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A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, 'Will I be able to deliver vaginally?' What explanation by the nurse is the most appropriate?
- A. Yes, you can deliver vaginally until 36 weeks.'
- B. A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section will be done.'
- C. A cesarean section is performed when the mother has a total placenta previa.'
- D. There is no reason why you cannot have a vaginal delivery.'
Correct Answer: C
Rationale: A cesarean delivery is done for a partial or total placenta previa.
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What situation would concern the nurse about the presence of Rh incompatibility?
- A. Rh-negative mother, Rh-positive fetus
- B. Rh-positive mother, Rh-negative fetus
- C. Rh-negative mother, Rh-negative fetus
- D. Rh-positive mother, Rh-positive fetus
Correct Answer: A
Rationale: Rh incompatibility can occur only if the mother is Rh negative and the fetus is Rh positive.
The nurse assesses a pregnant woman for pregnancy-induced hypertension. What is the first sign of fluid retention suggestive of this complication?
- A. Abdominal enlargement
- B. Facial swelling
- C. Sudden weight gain
- D. Swelling of the feet and ankles
Correct Answer: C
Rationale: Sudden, excessive weight gain is the first sign of fluid retention; facial swelling and swelling of the feet, legs, and hands follow weight gain.
A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?
- A. Hyperemesis gravidarum usually lasts for the duration of the pregnancy.
- B. Hyperemesis gravidarum causes dehydration and electrolyte imbalances.
- C. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.
- D. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.
Correct Answer: B
Rationale: Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta.
The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus. What can result from maternal rubella during pregnancy?
- A. Facial abnormalities
- B. Mental retardation
- C. Liver failure
- D. Limb deformities
Correct Answer: B
Rationale: Rubella can have devastating effects on the developing fetus. Some effects of rubella on the embryo or fetus include microcephaly, mental retardation, cardiac defects, cataracts, and deafness.
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.