Test Bank for Safe Maternity Pediatric Nursing By Care Palmer Coats – Test Bank

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Test Bank for Safe Maternity Pediatric Nursing By Care Palmer Coats – Test Bank

 

 

Sample:

 

Chapter 6: Nursing Care During Pregnancy

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse is caring for a pregnant woman who is complaining of nasal stuffiness. Which intervention does the nurse identify as problematic and encourage the patient to stop?

1) Increased fluid intake
2) Use of nasal saline drops
3) Use of a humidifier in the home
4) Taking a decongestant

 

 

____    2.   Which statement made by a pregnant woman who is complaining of increased vaginal discharge should the nurse correct?

1) “I try to wear loose clothes and avoid anything that too tight fitting.”
2) “I changed from my usual nylon underwear to cotton underwear.”
3) “The discharge has gotten so bad that I have to wear panty liners all the time.”
4) “I’ve started douching at least once a day and sometimes twice a day.”

 

 

____    3.   The nurse is providing teaching to a woman during her first prenatal visit. The woman says she has been told to avoid baths and asks if that is true. Which statement made by the nurse is incorrect?

1) “Baths are safe until the membranes rupture.”
2) “Apply antiskid devices to the bottom of the tub to prevent injury.”
3) “Soaking in a hot tub can be very relaxing and can reduce morning sickness.”
4) “In the third trimester, get help getting out of the bathtub.”

 

 

____    4.   When the nurse assesses a pregnant woman, which form of exercise previously enjoyed by the woman should be discouraged?

1) Running
2) Skiing
3) Swimming
4) Cycling

 

 

____    5.   The nurse teaches a pregnant woman about healthy nutrition to prevent neural tube defects in the fetus. The nurse assesses that the patient understood the teaching when which food choices are made for breakfast?

1) Bacon, eggs, and hash browns
2) Pancakes with syrup and sausage
3) Peanut butter on toast and orange juice
4) Cereal with milk and peanut butter on toast

 

 

____    6.   Which question from the nurse is most effective in assessing a pregnant patient for potential pica?

1) “You’re not eating anything that would be considered a nonfood item, are you?”
2) “Are you eating anything weird that you didn’t eat before you got pregnant?”
3) “Some women experience cravings. Are you experiencing anything like that?”
4) “Pica, a craving to eat nonfood items, is common in pregnancy. What have you experienced?”

 

 

____    7.   During a woman’s routine prenatal visit, the nurse notices scratches on her arms and learns she has adopted a kitten. Which teaching should the nurse include during this visit?

1) Cytomegalovirus prevention
2) Toxoplasmosis prevention
3) Rubella prevention
4) Parvovirus prevention

 

 

____    8.   During the prenatal visit of a woman who is 38 weeks pregnant, the pelvic examination reveals active genital herpes. Which anticipatory guidance should the nurse provide?

1) Potential for the newborn to require neonatal intensive care
2) Increased risk of congenital anomaly in the neonate
3) Preparation for Cesarean section
4) Need to notify the public health department

 

 

____    9.   The nurse includes which teaching as the greatest priority when caring for a pregnant woman over age 35?

1) Healthy nutrition
2) Proper self-care
3) Regular prenatal care
4) Chromosomal testing

 

 

____  10.   The nurse is caring for a woman in the first trimester of pregnancy whose body mass index (BMI) is 16.5. Which nutritional counseling should the nurse provide?

1) Follow a healthy diet low in calories and fat.
2) Follow a healthy diet low in sodium and calories.
3) Follow a healthy diet high in protein and fat.
4) Follow a healthy diet with increased calories and calcium.

 

 

____  11.   A pregnant adolescent tells the nurse, “There is something wrong with me. I can’t sit through a class without having to urinate.” A physical examination reveals no urinary or renal problems. What is the nurse’s priority of care?

1) Telling the patient to reduce fluid intake during the school day
2) Having the patient attend a pregnant adolescent group class
3) Encouraging the patient’s mother to monitor her urine output
4) Telling the patient to have friends take notes in class while she urinates

 

 

____  12.   A pregnant adolescent asks the nurse, “Did I hurt the baby because I went to a party last night and had a few beers?” Which is the nurse’s best response?

1) “Drinking alcohol can be very harmful to the fetus, but you won’t know if harm was done until the baby is born.”
2) “Alcohol is a drug, and all drugs have the potential to harm the baby, so they should be avoided throughout pregnancy.”
3) “It is unlikely that drinking one time hurt the baby, but repeated intake of alcohol can have serious negative effects.”
4) “Drinking alcohol at your age is illegal, and I am required to report this to the authorities because I’m a nurse.”

