Nokea
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.
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Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
A pregnant patient who has type 2 diabetes (NIDDM) may require insulin. Why is the insulin necessary?
- A. The growing baby will require more glucose.
- B. Oral hypoglycemic agents may be teratogenic.
- C. Increased hormone levels raise blood glucose.
- D. Oral hypoglycemics do not reach the fetus.
Correct Answer: B
Rationale: Oral hypoglycemics are discontinued because of teratogenic effects.
A pregnant woman visits a clinic visit during her 21st week of pregnancy. The nurse identifies edema hypertension and proteinuria. What condition does the nurse suspect?
- A. Allergy
- B. Protein deficiency
- C. Circulatory problem
- D. Gestational hypertension
Correct Answer: D
Rationale: Gestational hypertension (GH), formerly referred to as pregnancy-induced hypertension (PIH), is a disease encountered during pregnancy or early in the puerperium, characterized by increasing hypertension, proteinuria, and generalized edema. These signs generally appear after the 20th week of pregnancy.
A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red painless vaginal bleeding. What condition should the nurse immediately suspect?
- A. Abruptio placentae
- B. Hemorrhage
- C. Placenta previa
- D. Placentitis
Correct Answer: C
Rationale: Placenta previa is a serious condition that consists of bright red painless vaginal bleeding occurring after 20 weeks of pregnancy. The major symptoms of abruptio placentae are severe abdominal pain and uterine rigidity.
The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant?
- A. 20 to 37 completed weeks of pregnancy
- B. 38 to 41 completed weeks of pregnancy
- C. 14 to 36 completed weeks of pregnancy
- D. 42 or more completed weeks of pregnancy
Correct Answer: A
Rationale: The lungs of preterm infants have not fully developed; therefore, they have problems with oxygenation. Preterm infants also lack subcutaneous fat. The gestational age of the preterm is classified as 20 to 37 complete weeks of pregnancy.