Nokea
A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
- A. Hyperalimentation
- B. IV fluids and electrolyte replacement
- C. Hormone replacement therapy
- D. Vitamin supplements
Correct Answer: B
Rationale: Medical treatment is aimed at meeting fluid and electrolyte replacement.
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Cognitive impairment facial abnormalities and growth retardation are characteristics of which abnormality in a fetus?
- A. Fetal dependency
- B. Fetal immaturity
- C. Malnutrition dependency
- D. Fetal alcohol syndrome
Correct Answer: D
Rationale: Use of alcohol may result in multiple anomalies called fetal alcohol syndrome. The fetus may also be born with alcohol dependency and immaturity, but the characteristics noted are specific for fetal alcohol syndrome.
The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant?
- A. 20 to 37 completed weeks of pregnancy
- B. 38 to 41 completed weeks of pregnancy
- C. 14 to 36 completed weeks of pregnancy
- D. 42 or more completed weeks of pregnancy
Correct Answer: A
Rationale: The lungs of preterm infants have not fully developed; therefore, they have problems with oxygenation. Preterm infants also lack subcutaneous fat. The gestational age of the preterm is classified as 20 to 37 complete weeks of pregnancy.
What percent of first-trimester pregnancies spontaneously abort?
- A. 5% to 10%
- B. 10% to 15%
- C. 20% to 25%
- D. 40% to 50%
Correct Answer: B
Rationale: It is estimated that 10% to 15% of first-trimester pregnancies end in spontaneous abortion.
What test is used to identify the maternal level of Rh antibodies in the mother's blood?
- A. Indirect Coombs' test
- B. Hemolytic test
- C. Rh antibody test
- D. Direct Coombs' test
Correct Answer: A
Rationale: The indirect Coombs' test measures the maternal level of antibodies.
A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit. To prevent further stress on the heart what should the nurse anticipate to be ordered?
- A. Oxygen administration
- B. Administering large amount of IV fluids
- C. Positioning the patient on her back
- D. Encouraging activity between contractions
Correct Answer: A
Rationale: Oxygen is administered to increase blood oxygen saturation and decrease the stress on the heart. IV fluid administration is kept to a minimum to prevent fluid overload. The patient would be positioned in a semi-Fowler's position to improve circulation. The patient should be encouraged to rest between contractions to conserve energy.