Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers Women with hyperemesis gravidarum:
a. are a majority because 80% of all pregnant women suffer from it at some time.
b. have vomiting severe and persistent enough to cause weight loss, dehydration, and electrolyte imbalance.
c. need intravenous (IV) fluid and nutrition for most of their pregnancy.
d. often inspire similar, milder symptoms in their male partners and mothers. - correct answer : B
Women with hyperemesis gravidarum have severe vomiting; however, treatment for several days sets things
right in most cases. Although 80% of pregnant women experience nausea and vomiting, fewer than 1% (0.5%) proceed to this severe level. IV administration may be used at first to restore fluid levels, but it is seldom needed for very long. Women suffering from this condition want sympathy because some authorities believe that difficult relationships with mothers and/or partners may be the cause.
Because pregnant women may need surgery during pregnancy, nurses should be aware that: Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers a. the diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy.
b. rupture of the appendix is less likely in pregnant women because of the close monitoring.
c. surgery for intestinal obstructions should be delayed as
long as possible because it
usually affects the pregnancy.
d. when pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses. - correct answer : A
Both appendicitis and pregnancy are linked with nausea, vomiting, and increased white blood cell count. Rupture of the appendix is two to three times more likely in pregnant women. Surgery to remove obstructions should be done right away. It usually does not affect the pregnancy. Pregnancy predisposes a woman to ovarian problems.
What laboratory marker is indicative of disseminated intravascular coagulation (DIC)? Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers a. Bleeding time of 10 minutes
b. Presence of fibrin split products
c. Thrombocytopenia
d. Hyperfibrinogenemia - correct answer : B
Degradation of fibrin leads to the accumulation of fibrin split products in the blood. Bleeding time in DIC is normal.
Low platelets may occur with but are not indicative of DIC
because they may result from other coagulopathies. Hypofibrinogenemia would occur with DIC.
In caring for an immediate after birth patient, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:
a. disseminated intravascular coagulation (DIC).
b. amniotic fluid embolism (AFE).
c. hemorrhage.
d. HELLP syndrome. - correct answer : A Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers The diagnosis of DIC is made according to clinical findings
and laboratory markers. Physical examination reveals unusual bleeding. Petechiae may appear around a blood pressure cuff on the woman's arm. Excessive bleeding may occur from the site of slight trauma such as venipuncture sites. These symptoms are not associated with AFE, nor is AFE a bleeding disorder. Hemorrhage occurs for a variety of reasons in the after birth patient. These symptoms are associated with DIC. Hemorrhage would be a finding associated with DIC and is not a clotting disorder in and of itself. HELLP is not a clotting disorder, but it may contribute to the clotting disorder DIC.
In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate?
a. Administration of blood
b. Preparation of the patient for invasive hemodynamic monitoring
c. Restriction of intravascular fluids
d. Administration of steroids - correct answer : A
Conditions Questions And Answers Women with hyperemesis gravidarum:
a. are a majority because 80% of all pregnant women suffer from it at some time.
b. have vomiting severe and persistent enough to cause weight loss, dehydration, and electrolyte imbalance.
c. need intravenous (IV) fluid and nutrition for most of their pregnancy.
d. often inspire similar, milder symptoms in their male partners and mothers. - correct answer : B
Women with hyperemesis gravidarum have severe vomiting; however, treatment for several days sets things
right in most cases. Although 80% of pregnant women experience nausea and vomiting, fewer than 1% (0.5%) proceed to this severe level. IV administration may be used at first to restore fluid levels, but it is seldom needed for very long. Women suffering from this condition want sympathy because some authorities believe that difficult relationships with mothers and/or partners may be the cause.
Because pregnant women may need surgery during pregnancy, nurses should be aware that: Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers a. the diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy.
b. rupture of the appendix is less likely in pregnant women because of the close monitoring.
c. surgery for intestinal obstructions should be delayed as
long as possible because it
usually affects the pregnancy.
d. when pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses. - correct answer : A
Both appendicitis and pregnancy are linked with nausea, vomiting, and increased white blood cell count. Rupture of the appendix is two to three times more likely in pregnant women. Surgery to remove obstructions should be done right away. It usually does not affect the pregnancy. Pregnancy predisposes a woman to ovarian problems.
What laboratory marker is indicative of disseminated intravascular coagulation (DIC)? Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers a. Bleeding time of 10 minutes
b. Presence of fibrin split products
c. Thrombocytopenia
d. Hyperfibrinogenemia - correct answer : B
Degradation of fibrin leads to the accumulation of fibrin split products in the blood. Bleeding time in DIC is normal.
Low platelets may occur with but are not indicative of DIC
because they may result from other coagulopathies. Hypofibrinogenemia would occur with DIC.
In caring for an immediate after birth patient, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:
a. disseminated intravascular coagulation (DIC).
b. amniotic fluid embolism (AFE).
c. hemorrhage.
d. HELLP syndrome. - correct answer : A Maternal Child Nursing Care - Chapter 12: High-Risk Perinatal Care: Gestational
Conditions Questions And Answers The diagnosis of DIC is made according to clinical findings
and laboratory markers. Physical examination reveals unusual bleeding. Petechiae may appear around a blood pressure cuff on the woman's arm. Excessive bleeding may occur from the site of slight trauma such as venipuncture sites. These symptoms are not associated with AFE, nor is AFE a bleeding disorder. Hemorrhage occurs for a variety of reasons in the after birth patient. These symptoms are associated with DIC. Hemorrhage would be a finding associated with DIC and is not a clotting disorder in and of itself. HELLP is not a clotting disorder, but it may contribute to the clotting disorder DIC.
In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate?
a. Administration of blood
b. Preparation of the patient for invasive hemodynamic monitoring
c. Restriction of intravascular fluids
d. Administration of steroids - correct answer : A
