NR327/ NR 327 Pregnancy Complications Quiz Answered_ Fall 2021

NR 327 Pregnancy Complications Quiz 1. Which of these is not considered a T.O.R.C.H. infection? a) Rubella b) Herpes c) Cytomegalovirus d) HIV 2. A client with diabetes mellitus gives birth to a 9-lb, 10-oz (4375 g) neonate at 38 weeks. What is the nurse's priority action after the stabilization of the neonate? a) Assess the neonate's blood glucose level. b) Assess the neonate's bilirubin level. c) Assess the neonate's blood type. d) Assess for neonate's hearing acuity. 3. A client with eclampsia begins to experience a seizure. Which intervention should the nurse do immediately? a) Maintain a patent airway. b) Pad the side rails. c) Insert a padded tongue blade into the mouth. d) Place a pillow under the left buttock. 4. A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present? a) Absence of abdominal pain b) A soft abdomen c) Uterine tenderness/pain d) Painless, bright red vaginal bleeding 5. The nurse is caring for a client in labor who has tested positive for gonorrhea. Which of the following will the nurse include in the client’s plan of care? a) Monitor the fetal heart tones every 4 hours b) Apply an internal fetal scalp electrode c) Administer erythromycin eye drops to the infant after birth d) Plan for a cesarean birth 6. Which of the following matches the definition: abnormal placenta development covering the cervix? a) Placenta Previa b) Abruptio Placentae c) Multigravida d) Proliferative phase 7. The nurse would question the prescription for a fetal scalp electrode on which client? a) client with significant meconium stained fluid b) client with late decelerations c) client with an HIV infection d) client with a prolonged second stage of labor 8. At 38 weeks' gestation, a primigravid client with poorly controlled diabetes and severe preeclampsia is admitted for a cesarean birth. The nurse explains to the client that childbirth helps to prevent which complication? a) neonatal hyperbilirubinemia b) perinatal asphyxia c) stillbirth d) congenital anomalies 9. A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client determines that the magnesium therapy is effective if: a) Ankle clonus in noted b) The blood pressure decreases c) Seizures do not occur d) Scotoma’s are present 10. A 21-year old client, 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions? a) Bowel perforation b) Electrolyte imbalance c) Miscarriage d) Pregnancy induced hypertension (PIH) 11. A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s orders and would question which order? a) Prepare the client for an ultrasound b) Obtain equipment for external electronic fetal heart monitoring c) Obtain equipment for a manual pelvic examination d) Prepare to draw a Hgb and Hct blood sample 12. An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placenta is present. Based on these findings, the nurse would prepare the client for: a) Complete bed rest for the remainder of the pregnancy b) Delivery of the fetus c) Strict monitoring of intake and output d) The need for weekly monitoring of coagulation studies until the time of delivery 13. A multiparous client at 33 weeks gestation is admitted to the labor and birth area with painless vaginal bleeding. Ultrasonography shows marginal placenta previa. Which nursing interventions should be included in the plan of care for this client? Select all that apply. a) Administer oxygen as ordered b) Assess the cervix hourly c) Establish intravenous (IV) access d) Institute bed rest e) Apply continuous fetal heart monitoring 14. The acronym for maternal infections is: a) TORCH b) LATCH c) MEALS d) HELLP 15. Rho (D) immune globulin (RhoGAM) is prescribed for a woman following delivery of a newborn infant and the nurse provides information to the woman about the purpose of the medication. The nurse determines that the woman understands the purpose of the medication if the woman states that it will protect her next baby from which of the following? a) Being affected by Rh incompatibility b) Having Rh positive blood c) Developing a rubella infection d) Developing physiological jaundice