Module 3-4

Question 1

weak or low contractions

Answer 1

Hypotonic

Question 2

When do you check glucose level

Answer 2

24th to 28th weeks

Question 3

mid pelvic diameter
anteroposterior measurement:

Answer 3

11.5 cm

Question 4

mid pelvic diameter

transverse or interspinous

Answer 4

10.5cm

Question 5

from midpoint of the interspinous to the same point in sacrum 5cm

Answer 5

posterior sagittal

Question 6

includes latent and acceleration phase

Answer 6

Preparatory division

Question 7

unaffected by sedation or conduction analgesia

Answer 7

Dilatational division

Question 8

encompases both deceleration phase and second stage of labor

Answer 8

pelvic division

Question 9

+1 / + 2 edema, proteinuria

Answer 9

Mild preeclampsia

Question 10

no proteinuria / edema

Answer 10

gestational hypertension

Question 11

+3/ +4 edema, › proteinuria

Answer 11

Severe pre-eclampsia

Question 12

convulsion, seizure, hypotension

Answer 12

Eclampsia

Question 13

what week does PIH or Gestational Hypertension usually occur

Answer 13

18th weeks

Question 14

what week does Chronic Hypertension usually occur

Answer 14

24th week

Question 15

Mary Ann, 17 y/o. primigravid registers at 16 weeks’ ges-
tation with a BP of 100/60. At 38 weeks’ gestation, she is seen in the clinic with a BP of 146/94 and negative protein-uria. She is admitted in the hospital for further evaluation, where, on overnight Observation, she has persistent BP of
40190. A 24-hour urine protein determine… mg. The nurse correct hat this is what type of hypertensive disorder in pregnancy?

Answer 15

chronic hypertension

Question 16

Tina, 23-year-old G1 at 35 weeks age of gestation comes in for severe headache and visual blurring. On prenatal check-up 1 week prior, her BP was noted to be 130/85 mmg from her usual 110/70. On examination, BP was now at 16/110 mmHg, FHT 140/min, no contractions after ten minutes of observation. Cervix was 1cm, 30% effaced, 30% effaced, intact membrane station -2. that is the most likely type of hypertensive disorder in pregnancy?

Answer 16

Severe pre-eclampsia

Question 17

Vilma, a 19-year-old primigravida at 34 weeks age of gestation is seen in the obstetric Unit. She has blood pressure of 140/90 mmHg. Proteinuria of +1 dipstick urine, with weight gain of 2 Ibs. she denies other signs and symptoms.
What is the most likely type of hypertensive disorder in pregnancy?

Answer 17

Mild pre-eclampsia

Question 18

Dhonna, 19-year-old, primigravida, at 34 weeks’ gestation comes in for severe headache and visual blurring. Previous blood pressure on prior prenatal checkup at 14 weeks was at 120/80 mmHg. Presently, her blood pressure was 170/110 mmHg. She presented with bipedal edema. There were no uterine contractions. Then she developed generalized tonic-clonic seizures lasting for about 40 secs.
What is the most likely type of hypertensive disorder in pregnancy?

Answer 18

Eclampsia

Question 19

Anna, a 38-year-old G4P3 at 18 weeks age of gestation has BP of 15/100 mmHg with no other signs and symp-toms. Her pregnancy BP was 130-140 / 80-90 mmHg controlled by intake f calcium channel blocker. Urinalysis is negative for proteinuria. The nurse correctly identifies that this is what type of hypertensive disorder?

Answer 19

gestational hypertension

Question 20

Klarissa, a 19-year-old primigravida at 34 weeks age of gestation is seen in the Obstetric Unit. She has blood pressure of 160/110 mmHg. Proteinuria of 4 gm/day. with elevated liver enzymes. What is the most likely type of hypertensive disorder in pregnancy?

Answer 20

Severe pre-eclampsia

Question 21

Jhoy, a 19-year-old, primigravida, at 34 weeks gestation comes in for severe headache and visual blurring. Previous blood pressure on prior prenatal checkup at 14 weeks was at 140/9U mm Hg. Presently, her blood pressure was 170/110 mm Hg. She presented with bipedal edema.
There were no uterine contractions. Then she developed generalized tonic-clonic seizures that lasted for about 40 secs. What is the most likely type of hypertensive disorder in pregnancy?

