Nokea
What symptom presented by a pregnant woman is indicative of abruptio placentae?
- A. Painless vaginal bleeding
- B. Uterine irritability with contractions
- C. Vaginal bleeding and back pain
- D. Premature rupture of membranes
Correct Answer: C
Rationale: Bleeding accompanied by abdominal or lower back pain is a typical manifestation of abruptio placentae.
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A primigravida in her first trimester is Rh negative. What will this woman receive to prevent anti-Rh antibodies from forming?
- A. Rh immune globulin during labor
- B. Intrauterine transfusions with O-negative blood
- C. Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant
- D. Rh immune globulin now and again in the last trimester
Correct Answer: C
Rationale: An Rh-negative woman would receive Rh immune globulin at 28 weeks of gestation and within 72 hours after the birth of an Rh-positive infant or abortion.
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 woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest?
- A. Toxoplasmosis
- B. Abruptio placentae
- C. Hydatidiform mole
- D. Diabetes mellitus
Correct Answer: D
Rationale: Large (macrosomic) infants over 9 pounds are linked to gestational diabetes.
The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the highest priority nursing intervention?
- A. Count respirations and report a rate of less than 12 breaths/minute.
- B. Count respirations and report a rate of more than 20 breaths/minute.
- C. Check blood pressure and report a rate of less than 100/60 mm Hg.
- D. Monitor urinary output and report a rate of less than 100 mL/hr.
Correct Answer: A
Rationale: Excessive magnesium sulfate may cause respiratory depression.
The nurse is caring for a macrosomic newborn of a diabetic patient. What complications will the nurse assess for in the newborn?
- A. Meconium ileus
- B. Diarrhea
- C. Hypoglycemia
- D. Muscle tremors
Correct Answer: C
Rationale: The fetus responds to the hyperglycemia from the mother's blood and produces increased insulin. This insulin may cause hypoglycemia in the infant after it is no longer exposed to the mother's blood.