 

 

____  13.   The nurse is teaching a pregnant adolescent about maintaining a healthy diet. Which statement by the patient indicates further teaching is needed?

1) “I’ll drink only diet soda until after I have the baby.”
2) “I will increase my calcium intake by eating more yogurt.”
3) “I will order a salad when I go to a fast-food place with my friends.”
4) “I will take a calcium supplement every day until I deliver.”

 

 

____  14.   While reviewing a new patient’s medical record prior to her arrival at the clinic, the nurse sees the patient is classified as an AMA and interprets this to mean what?

1) Advanced medical age
2) Against medical advice
3) Always making assumptions
4) Acute myeloid leukemia

 

 

____  15.   The triage nurse receives a call from a woman who is 32 weeks pregnant and reports feeling no fetal movements in the last hour. What should the nurse advise?

1) See the doctor immediately for an ultrasound examination.
2) Eat and rest, then do another kick count for 1 hour.
3) Go to the emergency department immediately.
4) Get some sleep and try again tomorrow.

 

 

____  16.   The nurse reviews a patient’s L/S ratio and sees the results are 4:1. How is this finding interpreted?

1) Mature fetal lungs
2) Immature fetal lungs
3) Inconclusive
4) Fetal demise

 

 

____  17.   Which statement by a laboring patient informs the nurse that the couple is using the Bradley method?

1) “No matter how severe the pain becomes, I do not want to take anything to control it.”
2) “I have learned all of the breathing exercises to help me control pain.”
3) “I have been practicing my relaxation techniques to help me manage the pain.”
4) “If the pain becomes more than I can handle, I will let you know and will request medication.”

 

 

____  18.   Which request does the nurse not expect to find in a birth plan?

1) Preference to avoid induction
2) Preference for an epidural to manage pain
3) Preference to deliver in a birthing chair
4) Preference for a specific drug for induction

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____  19.   The nurse is caring for a woman who had a pre-pregnancy BMI of 22.3 and has gained 53 lb. Which assessments are most important for this patient? (Select all that apply.)

1) Serum glucose
2) Blood pressure
3) Urine glucose
4) Premature rupture of membranes
5) Fetal anomalies

 

 

____  20.   The nurse provides nutritional counseling for a pregnant woman diagnosed with anemia. The woman demonstrates understanding of the dietary changes needed when choosing to increase which foods in her diet? (Select all that apply.)

1) Chicken
2) Spinach
3) Dried apricots
4) Tofu
5) Milk

 

Chapter 6: Nursing Care During Pregnancy

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Provide guidance to the pregnant patient on managing the common discomforts of pregnancy.

Chapter page reference: 65

Heading: Nasal Stuffiness, Discharge, and Obstruction

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 Increased fluid intake helps to promote drainage and reduce nasal stuffiness, so this intervention is not problematic.
2 Use of saline nose drops is healthy and is not problematic.
3 A humidifier in the home helps to reduce nasal stuffiness and is not problematic, but the nurse will want to instruct the patient on the importance of regular cleaning of the humidifier.
4 Decongestants are contraindicated in pregnancy because they constrict blood vessels, which can reduce oxygen supply to the fetus, and should be discouraged.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Provide guidance to the pregnant patient on managing the common discomforts of pregnancy.

Chapter page reference: 65

Heading: Increased Leukorrhea

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Wearing loose-fitting clothing and avoiding anything that is too tight is a good response to increased vaginal discharge and does not need to be corrected.
2 Wearing cotton underwear, which is more porous than nylon, is a good response to increased vaginal discharge and does not need to be corrected.
3 Use of panty liners or pads helps to absorb moisture and is a good response to increased vaginal discharge that does not need correction.
4 Although daily perineal hygiene is needed to prevent infection, douching is dangerous and can result in increased risk of infection; thus, this practice should be discouraged by the nurse.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Promote safe and effective self-care practices during pregnancy.

Chapter page reference: 66

Heading: Personal Hygiene

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 This is a true statement that does not need to be corrected because it is safe to take a bath as long as the amniotic membranes are intact.
2 To reduce the risk of sliding in the tub and afterward, placement of antiskid devices is a good thing to teach this patient and does not need correcting.
3 Hot tubs and excessively hot showers should be avoided to prevent hyperthermia, which can cause neural tube defects, so this is an incorrect statement.
4 In the third trimester, patients should be encouraged to request help when getting out of the bathtub, so this is a correct statement.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Promote safe and effective self-care practices during pregnancy.

