Nokea
What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
- A. Frequency and urgency of urination
- B. Nausea and weight loss
- C. Burning sensation when voiding
- D. Tenderness in the flank area
Correct Answer: D
Rationale: Pyelonephritis is a particularly serious infection in pregnancy. Signs and symptoms include high fever, chills, flank pain or tenderness, nausea, and vomiting.
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A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is afraid that her infant will also contract hepatitis B. What will the nurse explain to this woman?
- A. The infant will be given a single dose of hepatitis immune globulin after birth.
- B. The infant will be able to use the antibodies from the immunizations given to the patient before delivery.
- C. The infant will not have hepatitis B because the virus does not pass through the placental barrier.
- D. The infant will be immune to hepatitis B because of the mother's infection.
Correct Answer: A
Rationale: The infant will be given immune globulin immediately after birth for temporary immunity followed by hepatitis B vaccine. Immunization is not recommended for women who are pregnant.
The nurse educates prenatal patients about the threat of TORCH infections. Which infections are included in this classification? (Select all that apply.)
- A. Toxoplasmosis
- B. Toxemia
- C. Cytomegalovirus
- D. Rubella
- E. Herpes simplex
Correct Answer: A,C,D,E
Rationale: The TORCH infections are toxoplasmosis, rubella, cytomegalovirus, and herpes simplex.
What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply.)
- A. Citrus fruits enhance absorption of iron.
- B. Bran products support iron deficiency.
- C. Milk will disguise the taste of the iron.
- D. The iron therapy will continue for about 3 months.
- E. Tea should be avoided while taking iron.
Correct Answer: A,D,E
Rationale: Calcium, bran, and milk interfere with the absorption of iron. Vitamin C helps with the absorption of iron, the therapy usually lasts 3 months, and the tannic acid in tea does interfere with the absorption of iron.
The nurse assesses a pregnant woman for pregnancy-induced hypertension. What is the first sign of fluid retention suggestive of this complication?
- A. Abdominal enlargement
- B. Facial swelling
- C. Sudden weight gain
- D. Swelling of the feet and ankles
Correct Answer: C
Rationale: Sudden, excessive weight gain is the first sign of fluid retention; facial swelling and swelling of the feet, legs, and hands follow weight gain.
A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of these symptoms?
- A. Inevitable abortion
- B. Incomplete abortion
- C. Complete abortion
- D. Missed abortion
Correct Answer: B
Rationale: Signs and symptoms of an incomplete abortion are similar to those of an inevitable abortion, but some tissue is passed.