Nokea
A woman who is 14 weeks' pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago her uterus seems to have gotten smaller but her periods have not begun. The nurse assesses the indicators for a ___ abortion.
Correct Answer: missed
Rationale: A missed abortion is initiated by a bleeding episode in which the fetus is not expelled. The uterus begins to shrink, but periods do not resume.
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What test is used to identify the maternal level of Rh antibodies in the mother's blood?
- A. Indirect Coombs' test
- B. Hemolytic test
- C. Rh antibody test
- D. Direct Coombs' test
Correct Answer: A
Rationale: The indirect Coombs' test measures the maternal level of antibodies.
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 percent of first-trimester pregnancies spontaneously abort?
- A. 5% to 10%
- B. 10% to 15%
- C. 20% to 25%
- D. 40% to 50%
Correct Answer: B
Rationale: It is estimated that 10% to 15% of first-trimester pregnancies end in spontaneous abortion.
Following an abruptio placentae the patient suddenly becomes dyspneic complains of chest pain and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of ___ coagulation.
Correct Answer: intravascular
Rationale: DIC is characterized by dyspnea, chest pain, and uncontrolled bleeding.
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.