Chapter page reference: 67

Heading: Exercise

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 If the woman was a runner before pregnancy, it is safe for her to continue through pregnancy.
2 Skiing, gymnastics, and other sports that include a risk of falling should be discouraged during pregnancy.
3 Swimming is a safe exercise during pregnancy.
4 Cycling is a safe exercise during pregnancy.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the nutritional needs of the pregnant patient.

Chapter page reference: 71

Heading: Nutrition in Pregnancy

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 Although bacon and eggs are high in protein, foods high in folate are most important for preventing neural tube defects; folate is not found in these foods.
2 Pancakes with syrup and sausage are not high in folate and will not contribute to healthy nutrition to prevent neural tube defects.
3 Although peanuts are high in folate, this is not the best breakfast among those suggested.
4 Cereal is high in folate as are peanuts in peanut butter, so this is the best choice for adequate folate intake to prevent neural tube defects and reflects that the patient understood what she was taught.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Define pica and the dangers for the pregnant patient.

Chapter page reference: 71

Heading: Management of Pica

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 This is a leading question that encourages the woman to say “no.”
2 The nurse’s role is to remain nonjudgmental; using a term such as weird is judgmental and is not likely to elicit an honest response.
3 This question is too broad and is more likely to elicit a response regarding food cravings than what the nurse is trying to assess.
4 This statement is specific to pica, is nonjudgmental, and is open-ended to encourage the woman to share.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the dangers and prevention of viral infections in pregnancy.

Chapter page reference: 69

Heading: Avoiding Viral Infection

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Cytomegalovirus is not caused by contact with cats.
2 Toxoplasmosis can be spread through cat feces and is the appropriate teaching to include for this patient.
3 Rubella is not transmitted through contact with cats.
4 Parvovirus is spread through human contact, not from cats, so it is not the priority teaching for this woman.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the dangers and prevention of viral infections in pregnancy.

Chapter page reference: 69

Heading: Herpes Simplex Virus

Integrated processes: Teaching and Learning

Client need: Reduction of Risk Potential

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 There is no reason to suspect that this newborn will have an increased need for neonatal intensive care.
2 There is no reason to expect this neonate to be at higher risk for a congenital anomaly.
3 Most obstetricians will schedule a Cesarean birth if the woman has active herpes at the due date, so the woman should be prepared for this possibility.
4 There is no need to notify the public health department of the woman’s diagnosis of genital herpes.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Identify risks for the pregnant patient over the age of 35.

Chapter page reference: 73

Heading: Risks for Pregnancy in Patients Older Than Age 35

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Teaching about healthy nutrition is important for all age groups and is not more important for a woman over age 35.
2 Proper self-care should be taught to all age groups and does not take priority in a woman over age 35.
3 Regular prenatal care is an important component of teaching for all age groups, with no greater priority for women over age 35.
4 Chromosomal testing is of particular priority in women over age 35 because of an increased risk in this age group for chromosomal abnormalities.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Teach the pregnant patient about the recommended weight gain in pregnancy.

Chapter page reference: 72

Heading: Recommended Weight Gain

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 A woman with a BMI of 16.5 should not be told to reduce calories.
2 A diet low in sodium is wise for all healthy diets, but a woman with a BMI of 16.5 should not be told to reduce calories.
3 There is no reason to recommend a high-protein, high-fat diet for this patient.
4 A woman with a BMI of 16.5 needs to gain weight and should be encouraged to eat more calories, and all pregnant women should be encouraged to get adequate calcium.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Plan appropriate prenatal care for the pregnant adolescent.

Chapter page reference: 72

Heading: Care of the Pregnant Adolescent

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 It is important for this adolescent to remain hydrated, so this is dangerous advice.
2 Adolescents experience egocentric thinking, in which they consider their experiences unique; so encouraging this patient to attend a group class where discomforts of pregnancy can be shown as common should be the priority of care.
3 The adolescent is aiming for independence, so she should be made responsible for herself rather than using her parents whenever possible.
4 This does not address the issue of the patient thinking frequent urination is abnormal. Also, because the adolescent wants to fit in with peers, it is not a developmentally appropriate response.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Plan appropriate prenatal care for the pregnant adolescent.

Chapter page reference: 72

Heading: Care of the Pregnant Adolescent

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 Although this statement is technically true, it is not the best response to the patient’s question because it does not alleviate her fears or encourage alcohol avoidance.
2 This statement is true, encourages better performance throughout pregnancy, and also introduces the idea that all drugs should be avoided; thus, it is the best response to the patient’s question.
3 Although recent evidence shows this may be true, the nurse does not want to give the patient the impression that occasional alcohol intake is acceptable.
4 This statement will destroy the patient’s trust in the nurse and is not true because the nurse has no legal requirement to report this.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the additional nutritional needs of the pregnant adolescent.

