Nokea
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.
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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.
Compared to older infants of comparable weight how much higher is the morbidity and mortality rate for preterm infants?
- A. One to two times
- B. Two to three times
- C. Three to four times
- D. Four to five times
Correct Answer: C
Rationale: The morbidity and mortality rate for preterm infants is higher by three to four times that of an older infant of similar weight.
A woman who is 14 weeks' pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago her uterus seems to have gotten smaller but her periods have not begun. The nurse assesses the indicators for a ___ abortion.
Correct Answer: missed
Rationale: A missed abortion is initiated by a bleeding episode in which the fetus is not expelled. The uterus begins to shrink, but periods do not resume.
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.
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.