exam_3_test.docx.pdf

A 39 week gestation patient has been diagnosed with placenta prevue. Which action should the nurse implement immediately for this patient in the office? Prepare patient for an emergent blood transfusion You Answered Perform a vaginal examination to assess the extent of bleeding Bed rest until delivery Correct Answer Establish fetal heart rate by the US monitor Question 2 2 / 2 pts A nurse explains to a pregnant client that she will need to take an iron supplement during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse educates the patient that maternal absorption of iron can be increased by taking it with which substance? Meals high in iron Milk Correct! Citric juices Legumes Question 3 2 / 2 pts A nurse is educating a pregnant woman newly diagnosed with gestational diabetes. What actions should the nurse instruct the patient? Ingest smaller amounts of food prior to sleep to prevent nocturnal hyperglycemia Discontinue insulin injections until 15 weeks gestation Correct! Notify the Obstetrician if she is unable to eat because of nausea and vomiting. Prepare foods with increased carbohydrates to provide needed calories Question 4 2 / 2 pts A patient presents to the clinic for rule out labor. She states that she doesn't know how to time her contractions and has wasted the physicians time. How would the nurse educate the patient about timing contractions How many contractions occur in 5 minutes. The interval between the acme of two consecutive contractions Correct! The beginning of one contraction to the beginning of the next The end of one contraction to the beginning of the next Question 5 2 / 2 pts A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been "eating for two" so the baby is health. How should the nurse respond to the patient? Elevated blood glucose levels ensure the baby has mature lungs at birth Correct! Elevated blood glucose levels in the first trimester have been linked with congenital anomalies Elevated blood glucose levels speed up the development of the fetus in utero Elevated blood glucose levels cause low birth weights in infants Question 6 2 / 2 pts A patient with heart disease who is 28 weeks pregnant asks the nurse why office appointments have been scheduled every week for the next four weeks. What should the nurse respond to the patient? Extra care is needed to make sure the fetus is developing normally during this time period. This is when patients have a risk of going into labor Correct! During weeks 28-32 blood volume peaks and heart function can be affected This is routine schedule for all pregnant patient s Question 7 2 / 2 pts A patient with Type 2 Diabetes Mellitus is planning to become pregnant within the next several months. What should the nurse instruct the patient to support the 2020 National Health Goals of reducing the complications of pregnancy from Diabetes Mellitus Reduce the current exercise regimen in half Correct! Avoid episodes of hyperglycemia Reduce the use of insulin for blood glucose coverage Zero intake of carbohydrates and fats in the diet Question 8 2 / 2 pts A pregnant client has an Rh-Negative blood type. Following the birth of the client's infant the nurse administers her Rho (D) immune globulin. The purpose of this is too? Promote maternal D antibody formation Prevent fetal Rh blood formation Correct! Prevent maternal D antibody formation Stimulate maternal D immune antigens Question 9 2 / 2 pts A pregnant patient has a history of genital herpes lesions and has had outbreaks periodically throughout the pregnancy. What should the nurse instruct the patient regarding this virus if lesions are present during the time of delivery? There are no precautions needed at the time of the birth The baby will be given a vaccination following birth to fight the virus Correct! A cesarean section will be advised for the route of delivery The patient and infant will require medication immediately following delivery Question 10 2 / 2 pts A pregnant patient is being admitted for severe preeclampsia. In which room would the nurse anticipate placing this patient? Neat the nursery Correct! Across from the nurses station Next to the elevator In the back of the unit in a private room Question 11 2 / 2 pts A pregnant patient is planning for labor and delivery and is asking about pain control options with the nurse. What should the nurse educate the patient about pain control options during labor? Pain medication should be started immediately when contractions are thought to begin Any medication will interfere with the ability of the uterus to contract during labor and delivery Correct! Any medication should have maximum effect for the patient and minimal effect on the fetus. The physician will decide how much pain medication is needed during labor Question 12 2 / 2 pts A pregnant patient nearing her due date expresses anxiety over the labor and delivery process. Which outcome should the nurse select as appropriate for the patient due the delivery process? Patient refuses complementary and alternative techniques to control pain Correct! Patient uses breathing techniques to control anxiety and pain during labor Patient tolerates the use of sanitary napkins to absorb vaginal secretions during labor Patient requires pain medication throughout the labor process Question 13 2 / 2 pts A pregnant woman asks the nurse why insulin changes during pregnancy. Which statement by the nurse is correct? Unavailable because it is used by the fetus Correct! Insulin is less effective than prepregnancy Not released because of pressure on the pancreas Enhanced secretion from pregnancy Question 14 2 / 2 pts A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be priority for this woman admission? Helping the woman remain ambulatory to reduce bleeding Performing a vaginal examination to assess the extent of bleeding Assessing uterine contractions by an internal pressure gauge Correct! Assessing fetal heart tones by use of an external monitor