Chapter page reference: 72

Heading: The Nutritional Needs of the Pregnant Adolescent

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Drinking diet soda should be discouraged because chemicals used for sweeteners can be hazardous to the fetus; this statement indicates the need for further teaching.
2 Increasing calcium intake is particularly important in the adolescent, whose bones are still growing, so this is an accurate statement.
3 This statement reflects healthy nutritional choices and should be encouraged.
4 Adolescents need more calcium than the average pregnant patient because their bones are still growing, so this is an accurate statement reflecting a healthy choice.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Identify risks for the pregnant patient over the age of 35.

Chapter page reference: 73

Heading: Care of the Expectant Couple Older Than Age 35

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 When a pregnant patient is classified as AMA, it means she has advanced medical age, generally indicating the woman is over the age of 35.
2 In this context, AMA does not mean “against medical advice.”
3 In this context, AMA does not mean “always making assumptions.”
4 In this context, AMA does not mean “acute myeloid leukemia.”

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Explain the tests used to monitor fetal well-being during the pregnancy.

Chapter page reference: 74

Heading: Fetal Kick Counts

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Because lack of fetal movement has existed for only an hour, other steps should be taken first before seeing the physician, who may or may not order an ultrasound.
2 The fetus has periods of rest in utero, so the woman should be advised to eat and rest and then do another kick count for 1 hour.
3 Because fetal movements have been lacking for only an hour, it is not necessary for the woman to rush to the emergency department.
4 Lack of fetal movements can be a serious problem, so the woman should not wait until tomorrow to do another kick count.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Explain the tests used to monitor fetal well-being during the pregnancy.

Chapter page reference: 75

Heading: Amniocentesis: Explanation

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 An L/S ratio greater than 2:1 indicates mature fetal lungs.
2 An L/S ratio less than 2:1 indicates immature fetal lungs, but that is not the case in this situation.
3 The L/S ratio is not inconclusive but points to specific findings.
4 There is no indication of fetal demise in this L/S ratio.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Compare and contrast the Bradley method and Lamaze method of childbirth education.

Chapter page reference: 78-79

Heading: Lamaze and The Bradley Method

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Integrity

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 The Bradley method discourages use of pain medications, so this statement differentiates it from Lamaze, which helps with pain control but does not promote medication-free labor.
2 The Bradley method does not emphasize breathing but focuses on relaxation, so this indicates the Lamaze method was studied.
3 Both Lamaze and Bradley methods teach relaxation techniques, so this does not emphasize the Bradley method exclusively.
4 Because the Bradley method discourages use of pain medication, this statement indicates another method is being used.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the components of a birth plan.

Chapter page reference: 79

Heading: Birth Plan

Integrated processes: Communication and Documentation

Client need: Physiological Integrity

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 Women often include their preference on induction in the birth plan.
2 Pain management is something that should be included in the birth plan before labor begins so decisions can be made logically.
3 How the woman wants to deliver, whether in a birthing chair, bed, or squatting, should be included in the birth plan.
4 The specific drug used for induction will be determined by the physician on the basis of the woman’s health history and condition and other factors and is not normally included in the birth plan.

 

 

PTS:   1                    CON:  Pregnancy

 

MULTIPLE RESPONSE

 

  1. ANS:  1, 2, 3

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Teach the pregnant patient about the recommended weight gain in pregnancy.

Chapter page reference: 72

Heading: Recommended Weight Gain

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

Feedback
1. This woman has gained almost double what she should for her BMI, causing increased risk of gestational diabetes; her serum glucose levels should be carefully followed.
2. As a result of excessive weight gain, this woman is at increased risk for pregnancy-associated hypertension and should have her blood pressure carefully followed.
3. Excessive weight gain puts this woman at increased risk of gestational diabetes; this will result in glucose spillage into the urine, which should be monitored.
4. Excessive weight gain and obesity are not associated with premature rupture of the membranes.
5. Excessive weight gain is not associated with fetal anomalies.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1, 2, 3

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Discuss the nutritional needs of the pregnant patient.

Chapter page reference: 71

Heading: Nutrition in Pregnancy

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

Feedback
1. Chicken is high in iron and is a good choice.
2. Spinach is high in iron and is a good choice.
3. Dried fruit, such as apricots, is a good choice.
4. Tofu is high in protein, but it is not high in iron and is not a good choice.
5. Milk is high in calcium and vitamin D but is not high in iron and is not a good choice.

