Chapter 17: Pregnancy at Risk: Pregn sd sd sd sd sd
ancy-Related Complications sd
A pregnant client at 32 weeks' gestation is treated with magne
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sium sulfate for seizure management. The nurse assesses whic
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h of the following for evidence of magnesium toxicity?
sd sd sd sd sd sd sd sd
frequency of micturition sd sd
absence of knee jerk response
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increased blood pressure sd sd
increased rate of respiration - correct answer✔ ✔
sd sd sd sd sd sd
absence of knee jerk response sd sd sd sd
A 32-year-
sd
old gravida 3 para 2 at 36 weeks' gestation comes to the obste
sd sd sd sd sd sd sd sd sd sd sd sd
tric department reporting abdominal pain. Her blood pressure i
sd sd sd sd sd sd sd sd
s 164/90 mm Hg, her pulse is 100 beats per minute, and her r
sd sd sd sd sd sd sd sd sd sd sd sd sd
espirations are 24 per minute. She is restless and slightly diap
sd sd sd sd sd sd sd sd sd sd
horetic with a small amount of dark red vaginal bleeding. Wh
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at assessment should the nurse make next?
sd sd sd sd sd sd
Check deep tendon reflexes.
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Measure fundal height. sd sd
Palpate the fundus and check fetal heart rate.
sd sd sd sd sd sd sd
,Obtain a voided urine specimen and determine blood type. -
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correct answer✔ ✔
sd sd
Palpate the fundus and check fetal heart rate.
sd sd sd sd sd sd sd
A pregnant woman is admitted to the hospital with a diagnosis
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of placenta previa. Which action would be the priority for thi
sd sd sd sd sd sd sd sd sd sd sd
s woman on admission?
sd sd sd
performing a vaginal examination to assess the extent of bleed
sd sd sd sd sd sd sd sd sd
ing
helping the woman remain ambulatory to reduce bleeding
sd sd sd sd sd sd sd
assessing fetal heart tones by use of an external monitor
sd sd sd sd sd sd sd sd sd
assessing uterine contractions by an internal pressure gauge -
sd sd sd sd sd sd sd sd
correct answer✔ ✔
sd sd
assessing fetal heart tones by use of an external monitor
sd sd sd sd sd sd sd sd sd
What would be the physiologic basis for a placenta previa?
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a loose placental implantation
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low placental implantation
sd sd
a placenta with multiple lobes
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a uterus with a midseptum - correct answer✔ ✔
sd sd sd sd sd sd sd
low placental implantation
sd sd
, After teaching a woman who has had an evacuation for gestati
sd sd sd sd sd sd sd sd sd sd
onal trophoblastic disease (hydatidiform mole or molar pregna
sd sd sd sd sd sd sd
ncy) about her condition, which statement indicates that the nu
sd sd sd sd sd sd sd sd sd
rse's teaching was successful?
sd sd sd
"I will be sure to avoid getting pregnant for at least 1 year."
sd sd sd sd sd sd sd sd sd sd sd sd
"My intake of iron will have to be closely monitored for 6 mo
sd sd sd sd sd sd sd sd sd sd sd sd
nths."
"My blood pressure will continue to be increased for about 6
sd sd sd sd sd sd sd sd sd sd sd
more months." sd
"I won't use my birth control pills for at least a year or two."
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
- correct answer✔ ✔
sd sd
"I will be sure to avoid getting pregnant for at least 1 year."
sd sd sd sd sd sd sd sd sd sd sd sd
A client is diagnosed with gestational hypertension and is rece
sd sd sd sd sd sd sd sd sd
iving magnesium sulfate. The nurse determines that the medic
sd sd sd sd sd sd sd sd
ation is at a therapeutic level based on which finding?
sd sd sd sd sd sd sd sd sd
urinary output of 20 mL per hour
sd sd sd sd sd sd
respiratory rate of 10 breaths/minute sd sd sd sd
deep tendons reflexes 2+
sd sd sd
difficulty in arousing - correct answer✔ ✔
sd sd sd sd sd
deep tendons reflexes 2+
sd sd sd
ancy-Related Complications sd
A pregnant client at 32 weeks' gestation is treated with magne
sd sd sd sd sd sd sd sd sd sd
sium sulfate for seizure management. The nurse assesses whic
sd sd sd sd sd sd sd sd
h of the following for evidence of magnesium toxicity?
