OB Final Exam 4 Questions And All
Correct Answers.
The nurse is caring for a client with preeclampsia who is receiving an intravenous (IV) magnesium sulfate
(Sulfamag) infusion. The nurse assesses the client every 20 minutes. Which maternal findings require
immediate intervention by the nurse?
A. DTR 2+
B. urinary output of 30mL/hr
C. BP 130/90
D. RR of 9 breaths per minute - Answer D. Respiratory rate of 9 breaths per minute
What does the nurse tell a pregnant client with genital herpes simplex virus (HSV) infection about the
risk or adverse effect on her pregnancy?
A."There is a high probability of stillbirth."
B. "The infant may have neonatal herpes after birth."
C. "There is a risk for miscarriage in the last trimester."
D. "There is no potential risk for a congenital infection. - Answer B. "The infant may have neonatal
herpes after birth."
Stillbirth is not a complication, there is an increased risk of miscarriage in the first trimester, congenital
infection is rare but sometimes possible.
Which hypertensive disorders can occur during pregnancy? Select all that apply.
A. Chronic hypertension
,B. Preeclampsia-eclampsia
C. Hyperemesis gravidarum
D. Gestational hypertension
E. Gestational trophoblastic disease - Answer A. Chronic hypertension
B. Preeclampsia-eclampsia
C. Hyperemesis gravidarum
Chronic HTN refers to HTN that developed in the pregnant patient before 20 weeks of gestation.
Preeclampsia refers to HTN and proteinuria that develops 20 weeks after gestation. Eclampsia is the
onset of seizure activity in a pregnant patient with preeclampsia. Gestational HTN is the onset of HTN
after 20 weeks of gestation. Gestational trophoblastic disease and hyperemesis gravidarum are not
hypertensive disorders. Gestational trophoblastic disease refers to a disorder without a viable fetus that
is caused by abnormal fertilization. Hyperemesis gravidarum is excessive vomiting during pregnancy that
may result in weight loss and electrolyte imbalance.
Which instructions does the nurse give to a client who is prescribed methotrexate therapy for dissolving
the tubal pregnancy?
A. "Discontinue folic acid supplements."
B. "Get adequate exposure to sunlight."
C. "Take stronger analgesics for severe pain."
D. "Vaginal intercourse is safe during the therapy." - Answer A. "Discontinue folic acid supplements."
The nurse advises the client to discontinue folic acid supplements, because they interact with
methotrexate and may exacerbate ectopic rupture in the patient. Exposure to sunlight is avoided,
because the therapy makes the patient photosensitive. Analgesics stronger than acetaminophen are
avoided, because they may mask symptoms of tubal rupture. Vaginal intercourse is avoided until the
pregnancy is dissolved completely.
, What are the manifestations of HELLP syndrome?
A. Hemolysis
B. Tachycardia
C. Hyperventilation
D. Low platelet count
E. Elevated liver enzymes - Answer A. Hemolysis
D. Low platelet count
E. Elevated liver enzymes
HELLP syndrome is a serious condition that may develop during pregnancy in a client with preeclampsia.
It is characterized by hemolysis due to the breakdown of red blood cells. The client may have a low
platelet count, increasing the risk of bleeding and elevated liver enzymes due to impaired functioning of
the liver. HELLP is not associated with an increase in heart rate, and may not result in tachycardia. The
pulmonary functioning is not impaired in the client with HELLP syndrome. Therefore, hyperventilation is
not a manifestation of HELLP syndrome.
A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8
hours. The nurse assesses the woman and documents the following findings: temperature 37.1° C, pulse
rate 96 beats/min, respiratory rate 24 breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon
reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for what?
A. Hydralazine
B. Magnesium sulfate bolus
C. Diazepam
Correct Answers.
The nurse is caring for a client with preeclampsia who is receiving an intravenous (IV) magnesium sulfate
(Sulfamag) infusion. The nurse assesses the client every 20 minutes. Which maternal findings require
immediate intervention by the nurse?
A. DTR 2+
B. urinary output of 30mL/hr
C. BP 130/90
D. RR of 9 breaths per minute - Answer D. Respiratory rate of 9 breaths per minute
What does the nurse tell a pregnant client with genital herpes simplex virus (HSV) infection about the
risk or adverse effect on her pregnancy?
A."There is a high probability of stillbirth."
B. "The infant may have neonatal herpes after birth."
C. "There is a risk for miscarriage in the last trimester."
D. "There is no potential risk for a congenital infection. - Answer B. "The infant may have neonatal
herpes after birth."
Stillbirth is not a complication, there is an increased risk of miscarriage in the first trimester, congenital
infection is rare but sometimes possible.
Which hypertensive disorders can occur during pregnancy? Select all that apply.
A. Chronic hypertension
,B. Preeclampsia-eclampsia
C. Hyperemesis gravidarum
D. Gestational hypertension
E. Gestational trophoblastic disease - Answer A. Chronic hypertension
B. Preeclampsia-eclampsia
C. Hyperemesis gravidarum
Chronic HTN refers to HTN that developed in the pregnant patient before 20 weeks of gestation.
Preeclampsia refers to HTN and proteinuria that develops 20 weeks after gestation. Eclampsia is the
onset of seizure activity in a pregnant patient with preeclampsia. Gestational HTN is the onset of HTN
after 20 weeks of gestation. Gestational trophoblastic disease and hyperemesis gravidarum are not
hypertensive disorders. Gestational trophoblastic disease refers to a disorder without a viable fetus that
is caused by abnormal fertilization. Hyperemesis gravidarum is excessive vomiting during pregnancy that
may result in weight loss and electrolyte imbalance.
Which instructions does the nurse give to a client who is prescribed methotrexate therapy for dissolving
the tubal pregnancy?
A. "Discontinue folic acid supplements."
B. "Get adequate exposure to sunlight."
C. "Take stronger analgesics for severe pain."
D. "Vaginal intercourse is safe during the therapy." - Answer A. "Discontinue folic acid supplements."
The nurse advises the client to discontinue folic acid supplements, because they interact with
methotrexate and may exacerbate ectopic rupture in the patient. Exposure to sunlight is avoided,
because the therapy makes the patient photosensitive. Analgesics stronger than acetaminophen are
avoided, because they may mask symptoms of tubal rupture. Vaginal intercourse is avoided until the
pregnancy is dissolved completely.
, What are the manifestations of HELLP syndrome?
A. Hemolysis
B. Tachycardia
C. Hyperventilation
D. Low platelet count
E. Elevated liver enzymes - Answer A. Hemolysis
D. Low platelet count
E. Elevated liver enzymes
HELLP syndrome is a serious condition that may develop during pregnancy in a client with preeclampsia.
It is characterized by hemolysis due to the breakdown of red blood cells. The client may have a low
platelet count, increasing the risk of bleeding and elevated liver enzymes due to impaired functioning of
the liver. HELLP is not associated with an increase in heart rate, and may not result in tachycardia. The
pulmonary functioning is not impaired in the client with HELLP syndrome. Therefore, hyperventilation is
not a manifestation of HELLP syndrome.
A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8
hours. The nurse assesses the woman and documents the following findings: temperature 37.1° C, pulse
rate 96 beats/min, respiratory rate 24 breaths/min, blood pressure 155/112 mm Hg, 3+ deep tendon
reflexes, and no ankle clonus. The nurse calls the physician, anticipating an order for what?
A. Hydralazine
B. Magnesium sulfate bolus
C. Diazepam
