Ricci Chapter 19 - Test Bank - 4th
Edition Quedtions And Correct
Answers
1. nAfter nteaching na nwoman nwho nhas nhad nan nevacuation nfor ngestational ntrophoblastic ndisease
(hydatidiform nmole nor nmolar npregnancy) nabout nher ncondition, nwhich nstatement nindicates nthat
nthe
nurse's nteaching nwas nsuccessful?
A. n"I nwill nbe nsure nto navoid ngetting npregnant nfor nat nleast n1 nyear."
B. n"My nintake nof niron nwill nhave nto nbe nclosely nmonitored nfor n6 nmonths."
C. n"My nblood npressure nwill ncontinue nto nbe nincreased nfor nabout n6 nmore nmonths."
D. n"I nwon't nuse nmy nbirth ncontrol npills nfor nat nleast na nyear nor ntwo." n- nAnswer n- nAnswer: nA
Rationale: nAfter nevacuation nof ntrophoblastic ntissue n(hydatiform nmole), nlong-term nfollow-up nis
necessary nto nmake nsure nany nremaining ntrophoblastic ntissue ndoes nnot nbecome nmalignant. nSerial
hCG nlevels nare nmonitored nclosely nfor n1 nyear, nand nthe nclient nis nurged nto navoid npregnancy nfor n1
nyear
because nit ncan ninterfere nwith nthe nmonitoring nof nhCG nlevels. nIron nintake nand nblood npressure
nare nnot
important naspects nof nfollow nup nafter nevacuation nof na nhydatiform nmole. nUse nof na nreliable
contraceptive nis nstrongly nrecommended nso nthat npregnancy nis navoided.
2. nA nclient nis ndiagnosed nwith ngestational nhypertension nand nis nreceiving nmagnesium nsulfate. nThe
nurse ndetermines nthat nthe nmedication nis nat na ntherapeutic nlevel nbased non nwhich nfinding?
A. nurinary noutput nof n20 nmL nper nhour
B. nrespiratory nrate nof n10 nbreaths/minute
C. ndeep ntendons nreflexes n2+
D. ndifficulty nin narousing n- nAnswer n- nAnswer: nC
,Rationale: nWith nmagnesium nsulfate, ndeep ntendon nreflexes nof n2+ nwould nbe nconsidered nnormal
nand
therefore na ntherapeutic nlevel nof nthe ndrug. nUrinary noutput nof nless nthan n30 nmL, na nrespiratory
nrate nof
less nthan n12 nbreaths/minute, nand na ndiminished nlevel nof nconsciousness nwould nindicate
nmagnesium
toxicity.
3. nUpon nentering nthe nroom nof na nclient nwho nhas nhad na nspontaneous nabortion, nthe nnurse
nobserves nthe
client ncrying. nWhich nresponse nby nthe nnurse nwould nbe nmost nappropriate?
A. n"Why nare nyou ncrying?"
B. n"Will na npill nhelp nyour npain?"
C. n"I'm nsorry nyou nlost nyour nbaby."
D. n"A nbaby nstill nwasn't nformed nin nyour nuterus." n- nAnswer n- nAnswer: nC
Rationale: nTelling nthe nclient nthat nthe nnurse nis nsorry nfor nthe nloss nacknowledges nthe nloss nto nthe
woman, nvalidates nher nfeelings, nand nbrings nthe nloss ninto nreality. nAsking nwhy nthe nclient nis ncrying
nis
ineffective nat nthis ntime. nOffering na npill nfor nthe npain nignores nthe nclient's nfeelings. nTelling nthe
nclient
that nthe nbaby nwas nnot nformed nis ninappropriate nand ndiscounts nany nfeelings nor nbeliefs nthat nthe
nclient
has.
4. nA nnurse nis nreviewing na nclient's nhistory nand nphysical nexamination nfindings. nWhich ninformation
would nthe nnurse nidentify nas ncontributing nto nthe nclient's nrisk nfor nan nectopic npregnancy?
