Nokea
The nurse explains that severe ___ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension Elevated Liver enzymes and Low Platelets).
Correct Answer: preeclampsia
Rationale: Progressive preeclampsia can develop into HELLP syndrome.
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What symptom no matter what stage of pregnancy should be reported immediately?
- A. Backache
- B. Urinary frequency
- C. Vaginal bleeding
- D. Uterine tightening
Correct Answer: C
Rationale: Women should be instructed to contact their health care provider if any bleeding occurs during pregnancy.
What complication of delivery should the nurse expect with the birth of multiple fetuses?
- A. An ectopic tendency
- B. Difficulty with breast-feeding
- C. A vaginal delivery
- D. Loss of uterine tone
Correct Answer: D
Rationale: Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not relate to the delivery.
How should twins who share a placenta and come from one fertilized ovum be identified?
- A. Dizygotic
- B. Trizygotic
- C. Genetically different
- D. Monozygotic
Correct Answer: D
Rationale: Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.
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.