Answer 21

chronic hypertension with superimposed eclampsia

Question 22

***A 23-year-old G1 at 35 weeks age of gestation comes in for severe headache and visual blurring. On prenatal check-up 1 week prior, her BP was noted to be 130/85 mmg from her usual 110/70. On examination, BP was now at 160/110 mmHg, FHT 140/min, no contractions after ten minutes of observation. Cervix was 1cm, 30% effaced, intact membranes, station-2. Magnesium sulfate was ordered to the client. The nurse should ensure what t on hand as an antidote for magn…

Answer 22

Calcium Gulconate

Question 23

A nursing board reviewer is Class B, insulin dependent
diabetic, and is receiving prenatal care in a high risk obstetric clinic. Her diabetes has been well controlled since her initial diagnosis. The nurse implements a teaching plan for a pregnant client who was diagnosed with diabetes mellitus. The nurse is aware that the reviewer with gestational diabetes may be at risk to develop what fetal effect?

Answer 23

Neonatal hyperglycemia

Question 24

A 32-year-old G1PO diabetic patient unsure of the date of her last menstrual period (LMP) sought her first prenatal checkup. She says that she missed three menses, but her fundus is palpated slightly below the level of umbilicus. The physician requested for ultrasonography to estimate the gestational age. Family history is positive for DM (father).
When should the nurse advise the client to have her GCT checked?

Answer 24

24-28 weeks

Question 25

Dhonna, a 19-year-old primigravida, at 34 weeks' gestation comes in for severe headache and visual blurring. Previous blood pressure on prior prenatal checkup at 14 weeks was 120/80 mmHg. Present-ly, her blood pressure was 170/110 mmHg. She presented with bipedal edema. There were no uterine contractions. Then she developed generalized TON-IC-CLONIC SEIZURE lasting for about 40 seconds. What is the most likely type of hypertensive disorder in pregnancy?

Answer 25

Eclampsia

Question 26

43. Anna, a 38-year-old G4P3 at 18 weeks age of gestation has BLOOD PRESSURE OF 150/100 mmHg with no other signs and symptoms. Her pre-pregnancy blood pressure was 130-140/80-90 mmHg controlled by intake of calcium channel blocker. Urinalysis is NEGATIVE FOR PROTEINURIA. The nurse correctly identifies that this is what type of hypertensive disorder in pregnancy?

Answer 26

Gestational hypertension

Question 27

Tina, 23-year-old G1 at 35 weeks age of gestation. comes in for SEVERE HEADACHE and visual blurring. On prenatal checkup 1 week prior, her blood pressure was noted to be 130/85 mmHg from her usual 110/70. On examination, BP was now at 160/110 mmHg, FHT 140/min, no contractions after ten minutes of observa-tion. Cervix was 1cm, 30% effaced, intact membranes, station-2. What is the most likely type of hypertensive disorder in pregnancy?

Answer 27

severe pre-eclampsia

Question 28

48. A 23-year-old G1 at 35 weeks age of gestation comes in for severe headache and visual blurring. On pre- natal check-up 1 week prior, her BP was noted to be 130/85 mmHg from her usual 110/70. On examination, BP was now at 160/110 mmHg, FHT 140/min, no contractions after ten minutes of observation. Cervix was 1cm, 30% effaced, intact membranes, station-2. Magnesium sulfate was ordered to the client. The nurse should ensure what to have on hand as an antidote for magnesium toxicity?

Answer 28

Calcium gluconate

Question 29

Klarissa, a 19-year-old primigravida at 34 weeks age of gestation is seen in the Obstetric Unit. She has blood pressure of 160/10 mmHg. Proteinuria of 4 gm/day, with ELEVATED LIVER ENZYMES. What is the most likely type of hypertensive disorder in pregnancy?

Answer 29

Severe pre-eclampsia

Question 30

Mary Ann, 17 y/o. primigravid registers at 16 weeks' gestation with a blood pressure of 100/60. At 38 weeks' gestation, she is seen in the clinic with a blood pressure of 146/94 and NEGATIVE PROTEIN-URIA. She is admitted in the hospital for further eval-uation, where, on overnight observation, she has persistent blood pressure of 140/90. A 24-hour urine protein determination is 20 mg. The nurse correctly identifies that this is what type of hypertensive disorder in pregnancy?

Answer 30

Gestational hypertension

Question 31

Jhoy, a 19-year-old, primigravida, at 34 weeks' gesta tion comes in for severe headache and visual blur-ring. Previous blood pressure on prior prenatal checkup at 14 weeks was at 140/90 mmHg. Presently, her blood pressure was 170/110 mmHg. She presented with bipedal edema. There were no uterine contractions. Then she developed generalized TON-IC-CLONIC SEIZURE last for about 40 secs. What is the most likely type of hypertensive disorder in preg-nancy?

