Nokea
Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
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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.
The nurse explains that severe ___ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension Elevated Liver enzymes and Low Platelets).
Correct Answer: preeclampsia
Rationale: Progressive preeclampsia can develop into HELLP syndrome.
A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red painless vaginal bleeding. What condition should the nurse immediately suspect?
- A. Abruptio placentae
- B. Hemorrhage
- C. Placenta previa
- D. Placentitis
Correct Answer: C
Rationale: Placenta previa is a serious condition that consists of bright red painless vaginal bleeding occurring after 20 weeks of pregnancy. The major symptoms of abruptio placentae are severe abdominal pain and uterine rigidity.
The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant?
- A. 20 to 37 completed weeks of pregnancy
- B. 38 to 41 completed weeks of pregnancy
- C. 14 to 36 completed weeks of pregnancy
- D. 42 or more completed weeks of pregnancy
Correct Answer: A
Rationale: The lungs of preterm infants have not fully developed; therefore, they have problems with oxygenation. Preterm infants also lack subcutaneous fat. The gestational age of the preterm is classified as 20 to 37 complete weeks of pregnancy.
What symptom no matter what stage of pregnancy should be reported immediately?
- A. Backache
- B. Urinary frequency
- C. Vaginal bleeding
- D. Uterine tightening
Correct Answer: C
Rationale: Women should be instructed to contact their health care provider if any bleeding occurs during pregnancy.