Nokea
A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest?
- A. Toxoplasmosis
- B. Abruptio placentae
- C. Hydatidiform mole
- D. Diabetes mellitus
Correct Answer: D
Rationale: Large (macrosomic) infants over 9 pounds are linked to gestational diabetes.
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A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is confirmed by ultrasound. Which statement indicates that the woman understands the explanation of an ectopic pregnancy?
- A. The chorionic villi develop vesicles within the uterus.'
- B. The placenta develops in the lower part of the uterus.'
- C. The fetus dies in the uterus during the first half of the pregnancy.'
- D. The embryo is implanted in the fallopian tube.'
Correct Answer: D
Rationale: Ectopic pregnancy occurs when the fertilized ovum is implanted outside of the uterine cavity.
A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED). What should the ED nurse offer the patient? (Select all that apply.)
- A. Privacy
- B. An opportunity to hold the infant
- C. Materials about support groups
- D. A memento (footprint or lock of hair)
- E. A warm beverage
Correct Answer: A,B,C,D
Rationale: The patient should be offered privacy, an opportunity to hold the infant, support group information, and a memento. A warm beverage is not a priority at this time.
An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?
- A. Low-lying placenta
- B. Marginal placenta previa
- C. Partial placenta previa
- D. Total placenta previa
Correct Answer: D
Rationale: A total placenta previa describes a condition in which the placenta completely covers the cervical opening.
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.
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.