Answer 31

Eclampsia

Question 32

A 28-year old primigravida comes to your clinic on her 30th week of gestation complaining of chest pain. On examination she was seen to have cardiomegaly which strengthened the diagnosis of heart disease in sia pregnancy. The nurse would advise the client that if the patient is without any obstetrical indication, she will best deliver by: A. Cesarean section under general anesthesia B. Normal spontaneous delivery under pudendal block C. Outlet forceps extraction under epidural anesthesia D. Cesarean section under epidural anesthesia

Answer 32

C. Outlet forceps extraction under epidural anesthesia

Question 33

Nurse Vilma is monitoring a 28-year-old client G1P0, 26 weeks AOG who is receiving magnesium sulfate for preeclampsia and is assessing the client every 30 minutes. Which of the following findings would indicate a need to immediately report the findings? A. Urinary output of 20 ml B. Deep tendon reflexes of +2 C. Respirations of 10 breaths/minute D. Fetal heart rate of 120 beats/min

Answer 33

C. Respirations of 10 breaths/minute

Question 34

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication of which findings are noted on assess-ment? (Select all that apply). D. Urine output of 20 ml in an hour. A. Proteinuria of 3 +. B. Respirations of 12 breaths per minute. C. Presence of deep tendon reflexes. D. Urine output of 20 ml in an hour. E. Serum magnesium level of 4 mg/L. (2 mmol/L)

Answer 34

B. Respirations of 12 breaths per minute. D. Urine output of 20 ml in an hour.

Question 35

A G1PO PU 32 weeks was brought to the ER because of severe headache and blurring of vision. BP was 170/110 mm Hg. Fundic height was 30 cms, FB on the left, FHT 157/min. There was also GRADE II BIPEDAL EDEMA, edema of hands and face. The nurse should

Answer 35

Load MgSO4

Question 36

Marie, a 16-year-old primigravida comes to the prenatal clinic for her monthly check-up. She has gained 20 Ib from her 30-36 weeks, with edema of the face and hands. She is diagnosed having severe preecrampsia and was referred to the high-risk Obstetrical Unit. The client's weight increase is most likely due: A. Hypertension B. Overeating C. Fluid retention D. Obesity

Answer 36

C. Fluid Retention

Question 37

58. A pregnant 85 Ibs woman sought her very first prenatal consult. Being underweight, the physician formulated a good nutritional surveillance for her. The nurse should counsel the patient which of the following constitute a sound part of the plan? A. Ensure she force feeds herself everyday. B. Serially weigh her to achieve appropriate weight gain. c. Monthly Hgb and Hct determination. D. Give 60 MG Iron tablets 3x a day.

Answer 37

B. Serially weigh her to achieve appropriate weight gain.

Question 38

A 26-year-old female is 28 weeks pregnant with her second child. The woman is blood type A-. which of the following statements does not need further instructions if this is mentioned by a student nurse A. If the patient was A+ she would need to receive RhiG. B. The patient will need to receive RhiG during this visit to prevent hemolytic disease of the newborn. C. The baby will need to receive RhiG after it's born. D. Since the mother is A- the baby can be Rh positive, which could lead to an immune attack on the mother's body.

Answer 38

D. Since the mother is A-, The baby can be Rh positive, which could lead to an immune attack

Question 39

The nurse conducts a prenatal class on high-risk factors during pregnancy. Several participants in the pre-natal class complain of frequent urination. The nurse correctly explains to the group that the most common ly assessed findings in pyelonephritis are which of the following? A. Frequency, urgency, hematuria, nausea, chills, and flank pain B. Nocturia, Frequency, urgency, dysuria, hematuria, lever, and suprapubic pain C. Dehydration, hypertension, dysuria, suprapubic pain, chills and fever D. High fever, chills, flank pain, nausea, vomiting, dy-suria and frequency

Answer 39

A. Frequency, urgency, hematuria, nausea, chills, and flank pain

Question 40

Marissa, a 17-year-old primigravid registers at 16 weeks' gestation has BP of 150/100 mmHg with no other signs and symptoms. Her prepregnancy BP was 130-140 / 80-90 mmHg controlled by intake of a calcium channel blocker. Urinalysis is negative for pro-teinuria. The nurse correctly identifies that this is what type of hypertensive disorder in pregnancy? A. Chronic hypertension B. Gestational hypertension C. Pre-eclampsia D. Chronic hypertension w/ superimposed pre-eclampsia

