Antepartal Period High-Risk Antepartum Nursing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Care Exam with verified detailed answers ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient has just had a cerclage procedure for cervical insufficiency. which anticipatory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
guidance should the nurse provide prior to discharge?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"A cesarean delivery will be necessary for your birth, due to the cerclage."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"The stitch in your cervix should be removed if you go into labor."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"The stitch in your cervix should be removed no later than 20 weeks' gestation."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"The cerclage will prevent you from delivering a preterm baby." - correct answer✔✔Option
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2:
A cerclage is removed at 36 to 37 weeks, or when labor ensues, in order to prevent cervical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tearing during labor. ||\\//|| ||\\//||
A patient with hyperemesis gravidarum says to the nurse, "I am so worried that all this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
vomiting will cause me to miscarry my baby." Which is the appropriate therapeutic response
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
from the nurse? ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
,"Tell me what makes you concerned about this."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"As long as you don't lose more than 5% of your weight, you will probably have a normal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pregnancy."
3. ||\\//||
"It is estimated that around 25% of all pregnancies end in miscarriage."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"I will do everything I can to try to prevent that from happening." - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Option 1: ||\\//||
This is an open-ended statement, and it encourages the patient to express her feelings.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a woman who had a spontaneous abortion. Which of the following
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
statements made by the nurse is most appropriate after early pregnancy loss? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Most miscarriages occur because there is something wrong with the baby."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"You can try to get pregnant again." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"This is probably a difficult time for you. Would you like to talk about it?"
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
,"I know how sad you must feel. I miscarried once." - correct answer✔✔Option 3:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
This is the most therapeutic response. Allow the patient to talk about her feelings only if she
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
wants to.
||\\//|| ||\\//||
The nurse is teaching a gravid patient in her second trimester about smoking during
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pregnancy. Which statements would be included? Select all that apply. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Since fetal development is most important during the first 8 weeks, it won't really do any
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
good to quit smoking now." ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"Each time you smoke, there is less oxygen to the baby. So, any amount of smoking you can
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reduce will be better for the baby." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"Smoking increases your risk of a preterm delivery and a low birth weight baby." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"Smoking increases your risk of placenta problems, such as placenta previa and placental ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
abruption."
5. ||\\//||
"Once the baby is born you can resume smoking." - correct answer✔✔Option 2:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Transient intrauterine hypoxemia occurs with smoking and is dose-dependent. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Option 3: ||\\//||
Preterm delivery and low birth weight are serious risks of smoking. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Option 4: ||\\//||
, The risk of placenta problems doubles with smoking.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with preeclampsia has orders for magnesium sulfate administration. Which order
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the nurse question? ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
Loading dose 4 grams 10% magnesium sulfate in 100 mL solution over 20 minutes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
Maintenance dose 1 gram per hour ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
Maintenance dose 2 grams per hour ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
Loading dose 1 gram 10% magnesium sulfate in 100 mL solution over 20 minutes - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Option 4: ||\\//||
Loading dose is 4 to 6 grams, so this is an insufficient dose to achieve a therapeutic level.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with hyperemesis gravidarum says to the nurse, "I am so worried that all this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
vomiting will cause me to miscarry my baby." Which is the appropriate therapeutic response
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
from the nurse? ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Tell me what makes you concerned about this."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
Care Exam with verified detailed answers ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient has just had a cerclage procedure for cervical insufficiency. which anticipatory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
guidance should the nurse provide prior to discharge?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"A cesarean delivery will be necessary for your birth, due to the cerclage."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"The stitch in your cervix should be removed if you go into labor."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"The stitch in your cervix should be removed no later than 20 weeks' gestation."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"The cerclage will prevent you from delivering a preterm baby." - correct answer✔✔Option
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2:
A cerclage is removed at 36 to 37 weeks, or when labor ensues, in order to prevent cervical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tearing during labor. ||\\//|| ||\\//||
A patient with hyperemesis gravidarum says to the nurse, "I am so worried that all this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
vomiting will cause me to miscarry my baby." Which is the appropriate therapeutic response
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
from the nurse? ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
,"Tell me what makes you concerned about this."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"As long as you don't lose more than 5% of your weight, you will probably have a normal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pregnancy."
3. ||\\//||
"It is estimated that around 25% of all pregnancies end in miscarriage."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"I will do everything I can to try to prevent that from happening." - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Option 1: ||\\//||
This is an open-ended statement, and it encourages the patient to express her feelings.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a woman who had a spontaneous abortion. Which of the following
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
statements made by the nurse is most appropriate after early pregnancy loss? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Most miscarriages occur because there is something wrong with the baby."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"You can try to get pregnant again." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"This is probably a difficult time for you. Would you like to talk about it?"
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
,"I know how sad you must feel. I miscarried once." - correct answer✔✔Option 3:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
This is the most therapeutic response. Allow the patient to talk about her feelings only if she
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
wants to.
||\\//|| ||\\//||
The nurse is teaching a gravid patient in her second trimester about smoking during
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pregnancy. Which statements would be included? Select all that apply. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Since fetal development is most important during the first 8 weeks, it won't really do any
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
good to quit smoking now." ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
"Each time you smoke, there is less oxygen to the baby. So, any amount of smoking you can
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reduce will be better for the baby." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
"Smoking increases your risk of a preterm delivery and a low birth weight baby." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
"Smoking increases your risk of placenta problems, such as placenta previa and placental ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
abruption."
5. ||\\//||
"Once the baby is born you can resume smoking." - correct answer✔✔Option 2:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Transient intrauterine hypoxemia occurs with smoking and is dose-dependent. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Option 3: ||\\//||
Preterm delivery and low birth weight are serious risks of smoking. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Option 4: ||\\//||
, The risk of placenta problems doubles with smoking.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with preeclampsia has orders for magnesium sulfate administration. Which order
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the nurse question? ||\\//|| ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
Loading dose 4 grams 10% magnesium sulfate in 100 mL solution over 20 minutes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
Maintenance dose 1 gram per hour ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
3. ||\\//||
Maintenance dose 2 grams per hour ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
4. ||\\//||
Loading dose 1 gram 10% magnesium sulfate in 100 mL solution over 20 minutes - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Option 4: ||\\//||
Loading dose is 4 to 6 grams, so this is an insufficient dose to achieve a therapeutic level.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with hyperemesis gravidarum says to the nurse, "I am so worried that all this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
vomiting will cause me to miscarry my baby." Which is the appropriate therapeutic response
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
from the nurse? ||\\//|| ||\\//|| ||\\//||
1. ||\\//||
"Tell me what makes you concerned about this."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
2. ||\\//||
