Maternity Exam 1
A client has come to the office for a PN visit during her 22nd week of gestation. On
examination, it is noted that her BP has increased to 138/90. Her urine is negative for
proteinuria. The nurse recognizes which factor as the potential cause? - ANS-Gestational
hypertension
\A CV parameter that normally decreases during pregnancy is: - ANS-Systemic vascular
resistance
\A feeling that is expressed by many women when they find out they are pregnant is: -
ANS-Joy, ambivalence, surprise
\A nurse is teaching a woman diagnosed with gestational diabetes about checking her blood
glucose. The nurse instructs the patient that a blood glucose level of which value indicates
hypoglycemia? - ANS-Less than 60mg/dL
\A nursing group is examining their hospital's maternal outcomes for the previous 5 years.
Which identified factors have contributed to the decline in the maternal mortality rate?
SELECT ALL - ANS--Increased participation of women in PN care
-Increased numbers of doulas during labor
-Closer monitoring for complications associated with HTN of pregnancy
\A patient who is 14 weeks pregnant is being admitted to the hospital for hyperemesis
gravidarum. What would the admitting nurse expect to include in the client's plan of care? -
ANS-NPO
\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? - ANS-Seek immediate medical attention and bring the expressed vaginal material
\A patient with gestational diabetes controlled with insulin reports significant nausea and
vomiting. The nurse understands that the patient should be educated that her insulin should
be - ANS-Based on a sliding scale
\A patient's BP is 138/96 at her 16 week PN visit and 140/90 at her follow visit at 17 weeks
gestation. The nurse evaluates this change based on which statements concerning BP
during pregnancy? - ANS-An elevated BP before 20 weeks of pregnancy is chronic rather
than gestation HTN
\A pregnant woman is scheduled for chorlonic villus sampling. The nurse is describing the
procedure and the potential for complications. When providing care to the patient after the
testing, the nurse would be alert for which complications as the most common? SELECT
ALL - ANS--Vaginal cramping
-Cramping
\A pregnant woman should immediately report which of the following to her HC provider? -
ANS-Abdominal pain
\A woman at 25 weeks gestation presents with a BP of 152/99, pulse 78, no edema, and
urine negative for protein. What would the nurse do next? - ANS-Notify the HC provider
\A woman is admitted to the labor and delivery unit with a diagnosis of complete placenta
abruptio. The nurse knows that the first nursing action is to: - ANS-Start an IV
\A woman is advised to have an amniocentesis after an inconclusive CV's procedure. The
woman states she does not want any further PN testing. The nurse's best response to her
A client has come to the office for a PN visit during her 22nd week of gestation. On
examination, it is noted that her BP has increased to 138/90. Her urine is negative for
proteinuria. The nurse recognizes which factor as the potential cause? - ANS-Gestational
hypertension
\A CV parameter that normally decreases during pregnancy is: - ANS-Systemic vascular
resistance
\A feeling that is expressed by many women when they find out they are pregnant is: -
ANS-Joy, ambivalence, surprise
\A nurse is teaching a woman diagnosed with gestational diabetes about checking her blood
glucose. The nurse instructs the patient that a blood glucose level of which value indicates
hypoglycemia? - ANS-Less than 60mg/dL
\A nursing group is examining their hospital's maternal outcomes for the previous 5 years.
Which identified factors have contributed to the decline in the maternal mortality rate?
SELECT ALL - ANS--Increased participation of women in PN care
-Increased numbers of doulas during labor
-Closer monitoring for complications associated with HTN of pregnancy
\A patient who is 14 weeks pregnant is being admitted to the hospital for hyperemesis
gravidarum. What would the admitting nurse expect to include in the client's plan of care? -
ANS-NPO
\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? - ANS-Seek immediate medical attention and bring the expressed vaginal material
\A patient with gestational diabetes controlled with insulin reports significant nausea and
vomiting. The nurse understands that the patient should be educated that her insulin should
be - ANS-Based on a sliding scale
\A patient's BP is 138/96 at her 16 week PN visit and 140/90 at her follow visit at 17 weeks
gestation. The nurse evaluates this change based on which statements concerning BP
during pregnancy? - ANS-An elevated BP before 20 weeks of pregnancy is chronic rather
than gestation HTN
\A pregnant woman is scheduled for chorlonic villus sampling. The nurse is describing the
procedure and the potential for complications. When providing care to the patient after the
testing, the nurse would be alert for which complications as the most common? SELECT
ALL - ANS--Vaginal cramping
-Cramping
\A pregnant woman should immediately report which of the following to her HC provider? -
ANS-Abdominal pain
\A woman at 25 weeks gestation presents with a BP of 152/99, pulse 78, no edema, and
urine negative for protein. What would the nurse do next? - ANS-Notify the HC provider
\A woman is admitted to the labor and delivery unit with a diagnosis of complete placenta
abruptio. The nurse knows that the first nursing action is to: - ANS-Start an IV
\A woman is advised to have an amniocentesis after an inconclusive CV's procedure. The
woman states she does not want any further PN testing. The nurse's best response to her
