MCN Exam 2 Study Guide || A+ Guaranteed Solutions.
A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse
explain that hyperemesis gravidarum is distinguished from morning sickness? correct answers
Dehydration which impairs perfusion of the placenta and electrolyte and acid-base imbalance.
(There are others but these are the two she said we needed to know for the test).
A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports
passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of
these symptoms? correct answers Incomplete Abortion
What is a statement that gives an explanation of an ectopic pregnancy? correct answers When the
fertilized ovum (zygote) is implanted outside the uterine cavity.
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? correct answers
Placenta previa
What symptom presented by a pregnant women is indicative of abruptio placentae? correct
answers Pain and bleeding
What situation would concern the nurse about the presence of Rh incompatibility? correct
answers Erythroblastosis fetalis - Occurs when the maternal anti-Rh antibodies cross the placenta
and destroy fetal erythrocytes.
A primigravida in her first trimester is Rh negative. What will this woman receive to prevent
anti-Rh antibodies from forming? correct answers RhoGAM to be given at 28 weeks and within
72 hours of delivery to the mother.
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? correct answers Gestational Diabetes Mellitus
A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose
metabolism in what way? correct answers Hormones and the enzymes (estrogen and
progesterone) that are produced by the placenta have two effects:
§ Increasing the resistance of cells to insulin
§ Increase the speed of insulin breakdown
Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take
insulin during pregnancy? correct answers Oral hypoglycemic agents are contraindicated during
pregnancy.
A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is
afraid that her infant will also contract hepatitis B. What will the nurse explain to this woman?
correct answers Fetus may be infected transplacentally or by contact with blood or vaginal
, secretions during delivery. Upon delivery, the neonate should receive a single dose of hepatitis B
immune globulin, followed by the hepatitis B vaccine.
A patient with gestational hypertension is exhibiting signs. What should the nurse report
immediately? correct answers Blood pressure of 140/90 or above, or proteinuria because it is an
indication that gestational hypertension has advanced to preclampsia; which can lead to seizures
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? correct answers
Magnesium Sulfate is an anticonvulsant that is administered to prevent seizures, it also slightly
reduces blood pressure.
The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium
sulfate. What is the most appropriate nursing intervention? correct answers Monitor respiratory
rate because excessive magnesium can lead to respiratory depression.
What drug will the nurse plan to have available for immediate IV administration whenever
magnesium sulfate is administered to a maternity patient? correct answers Calcium gluconate:
reverses the effects of magnesium sulfate
A woman who is 35 weeks pregnant has a total placenta previa. Will she be able to deliver
vaginally? correct answers NO. She will have to have a cesarean section.
What can result from maternal rubella during pregnancy? correct answers Microcephally (small
head size), mental retardation, congenital cataracts, deafness, cardiac defects, Intrauterine
Growth Restriction.
What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
correct answers Flank pain/tenderness, high fever, chills, nausea/vomiting
What does the nurse note when measuring the frequency of a laboring woman's contractions?
correct answers Elapsed time (in minutes or half minutes measured by fractions EX: 4 ½
minutes) from the beginning of one contraction until the beginning of the next contraction.
Why are the intervals between contractions important? correct answers The intervals between
contractions allow time for replenishment of oxygen to the fetus.
What contraction duration and interval does the nurse recognize could result in fetal
compromise? correct answers Contraction durations longer than 90 seconds and intervals shorter
than 60 seconds may reduce fetal oxygen supply
Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the
chest. What is this presentation? correct answers Vertex Presentation
A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse
explain that hyperemesis gravidarum is distinguished from morning sickness? correct answers
Dehydration which impairs perfusion of the placenta and electrolyte and acid-base imbalance.
(There are others but these are the two she said we needed to know for the test).
A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports
passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of
these symptoms? correct answers Incomplete Abortion
What is a statement that gives an explanation of an ectopic pregnancy? correct answers When the
fertilized ovum (zygote) is implanted outside the uterine cavity.
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? correct answers
Placenta previa
What symptom presented by a pregnant women is indicative of abruptio placentae? correct
answers Pain and bleeding
What situation would concern the nurse about the presence of Rh incompatibility? correct
answers Erythroblastosis fetalis - Occurs when the maternal anti-Rh antibodies cross the placenta
and destroy fetal erythrocytes.
A primigravida in her first trimester is Rh negative. What will this woman receive to prevent
anti-Rh antibodies from forming? correct answers RhoGAM to be given at 28 weeks and within
72 hours of delivery to the mother.
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? correct answers Gestational Diabetes Mellitus
A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose
metabolism in what way? correct answers Hormones and the enzymes (estrogen and
progesterone) that are produced by the placenta have two effects:
§ Increasing the resistance of cells to insulin
§ Increase the speed of insulin breakdown
Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take
insulin during pregnancy? correct answers Oral hypoglycemic agents are contraindicated during
pregnancy.
A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is
afraid that her infant will also contract hepatitis B. What will the nurse explain to this woman?
correct answers Fetus may be infected transplacentally or by contact with blood or vaginal
, secretions during delivery. Upon delivery, the neonate should receive a single dose of hepatitis B
immune globulin, followed by the hepatitis B vaccine.
A patient with gestational hypertension is exhibiting signs. What should the nurse report
immediately? correct answers Blood pressure of 140/90 or above, or proteinuria because it is an
indication that gestational hypertension has advanced to preclampsia; which can lead to seizures
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? correct answers
Magnesium Sulfate is an anticonvulsant that is administered to prevent seizures, it also slightly
reduces blood pressure.
The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium
sulfate. What is the most appropriate nursing intervention? correct answers Monitor respiratory
rate because excessive magnesium can lead to respiratory depression.
What drug will the nurse plan to have available for immediate IV administration whenever
magnesium sulfate is administered to a maternity patient? correct answers Calcium gluconate:
reverses the effects of magnesium sulfate
A woman who is 35 weeks pregnant has a total placenta previa. Will she be able to deliver
vaginally? correct answers NO. She will have to have a cesarean section.
What can result from maternal rubella during pregnancy? correct answers Microcephally (small
head size), mental retardation, congenital cataracts, deafness, cardiac defects, Intrauterine
Growth Restriction.
What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
correct answers Flank pain/tenderness, high fever, chills, nausea/vomiting
What does the nurse note when measuring the frequency of a laboring woman's contractions?
correct answers Elapsed time (in minutes or half minutes measured by fractions EX: 4 ½
minutes) from the beginning of one contraction until the beginning of the next contraction.
Why are the intervals between contractions important? correct answers The intervals between
contractions allow time for replenishment of oxygen to the fetus.
What contraction duration and interval does the nurse recognize could result in fetal
compromise? correct answers Contraction durations longer than 90 seconds and intervals shorter
than 60 seconds may reduce fetal oxygen supply
Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the
chest. What is this presentation? correct answers Vertex Presentation