 

 

PTS:   1                    CON:  Pregnancy

 

Chapter 7: Nursing Care of the Woman With Complications During Pregnancy

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse provides teaching for a patient with hyperemesis gravidarum and determines further teaching is needed when the patient makes which statement?

1) “I will sip water throughout the day.”
2) “I will call the provider if there is any blood in the vomit.”
3) “I will be sure to eat three good meals a day.”
4) “I will not eat spicy or fatty foods till I feel better.”

 

 

____    2.   The nurse teaches a patient with hyperemesis gravidarum when to notify the provider. The nurse recognizes clarification is needed when the patient says she will notify the provider for which sign?

1) Dark urine
2) Bloody vomit
3) Inability to keep food down for 24 hours
4) Frequent urination

 

 

____    3.   A pregnant woman presents to the clinic at 16 weeks’ gestation with lack of fetal movement. Ultrasonography reveals fetal demise. How does the nurse document this pregnancy?

1) Threatened abortion
2) Inevitable abortion
3) Complete abortion
4) Missed abortion

 

 

____    4.   A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion, with acute vaginal bleeding and abdominal pain accompanied by shoulder pain. What does the nurse suspect as the cause?

1) Threatened abortion
2) Ectopic pregnancy
3) Gestational trophoblastic disease
4) Hyperemesis gravidarum

 

 

____    5.   The nurse is caring for a patient with blood type O-negative following a spontaneous abortion. Which is the priority of care?

1) Providing emotional support
2) Administering oxytocin
3) Notifying the laboratory for a blood type and crossmatch
4) Administering RhoGAM

 

 

____    6.   When discharging a woman following a spontaneous abortion, the nurse instructs her to report which priority complication?

1) Difficulty becoming pregnant again
2) Increased risk of future fetal demise
3) Infection
4) Weakness and lethargy

 

 

____    7.   The nurse caring for a patient 1 hour post-salpingostomy recognizes which priority of care?

1) Psychosocial support
2) Administration of RhoGAM
3) Pain management
4) Fertility planning

 

 

____    8.   When planning care, the nurse recognizes which pregnant woman as being at greatest risk for gestational diabetes?

1) A Caucasian adolescent with a diabetic mother who participates on the high school swim team
2) A 28-year-old Native American whose last pregnancy ended with a stillbirth
3) An African American adolescent with a history of cystic fibrosis and hypertension
4) A 22-year-old Caucasian woman whose last baby weighed 11 lb 3 oz at birth

 

 

____    9.   A nursing assessment reveals heavy vaginal bleeding; a firm, boardlike abdomen; contractions lasting 3 minutes with less than 30 seconds between them; and uterine tenderness in a woman last assessed to be 3 cm dilated and in early labor. Which is the nurse’s priority of care?

1) Frequent vital signs and fetal heart tones
2) Notification of the health-care provider
3) Assessment and documentation of pain levels
4) Providing emotional support

 

 

____  10.   A patient is informed that her pregnancy is a complete molar pregnancy and says to the nurse, “So my baby died?” What is the nurse’s best response?

1) “Yes, I’m afraid that’s true, but you can get pregnant again.”
2) “The pregnancy resulted in the development of a placenta, but there was no baby.”
3) “This is a genetic abnormality that resulted in a nonviable fetus.”
4) “Have you ever experienced a molar pregnancy before?”

 

 

____  11.   The nurse is caring for a patient who is 18 weeks pregnant and has a complete placenta previa. Which risk factor will the nurse assess for?

1) Multiple pregnancies
2) History of premature delivery
3) Endometriosis
4) Excessive exercise

 

 

____  12.   While caring for a patient diagnosed with an ectopic pregnancy, the nurse recognizes which sign as an indication of hypovolemic shock?

1) Elevated blood pressure
2) Decreased heart rate
3) Lethargy
4) Confusion

 

 

____  13.   Which woman is at greatest risk for Rh incompatibility?

1) A mother who has O- blood type, the father has A- blood type
2) A mother who has AB- blood type, the father has O+ blood type
3) A mother who has O+ blood type, the father has B- blood type
4) A mother who has A+ blood type, the father has B+ blood type

 

 

____  14.   The nurse is caring for a pregnant woman with a positive indirect Coombs test and type O- blood. Her last pregnancy resulted in the delivery of an infant with hemolytic anemia. Which is the priority of care?

1) Administer RhoGAM
2) Monitor the woman for anemia
3) Administer immunoglobulin at 28 weeks’ gestation
4) Prepare the patient for premature delivery

 

 

____  15.   The nurse is caring for a woman carrying multiple gestations. When providing nutritional teaching, the nurse encourages which dietary changes?

