Test Bank for Chapter 5. Nursing Care of Women with Complications during Pregnancy

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 40



Chapter 05: Nursing Care of Women with Complications During
Pregnancy
MULTIPLE CHOICE

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.

ANS: B
Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with
hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta.

DIF: Cognitive Level: Comprehension REF: Page 85
OBJ: 4 TOP: Hyperemesis
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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

ANS: B NURSINGTB.COM
Signs and symptoms of an incomplete abortion are similar to those of an inevitable abortion, but some tissue is
passed.

DIF: Cognitive Level: Comprehension REF: Page 90
OBJ: 4 TOP: Incomplete Abortion
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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. Im here if you need to talk.
d. You are young and strong. I know you can have a healthy pregnancy.

ANS: C
An effective technique when communicating with a woman experiencing pregnancy loss is to say, Im here if
you need to talk. The nurse listens and acknowledges the womans grief.

DIF: Cognitive Level: Application REF: Page 91
TOP: Dilation and Evacuation (D&E) KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

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.




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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 41


d. The embryo is implanted in the fallopian tube.

ANS: D
Ectopic pregnancy occurs when the fertilized ovum is implanted outside of the uterine cavity.

DIF: Cognitive Level: Comprehension REF: Page 92
TOP: Ectopic Pregnancy KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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

ANS: D
A total placenta previa describes a condition in which the placenta completely covers the cervical opening.

DIF: Cognitive Level: Comprehension REF: Page 94
TOP: Placenta Previa KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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

ANS: C NURSINGTB.COM
Bleeding accompanied by abdominal or lower back pain is a typical manifestation of abruptio placentae.

DIF: Cognitive Level: Knowledge REF: Page 95
TOP: Abruptio Placenta KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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

ANS: A
Rh incompatibility can occur only if the mother is Rh negative and the fetus is Rh positive.

DIF: Cognitive Level: Analysis REF: Page 101
TOP: Rh Incompatibility KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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

ANS: C
An Rh-negative woman would receive Rh immune globulin at 28 weeks of gestation and within 72 hours after
the birth of an Rh-positive infant or abortion.





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