Chapter 29: Care of the High-Risk Mother, Newborn, and Family With Special Needs Cooper: Foundations of Nursing, 8th Edition
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Course
NURSING 252
Institution
NURSING 252
NU RS IN GT B.CO M Chapter 29: Care of the High-Risk Mother, Newborn, and Family With Special Needs Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan sh...
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Chapter 29: Care of the High -Risk Mother, Newborn, and Family With Special Needs Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions? a. Hyperalimentation b. IV fluids and electrolyte replacement c. Hormone replacement therapy d. Vitamin supplements ANS: B Medical treatment is aimed at meeting fluid and electrolyte replacement. DIF: Cognitive Level: Application REF: 910 OBJ: 1 TOP: Hyperemesis gravidarum KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 2. A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse? a. A large for gestational age infant b. Anorexia nervosa c. Preterm delivery d. Maternal or fetal death ANS: D If untreated, hyperemesis gravidarum can result in maternal or fetal death. DIF: Cognitive Level: Application REF: 879 OBJ: 1 TOP: Hyperemesis gravidarum KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. How should twins w ho share a placenta and come from one fertilized ovum be identified? a. Dizygotic b. Trizygotic c. Genetically different d. Monozygotic ANS: D Monozygo tic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time. DIF: Cognitive Level: Comprehension REF: 879 OBJ: 1 TOP: Multifetal pregnancy KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance NURSINGTB.COM
Foundations of Nursing 8th Edition Cooper Test Bank
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M 4. What complication of delivery should the nurse expect with the birth of multiple fetuses? a. An ectopic tendency b. Difficulty with breast -feeding c. A vaginal delivery d. Loss of uterine tone ANS: D Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not rel ate to the delivery. DIF: Cognitive Level: Application REF: 879 OBJ: 1 TOP: High -risk pregnancy KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient? a. Long -term bed rest b. Episodes of extreme hypertension c. Surgery to remove the embryo/fetus d. Treatment for dehydration ANS: C An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention. DIF: Cognitive Level: Application REF: 880 OBJ: 1 TOP: Ectopic pregnancy KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 6. What percent of first -trimester preg nancies spontaneously abort? a. 5% to 10% b. 10% to15% c. 20% to 25% d. 40% to 50% ANS: B It is estimated that 10% to 15% of first -trimester pregnancies end in spontaneous abortion. DIF: Cognitive Level: Knowledge REF: 882 OBJ: 1 TOP: Abortions KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 7. What symptom, no matter what stage of pregnancy, should be reported immediately? a. Backache b. Urinary frequency c. Vaginal bleeding d. Uterine tig htening ANS: C NURSINGTB.COM
Foundations of Nursing 8th Edition Cooper Test Bank
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