MATERNITY 5,6,7 TEST 2/111
QUESTIONS AND ANSWERS
(A+)
1. A pregnant patient tells the nurse that she has been
nauseated and vomiting. How will the nurse explain that
hyperemesis gravidarum is distinguished from morning
sickness?
a. Hyperemesis gravidarum usually lasts for the duration
of the pregnancy.
b. Hyperemesis gravidarum causes dehydration and
electrolyte imbalances.
c. Sensitivity to smells is usually the cause of vomiting in
hyperemesis gravidarum.
d. The woman with hyperemesis gravidarum will have
persistent vomiting without weight loss. - √Answer :b.
Hyperemesis gravidarum causes dehydration and
electrolyte imbalances.
Quiz :2. A woman is 9 weeks pregnant and experiencing
heavy bleeding and cramping. She reports passing
some tissue. Cervical dilation is noted on examination.
What is the most likely cause of these symptoms?
a. Inevitable abortion
b. Incomplete abortion
c. Complete abortion
d. Missed abortion - √Answer :b. Incomplete abortion
Quiz :3. The nurse finds a woman crying after she has
undergone a dilation and evacuation (D&E) for a missed
abortion. What is the most appropriate statement by the
nurse?
,a. "There is usually something wrong with the fetus
when this happens early in pregnancy."
b. "Now there. You can try to conceive on your next
cycle."
c. "I'm here if you need to talk."
d. "You are young and strong. I know you can have a
healthy pregnancy." - √Answer :c. "I'm here if you need
to talk."
Quiz :4. A woman who is 8 weeks pregnant becomes
concerned when she has light vaginal bleeding
accompanied by abdominal pain. An ectopic pregnancy
is confirmed by ultrasound. Which statement indicates
that the woman understands the explanation of an
ectopic pregnancy?
a. "The chorionic villi develop vesicles within the uterus."
b. "The placenta develops in the lower part of the
uterus."
c. "The fetus dies in the uterus during the first half of the
pregnancy."
d. "The embryo is implanted in the fallopian tube." -
√Answer :d. "The embryo is implanted in the fallopian
tube."
Quiz :5. An ultrasound on a woman who is 32 weeks
pregnant reveals the placenta implanted over the entire
cervical os. What does the nurse understand best
describes this condition?
a. Low-lying placenta
b. Marginal placenta previa
c. Partial placenta previa
d. Total placenta previa - √Answer :d. Total placenta
previa
,Quiz :6. What symptom presented by a pregnant
women is indicative of abruptio placentae?
a. Painless vaginal bleeding
b. Uterine irritability with contractions
c. Vaginal bleeding and back pain
d. Premature rupture of membranes - √Answer :c.
Vaginal bleeding and back pain
Quiz :7. What situation would concern the nurse about
the presence of Rh incompatibility?
a. Rh-negative mother, Rh-positive fetus
b. Rh-positive mother, Rh-negative fetus
c. Rh-negative mother, Rh-negative fetus
d. Rh-positive mother, Rh-positive fetus - √Answer :a.
Rh-negative mother, Rh-positive fetus
Quiz :8. A primigravida in her first trimester is Rh
negative. What will this woman receive to prevent anti-
Rh antibodies from forming?
a. Rh immune globulin during labor
b. Intrauterine transfusions with O-negative blood
c. Rh immune globulin at 28 weeks and within 72 hours
after the birth of an Rh-positive infant
d. Rh immune globulin now and again in the last
trimester - √Answer :c. Rh immune globulin at 28 weeks
and within 72 hours after the birth of an Rh-positive
infant
Quiz :9. A woman seeking prenatal care relates a
history of macrosomic infants, two stillbirths, and
polyhydramnios with each pregnancy. What does the
nurse recognize these factors highly suggest?
, a. Toxoplasmosis
b. Abruptio placentae
c. Hydatidiform mole
d. Diabetes mellitus - √Answer :d. Diabetes mellitus
Quiz :10. A nurse is providing prenatal education. The
nurse will explain that pregnancy affects glucose
metabolism in what way?
a. Placental hormones increase the resistance of cells
to insulin.
b. Insulin cells cannot meet the body's demands as the
woman's weight increases.
c. There is a decreased production of insulin during
pregnancy.
d. The speed of insulin breakdown is decreased during
pregnancy. - √Answer :a. Placental hormones increase
the resistance of cells to insulin.
Quiz :11. Why does the woman taking oral
hypoglycemic agents to control diabetes mellitus need
to take insulin during pregnancy?
a. Insulin can cross the placental barrier to the fetus.
b. Insulin does not cross the placental barrier to the
fetus.
c. Oral agents do not cross the placenta.
d. Oral agents are not sufficient to meet maternal insulin
needs. - √Answer :b. Insulin does not cross the
placental barrier to the fetus.
Quiz :12. A pregnant woman comes to the clinic stating
that she has been exposed to hepatitis B. She is afraid
that her infant will also contract hepatitis B. What will the
nurse explain to this woman?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.37. You're not tied to anything after your purchase.