Nokea
A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red painless vaginal bleeding. What condition should the nurse immediately suspect?
- A. Abruptio placentae
- B. Hemorrhage
- C. Placenta previa
- D. Placentitis
Correct Answer: C
Rationale: Placenta previa is a serious condition that consists of bright red painless vaginal bleeding occurring after 20 weeks of pregnancy. The major symptoms of abruptio placentae are severe abdominal pain and uterine rigidity.
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How should twins who share a placenta and come from one fertilized ovum be identified?
- A. Dizygotic
- B. Trizygotic
- C. Genetically different
- D. Monozygotic
Correct Answer: D
Rationale: Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.
What complication of delivery should the nurse expect with the birth of multiple fetuses?
- A. An ectopic tendency
- B. Difficulty with breast-feeding
- C. A vaginal delivery
- D. Loss of uterine tone
Correct Answer: D
Rationale: Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not relate to the delivery.
What is a major complication of gestational diabetes that affects the infant?
- A. Lack of nutrition
- B. Dehydration
- C. Hypoglycemia
- D. Hyperglycemia
Correct Answer: C
Rationale: A result of gestational diabetes is neonatal hypoglycemia.
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.
When discussing toxoplasmosis infection during pregnancy what should the nurse caution the patient to avoid?
- A. Contacting with an infected person
- B. Emptying cat litter boxes bare-handed
- C. Having unprotected sex
- D. Eating excessive amounts of shellfish
Correct Answer: B
Rationale: A pregnant woman should wear gloves whenever having contact with cat feces as this is a possible source of toxoplasmosis infection.