Nokea
A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient?
- A. Long-term bed rest
- B. Episodes of extreme hypertension
- C. Surgery to remove the embryo/fetus
- D. Treatment for dehydration
Correct Answer: C
Rationale: An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.
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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.
The nurse is assessing a "kick count" for a patient with gestational hypertension. What result should be a cause for concern?
- A. Less than three kicks per hour
- B. Less than five kicks per hour
- C. Less than seven kicks per hour
- D. Less than nine kicks per hour
Correct Answer: A
Rationale: A kick count of fewer than three per hour is considered serious and a cause for concern.
What is a prominent feature of postpartum depression?
- A. Failure to thrive
- B. Rejection of the infant
- C. Inability to care for the baby
- D. Problems with the baby's father
Correct Answer: B
Rationale: A prominent feature of PPD is rejection of the infant.
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.
A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn. What statements by the nurse are most appropriate?
- A. You have nothing to worry about. You will be disease free before you deliver.
- B. The tuberculosis can be transmitted to the fetus in rare occurrences.
- C. Your newborn will be tested for tuberculosis after delivery.
- D. There is no approved treatment for the infant if she tests positive for the disease.
- E. You will not be able to hold your newborn until you have been cleared according to the health department guidelines.
Correct Answer: B,C,E
Rationale: TB can be transmitted to a fetus in the womb. Newborns of infected mothers are skin tested for TB after birth and treated if the skin test is positive. Mothers who have TB are not allowed to have exposure to their newborn until they have been cleared according to the health department standards.