What percent of first-trimester pregnancies spontaneously abort?
- A. 5% to 10%
- B. 10% to 15%
- C. 20% to 25%
- D. 40% to 50%
Correct Answer: B
Rationale: It is estimated that 10% to 15% of first-trimester pregnancies end in spontaneous abortion.
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What should be specifically monitored in a patient who is hospitalized with gestational hypertension?
- A. Blood sugar
- B. Temperature
- C. Level of consciousness
- D. Deep tendon reflexes
Correct Answer: D
Rationale: If the patient is hospitalized for gestational hypertension, deep tendon reflexes are monitored. The blood sugar, temperature, and LOC will also be monitored, but they are not the priority in the hypertensive patient.
What is a major complication of gestational diabetes that affects the infant?
- A. Lack of nutrition
- B. Dehydration
- C. Hypoglycemia
- D. Hyperglycemia
Correct Answer: C
Rationale: A result of gestational diabetes is neonatal hypoglycemia.
A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should recognize that the adolescent is at a greater risk for which problem?
- A. Calcium deficit
- B. Cephalopelvic disproportion
- C. Bleeding tendency
- D. Low hemoglobin levels
Correct Answer: B
Rationale: There are several physiologic concerns for pregnant adolescents, including cephalopelvic disproportion.
What test is used to identify the maternal level of Rh antibodies in the mother's blood?
- A. Indirect Coombs' test
- B. Hemolytic test
- C. Rh antibody test
- D. Direct Coombs' test
Correct Answer: A
Rationale: The indirect Coombs' test measures the maternal level of antibodies.
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.
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