MCN Exam 2 Study Guide QUESTIONS
|\ |\ |\ |\ |\ |\
WITH ANSWERS |\
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. |\ |\
|\ |\ |\ |\ |\ |\
WITH ANSWERS |\
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. |\ |\
