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What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?
- A. Ketoacidosis
- B. Placenta previa
- C. Gestational diabetes
- D. Gestational hypertension
Correct Answer: D
Rationale: Blood pressure should be assessed routinely during pregnancy, because symptoms of gestational hypertension include hypertension.
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A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient?
- A. Long-term bed rest
- B. Episodes of extreme hypertension
- C. Surgery to remove the embryo/fetus
- D. Treatment for dehydration
Correct Answer: C
Rationale: An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.
The nurse is assessing the newborn and discovers a yellowing of the skin. What is true for jaundice that appears at birth?
- A. Within normal limits
- B. Pathologic
- C. A result of iron deficiency
- D. Indicating possible hepatitis
Correct Answer: B
Rationale: Jaundice observed at birth is considered an indicator of a pathologic condition, erythroblastosis fetalis. It is considered abnormal.
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.
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.
A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn. What statements by the nurse are most appropriate?
- A. You have nothing to worry about. You will be disease free before you deliver.
- B. The tuberculosis can be transmitted to the fetus in rare occurrences.
- C. Your newborn will be tested for tuberculosis after delivery.
- D. There is no approved treatment for the infant if she tests positive for the disease.
- E. You will not be able to hold your newborn until you have been cleared according to the health department guidelines.
Correct Answer: B,C,E
Rationale: TB can be transmitted to a fetus in the womb. Newborns of infected mothers are skin tested for TB after birth and treated if the skin test is positive. Mothers who have TB are not allowed to have exposure to their newborn until they have been cleared according to the health department standards.