1) Increased calcium and reduced fat and calories
2) Increased folic acid and calcium and reduced protein
3) Increased calories, protein, and iron
4) Increased fat and calories with reduced protein

 

 

____  16.   The labor nurse admits a patient who is known to be carrying quadruplets at 28 weeks’ gestation and is in active labor. The nursing plan of care will include all of the following except what?

1) Encouraging the woman to verbalize her fears and ask questions
2) Continuous monitoring of fetal heart rates
3) Preparing the woman for prolonged vaginal delivery times
4) Ensuring that extra nurses and physicians will attend the birth

 

 

____  17.   The nurse is caring for one patient with chronic hypertension and another patient with gestational hypertension and recognizes which as the primary difference between the two?

1) The patient with gestational hypertension does not require medication.
2) The patient with chronic hypertension needs to maintain a low-sodium diet.
3) Blood pressure in gestational hypertension returns to normal 12 weeks postpartum.
4) Chronic hypertension carries greater risk of fetal complications.

 

 

____  18.   The nurse is caring for a patient who is in the third trimester of pregnancy and has been diagnosed with severe pre-eclampsia. Which is the nurse’s priority intervention to prevent seizures?

1) Monitoring hourly urine output and protein
2) Monitoring fetal well-being
3) Checking for hyperreflexia
4) Maintaining a low-stimulation environment

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____  19.   The nurse who is caring for a pregnant woman diagnosed with gestational diabetes includes which topics in the teaching plan? (Select all that apply.)

1) Blood sugar monitoring four times a day
2) Eating six meals per day
3) Including carbohydrates with every meal
4) Maintaining blood sugar level at less than 120 mg/dL
5) Reducing daily activity

 

 

____  20.   When caring for a pregnant patient with a history of recreational cocaine use, the nurse recognizes the woman is at risk for which disorders? (Select all that apply.)

1) Placenta previa
2) Placenta abruption
3) Placenta accreta
4) Hydatidiform mole
5) Pre-eclampsia

 

Chapter 7: Nursing Care of the Woman With Complications During Pregnancy

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Discuss the nursing care of a patient experiencing hyperemesis gravidarum.

Chapter page reference:  82

Heading: Hyperemesis Gravidarum: Patient Teaching

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 This is a good plan to maintain hydration and does not demonstrate the need for further teaching.
2 This is an appropriate statement and does not reflect the need for further teaching.
3 The patient would be better off eating several small meals than eating three large meals, so this statement reflects the need for further teaching.
4 This is an appropriate statement because spicy and fatty foods increase nausea and vomiting, so this does not demonstrate the need for further teaching.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Discuss the nursing care of a patient experiencing hyperemesis gravidarum.

Chapter page reference: 83

Heading: Hyperemesis Gravidarum: Patient Teaching

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Dark urine indicates dehydration and is appropriate to report to the provider.
2 Bloody vomit is a sign requiring notification of the provider.
3 Inability to keep food down for 24 hours is something the provider should be informed of.
4 Frequent urination is common in pregnancy and is not a sign that needs to be reported to the provider.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Identify bleeding complications of early and late pregnancy.

Chapter page reference: 83

Heading: Abortion: Incidence and Risk Factors

Integrated processes: Communication and Documentation

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 A threatened abortion is demonstrated by vaginal bleeding and possible abdominal cramping that may or may not result in the loss of pregnancy; it does not apply to this situation.
2 An inevitable abortion occurs when the cervix dilates and the amniotic membranes rupture with the fetus and placenta expelled, which does not apply to this situation.
3 A complete abortion occurs when all uterine contents are expelled and cramping and bleeding stop without intervention, which does not apply to this situation.
4 This woman has experienced a missed abortion, finding fetal death during the first half of pregnancy without expelling the dead fetus.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Identify bleeding complications of early and late pregnancy.

Chapter page reference: 84

Heading: Ectopic Pregnancy: Signs and Symptoms

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 The patient’s symptoms are serious and point to a diagnosis other than a threatened abortion.
2 The patient’s history and signs and symptoms all point to a likely diagnosis of ectopic pregnancy.
3 These symptoms are not expected and do not indicate a likely diagnosis of gestational trophoblastic disease.
4 Hyperemesis gravidarum does not present with the signs and symptoms described in this scenario.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Recognize signs of complications following a spontaneous abortion.

