Nokea
A pregnant woman visits a clinic visit during her 21st week of pregnancy. The nurse identifies edema hypertension and proteinuria. What condition does the nurse suspect?
- A. Allergy
- B. Protein deficiency
- C. Circulatory problem
- D. Gestational hypertension
Correct Answer: D
Rationale: Gestational hypertension (GH), formerly referred to as pregnancy-induced hypertension (PIH), is a disease encountered during pregnancy or early in the puerperium, characterized by increasing hypertension, proteinuria, and generalized edema. These signs generally appear after the 20th week of pregnancy.
You may also like to solve these questions
A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse?
- A. A large for gestational age infant
- B. Anorexia nervosa
- C. Preterm delivery
- D. Maternal or fetal death
Correct Answer: D
Rationale: If untreated, hyperemesis gravidarum can result in maternal or fetal death.
A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
- A. It is initiated when the bilirubin level reaches 5 mg/dL.
- B. It converts bilirubin to a water-soluble form to be excreted in the urine.
- C. It changes bilirubin to a bile salt to be excreted through the bowel.
- D. It requires eye patches to remain in place 24 hours a day.
Correct Answer: B
Rationale: Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys. It is initiated when the bilirubin level reaches 12 to 15 mg/dL. The eye patches are worn during therapy, but removed for feeding, bathing, and socialization.
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.
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
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.