Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?

  • A. Congenital anomalies
  • B. Death before or after birth
  • C. Neonatal hypoglycemia
  • D. Neonatal withdrawal syndrome
Correct Answer: B

Rationale: The correct answer is B: Death before or after birth. Smoking during pregnancy increases the risk of fetal death, both before and after birth, due to the harmful effects of nicotine and other toxins on the developing fetus. Smoking can lead to complications such as placental abruption, preterm birth, low birth weight, and stillbirth.

A: Congenital anomalies - While smoking during pregnancy can increase the risk of certain birth defects, the primary concern related to smoking is not congenital anomalies.

C: Neonatal hypoglycemia - Smoking during pregnancy is not directly linked to neonatal hypoglycemia, which is usually related to maternal diabetes or other factors.

D: Neonatal withdrawal syndrome - Although smoking during pregnancy can lead to nicotine exposure in the fetus, resulting in withdrawal symptoms after birth, the immediate risk of death is a more critical concern associated with smoking during pregnancy.

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Which finding indicates the best quality improvement process?

  • A. Staff identifies the wait time in the emergency department is too long.
  • B. Administration identifies the design of the facility’s lobby increases patient stress.
  • C. Director of the hospital identifies the payment schedule does not pay enough for overtime.
  • D. Health care providers identify the inconsistencies of some of the facility’s policy and procedures.
Correct Answer: A

Rationale: The quality improvement process begins at the staff level, where problems are defined by the staff. It is not identified by administration, the hospital director, or health care providers.

Which laboratory is important to know when a client is having an amniocentesis?

  • A. Blood type
  • B. CBC
  • C. Rh
  • D. PT and PTT
Correct Answer: C

Rationale: Step-by-step rationale:
1. Rh factor is crucial to know to prevent Rh incompatibility issues during pregnancy.
2. Amniocentesis can pose a risk for Rh sensitization in Rh-negative mothers.
3. Knowing the Rh status helps determine if Rhogam (anti-D) is needed after amniocentesis.
4. Blood type (A) and CBC (B) are important but not directly relevant to amniocentesis.
5. PT and PTT (D) are coagulation tests, typically not required for routine amniocentesis.

A 39-week-gestation client is admitted to the labor and delivery unit for a scheduled cesarean delivery. The nurse should inform the surgeon regarding which of the following admission laboratory findings?

  • A. Potassium 4.9 mEq/L.
  • B. Sodium 136 mEq/L.
  • C. Platelet count 75,000 cells/mm3.
  • D. White blood cell count 15,000 cells/mm3.
Correct Answer: C

Rationale: A platelet count of 75,000 cells/mm3 is low and could increase the risk of bleeding during surgery. The surgeon should be informed to take appropriate precautions.

A woman who states that she smokes 2 packs of cigarettes each day is admitted to the labor and delivery suite in labor. The nurse should monitor this labor for which of the following?

  • A. Delayed placental separation.
  • B. Late decelerations.
  • C. Shoulder dystocia.
  • D. Precipitous fetal descent.
Correct Answer: B

Rationale: Smoking during pregnancy is associated with placental insufficiency, which can lead to late decelerations in the fetal heart rate.

A postpartum client, who delivered her baby vaginally 2 hours earlier, just voided 100 mL in the bathroom. After returning to bed, the nurse makes the following assessment: fundus 4 cm above the umbilicus and deviated to the right with moderate lochia rubra. Which of the following nursing diagnoses is appropriate at this time?

  • A. Impaired skin integrity.
  • B. Fluid volume deficit.
  • C. Impaired urinary elimination.
  • D. Toileting self-care deficit.
Correct Answer: C

Rationale: A deviated fundus and moderate lochia rubra suggest urinary retention, which can impede uterine involution.

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