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19: Essentials of Maternity, Newborn, and Women's Health Nursing 5th Edition Chapter 19 test bank
19: Essentials of Maternity, Newborn, and Women's Health Nursing 5th Edition Chapter 19 test bank
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19: Essentials of Maternity, Newborn, andWomen's Health Nursing 5th Edition
Chapter 19
After teaching a woman who has had an evacuation for gestational trophoblastic disease
(hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the
nurse's teaching was successful?
A. "I will be sure to avoid getting pregnant for at least 1 year."
B. "My intake of iron will have to be closely monitored for 6 months."
C. "My blood pressure will continue to be increased for about 6 more months."
D. "I won't use my birth control pills for at least a year or two."
A. "I will be sure to avoid getting pregnant for at least 1 year."
After evacuation of trophoblastic tissue (hydatidiform mole...growth of an abnormal fertilized egg
or an overgrowth of tissue from the placenta.), long-term follow-up is necessary to make sure
any remaining trophoblastic tissue does not become malignant. Serial hCG levels are monitored
closely for 1 year, and the client is urged to avoid pregnancy for 1 year because it can interfere
with the monitoring of hCG levels. Iron intake and blood pressure are not important aspects of
follow up after evacuation of a hydatidiform mole. Use of a reliable contraceptive is strongly
recommended so that pregnancy is avoided.
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The
nurse determines that the medication is at a therapeutic level based on which finding?
A. urinary output of 20 mL per hour
B. respiratory rate of 10 breaths/minute
C. deep tendons reflexes 2+
D. difficulty in arousing
C. deep tendons reflexes 2+
With magnesium sulfate, deep tendon reflexes of 2+ would be considered normal and therefore
a therapeutic level of the drug. Urinary output of less than 30 mL, a respiratory rate of less than
12 breaths/minute, and a diminished level of consciousness would indicate magnesium toxicity.
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Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the
client crying. Which response by the nurse would be most appropriate?
A. "Why are you crying?"
B. "Will a pill help your pain?"
C. "I'm sorry you lost your baby."
D. "A baby still wasn't formed in your uterus."
C. "I'm sorry you lost your baby."
Telling the client that the nurse is sorry for the loss acknowledges the loss to the woman,
validates her feelings, and brings the loss into reality. Asking why the client is crying is
ineffective at this time. Offering a pill for the pain ignores the client's feelings. Telling the client
that the baby was not formed is inappropriate and discounts any feelings or beliefs that the
client has.
A nurse is reviewing a client's history and physical examination findings. Which information
would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
A. use of oral contraceptives for 5 years
B. ovarian cyst 2 years ago
C. recurrent pelvic infections
D. heavy, irregular menses
C. recurrent pelvic infections
In the general population, most cases of ectopic pregnancy are the result of tubal scarring
secondary to pelvic inflammatory disease. Oral contraceptives, ovarian cysts, and heavy,
irregular menses are not considered risk factors for ectopic pregnancy.
We have an expert-written solution to this problem!
A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the
nurse identify as the priority?
A. hemorrhage
B. jaundice
C. edema
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