MATERNITY CASE 1: OLIVIA JONES (CORE)| PRE- AND POST- SIMULATION QUIZZES|QUESTIONS WITH CORRECT ANSWERS

Which of the following findings in a patient's prenatal history would indicate to the nurse a risk for developing preeclampsia? (Select all that apply) a) Asian ethnicity b) Body mass index (BMI) less than 20 c) Low socioeconomic status d) First pregnancy e) African-American ethnicity Correct Answer C,D,E Rationale: Risk factors include first pregnancy, low socioeconomic status, poor nutrition, obesity, and African-American ethnicity. Low BMI and Asian ethnicity are not risk factors for preeclampsia. While providing the discharge education for a pregnant woman with preeclampsia, the nurse would inform the patient that which fetal test will be done twice a week until the baby is born? A) Nonstress test B) Biophysical profile C) Fetal kick counts D) Lecithin-sphingomyelin (L/S) ratio Correct Answer A Rationale: A nonstress test is done to assess fetal heart rate (FHR) reactivity to fetal movement and is an indicator of fetal well-being. A biophysical profile would be done if the nonstress test was nonreactive. Fetal kick counts are done daily by the patient. An L/S ratio is a measure of pulmonary maturity and not specific to care of the patient with preeclampsia. While conducting the physical assessment, the nurse notes edema of the patient's hands and feet. When the nurse applies finger pressure to the edematous area, it results in a 4 mm skin depression that disappears in 15 seconds. How would the nurse document this finding? A) 1+ pitting edema B) 2+ pitting edema C) 3+ pitting edema D) 4+ pitting edema Correct Answer B Rationale: This finding exactly meets the criteria for 2+ pitting edema. The nurse recognizes that blood pressure measurement is lowest when the pregnant patient is in which position? a) Side lying b) Supine c) Sitting d) Standing Correct Answer A