Maternal Child Ch. 12 Exam Questions
and Answers 100% Solved | Graded A+
Women with hyperemesis gravidarum:
a. Are a majority, because 80% of all pregnant women suffer from it at
some time.
b. Have vomiting severe and persistent enough to cause weight loss,
dehydration, and electrolyte
imbalance.
c. Need intravenous (IV) fluid and nutrition for most of their pregnancy.
d. Often inspire similar, milder symptoms in their male partners and
mothers - ✔✔ANS: B
Women with hyperemesis gravidarum have severe vomiting; however,
treatment for several days sets things
right in most cases. Although 80% of pregnant women experience nausea
and vomiting, fewer than 1% (0.5%)
proceed to this severe level. IV administration may be used at first to
restore fluid levels, but it is seldom
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,needed for very long. Women suffering from this condition want sympathy
because some authorities believe
that difficult relationships with mothers and/or partners may be the cause.
Because pregnant women may need surgery during pregnancy, nurses
should be aware that:
a. The diagnosis of appendicitis may be difficult because the normal signs
and symptoms mimic
some normal changes in pregnancy.
b. Rupture of the appendix is less likely in pregnant women because of the
close monitoring.
c. Surgery for intestinal obstructions should be delayed as long as possible
because it usually affects
the pregnancy.
d. When pregnancy takes over, a woman is less likely to have ovarian prob
- ✔✔ANS: A
Both appendicitis and pregnancy are linked with nausea, vomiting, and
increased white blood cell count. Rupture of the appendix is two to three
times more likely in pregnant women. Surgery to remove obstructions
should be done right away. It usually does not affect the pregnancy.
Pregnancy predisposes a woman to
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,ovarian problems
What laboratory marker is indicative of disseminated intravascular
coagulation (DIC)?
a. Bleeding time of 10 minutes c. Thrombocytopenia
b. Presence of fibrin split products d. Hyperfibrinogenemia - ✔✔ANS: B
Degradation of fibrin leads to the accumulation of fibrin split products in the
blood. Bleeding time in DIC is
normal. Low platelets may occur with but are not indicative of DIC because
they may result from other
coagulopathies. Hypofibrinogenemia would occur with DIC
In caring for an immediate postpartum client, you note petechiae and
oozing from her IV site. You would
monitor her closely for the clotting disorder:
a. Disseminated intravascular coagulation (DIC)
b. Amniotic fluid embolism (AFE)
c. Hemorrhage
d. HELLP syndrome - ✔✔ANS: A
The diagnosis of DIC is made according to clinical findings and laboratory
markers. Physical examination
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, reveals unusual bleeding. Petechiae may appear around a blood pressure
cuff on the womans arm. Excessive
bleeding may occur from the site of slight trauma such as venipuncture
sites. These symptoms are not
associated with AFE, nor is AFE a bleeding disorder. Hemorrhage occurs
for a variety of reasons in the
postpartum client. These symptoms are associated with DIC. Hemorrhage
would be a finding associated with
DIC and is not a clotting disorder in and of itself. HELLP is not a clotting
disorder, but it may contribute to the
clotting disorder DIC
In caring for the woman with disseminated intravascular coagulation (DIC),
what order should the nurse
anticipate?
a. Administration of blood
b. Preparation of the client for invasive hemodynamic monitoring
c. Restriction of intravascular fluids
d. Administration of steroids - ✔✔ANS: A
Primary medical management in all cases of DIC involves correction of the
underlying cause, volume
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
and Answers 100% Solved | Graded A+
Women with hyperemesis gravidarum:
a. Are a majority, because 80% of all pregnant women suffer from it at
some time.
b. Have vomiting severe and persistent enough to cause weight loss,
dehydration, and electrolyte
imbalance.
c. Need intravenous (IV) fluid and nutrition for most of their pregnancy.
d. Often inspire similar, milder symptoms in their male partners and
mothers - ✔✔ANS: B
Women with hyperemesis gravidarum have severe vomiting; however,
treatment for several days sets things
right in most cases. Although 80% of pregnant women experience nausea
and vomiting, fewer than 1% (0.5%)
proceed to this severe level. IV administration may be used at first to
restore fluid levels, but it is seldom
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,needed for very long. Women suffering from this condition want sympathy
because some authorities believe
that difficult relationships with mothers and/or partners may be the cause.
Because pregnant women may need surgery during pregnancy, nurses
should be aware that:
a. The diagnosis of appendicitis may be difficult because the normal signs
and symptoms mimic
some normal changes in pregnancy.
b. Rupture of the appendix is less likely in pregnant women because of the
close monitoring.
c. Surgery for intestinal obstructions should be delayed as long as possible
because it usually affects
the pregnancy.
d. When pregnancy takes over, a woman is less likely to have ovarian prob
- ✔✔ANS: A
Both appendicitis and pregnancy are linked with nausea, vomiting, and
increased white blood cell count. Rupture of the appendix is two to three
times more likely in pregnant women. Surgery to remove obstructions
should be done right away. It usually does not affect the pregnancy.
Pregnancy predisposes a woman to
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,ovarian problems
What laboratory marker is indicative of disseminated intravascular
coagulation (DIC)?
a. Bleeding time of 10 minutes c. Thrombocytopenia
b. Presence of fibrin split products d. Hyperfibrinogenemia - ✔✔ANS: B
Degradation of fibrin leads to the accumulation of fibrin split products in the
blood. Bleeding time in DIC is
normal. Low platelets may occur with but are not indicative of DIC because
they may result from other
coagulopathies. Hypofibrinogenemia would occur with DIC
In caring for an immediate postpartum client, you note petechiae and
oozing from her IV site. You would
monitor her closely for the clotting disorder:
a. Disseminated intravascular coagulation (DIC)
b. Amniotic fluid embolism (AFE)
c. Hemorrhage
d. HELLP syndrome - ✔✔ANS: A
The diagnosis of DIC is made according to clinical findings and laboratory
markers. Physical examination
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, reveals unusual bleeding. Petechiae may appear around a blood pressure
cuff on the womans arm. Excessive
bleeding may occur from the site of slight trauma such as venipuncture
sites. These symptoms are not
associated with AFE, nor is AFE a bleeding disorder. Hemorrhage occurs
for a variety of reasons in the
postpartum client. These symptoms are associated with DIC. Hemorrhage
would be a finding associated with
DIC and is not a clotting disorder in and of itself. HELLP is not a clotting
disorder, but it may contribute to the
clotting disorder DIC
In caring for the woman with disseminated intravascular coagulation (DIC),
what order should the nurse
anticipate?
a. Administration of blood
b. Preparation of the client for invasive hemodynamic monitoring
c. Restriction of intravascular fluids
d. Administration of steroids - ✔✔ANS: A
Primary medical management in all cases of DIC involves correction of the
underlying cause, volume
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