Chapter page reference: 84

Heading: Abortion: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Although providing emotional support is an essential of nursing care, it is not the priority of care.
2 A spontaneous abortion indicates expulsion of all products of conception, so oxytocin is not needed.
3 There is no indication of excessive blood loss or the need for blood transfusions, so a type and crossmatch are not indicated.
4 Administration of RhoGAM is the priority of care because it must be administered within 72 hours to avoid problems with future pregnancies.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Recognize signs of complications following a spontaneous abortion.

Chapter page reference: 84

Heading: Abortion: Medical Care

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 A spontaneous abortion should not make becoming pregnant more difficult, although the patient may be advised to avoid becoming pregnant until her body recovers.
2 A spontaneous abortion does not mean there is increased risk for fetal demise.
3 Infection is a potential complication following a spontaneous abortion, so the nurse should teach the patient the signs and symptoms of infection and the need to report them to her provider.
4 Weakness and lethargy may be experienced immediately after delivery, particularly with significant blood loss, but this is not the priority complication to report.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Discuss the nursing care for the patient following a ruptured ectopic pregnancy.

Chapter page reference: 85

Heading: Ectopic Pregnancy: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Basic Care and Comfort

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 Although psychosocial support is a component of the plan of care, it is not the priority in the first hour postoperatively.
2 Administering RhoGAM may be indicated, but further information regarding the patient’s blood type is needed before determining if this should be in the plan of care.
3 Pain management following surgery is the priority of care.
4 Fertility planning may or may not be necessary, but it is not the priority of care within 1 hour of surgery.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Outline the nurse’s role in assessment, managing care, and patient teaching for a patient with gestational diabetes.

Chapter page reference: 99

Heading: Incidence and Risk Factors

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 The Caucasian adolescent’s only risk factor is having a diabetic mother, so this is not the patient at greatest risk for gestational diabetes.
2 The 28-year-old Native American has risk factors due to age and ethnicity as well as increased risk due to the stillbirth she experienced with her last pregnancy, so she is at highest risk.
3 The African American adolescent is at risk only as a result of her ethnicity, because cystic fibrosis and hypertension do not increase the risk for gestational diabetes.
4 The 22-year-old Caucasian woman whose last baby weighed 11 lb 3 oz is at risk only because her last baby’s weight was over 9 pounds at birth, so she is not at greatest risk.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Provide safe and effective nursing care for patients experiencing a placental abnormality such as a previa, abruption, and accreta.

Chapter page reference: 89

Heading: Placental Abruption: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 Although vital signs and fetal heart tones should be measured frequently, this is not the priority of care.
2 It is important to notify the health-care provider immediately because the symptoms indicate a placental abruption in the woman, which likely requires an emergency cesarean section.
3 Although the pain level should be assessed and documented, this is not the priority of care.
4 Emotional support should be provided, but this is not the priority of care.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Explain hydatidiform mole and usual medical treatment and nursing care.

Chapter page reference: 85-86

Heading: Gestational Trophoblastic Disease

Integrated processes: Communication Documentation

Client need: Physiological Integrity

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 If it was a complete molar pregnancy, there never was a baby, so this is an inaccurate statement.
2 This statement adequately explains what is meant by a complete molar pregnancy.
3 Because the fetus never developed, this is an inaccurate statement.
4 This question does not address the patient’s statement.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Compare and contrast the placental abnormalities of previa, abruption, and accreta.

Chapter page reference: 87

Heading: Placenta Previa: Incidence and Risk Factors

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Multiple pregnancies are associated with placenta accreta, not placenta previa.
2 History of premature delivery is not associated with placenta previa.
3 Endometriosis can cause uterine scarring, resulting in placenta previa, so this is an important risk factor to assess for.
4 Excessive exercise is not associated with placenta previa.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Identify signs of hypovolemic shock due to blood loss from bleeding complications of pregnancy.

Chapter page reference: 85

Heading: Ectopic Pregnancy: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 Blood pressure decreases with hypovolemic shock.
2 Heart rate increases when a patient is in hypovolemic shock.
3 Restlessness is more likely than lethargy when a patient is in hypovolemic shock.
4 Confusion can be a late indicator that inadequate blood is circulating to the brain secondary to hypovolemic shock.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Summarize the management of patients with Rh incompatibility.

Chapter page reference: 89 and 91

Heading: Care of the Woman With Rh Incompatibility Between Maternal and Fetal Blood

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 If both the mother and father have an absence of Rh factor, indicated by a negative blood type, there is no risk for Rh incompatibility.
2 When the mother’s blood type is Rh negative and the father’s is Rh positive, there is an increased risk for Rh incompatibility.
3 When the mother is Rh positive, there is little risk for Rh incompatibility.
4 When the mother is Rh positive, there is little risk for Rh incompatibility.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Summarize the management of patients with Rh incompatibility.