sd sd sd sd sd sd sd sd
frequency of micturition sd sd
absence of knee jerk response
sd sd sd sd
increased blood pressure sd sd
increased rate of respiration - correct answer✔ ✔
sd sd sd sd sd sd
absence of knee jerk response sd sd sd sd
A 32-year-
sd
old gravida 3 para 2 at 36 weeks' gestation comes to the obste
sd sd sd sd sd sd sd sd sd sd sd sd
tric department reporting abdominal pain. Her blood pressure i
sd sd sd sd sd sd sd sd
s 164/90 mm Hg, her pulse is 100 beats per minute, and her r
sd sd sd sd sd sd sd sd sd sd sd sd sd
espirations are 24 per minute. She is restless and slightly diap
sd sd sd sd sd sd sd sd sd sd
horetic with a small amount of dark red vaginal bleeding. Wh
sd sd sd sd sd sd sd sd sd sd
at assessment should the nurse make next?
sd sd sd sd sd sd
Check deep tendon reflexes.
sd sd sd
Measure fundal height. sd sd
Palpate the fundus and check fetal heart rate.
sd sd sd sd sd sd sd
,Obtain a voided urine specimen and determine blood type. -
sd sd sd sd sd sd sd sd sd
correct answer✔ ✔
sd sd
Palpate the fundus and check fetal heart rate.
sd sd sd sd sd sd sd
A pregnant woman is admitted to the hospital with a diagnosis
sd sd sd sd sd sd sd sd sd sd
of placenta previa. Which action would be the priority for thi
sd sd sd sd sd sd sd sd sd sd sd
s woman on admission?
sd sd sd
performing a vaginal examination to assess the extent of bleed
sd sd sd sd sd sd sd sd sd
ing
helping the woman remain ambulatory to reduce bleeding
sd sd sd sd sd sd sd
assessing fetal heart tones by use of an external monitor
sd sd sd sd sd sd sd sd sd
assessing uterine contractions by an internal pressure gauge -
sd sd sd sd sd sd sd sd
correct answer✔ ✔
sd sd
assessing fetal heart tones by use of an external monitor
sd sd sd sd sd sd sd sd sd
What would be the physiologic basis for a placenta previa?
sd sd sd sd sd sd sd sd sd
a loose placental implantation
sd sd sd
low placental implantation
sd sd
a placenta with multiple lobes
sd sd sd sd
a uterus with a midseptum - correct answer✔ ✔
sd sd sd sd sd sd sd
low placental implantation
sd sd
, After teaching a woman who has had an evacuation for gestati
sd sd sd sd sd sd sd sd sd sd
onal trophoblastic disease (hydatidiform mole or molar pregna
sd sd sd sd sd sd sd
ncy) about her condition, which statement indicates that the nu
sd sd sd sd sd sd sd sd sd
rse's teaching was successful?
sd sd sd
"I will be sure to avoid getting pregnant for at least 1 year."
sd sd sd sd sd sd sd sd sd sd sd sd
"My intake of iron will have to be closely monitored for 6 mo
sd sd sd sd sd sd sd sd sd sd sd sd
nths."
"My blood pressure will continue to be increased for about 6
sd sd sd sd sd sd sd sd sd sd sd
more months." sd
"I won't use my birth control pills for at least a year or two."
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
- correct answer✔ ✔
sd sd
"I will be sure to avoid getting pregnant for at least 1 year."
sd sd sd sd sd sd sd sd sd sd sd sd
A client is diagnosed with gestational hypertension and is rece
sd sd sd sd sd sd sd sd sd
iving magnesium sulfate. The nurse determines that the medic
sd sd sd sd sd sd sd sd
ation is at a therapeutic level based on which finding?
sd sd sd sd sd sd sd sd sd
urinary output of 20 mL per hour
sd sd sd sd sd sd
respiratory rate of 10 breaths/minute sd sd sd sd
deep tendons reflexes 2+
sd sd sd
difficulty in arousing - correct answer✔ ✔
sd sd sd sd sd
deep tendons reflexes 2+
sd sd sd
