ATI MATERNAL NEWBORN CHAPTER 9 TEST BANK EXAM QUESTIONS AND
ANSWERS//GRADED A+
What is cervical insufficiency? - answer-Variable condition causing expulsion of products of conception.
What are the risk factors for cervical insufficiency? - answer-Cervical trauma, exposure to
diethylstilbestrol, congenital structural defects.
What are the expected findings in cervical insufficiency? - answer-Increase in pelvic pressure or urge to
push.
What are the physical assessment findings in cervical insufficiency? - answer-Pink-stained vaginal
discharge or bleeding, possible rupture of membranes, uterine contractions with fetus expulsion.
What diagnostic procedures can be done for cervical insufficiency? - answer-Ultrasound showing short
cervix, cervical funneling, or effacement of cervical os.
What is prophylactic cervical cerclage? - answer-Surgical reinforcement of cervix to prevent premature
dilation.
When is the best time to perform prophylactic cervical cerclage? - answer-12 to 14 weeks of gestation.
When is the cerclage removed? - answer-At 36 weeks of gestation or when spontaneous labor occurs.
What nursing care should be provided for a client with cervical insufficiency? - answer-Evaluate support
systems, assess vaginal discharge, monitor pressure and contractions, check vital signs.
What should the client be educated about regarding cervical insufficiency? - answer-Adhere to activity
restriction or bed rest.
What is hyperemesis gravidarum? - answer-Excessive nausea and vomiting past 16 weeks of gestation.
, What are the risks to the fetus if hyperemesis gravidarum persists? - answer-Intrauterine growth
restriction, small for gestational age, or preterm birth.
What are the risk factors for hyperemesis gravidarum? - answer-Maternal age younger than 30 years,
multifetal gestation, gestational trophoblastic disease, psychosocial issues and high levels of emotional
stress, clinical hyperthyroid disorders, diabetes, gastrointestinal disorders, family history of
hyperemesis.
What are the expected physical assessment findings in hyperemesis gravidarum? - answer-Excessive
vomiting, dehydration, weight loss, increased pulse rate, decreased blood pressure, poor skin turgor and
dry mucous membranes.
What is the most important initial laboratory test for hyperemesis gravidarum? - answer-Urinalysis for
ketones and acetones (breakdown of protein and fat), elevated urine specific gravity.
How can hydration be increased to promote a relaxed uterus? - answer-Increase fluid intake.
Why should intercourse be avoided in cases of preterm labor? - answer-To prevent further stimulation
of the uterus.
What should be monitored for in cases of preterm labor? - answer-Cervical/uterine changes.
When is cervical cerclage indicated and when is it typically placed and removed? - answer-Indicated for
clients experiencing singleton pregnancy, placed at 12 to 14 weeks gestation, removed at 37 to 38
weeks gestation.
What should be reported to the provider in cases of preterm labor? - answer-Preterm labor, rupture of
membranes, infection, strong contractions less than 5 min apart, severe perineal pressure, urge to push.
What nursing actions should be taken in cases of preterm labor? - answer-Follow up for observation and
supervision.
When should the cerclage be removed? - answer-Between 37 and 38 weeks of gestation.
ANSWERS//GRADED A+
What is cervical insufficiency? - answer-Variable condition causing expulsion of products of conception.
What are the risk factors for cervical insufficiency? - answer-Cervical trauma, exposure to
diethylstilbestrol, congenital structural defects.
What are the expected findings in cervical insufficiency? - answer-Increase in pelvic pressure or urge to
push.
What are the physical assessment findings in cervical insufficiency? - answer-Pink-stained vaginal
discharge or bleeding, possible rupture of membranes, uterine contractions with fetus expulsion.
What diagnostic procedures can be done for cervical insufficiency? - answer-Ultrasound showing short
cervix, cervical funneling, or effacement of cervical os.
What is prophylactic cervical cerclage? - answer-Surgical reinforcement of cervix to prevent premature
dilation.
When is the best time to perform prophylactic cervical cerclage? - answer-12 to 14 weeks of gestation.
When is the cerclage removed? - answer-At 36 weeks of gestation or when spontaneous labor occurs.
What nursing care should be provided for a client with cervical insufficiency? - answer-Evaluate support
systems, assess vaginal discharge, monitor pressure and contractions, check vital signs.
What should the client be educated about regarding cervical insufficiency? - answer-Adhere to activity
restriction or bed rest.
What is hyperemesis gravidarum? - answer-Excessive nausea and vomiting past 16 weeks of gestation.
, What are the risks to the fetus if hyperemesis gravidarum persists? - answer-Intrauterine growth
restriction, small for gestational age, or preterm birth.
What are the risk factors for hyperemesis gravidarum? - answer-Maternal age younger than 30 years,
multifetal gestation, gestational trophoblastic disease, psychosocial issues and high levels of emotional
stress, clinical hyperthyroid disorders, diabetes, gastrointestinal disorders, family history of
hyperemesis.
What are the expected physical assessment findings in hyperemesis gravidarum? - answer-Excessive
vomiting, dehydration, weight loss, increased pulse rate, decreased blood pressure, poor skin turgor and
dry mucous membranes.
What is the most important initial laboratory test for hyperemesis gravidarum? - answer-Urinalysis for
ketones and acetones (breakdown of protein and fat), elevated urine specific gravity.
How can hydration be increased to promote a relaxed uterus? - answer-Increase fluid intake.
Why should intercourse be avoided in cases of preterm labor? - answer-To prevent further stimulation
of the uterus.
What should be monitored for in cases of preterm labor? - answer-Cervical/uterine changes.
When is cervical cerclage indicated and when is it typically placed and removed? - answer-Indicated for
clients experiencing singleton pregnancy, placed at 12 to 14 weeks gestation, removed at 37 to 38
weeks gestation.
What should be reported to the provider in cases of preterm labor? - answer-Preterm labor, rupture of
membranes, infection, strong contractions less than 5 min apart, severe perineal pressure, urge to push.
What nursing actions should be taken in cases of preterm labor? - answer-Follow up for observation and
supervision.
When should the cerclage be removed? - answer-Between 37 and 38 weeks of gestation.