Answer 40

A. Chronic hypertension

Question 41

Colette, a 38-year-old G4P3 at 18 weeks age of gestation with a BP of 100/60. At 38 weeks' gestation, she is seen in the clinic with a BP of 146/94 and negative proteinuria. She is admitted in the hospital for further evaluation, where, on overnight observation, she has persistent BP above 140/90. A 24-hour urine protein determination is 20mg. The nurse correctly identifies that this is what type of hypertensive disorder in preg-nancy? A. Mild Preeclampsia B. Chronic HPN C. Severe Preeclampsia D. Gestational HPN

Answer 41

D. Gestational HPN

Question 42

A 42-year-old G2P1 at her 32 weeks' gestation with known renal disease and hypertension presents with BP of 220/120 mmHg but is asymptomatic. The diagnostic test that the nurse will perform to detect chronicity of her illness is: A. Fundoscopy B. Elevated serum creatinine C. Doppler velocimetry D. Urine protein

Answer 42

A. Fundoscopy

Question 43

Wilhelmina is Class B, insulin dependent diabetic, an is receiving prenatal care in a high risk obstetric clinic. Her diabetes has been well controlled since her initial diagnosis. The nurse implements a teaching plan for a pregnant client who was diagnosed with diabetes mellitus. The nurse understands that the diabetic mother's metabolism is significantly altered during pregnancy as a result of: A. The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism B. The lower renal threshold for glucose C. The increased effect of insulin during pregnancy D. An increase in the glucose tolerance level of the blood

Answer 43

A. The effect of hormones produced in pregnancy on carbohydrate and lipid metabolism

Question 44

Nurse Nora is monitoring a 28 year old client G1P0, 26 weeks AOG who is receiving magnesium sulfate for preeclampsia and is assessing the client every 30 minutes. Which of the following findings would indicate a need to immediately report the findings? A. Urinary output of 20 ml B. Respirations of 10 breaths/min C. Deep tendon reflexes of +2 D. Fetal heart rate of 120 beats/min

Answer 44

B. Respirations of 10 breaths/min

Question 45

Nurse Marielle is providing instructions to a G1P0, 25 years old on her 30 weeks AOG pregnant client in the maternity center with a history of cardiac disease regarding appropriate dietary measures. Which statement, if made by the client, indicates an understand-ing of the information provided by the nurse? A. "I should lower my blood volume by limiting my fluids." B. "I should increase my sodium intake during preg- nancy" C. "I should maintain a low-calorie diet to prevent any weight gain." D. "I should drink adequate fluids and increase my intake of high-fiber foods."

Answer 45

D. "I should drink adequate fluids and increase my intake of high-fiber foods."

Question 46

A pregnant 85 Ibs woman sought her very first prena tal consult. Being underweight, the physician formulated a good nutritional surveillance for her. The nurse should counsel the patient which of the following constitute a sound part of the plan? A. Give 60 mg iron tablets 3x a day B. Serially weigh her to achieve appropriate weight gain C. Monthly hgb and hct determination D. Ensure she force feeds herself everyday

Answer 46

A. Give 60 mg iron tablets 3x a day

Question 47

Hyperglycemia results from poor diabetes control during pregnancy and can result to perinatal morbidity and mortality. When evaluating a 28-year-old pregnant client on her 30 weeks of gestation, the nurse knows that the recommended serum glucose range during pregnancy is: A. 60 mg/dL and 80 mg/dL B. 140 mg/dL and 200 mg/dL C. 50 mg/dL and 140 mg/dL D. 70 mg/dL and 120 mg/dL

Answer 47

D. 70 mg/dL and 120 mg/dL

Question 48

Mrs. Gwen Chua, 25 years old, G1P0, 35 weeks age of gestation is admitted to the birthing suite with a blood pressure of 150/90 mmHg, 3+ proteinuria, and edema of the hands and face. She was diagnosed as Pregnancy Uterine 35 weeks AOG, G1PO SEVERE PREECLAMPSIA. What other clinical findings by Nurse Vilma support this diagnosis? (Select all that apply). A. Headache B. Constipation C. Abdominal pain D. Vaginal bleeding E. Visual disturbances

Answer 48

A. Headache C. Abdominal pain E. Visual disturbances