Test Bank For Davis Advantage for Maternal-Newborn
Nursing: Critical Components of Nursing Care, 4th Edition By
Roberta Durham; Linda Chapman; Connie Miller ( ) /
9781719645737 / Chapter 1-19/ All Chapters with Answers
and Rationals
Melissa is 38 weeks 4 days and in OB triage for a contraction stress test (CST). The nurse giving the
test knows that it is considered negative on what basis?
There are late decelerations with half of the contractions.
There are three accelerations in a 20-minute period.
There are no late decelerations or significant variables.
The fetal heart rate decelerations are not related to the contraction activity. - ANSWER: There are no
late decelerations or significant variables.
Heather is a G4P3003 who just found out she's 8 weeks pregnant with an unplanned pregnancy. You
know she's at risk for depression when you note which of the following in her medical history?
A prescription for sertraline.
A prescription for promethazine.
A prescription for methyldopa.
A prescription for lispro. - ANSWER: A prescription for sertraline.
Intraventricular hemorrhage, necrotizing enterocolitis, sepsis, and cerebral palsy are all possible
morbidities of what pregnancy complication?
Preterm labor
Preterm birth
Placental accreta
Gestational diabetes mellitus - ANSWER: Preterm birth
Progesterone is given during pregnancy to prevent which of the following complications?
Hyperemesis gravidarum
Disseminated intravascular coagulopathy
Preterm labor
Pre-eclampsia - ANSWER: Preterm labor
Which of the following preterm patients in OB triage would not be able to have an fFN test
performed?
Marianne, who is here for an NST after not feeling the infant move as expected overnight.
Wynne, who is here for IV hydration after having severe nausea and vomiting.
Janiya, who had intercourse 4 hours ago, who is now here for cramping.
Jody, who is being monitored for 4 hours due to a fall in the shower at home. - ANSWER: Janiya, who
had intercourse 4 hours ago, who is now here for cramping.
Cynthia was admitted 12 hours ago and induced at 37 weeks 3 days for a worsening complication in
her pregnancy. She has tested positive for clonus, is complaining of a headache that is a 9 on a scale
from 1 to 10, and has facial edema. What complication is Cynthia experiencing?
Preterm labor
Pre-eclampsia
Placental previa
Ectopic pregnancy - ANSWER: Pre-eclampsia
A 36 week 4 day gestation patient has had a nonreactive NST. What would the nurse anticipate for
next steps?
Admit to the floor for an induction of labor and an order of magnesium sulfate.
, Inform the provider and anticipate an order for a stat cesarean section.
This is a normal finding, and the patient will be discharged home.
Inform the provider and anticipate them performing a fetal biophysical profile (BPP). - ANSWER:
Inform the provider and anticipate them performing a fetal biophysical profile (BPP).
A patient diagnosed with a placenta previa is asking why she cannot have intercourse. What is the
best therapeutic response?
"You obviously care more about having sex than the safety of your baby."
"Having intercourse while your placenta is over your cervix could cause bleeding by disrupting the
placenta. This would be dangerous for both you and your baby."
"Having intercourse while your placenta is embedded into your uterine wall could cause bleeding by
disrupting the placenta. This would be dangerous for both you and your baby."
"As long as you're careful, you can have intercourse until your 32 weeks. Just be sure to report any
bleeding to your provider." - ANSWER: "Having intercourse while your placenta is over your cervix
could cause bleeding by disrupting the placenta. This would be dangerous for both you and your
baby."
Melissa was diagnosed with pre-eclampsia 2 weeks ago via 24-hour urine testing and repeated
elevated blood pressures. She is being managed from home and comes to the office twice weekly for
blood pressure checks, a urinalysis for protein, and an NST. Which of the following is not correct
about this patient care scenario?
Urinalysis checks
Managing her care from home
NSTs
Blood pressure checks - ANSWER: Urinalysis checks
Which of the following statements concerning magnesium sulfate administration is not correct?
Magnesium sulfate should never be abbreviated.
Always use an infusion pump and run as a main line.
Institute seizure precautions for every patient with pre-eclampsia on magnesium sulfate.
Serum magnesium levels should be monitored routinely according to facility policy. - ANSWER: Always
use an infusion pump and run as a main line.
HELLP stands for which of the following?
Hemolysis Elicited Leukocytes Low Platelet levels
Hemolytic Enzyme Levels Lysed Platelet levels
Hemolysis Elevated Liver enzymes Low Platelet levels
Hemolytic Elevated Leukorrhea enzymes Low Placental levels - ANSWER: Hemolysis Elevated Liver
enzymes Low Platelet levels
Disseminated intravascular coagulopathy, or DIC, can often be predicted and avoided if
__________________ is diagnosed and treated early.
HELLP syndrome
Multifetal pregnancy
Gestational diabetes mellitus
Cervical insufficiency - ANSWER: HELLP syndrome
Mariah and her husband were notified that the in-vitro fertilization Mariah underwent was successful.
What type of twins is Mariah most likely to have?
Monozygotic
Dichorionic
Dizygotic
Monoamniotic - ANSWER: Monozygotic
The nurse is teaching a multiple gestation pregnancy education class to newly pregnant women.
Which of the following statements made by a participant indicates the need for further teaching?
"The baby closest to my cervix will be considered to be twin A, and the other will be twin B."
