Nokea
What situation would concern the nurse about the presence of Rh incompatibility?
- A. Rh-negative mother, Rh-positive fetus
- B. Rh-positive mother, Rh-negative fetus
- C. Rh-negative mother, Rh-negative fetus
- D. Rh-positive mother, Rh-positive fetus
Correct Answer: A
Rationale: Rh incompatibility can occur only if the mother is Rh negative and the fetus is Rh positive.
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What will the nurse begin with when asking a patient about drug use during a prenatal history?
- A. Do you smoke, drink alcohol, or use drugs?'
- B. Do you ever use prescription or street drugs?'
- C. What over-the-counter and prescription drugs have you taken in the past 3 months?'
- D. We need to know if you take drugs so we can help your baby.'
Correct Answer: C
Rationale: Screening for drug use should begin in a nonthreatening way by asking about prescription and OTC medications and how the information can help provide safe and appropriate prenatal care.
The young prenatal patient with gestational diabetes mellitus (GDM) says, 'I am frightened that I will have to deal with insulin injections for the rest of my life.' What is the best response by the nurse?
- A. After delivery your doctor will prescribe oral hypoglycemic medication to control your disease. Pills are so much simpler than insulin injections.'
- B. Have you considered an insulin pump?'
- C. After a while those insulin injections won't seem so bad.'
- D. It will most likely resolve 6 weeks or so after the baby is born.'
Correct Answer: D
Rationale: GDM usually resolves by 6 weeks after delivery.
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 pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?
- A. Hyperemesis gravidarum usually lasts for the duration of the pregnancy.
- B. Hyperemesis gravidarum causes dehydration and electrolyte imbalances.
- C. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.
- D. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.
Correct Answer: B
Rationale: Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta.
The nurse takes into consideration that the patient with placenta previa is at risk for postpartum infection for what reasons? (Select all that apply.)
- A. Vaginal organisms can invade the placenta.
- B. The undernourished placenta becomes necrotic.
- C. The amniotic fluid can become infected.
- D. The placenta is an excellent growth medium.
- E. The misplaced placenta weakens the uterine wall.
Correct Answer: A,D
Rationale: Vaginal organisms reach the placenta through the cervix. Once there, the organisms can multiply in the nutrient-rich environment of the placenta. The weak musculature of the lower segment of the uterus will cause postpartum hemorrhage rather than infection.