Nokea
The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection?
- A. Iron
- B. Vitamin B12
- C. RhoGAM
- D. Type O blood
Correct Answer: C
Rationale: RhoGAM prevents the development of naturally occurring maternal antibodies.
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When discussing toxoplasmosis infection during pregnancy what should the nurse caution the patient to avoid?
- A. Contacting with an infected person
- B. Emptying cat litter boxes bare-handed
- C. Having unprotected sex
- D. Eating excessive amounts of shellfish
Correct Answer: B
Rationale: A pregnant woman should wear gloves whenever having contact with cat feces as this is a possible source of toxoplasmosis infection.
A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion in what position would the nurse place the patient?
- A. Prone position
- B. Trendelenburg's position
- C. Supine position
- D. Modified side-lying position
Correct Answer: D
Rationale: A modified side-lying position facilitates uterine-placental perfusion.
A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse?
- A. A large for gestational age infant
- B. Anorexia nervosa
- C. Preterm delivery
- D. Maternal or fetal death
Correct Answer: D
Rationale: If untreated, hyperemesis gravidarum can result in maternal or fetal death.
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
The patient who has taken the ovulation stimulant clomiphene (Clomid) and who has been determined to be pregnant calls the clinic nurse to report that she is bleeding and has passed a small grapelike object. From this information the nurse suspects a ___.
Correct Answer: mole
Rationale: Hydatidiform moles occur frequently in people who have taken Clomid. The physical changes are similar to a real pregnancy until bleeding occurs and some grapelike clusters are passed.