Chapter page reference: 89 and 91

Heading: Care of the Woman With Rh Incompatibility Between Maternal and Fetal Blood: Medical Care

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 Because sensitization has already occurred, as indicated by the positive indirect Coombs test, administration of RhoGAM is too late.
2 Rh incompatibility does not impact the woman, so she is at no greater risk for anemia.
3 Immunoglobulin is administered at 28 weeks to prevent the formation of antibodies against Rh-positive blood and to help prevent the fetus from developing complications of hemolytic anemia.
4 There is no reason to anticipate premature delivery at this time.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Outline a plan of care for women pregnant with multiple gestations.

Chapter page reference: 91-92

Heading: Care of the Woman With Multiple Gestations: Medical Management

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 The woman carrying multiple gestations should not reduce fat and calories but does require additional calcium.
2 The woman carrying multiple gestations needs increased calcium and folic acid but should not reduce protein.
3 The woman carrying multiple gestations requires increased calories, protein, and iron.
4 Calories and protein should be increased, but care should be taken to increase fat intake related only to healthy fats.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Outline a plan of care for women pregnant with multiple gestations.

Chapter page reference:  91-92

Heading: Care of the Woman With Multiple Gestations: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

  Feedback
1 The woman in preterm labor carrying multiple gestations is likely to be fearful about outcomes and should be encouraged to verbalize her fears and ask questions.
2 It is important to monitor all fetal heart rates continuously because of the high risk of complications.
3 A woman carrying multiple gestations is far more likely to require a Cesarean section than to deliver vaginally, and the patient should be prepared for this likelihood.
4 One nurse and one physician will be needed to attend each of the infants when they are born, so it is important for the labor nurse to arrange for extra help.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Develop a plan of care for a patient experiencing pregnancy-related hypertensive disorders.

Chapter page reference: 94-95

Heading: Care of the Woman With Hypertension Disorders: Gestational Hypertension and Chronic Hypertension

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

  Feedback
1 The decision to treat hypertension with medication is dependent on the severity of the elevation and is not impacted by whether the elevated blood pressure is gestational or chronic.
2 Both the patient with gestational hypertension and the patient with chronic hypertension should maintain a low-sodium diet as a means of controlling blood pressure.
3 Chronic hypertension does not go away after delivery, but gestational hypertension will improve approximately 12 weeks postpartum.
4 Neither form of hypertension should cause fetal complications if it is appropriately controlled, and both can cause complications if they are not controlled.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Develop a plan of care for a patient experiencing pregnancy-related hypertensive disorders.

Chapter page reference: 96

Heading: Preeclampsia: Nursing Care

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Difficult

 

  Feedback
1 Although monitoring urine output and urine protein is an important intervention to monitor progression of pre-eclampsia, this is not the priority intervention to prevent seizures.
2 It is important to monitor fetal well-being because of the risk of complications in the patient with pre-eclampsia, but this is not the priority intervention to prevent seizures.
3 Checking for hyperreflexia is important to determine the severity of pre-eclampsia, but is not the priority intervention to prevent seizures.
4 Maintaining a quiet, low-stimuli environment is one of the most important nursing interventions to prevent seizures in addition to administering IV magnesium.

 

 

PTS:   1                    CON:  Pregnancy

 

MULTIPLE RESPONSE

 

  1. ANS:  2, 3, 4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Outline the nurse’s role in assessment, managing care, and patient teaching for a patient with gestational diabetes.

Chapter page reference: 100-101

Heading: Recommended Therapies

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

Feedback
1. Blood sugar should be tested upon awakening, before and after meals, and before bed, so four times a day is not adequate.
2. The woman should be encouraged to eat six meals a day, with three major meals and three snacks.
3. Carbohydrates should be limited to less than 50% of the meal but should be included with every meal.
4. Ideal blood sugar levels range between 70 and 120 mg/dL.
5. The woman should be encouraged to exercise at least 30 minutes per day and should not be taught to reduce daily activity.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1, 2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Compare and contrast the placental abnormalities of previa, abruption, and accreta.

Chapter page reference: 87 and 89

Heading: Placenta Previa and Placenta Abruption

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

Feedback
1. Use of cocaine is a risk factor for developing placenta previa.
2. Use of cocaine is a risk factor for developing placental abruption.
3. Placenta accreta is not associated with use of cocaine.
4. Hydatidiform mole is not associated with recreational cocaine use.
5. Pre-eclampsia is not associated with recreational cocaine use, although the drug can cause hypertension.

 

 

PTS:   1                    CON:  Pregnancy