Possible OB? FINAL Flashcards
(80 cards)
A woman is suspected of having abruptio placentae. Which of the following would the nurse expect to assess as a classic symptom?
Knife-like” abdominal pain
The nurse is caring for a multigravid who experienced a placental abruption 4 hours ago. For which potential situation will the nurse prioritize assessment?
Uterine atony
RhoGAM is given to Rh-negative women to prevent maternal sensitization. In addition to pregnancy, Rh-negative women would also receive this medication after which of the following?
Therapeutic or spontaneous abortion
The nurse is caring for an Rh-negative nonimmunized client at 14 weeks’ gestation. What information would the nurse provide to the client
Obtain Rho(D) immune globulin at 28 weeks’ gestation.
After teaching a woman about hyperemesis gravidarum and how it differs from the typical nausea and vomiting of pregnancy, which statement by the woman indicates that the teaching was successful?
I need to avoid strong odors, perfumes, or flavors.
A woman has been diagnosed as having pregnancy-induced hypertension. Which of the following is the most typical symptom of this?
Blood pressure elevation
A woman is being admitted to your hospital unit for severe preeclampsia. When deciding on where to place her, which of the following areas would be most appropriate?
In the back hallway where there is a quiet, private room
A client visits a health care facility with complaints of amenorrhea for 10 weeks, fatigue, and breast tenderness. Which of the following additional signs and symptoms suggest the presence of molar pregnancy? Select all that apply.
Elevated hCG levels
Absence of fetal heart sound
Hyperemesis gravidarum
A client at 9 weeks’ gestation was unable to control the nausea and vomiting of hyperemesis gravidarum through conservative measures at home. With nausea and vomiting becoming severe, the client was omitted to the obstetrical unit. Which action should the nurse prioritize?
establish IV for rehydration
A nurse is caring for a client with hyperemesis gravidarum. Which nursing action is the priority for this client?
Administer IV normal saline with vitamins and electrolytes
In returning to the hospital floor after a weekend off, the nurse takes over care of a pregnant patient who is resting in a darkened room. The patient is receiving betamethasone and magnesium sulfate. What could the nurse deduce from those findings?
The patient is suffering from severe preeclampsia and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby’s lungs mature quickly so that they can deliver as soon as possible.
At 37 weeks’ gestation, a client presents to labor and delivery reporting intense, knife-like abdominal pain that started suddenly about 1 hour ago and has not subsided. On palpation, the abdomen is rigid and board-like and no vaginal bleeding is evident. What should the nurse do next?
Assess fetal heart rate
A client at 11 weeks’ gestation experiences pregnancy loss. The client asks the nurse if the bleeding and cramping that occurred during the miscarriage were caused by working long hours in a stressful environment. What is the most appropriate response from the nurse?
“I can understand your need to find an answer to what caused this. Let’s talk about this further.”
What makes the diagnosis of gestational hypertension different from the diagnosis of preeclampsia?
Proteinuria
A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which of the following is the biggest concern regarding this client?
Preterm rupture of membranes followed by preterm birth
A new young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the mother that she should avoid which activity?
breastfeeding
A nurse is assessing a newborn and suspects that newborn may have been exposed to alcohol during gestation. The nurse suspect this based on which newborn findings? Select all that apply
thin upper lip
small head circumference
limb abnormality
The nurse is assessing a newborn of a woman who is suspected of abusing alcohol. Which newborn finding would provide additional evidence to support this suspicion?
Thin upper lip
A pregnant client has developed iron-deficiency anemia and has been prescribed 200 mg of elemental iron per day. The nurse should encourage the client to take this medication with which substance?
orange juice
The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which instructions should the nurse give this client to prevent toxoplasmosis? Select all that apply
Eat meat cooked to 160° F (71° C).
Avoid cleaning the cat’s litter box.
Avoid outdoor activities such as gardening.
A nurse is conducting a class for a group of pregnant women about ways to minimize the risk of infection during pregnancy. One of the infections that the nurse is discussing is toxoplasmosis. The nurse determines that the class was successful when the group identifies which action(s) as helpful in preventing this infection. Select all that apply
Any cutting surface used for raw meats should be washed afterwards with hot, soapy water.”
“Peeling any raw vegetables is a good idea before eating them.”
“It is important to wear gardening gloves when digging in the soil.”
A pregnant client with type I diabetes asks the nurse about how to best control her blood sugar while she is pregnant. The best reply would be for the woman to:
check her blood sugars frequently and adjust insulin accordingly
The nurse is preparing information for a client who has just been diagnosed with gestational diabetes. Which instruction should the nurse prioritize in this information?
Maintain a daily blood glucose log
A woman at 26 weeks’ gestation is undergoing screening for diabetes with a 1-hour oral glucose challenge test. On the client’s return visit, the nurse anticipates the need to schedule a 3-hour glucose challenge test based on which result of the previous test?
146 mg/dL
