?
- A. The growing baby will require more glucose.
- B. Oral hypoglycemic agents may be teratogenic.
- C. Increased hormone levels raise blood glucose.
- D. Oral hypoglycemics do not reach the fetus.
Correct Answer: B
Rationale: Oral hypoglycemics are discontinued because of teratogenic effects.