Nokea
A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however the mother would become sensitized during delivery. If this were the case the mother would produce what in subsequent pregnancies?
- A. Rh-negative blood cells
- B. Rh-positive blood cells
- C. Rh-negative antibodies
- D. Rh-positive antibodies
Correct Answer: D
Rationale: If the mother is exposed to the Rh antigen, Rh-positive antibodies will be produced after delivery of an Rh-positive baby. If the baby is Rh negative, no antibodies will be produced.
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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 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.
A pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB) complaining of severe pain and a rigid abdomen. What should the nurse immediately suspect as the cause of the pain?
- A. Placenta previa
- B. Appendicitis
- C. Ectopic pregnancy
- D. Abruptio placentae
Correct Answer: D
Rationale: The major symptoms of abruptio placentae are severe pain and a rigid abdomen. Placenta previa consists of painless bleeding. Appendicitis is not usually accompanied by a rigid abdomen. Symptoms of an ectopic pregnancy would usually occur in the first trimester.
What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?
- A. Ketoacidosis
- B. Placenta previa
- C. Gestational diabetes
- D. Gestational hypertension
Correct Answer: D
Rationale: Blood pressure should be assessed routinely during pregnancy, because symptoms of gestational hypertension include hypertension.
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.