NURS 215 - EXAM 3 - CHAPTERS 20, 24, AND 25
QUESTIONS WITH ACCURATE ANSWERS
Ch. 20
1. A young mother gives birth to twin boys who shared the same placenta. What
serious complication are they at risk for?
A) Twin-to-twin transfusion syndrome (TTTS)
B) HELLP syndrome
C) TORCH syndrome
D) ABO incompatibility correct answer ANS: A
Ch. 20
2. Why is a woman with a molar pregnancy at risk for disseminated intravascular
coagulation (DIC)?
A) Molar tissue releases substances that increase clotting factors
B) Molar tissue releases substances that break down clotting factors
C) Molar tissue inhibits the production of vitamin K
D) Molar tissue causes emboli to form within the uterus correct answer ANS: D
Ch. 20
3. A woman with severe preeclampsia is receiving magnesium sulfate. The
woman's serum magnesium level is 9.0 mEq/L. Which finding would the nurse
most likely note?
,A) diminished reflexes
B) elevated liver enzymes
C) seizures
D) serum magnesium level of 6.5 mEq/L correct answer ANS: A
Ch. 20
4. A woman pregnant with twins comes to the clinic for an evaluation. The nurse
closely assesses the client for which potential problem?
A) oligohydramnios
B) preeclampsia
C) post-term labor
D) chorioamnionitis correct answer ANS: B
Ch. 20
5. A student nurse asks the instructor what percentage of clinically recognized
pregnancies end in miscarriages during the first trimester. Which response from
the nurse is the most accurate?
A) 5% to 10%
B) 15% to 20%
C) 21% to 30%
D) 31% to 40% correct answer ANS: B
Ch. 20
, 6. A patient who is 16 weeks pregnant is passing pieces of body tissue along with
blood clots and dark red blood from the vagina. What should the nurse direct the
patient to do at this time?
A) Begin immediate bed rest.
B) Count the number of perineal pads that are saturated with blood.
C) Continue with normal daily activity and monitor pulse rate every hour.
D) Seek immediate medical attention and bring the expressed vaginal material.
correct answer ANS: D
Ch. 20
7. Which assessment findings, experienced by the client at 36 weeks' gestation,
would the nurse document as diagnostic signs of severe preeclampsia? Select all
that apply.
A) blood pressure of 164/110 mm Hg
B) elevated liver enzymes
C) edema
D) +1 proteinuria
E) Elevated serum creatinine correct answer ANS: A, B, D, E
Ch. 20
8. A nurse is caring for a client undergoing treatment for ectopic pregnancy.
Which symptom is observed in a client if rupture or hemorrhaging occurs before
the ectopic pregnancy is successfully treated?
QUESTIONS WITH ACCURATE ANSWERS
Ch. 20
1. A young mother gives birth to twin boys who shared the same placenta. What
serious complication are they at risk for?
A) Twin-to-twin transfusion syndrome (TTTS)
B) HELLP syndrome
C) TORCH syndrome
D) ABO incompatibility correct answer ANS: A
Ch. 20
2. Why is a woman with a molar pregnancy at risk for disseminated intravascular
coagulation (DIC)?
A) Molar tissue releases substances that increase clotting factors
B) Molar tissue releases substances that break down clotting factors
C) Molar tissue inhibits the production of vitamin K
D) Molar tissue causes emboli to form within the uterus correct answer ANS: D
Ch. 20
3. A woman with severe preeclampsia is receiving magnesium sulfate. The
woman's serum magnesium level is 9.0 mEq/L. Which finding would the nurse
most likely note?
,A) diminished reflexes
B) elevated liver enzymes
C) seizures
D) serum magnesium level of 6.5 mEq/L correct answer ANS: A
Ch. 20
4. A woman pregnant with twins comes to the clinic for an evaluation. The nurse
closely assesses the client for which potential problem?
A) oligohydramnios
B) preeclampsia
C) post-term labor
D) chorioamnionitis correct answer ANS: B
Ch. 20
5. A student nurse asks the instructor what percentage of clinically recognized
pregnancies end in miscarriages during the first trimester. Which response from
the nurse is the most accurate?
A) 5% to 10%
B) 15% to 20%
C) 21% to 30%
D) 31% to 40% correct answer ANS: B
Ch. 20
, 6. A patient who is 16 weeks pregnant is passing pieces of body tissue along with
blood clots and dark red blood from the vagina. What should the nurse direct the
patient to do at this time?
A) Begin immediate bed rest.
B) Count the number of perineal pads that are saturated with blood.
C) Continue with normal daily activity and monitor pulse rate every hour.
D) Seek immediate medical attention and bring the expressed vaginal material.
correct answer ANS: D
Ch. 20
7. Which assessment findings, experienced by the client at 36 weeks' gestation,
would the nurse document as diagnostic signs of severe preeclampsia? Select all
that apply.
A) blood pressure of 164/110 mm Hg
B) elevated liver enzymes
C) edema
D) +1 proteinuria
E) Elevated serum creatinine correct answer ANS: A, B, D, E
Ch. 20
8. A nurse is caring for a client undergoing treatment for ectopic pregnancy.
Which symptom is observed in a client if rupture or hemorrhaging occurs before
the ectopic pregnancy is successfully treated?