A. nuse nof noral ncontraceptives nfor n5 nyears
B. novarian ncyst n2 nyears nago
C. nrecurrent npelvic ninfections
D. nheavy, nirregular nmenses n- nAnswer n- nAnswer: nC
Rationale: nIn nthe ngeneral npopulation, nmost ncases nof nectopic npregnancy nare nthe nresult nof ntubal
, scarring nsecondary nto npelvic ninflammatory ndisease. nOral ncontraceptives, novarian ncysts, nand
nheavy,
irregular nmenses nare nnot nconsidered nrisk nfactors nfor nectopic npregnancy.
5. nA nclient nis nsuspected nof nhaving na nruptured nectopic npregnancy. nWhich nassessment nwould nthe
nurse nidentify nas nthe npriority?
A. nhemorrhage
B. njaundice
C. nedema
D. ninfection n- nAnswer n- nAnswer nA
Rationale: nWith na nruptured nectopic npregnancy, nthe nwoman nis nat nhigh nrisk nfor nhemorrhage.
Jaundice, nedema, nand ninfection nare nnot nassociated nwith na nruptured nectopic npregnancy.
6. nIt nis ndetermined nthat na nclient's nblood nRh nis nnegative nand nher npartner's nis nRh npositive. nTo
nhelp
prevent nRh nisoimmunization, nthe nnurse nwould nexpect nto nadminister nRho(D) nimmune nglobulin nat
which ntime?
A. nat n32 nweeks' ngestation nand nimmediately nbefore ndischarge
B. n24 nhours nbefore nbirth nand n24 nhours nafter nbirth
C. nin nthe nfirst ntrimester nand nwithin n2 nhours nof nbirth
D. nat n28 nweeks' ngestation nand nagain nwithin n72 nhours nafter nbirth n- nAnswer n- nAnswer: nD
Rationale: nTo nprevent nisoimmunization, nthe nwoman nshould nreceive nRho(D) nimmune nglobulin nat
28 nweeks nand nagain nwithin n72 nhours nafter nbirth.
7. nA nwoman npregnant nwith ntwins ncomes nto nthe nclinic nfor nan nevaluation. nWhile nassessing nthe
client, nthe nnurse nwould nbe nespecially nalert nfor nsigns nand nsymptoms nfor nwhich npotential
nproblem?
A. noligohydramnios
B. npreeclampsia
C. npost-term nlabor
Edition Quedtions And Correct
Answers
1. nAfter nteaching na nwoman nwho nhas nhad nan nevacuation nfor ngestational ntrophoblastic ndisease
(hydatidiform nmole nor nmolar npregnancy) nabout nher ncondition, nwhich nstatement nindicates nthat
nthe
nurse's nteaching nwas nsuccessful?
A. n"I nwill nbe nsure nto navoid ngetting npregnant nfor nat nleast n1 nyear."
B. n"My nintake nof niron nwill nhave nto nbe nclosely nmonitored nfor n6 nmonths."
C. n"My nblood npressure nwill ncontinue nto nbe nincreased nfor nabout n6 nmore nmonths."
D. n"I nwon't nuse nmy nbirth ncontrol npills nfor nat nleast na nyear nor ntwo." n- nAnswer n- nAnswer: nA
Rationale: nAfter nevacuation nof ntrophoblastic ntissue n(hydatiform nmole), nlong-term nfollow-up nis
necessary nto nmake nsure nany nremaining ntrophoblastic ntissue ndoes nnot nbecome nmalignant. nSerial
hCG nlevels nare nmonitored nclosely nfor n1 nyear, nand nthe nclient nis nurged nto navoid npregnancy nfor n1
nyear
because nit ncan ninterfere nwith nthe nmonitoring nof nhCG nlevels. nIron nintake nand nblood npressure
nare nnot
important naspects nof nfollow nup nafter nevacuation nof na nhydatiform nmole. nUse nof na nreliable
contraceptive nis nstrongly nrecommended nso nthat npregnancy nis navoided.
2. nA nclient nis ndiagnosed nwith ngestational nhypertension nand nis nreceiving nmagnesium nsulfate. nThe
nurse ndetermines nthat nthe nmedication nis nat na ntherapeutic nlevel nbased non nwhich nfinding?
