NUR 2214 Practice questions ob test

NUR 2214 Practice questions ob test Hypertension - Deficient fluid volume related to a fluid shift from intravascular space into the tissues - Injury to the fetus related to decreased placental perfusion (growth restriction, decreased fetal movement, chronic hypoxia) - Decreased tissue perfusion related to excessive edema - Risk for preeclampsia/eclampsia - Monitor diet/fluid intake - Decreased placental perfusion Select all that apply: If a patient is admitted with severe preeclampsia, what are the priority nursing interventions? a. Strict blood pressure monitoring b. Test urine for protein c. Increase sodium intake d. Encourage strict bed rest e. Encourage 30 minutes of moderate exercise a day Correct Answers: A, B, D Rationale: Pre-eclampsia is defined as high blood pressure during pregnancy. It can develop rapidly. Diagnosis for severe pre-eclampsia is proteinuria greater than 5 grams in a 24 hour urine collection. Bedrest to reduce stress on mother and fetus and helps keep BP within a safe range. Which statement from the client at 30 weeks gestation indicates need for further education regarding her hypertension during pregnancy? a. "I need to control my hypertension to decrease negative effects on my baby." b. "I should report edema of my hands and face to my doctor." c. "Spotty vision and ringing in my ears is a normal physiologic change during pregnancy due to hormonal changes." d. "It is normal if I gain 1lb each week." Correct Answer: C Rationale: Spotty vision and ringing in ears are signs of pre-eclampsia/uncontrolled HTN Kick Counts - If you don't feel at least 10 movements in three hour period, notify HCP. Concerns would be intrauterine growth restriction, maternal hypoglycemia causing fetal hypoglycemia (severe hypoglycemia furthers possibility of fetal demise), and fetal hypoxia. When educating the expectant mother on measuring kick counts, what response indicates need for further teaching? a. The sleep and wake cycles can affect how many kicks the mother feels. b. Cigarette smoking and drugs will affect the kick counts. c. I will contact my HCP if I feel less than 10 fetal movements in 3 hours. d. I will count fetal movement throughout the day starting at 20 weeks. Correct Answer: D Rationale: The patient will begin to count fetal movement at 28 weeks not 20 weeks. The patient needs to count at the same time every day. Ectopic Pregnancy A 27 y/o female at 18 weeks gestation presents to the Emergency Department and is diagnosed with an Ectopic Pregnancy. Common findings that accompany this condition include: (Select all that apply) a. Abdominal cramping b. Urinary frequency c. Vaginal bleeding d. Dizziness or weakness