Chapter 5 Maternity questions n answers

Chapter 5 Maternity A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravid arum is distinguished from morning sickness? - correct answer Hyperemesis gravid arum causes dehydration and electrolyte imbalances 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 answer Incomplete abortion The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse? - correct answer "I'm here if you need to talk." A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is confirmed by ultrasound. Which statement indicates that the woman understands the explanation of an ectopic pregnancy? - correct answer "The embryo is implanted in the fallopian tube." 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 answer Total placenta previa What symptom presented by a pregnant women is indicative of abruptio placentae? - correct answer Vaginal bleeding and back pain What situation would concern the nurse about the presence of Rh incompatibility? - correct answer Rh-negative mother, Rh-positive fetus A primigravida in her first trimester is Rh negative. What will this woman receive to prevent anti-Rh antibodies from forming? - correct answer Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant 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 answer Diabetes mellitus A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose metabolism in what way? - correct answer Placental hormones increase the resistance of cells to insulin. Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy? - correct answer Insulin does not cross the placental barrier to the fetus 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 answer The infant will be given a single dose of hepatitis immune globulin after birth. What will the nurse begin with when asking a patient about drug use during a prenatal history? - correct answer What over-the-counter and prescription drugs have you taken in the past 3 months? The nurse assesses a pregnant woman for pregnancy-induced hypertension. What is the first sign of fluid retention suggestive of this complication? - correct answer Sudden weight gain A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately? - correct answer Blurred vision A patient who is 28 weeks pregnant presents with consistent hypertension. What need would the home health nurse make the first priority? - correct answer Activity restriction 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 answer To prevent convulsions The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the most appropriate nursing intervention? - correct answer Count respirations and report a rate of less than 12 breaths/min.