Nokea
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.
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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.
What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply.)
- A. Citrus fruits enhance absorption of iron.
- B. Bran products support iron deficiency.
- C. Milk will disguise the taste of the iron.
- D. The iron therapy will continue for about 3 months.
- E. Tea should be avoided while taking iron.
Correct Answer: A,D,E
Rationale: Calcium, bran, and milk interfere with the absorption of iron. Vitamin C helps with the absorption of iron, the therapy usually lasts 3 months, and the tannic acid in tea does interfere with the absorption of iron.
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.
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.
What will the nurse begin with when asking a patient about drug use during a prenatal history?
- A. Do you smoke, drink alcohol, or use drugs?'
- B. Do you ever use prescription or street drugs?'
- C. What over-the-counter and prescription drugs have you taken in the past 3 months?'
- D. We need to know if you take drugs so we can help your baby.'
Correct Answer: C
Rationale: Screening for drug use should begin in a nonthreatening way by asking about prescription and OTC medications and how the information can help provide safe and appropriate prenatal care.