Nokea
What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient?
- A. Ergonovine maleate (Ergotrate)
- B. Oxytocin
- C. Calcium gluconate
- D. Hydralazine (Apresoline)
Correct Answer: C
Rationale: Calcium gluconate reverses the effects of magnesium sulfate and should be available for immediate use when a woman receives magnesium sulfate.
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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.
A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is afraid that her infant will also contract hepatitis B. What will the nurse explain to this woman?
- A. The infant will be given a single dose of hepatitis immune globulin after birth.
- B. The infant will be able to use the antibodies from the immunizations given to the patient before delivery.
- C. The infant will not have hepatitis B because the virus does not pass through the placental barrier.
- D. The infant will be immune to hepatitis B because of the mother's infection.
Correct Answer: A
Rationale: The infant will be given immune globulin immediately after birth for temporary immunity followed by hepatitis B vaccine. Immunization is not recommended for women who are pregnant.
The nurse is caring for a prenatal patient diagnosed with a placenta previa. What is the best position for this patient?
- A. Flat on her back with knees flexed to help prevent hemorrhage
- B. On her side to prevent supine hypotension
- C. In the semi-Fowler's position to prevent supine hypotension
- D. In the knee-chest position to reduce pressure on the placenta
Correct Answer: B
Rationale: The prenatal patient with placenta previa is best placed on her side with a pillow for support. This position not only reduces stress on the placenta but also reduces the possibility of supine hypotension.
The nurse emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems? (Select all that apply.)
- A. Disruption of family roles
- B. Financial pressures
- C. Excessive attachment to infant
- D. Frustration with activity restriction
- E. Alteration in child care practices
Correct Answer: A,B,D,E
Rationale: High-risk pregnancies may produce problems such as disruption of family roles, financial pressures, delayed attachment to the infant, alteration in child care practices, and frustration with activity restriction.
A patient who is 28 weeks pregnant presents with consistent hypertension. What need would the home health nurse make the first priority?
- A. Activity restriction
- B. Balanced nutrition
- C. Increased fluid intake to ensure adequate hydration
- D. Instruction about the effect of diuretics
Correct Answer: A
Rationale: Bed rest reduces the flow of blood to skeletal muscles, making more blood available to the placenta and enhancing fetal oxygenation.