Nursing: Critical Components of Nursing Care, 4th Edition By
Roberta Durham; Linda Chapman; Connie Miller ( ) /
9781719645737 / Chapter 1-19/ All Chapters with Answers
and Rationals
Melissa is 38 weeks 4 days and in OB triage for a contraction stress test (CST). The nurse giving the
test knows that it is considered negative on what basis?
There are late decelerations with half of the contractions.
There are three accelerations in a 20-minute period.
There are no late decelerations or significant variables.
The fetal heart rate decelerations are not related to the contraction activity. - ANSWER: There are no
late decelerations or significant variables.
Heather is a G4P3003 who just found out she's 8 weeks pregnant with an unplanned pregnancy. You
know she's at risk for depression when you note which of the following in her medical history?
A prescription for sertraline.
A prescription for promethazine.
A prescription for methyldopa.
A prescription for lispro. - ANSWER: A prescription for sertraline.
Intraventricular hemorrhage, necrotizing enterocolitis, sepsis, and cerebral palsy are all possible
morbidities of what pregnancy complication?
Preterm labor
Preterm birth
Placental accreta
Gestational diabetes mellitus - ANSWER: Preterm birth
Progesterone is given during pregnancy to prevent which of the following complications?
Hyperemesis gravidarum
Disseminated intravascular coagulopathy
Preterm labor
Pre-eclampsia - ANSWER: Preterm labor
Which of the following preterm patients in OB triage would not be able to have an fFN test
performed?
Marianne, who is here for an NST after not feeling the infant move as expected overnight.
Wynne, who is here for IV hydration after having severe nausea and vomiting.
Janiya, who had intercourse 4 hours ago, who is now here for cramping.
Jody, who is being monitored for 4 hours due to a fall in the shower at home. - ANSWER: Janiya, who
had intercourse 4 hours ago, who is now here for cramping.
Cynthia was admitted 12 hours ago and induced at 37 weeks 3 days for a worsening complication in
her pregnancy. She has tested positive for clonus, is complaining of a headache that is a 9 on a scale
from 1 to 10, and has facial edema. What complication is Cynthia experiencing?
Preterm labor
Pre-eclampsia
Placental previa
Ectopic pregnancy - ANSWER: Pre-eclampsia
A 36 week 4 day gestation patient has had a nonreactive NST. What would the nurse anticipate for
next steps?
Admit to the floor for an induction of labor and an order of magnesium sulfate.
, Inform the provider and anticipate an order for a stat cesarean section.
This is a normal finding, and the patient will be discharged home.
Inform the provider and anticipate them performing a fetal biophysical profile (BPP). - ANSWER:
Inform the provider and anticipate them performing a fetal biophysical profile (BPP).
A patient diagnosed with a placenta previa is asking why she cannot have intercourse. What is the
best therapeutic response?
"You obviously care more about having sex than the safety of your baby."
"Having intercourse while your placenta is over your cervix could cause bleeding by disrupting the
placenta. This would be dangerous for both you and your baby."
"Having intercourse while your placenta is embedded into your uterine wall could cause bleeding by
disrupting the placenta. This would be dangerous for both you and your baby."
"As long as you're careful, you can have intercourse until your 32 weeks. Just be sure to report any
bleeding to your provider." - ANSWER: "Having intercourse while your placenta is over your cervix
could cause bleeding by disrupting the placenta. This would be dangerous for both you and your
baby."
Melissa was diagnosed with pre-eclampsia 2 weeks ago via 24-hour urine testing and repeated
elevated blood pressures. She is being managed from home and comes to the office twice weekly for
blood pressure checks, a urinalysis for protein, and an NST. Which of the following is not correct
about this patient care scenario?
Urinalysis checks
Managing her care from home
NSTs
Blood pressure checks - ANSWER: Urinalysis checks
Which of the following statements concerning magnesium sulfate administration is not correct?
Magnesium sulfate should never be abbreviated.
Always use an infusion pump and run as a main line.
Institute seizure precautions for every patient with pre-eclampsia on magnesium sulfate.
Serum magnesium levels should be monitored routinely according to facility policy. - ANSWER: Always
use an infusion pump and run as a main line.
HELLP stands for which of the following?
Hemolysis Elicited Leukocytes Low Platelet levels
Hemolytic Enzyme Levels Lysed Platelet levels
Hemolysis Elevated Liver enzymes Low Platelet levels
Hemolytic Elevated Leukorrhea enzymes Low Placental levels - ANSWER: Hemolysis Elevated Liver
enzymes Low Platelet levels
Disseminated intravascular coagulopathy, or DIC, can often be predicted and avoided if
__________________ is diagnosed and treated early.
HELLP syndrome
Multifetal pregnancy
Gestational diabetes mellitus
Cervical insufficiency - ANSWER: HELLP syndrome
Mariah and her husband were notified that the in-vitro fertilization Mariah underwent was successful.
What type of twins is Mariah most likely to have?
Monozygotic
Dichorionic
Dizygotic
Monoamniotic - ANSWER: Monozygotic
The nurse is teaching a multiple gestation pregnancy education class to newly pregnant women.
Which of the following statements made by a participant indicates the need for further teaching?
"The baby closest to my cervix will be considered to be twin A, and the other will be twin B."
