Exam 1

Question 1

A client has a ruptured ectopic pregnancy. What sign indicate blood in the peritoneum?

Answer 1

Cullen’s sign

Question 2

This medication toxicity shows as absent deep tendon reflexes and bradypnea. The toxicity should be treated with calcium gluconate

Answer 2

Magnesium (magnesium sulfate)

Question 3

What is the recommended weight gain for an overweight (BMI 25 - 29.9) client during pregnancy?

Answer 3

15 to 25 lbs

*minimal gain in the first trimester

Question 4

The most common risk of placental abruption is….

Answer 4

Hypertension

Question 5

How much water should a client with preeclampsia drink?

Answer 5

6-8 ounces per day

Question 6

Consumption of ……. helps prevent a neural tube defect?

Answer 6

Folic acid

Question 7

Endometriosis is characterized by.…

Answer 7

• dysmenorrhea
• infertility
• less often, alterations in menstrual cycle and dyspareunia

Question 8

What is the most common STI in U.S women?

Answer 8

Chlamydia

Question 9

In what trimester is induced abortion the safest?

Answer 9

First trimester

Question 10

What are the most common complications of induced abortion?

Answer 10

• Infection
• Retained products of conception
• Excessive vaginal bleeding

Question 11

What is gravidity?

Answer 11

The number of pregnancies the woman has had including the present one

Question 12

What is parity?

Answer 12

Indicates the number of pregnancies that have reached 20 weeks of gestation

Question 13

What does the acronym GTPAL stand for?

Answer 13

G - gravidity
T - term
P - preterm
A - abortions
L - living children

Question 14

What is the earliest biological marker for pregnancy?

Answer 14

Human chorionic gonadotropin (hCG)

Question 15

What dietary intake is of particular concern in the periconception period?

Answer 15

Folate or folic acid

Question 16

Oxidative stress usually associated with pregnancy has been thought of to cause preeclampsia. What vitamin is needed for protection?

Answer 16

Vitamin E

Question 17

What is the plan of care for a mother at 37 weeks or more with mild preeclampsia?

Answer 17

Induction of labor and if necessary, cervical ripening

Question 18

What is an appropriate treatment for chlamydia?

Answer 18

• single dose of azithromycin
• doxycycline twice a day for 7 days can be an alternative

Question 19

What medication when taken simultaneously with OCP can decrease OCP effectiveness?

Answer 19

Anticonvulsants

Question 20

Which vaccines do 1 year olds receive?

Answer 20

MMR and Varicella

Question 21

What is the leading cause of infant mortality in the U.S.?

Answer 21

Congenital anomalies

Question 22

This complication is when the placenta does not migrate up by the 3rd trimesters d is located near or covering the cervix….

Answer 22

Placenta Previa

*can be marginal, partial or complete

Question 23

What is the most common manifestation of placenta previa?

Answer 23

Painless vaginal bleeding in the second half of pregnancy

Question 24

What manifestations indicate concealed blood loss within the uterus and no vaginal bleeding noted?

Answer 24

Rigid abdomen
Tachycardia
Hypotension

Question 25

What medication can be prescribed for a client with PMDD?

Answer 25

Citalopram

Question 26

What does the medication “leuprolide” help with?

Answer 26

Endometriosis

Question 27

What are some examples of sources of folic acid?

Answer 27

Dark green leafy vegetables, beans, fortified cereals, orange juice

Question 28

Over ingestion of ______ as a result of pica can cause gestational diabetes.

Answer 28

Corn starch