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An 18-year-old pregnant patient is hospitalized with
hyperemesis gravidarum. The patient reveals that she wanted
to have an abortion when she discovered her pregnancy, but
her own and the father's cultural background forbade it. She is
very unhappy about being pregnant and
even expresses a wish that the fetus will develop a condition that
will cause it to
abort spontaneously. What is the best action the LPN can take
to respond to the
patient's
distress?
A. Reassure the patient that her conversation with the LPN is
confidential and encourage her to continue to share her
feelings
B. Contact the hospital's psychiatry department to have
someone see the patient
,C. Consult with the inter-collaborative team about offering
the patient a chance to speak with a psychiatrist or social
worker
D. Share the information with the physician and the R.N. -
ANSWER-A. Reassure the patient that her conversation with
the LPN is confidential and encourage her to continue to share
her feelings
A woman is 9 weeks gestation and admitted to the obstetrical
unit for hyperemesis gravidarum. The lowest priority
intervention the nurse should anticipate is which of the
following?
A. Physical activity with bathroom privileges
B. NPO for 24 hours with IV rehydration
C. Intravenous rehydration
D. Administration of oral anti-emetic medications - ANSWER-C.
Intravenous rehydration
When educating a gestational diabetic patient on how to
control her blood sugar, the nurse knows there are three main
components to glycemic control:
diet, exercise and . Which of the following is the third
controlling factor?
A. Folic
acid
B.
Niacin
,C.
Insulin
D. Glucose tablets - ANSWER-D.
Glucose tablets
The nurse is providing education to women who are diabetic.
The nurse is
discussing pregnancy-related complications from
diabetes. Which of the
following is a potential
complication?
A. Large for gestation age
infant
B.
Polyhydramnios
C. Post-term
delivery
D. Hypotension in pregnancy - ANSWER-A. Large for
gestation age infant
A woman is 8 weeks pregnant. At this stage of pregnancy,
it would be
common to be experiencing all of the
following, except?
A. Nausea & vomiting
B. More frequent urination
C. Excessive fatigue
, Stretchmarks - ANSWER-C. Excessive fatigue
Which of the following are true concerning Braxton-Hicks
contractions?
A. Always indicate labour will start in the next few hours
B. The uterus 'avoiding' itself for contractions
C. Cause cervical dilation
D. Are continuous
E. B, C, and D
F. None of the above - ANSWER-F. None of the above
Up to 70% of neural tube defects, such as spina bifida, can be
prevented by
the use of which
vitamin?
A.
Vitamin A
B.
Vitamin D
C.
Vitamin C
D. Vitamin B-9 - ANSWER-B.
Vitamin D
Between her regularly scheduled visits, a woman in her first
trimester of pregnancy who is taking iron supplements for
anemia calls the nurse at her obstetrician's office complaining