OB Midterm - Purple Lizard Questions

OB Midterm - Purple Lizard Questions The nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which clinical finding should the nurse anticipate? Hypotension Decreased fetal heart rate Unusual uterine enlargement Painless, heavy vaginal bleeding - Unusual uterine enlargement A laboring client reports low back pain. Which intervention should the nurse recommend to the client's coach to promote the most comfort for this client? Instruct her to flex her knees. Place her in the supine position. Apply pressure to her back during contractions. Perform neuromuscular control exercises with her. - Apply pressure to her back during contractions A pregnant woman is admitted in active labor. What should the nurse instruct her coach to do when the client complains of back pain? Position her with her legs elevated. Apply pressure to the sacrum during contractions. Encourage performance of a panting-breathing pattern. Encourage her to do Kegel exercises between contractions. - Apply pressure to the sacrum during contractions. A client at 12 weeks' gestation arrives in the prenatal clinic complaining of cramping and vaginal spotting. A pelvic examination reveals that the cervix is closed. Which probable diagnosis should the nurse expect? Missed abortion Inevitable abortion Incomplete abortion Threatened abortion - Threatened abortion A 36-year-old woman comes to the emergency department complaining of severe abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical examination reveals heavy bleeding; the cervical as is open and tissue is present. Which type of abortion is the client experiencing? Missed Complete Inevitable Threatened - Inevitable The nurse is caring for a client in preterm labor who reports that she fell down the stairs. Bruises are apparent on the left part of the client's lower abdomen, the back of each shoulder, and on both wrists. After instituting electronic fetal monitoring, starting tocolytic therapy, and examining the monitor strips, what action should the nurse take next? Ambulating the client to promote circulation Inserting two small-bore intravenous catheters Determining whether the client feels safe at home Ensuring that the client has her glasses to ambulate - Determining whether the client feels safe at home While a multiparous client is in active labor, her membranes rupture spontaneously. The nurse notes a loop of umbilical cord protruding from her vagina. What is the priority nursing action at this time? Monitoring the fetal heart rate Covering the cord with a saline dressing Pushing the cord back into the vaginal vault Holding the presenting part away from the cord - Holding the presenting part away from the cord The nurse is reviewing the obstetric history of a client who has had an abruptio placentae. Which prenatal condition does the nurse expect to find in this client's history? Cardiac disease Hyperthyroidism Gestational hypertension Cephalopelvic disproportion - Gestational hypertension Physical assessment of a client in active labor reveals that the cervix is dilated 3 to 4 cm and 50% effaced, the fetus is in the right sacrum anterior (RSA) position, and contractions are 5 minutes apart. Where should the nurse place the stethoscope to best locate the fetal heart tones? *picture of abdomen* - a The nurse is caring for a pregnant client with type 1 diabetes. Which complication is the result of type 1 diabetes? Increased risk of hypertensive states Abnormal placental implantation Excessive weight gain because of increased appetite Decreased amount of amniotic fluid as the pregnancy progresses - Increased risk of hypertensive states While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies an increase of 15 beats more than the baseline rate of 135 beats per minute that lasts 15 seconds. How should the nurse document this event? An acceleration An early increase A sonographic motion A tachycardic heart rate - An acceleration A primigravida is admitted to the emergency department with a sharp, shooting pain in the lower abdomen and vaginal spotting. A ruptured tubal pregnancy is diagnosed. During what week of gestation does this condition most commonly occur? Sixth Twelfth Sixteenth Eighteenth - Sixth