M Ch 25

Front 1

A woman with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is:

Back 1

anticonvulsant.

Front 2

What is the only known cure for preeclampsia?

Back 2

Delivery of the fetus

Front 3

Which clinical sign is not included as a symptom of preeclampsia?

Back 3

Glucosuria

Front 4

Which assessment finding would convince the nurse to “hold” the next dose of magnesium sulfate?

Back 4

Absence of deep tendon reflexes

Front 5

Which intrapartal assessment should be avoided when caring for a woman with HELLP syndrome?

Back 5

Which intrapartal assessment should be avoided when caring for a woman with HELLP syndrome?

Front 6

A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which score indicates edema of lower extremities, face, hands, and sacral area?

Back 6

+3 edema

Front 7

A woman is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?

Back 7

Hydatidiform mole

Front 8

Which maternal condition always necessitates delivery by cesarean section?

Back 8

Total placenta previa

Front 9

Spontaneous termination of a pregnancy is considered to be an abortion if:

Back 9

the pregnancy is less than 20 weeks.

Front 10

An abortion in which the fetus dies but is retained in the uterus is called:

Back 10

missed abortion.

Front 11

A placenta previa in which the placental edge just reaches the internal os is called:

Back 11

marginal.

Front 12

Which of the following would indicate concealed hemorrhage in abruptio placentae?

Back 12

Hard, boardlike abdomen

Front 13

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode is to:

Back 13

assess fetal heart rate and maternal vital signs.

Front 14

A primigravida of 28 years is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Nursing care is based on the knowledge that:

Back 14

she should be assessed for signs of dehydration and starvation.

Front 15

A 17-year-old primigravida has gained 4 pounds since her last prenatal visit. Her blood pressure is 140/92. The most important nursing action is to:

Back 15

assess weight gain, location of edema, and urine for protein.

Front 16

A client with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate:

Back 16

worsening disease and impending convulsion.

Front 17

Rh incompatibility can occur if the woman is Rh negative and her:

Back 17

fetus is Rh positive.

Front 18

In which of the following situations would a D&C be indicated?

Back 18

Incomplete abortion at 10 weeks

Front 19

Which of the following orders should the nurse expect for a client admitted with a threatened abortion?

Back 19

Pad count

Front 20

Which of the following pieces of data found on a client’s health history would place her at risk for an ectopic pregnancy?

Back 20

Recurrent pelvic infections