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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.
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The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient?
- A. To prevent convulsions
- B. To promote diaphoresis
- C. To increase reflex irritability
- D. To act as a saline cathartic
Correct Answer: A
Rationale: Magnesium sulfate is a central nervous system depressant given to prevent seizures.
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.
An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?
- A. Low-lying placenta
- B. Marginal placenta previa
- C. Partial placenta previa
- D. Total placenta previa
Correct Answer: D
Rationale: A total placenta previa describes a condition in which the placenta completely covers the cervical opening.
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.
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.