A. nurinary noutput nof n20 nmL nper nhour
B. nrespiratory nrate nof n10 nbreaths/minute
C. ndeep ntendons nreflexes n2+
D. ndifficulty nin narousing n- nAnswer n- nAnswer: nC
,Rationale: nWith nmagnesium nsulfate, ndeep ntendon nreflexes nof n2+ nwould nbe nconsidered nnormal
nand
therefore na ntherapeutic nlevel nof nthe ndrug. nUrinary noutput nof nless nthan n30 nmL, na nrespiratory
nrate nof
less nthan n12 nbreaths/minute, nand na ndiminished nlevel nof nconsciousness nwould nindicate
nmagnesium
toxicity.
3. nUpon nentering nthe nroom nof na nclient nwho nhas nhad na nspontaneous nabortion, nthe nnurse
nobserves nthe
client ncrying. nWhich nresponse nby nthe nnurse nwould nbe nmost nappropriate?
A. n"Why nare nyou ncrying?"
B. n"Will na npill nhelp nyour npain?"
C. n"I'm nsorry nyou nlost nyour nbaby."
D. n"A nbaby nstill nwasn't nformed nin nyour nuterus." n- nAnswer n- nAnswer: nC
Rationale: nTelling nthe nclient nthat nthe nnurse nis nsorry nfor nthe nloss nacknowledges nthe nloss nto nthe
woman, nvalidates nher nfeelings, nand nbrings nthe nloss ninto nreality. nAsking nwhy nthe nclient nis ncrying
nis
ineffective nat nthis ntime. nOffering na npill nfor nthe npain nignores nthe nclient's nfeelings. nTelling nthe
nclient
that nthe nbaby nwas nnot nformed nis ninappropriate nand ndiscounts nany nfeelings nor nbeliefs nthat nthe
nclient
has.
4. nA nnurse nis nreviewing na nclient's nhistory nand nphysical nexamination nfindings. nWhich ninformation
would nthe nnurse nidentify nas ncontributing nto nthe nclient's nrisk nfor nan nectopic npregnancy?
A. nuse nof noral ncontraceptives nfor n5 nyears
B. novarian ncyst n2 nyears nago
C. nrecurrent npelvic ninfections
D. nheavy, nirregular nmenses n- nAnswer n- nAnswer: nC
Rationale: nIn nthe ngeneral npopulation, nmost ncases nof nectopic npregnancy nare nthe nresult nof ntubal
, scarring nsecondary nto npelvic ninflammatory ndisease. nOral ncontraceptives, novarian ncysts, nand
nheavy,
irregular nmenses nare nnot nconsidered nrisk nfactors nfor nectopic npregnancy.
5. nA nclient nis nsuspected nof nhaving na nruptured nectopic npregnancy. nWhich nassessment nwould nthe
nurse nidentify nas nthe npriority?
A. nhemorrhage
B. njaundice
C. nedema
D. ninfection n- nAnswer n- nAnswer nA
Rationale: nWith na nruptured nectopic npregnancy, nthe nwoman nis nat nhigh nrisk nfor nhemorrhage.
Jaundice, nedema, nand ninfection nare nnot nassociated nwith na nruptured nectopic npregnancy.
6. nIt nis ndetermined nthat na nclient's nblood nRh nis nnegative nand nher npartner's nis nRh npositive. nTo
nhelp
prevent nRh nisoimmunization, nthe nnurse nwould nexpect nto nadminister nRho(D) nimmune nglobulin nat
which ntime?
A. nat n32 nweeks' ngestation nand nimmediately nbefore ndischarge
B. n24 nhours nbefore nbirth nand n24 nhours nafter nbirth
C. nin nthe nfirst ntrimester nand nwithin n2 nhours nof nbirth
D. nat n28 nweeks' ngestation nand nagain nwithin n72 nhours nafter nbirth n- nAnswer n- nAnswer: nD
Rationale: nTo nprevent nisoimmunization, nthe nwoman nshould nreceive nRho(D) nimmune nglobulin nat
28 nweeks nand nagain nwithin n72 nhours nafter nbirth.
7. nA nwoman npregnant nwith ntwins ncomes nto nthe nclinic nfor nan nevaluation. nWhile nassessing nthe
client, nthe nnurse nwould nbe nespecially nalert nfor nsigns nand nsymptoms nfor nwhich npotential
nproblem?
A. noligohydramnios
B. npreeclampsia
C. npost-term nlabor
