Nokea
A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of these symptoms?
- A. Inevitable abortion
- B. Incomplete abortion
- C. Complete abortion
- D. Missed abortion
Correct Answer: B
Rationale: Signs and symptoms of an incomplete abortion are similar to those of an inevitable abortion, but some tissue is passed.
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The young prenatal patient with gestational diabetes mellitus (GDM) says, 'I am frightened that I will have to deal with insulin injections for the rest of my life.' What is the best response by the nurse?
- A. After delivery your doctor will prescribe oral hypoglycemic medication to control your disease. Pills are so much simpler than insulin injections.'
- B. Have you considered an insulin pump?'
- C. After a while those insulin injections won't seem so bad.'
- D. It will most likely resolve 6 weeks or so after the baby is born.'
Correct Answer: D
Rationale: GDM usually resolves by 6 weeks after delivery.
The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the highest priority nursing intervention?
- A. Count respirations and report a rate of less than 12 breaths/minute.
- B. Count respirations and report a rate of more than 20 breaths/minute.
- C. Check blood pressure and report a rate of less than 100/60 mm Hg.
- D. Monitor urinary output and report a rate of less than 100 mL/hr.
Correct Answer: A
Rationale: Excessive magnesium sulfate may cause respiratory depression.
A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose metabolism in what way?
- A. Placental hormones increase the resistance of cells to insulin.
- B. Insulin cells cannot meet the body's demands as the woman's weight increases.
- C. There is a decreased production of insulin during pregnancy.
- D. The speed of insulin breakdown is decreased during pregnancy.
Correct Answer: A
Rationale: Hormones and enzymes produced by the placenta increase the resistance of cells to insulin.
The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient?
- A. To prevent convulsions
- B. To promote diaphoresis
- C. To increase reflex irritability
- D. To act as a saline cathartic
Correct Answer: A
Rationale: Magnesium sulfate is a central nervous system depressant given to prevent seizures.
A primigravida in her first trimester is Rh negative. What will this woman receive to prevent anti-Rh antibodies from forming?
- A. Rh immune globulin during labor
- B. Intrauterine transfusions with O-negative blood
- C. Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant
- D. Rh immune globulin now and again in the last trimester
Correct Answer: C
Rationale: An Rh-negative woman would receive Rh immune globulin at 28 weeks of gestation and within 72 hours after the birth of an Rh-positive infant or abortion.