C HAPTER 05: N URSING C ARE OF W OMEN
WITH C OMPLICATIONS D URING P REGNANCY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse begin with when asking a patient about drug use
during a prenatal history?
a. Do you smoke, drink alcohol, or use drugs?
b. Do you ever use prescription or street drugs?
c. What over-the-counter and prescription drugs have you taken in the
past 3 months?
d. We need to know if you take drugs so we can help your baby.
ANS: C
Screening for drug use should begin in a nonthreatening way by asking
about prescription and OTC medications an d how the information can
help provide safe and appropriate prenatal care.
DIF: Cognitive Level: Application REF: Page 114 OBJ: 6
TOP: Interviewing Relative to Drug Use KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Prevention and Earl y Detection of
Disease
,2. The nurse assesses a pregnant woman for pregnancy -induced hypertension.
What is the first sign of fluid retention suggestive of this complication?
a. Abdominal enlargement
b. Facial swelling
c. Sudden weight gain
d. Swelling of the feet and ankles
ANS: C
Sudden, excessive weight gain is the first sign of fluid retention; facial
swelling and swelling of the feet, legs, and hands follow weight gain.
DIF: Cognitive Level: Knowledge REF: Page 97 TOP:
Hypertension KEY: Nursing Process Step: Data Collection
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
3. A patient with gestational hypertension is exhibiting all of the signs
below. What should the nurse report immediatel y?
a. Diarrhea
b. Urticaria
c. Blurred vision
d. Backache
ANS: C
Visual disturbances indicate worsening pregnancy -induced
hypertension and must be reported promptl y for effective intervention
to prevent preeclampsia and convulsion.
, DIF: Cognitive Level: Application REF: Page 97 TOP:
Hypertension KEY: Nursing Process Step: Planning
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
4. A patient who is 28 weeks pregnant presents with consistent hypertension.
What need would the home health nurse make the first priority?
a. Activit y restriction
b. Balanced nutrition
c. Increased fluid intake to ensure adequate hydration
d. Instruction about the effect of diuretics
ANS: A
Bed rest reduces the flow of blood to skeletal muscles, making more
blood available to the placenta and enhancing fetal ox ygenation.
DIF: Cognitive Level: Application REF: Page 98 TOP:
Hypertension KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Dise ase
5. The nurse is caring for a pregnant woman diagnosed with preeclampsia.
What will the nurse explain is the objective of magnesium sulfate therapy
for this patient?
a. To prevent convulsions
b. To promote diaphoresis
c. To increase reflex irritabilit y
d. To act as a saline cathartic
WITH C OMPLICATIONS D URING P REGNANCY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse begin with when asking a patient about drug use
during a prenatal history?
a. Do you smoke, drink alcohol, or use drugs?
b. Do you ever use prescription or street drugs?
c. What over-the-counter and prescription drugs have you taken in the
past 3 months?
d. We need to know if you take drugs so we can help your baby.
ANS: C
Screening for drug use should begin in a nonthreatening way by asking
about prescription and OTC medications an d how the information can
help provide safe and appropriate prenatal care.
DIF: Cognitive Level: Application REF: Page 114 OBJ: 6
TOP: Interviewing Relative to Drug Use KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Prevention and Earl y Detection of
Disease
,2. The nurse assesses a pregnant woman for pregnancy -induced hypertension.
What is the first sign of fluid retention suggestive of this complication?
a. Abdominal enlargement
b. Facial swelling
c. Sudden weight gain
d. Swelling of the feet and ankles
ANS: C
Sudden, excessive weight gain is the first sign of fluid retention; facial
swelling and swelling of the feet, legs, and hands follow weight gain.
DIF: Cognitive Level: Knowledge REF: Page 97 TOP:
Hypertension KEY: Nursing Process Step: Data Collection
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
3. A patient with gestational hypertension is exhibiting all of the signs
below. What should the nurse report immediatel y?
a. Diarrhea
b. Urticaria
c. Blurred vision
d. Backache
ANS: C
Visual disturbances indicate worsening pregnancy -induced
hypertension and must be reported promptl y for effective intervention
to prevent preeclampsia and convulsion.
, DIF: Cognitive Level: Application REF: Page 97 TOP:
Hypertension KEY: Nursing Process Step: Planning
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
4. A patient who is 28 weeks pregnant presents with consistent hypertension.
What need would the home health nurse make the first priority?
a. Activit y restriction
b. Balanced nutrition
c. Increased fluid intake to ensure adequate hydration
d. Instruction about the effect of diuretics
ANS: A
Bed rest reduces the flow of blood to skeletal muscles, making more
blood available to the placenta and enhancing fetal ox ygenation.
DIF: Cognitive Level: Application REF: Page 98 TOP:
Hypertension KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Dise ase
5. The nurse is caring for a pregnant woman diagnosed with preeclampsia.
What will the nurse explain is the objective of magnesium sulfate therapy
for this patient?
a. To prevent convulsions
b. To promote diaphoresis
c. To increase reflex irritabilit y
d. To act as a saline cathartic
