Clinical Nursing Basic Care and Vocab, HOSA Questions
With Complete Solutions
Nurses caring for antepartum women with cardiac conditions
should be aware that
Women with Class II cardiac disease should avoid heavy
exertion and any activitythat causes even minor symptoms
As related to the care of the patient with anemia, the nurse
should be aware that
It is the most common medical disorder of pregnancy
The most common neurologic disorder accompanying
pregnancy is
Epilepsy
With one exception, the safest pregnancy is one in which the
woman is drug and alcohol free. For women addicted to opioids,
________________________ treatment is the current standard
of care during pregnancy.
Methadone maintenance
Which factor is known to increase the risk of gestational
diabetes mellitus?
Previous birth of large infant
,To manage her diabetes appropriately and ensure a good fetal
outcome, the pregnant woman with diabetes will need to alter
her diet by
Eating her meals and snacks on a fixed schedule
When the pregnant diabetic woman experiences hypoglycemia
while hospitalized, the nurse should intervene by having the
patient
Eat six saltine crackers
In caring for an immediate after birth patient, you note petechiae
and oozing from her IV site. You would monitor her closely for
the clotting disorder
Disseminated intravascular coagulation (DIC)
The labor of a pregnant woman with preeclampsia is going to be
induced. Before initiating the Pitocin infusion, the nurse reviews
the woman's latest laboratory test findings, which reveal a
platelet count of 90,000, an elevated aspartate transaminase
(AST) level, and a falling hematocrit. The nurse notifies the
physician because the laboratory results are indicative of
HELLP syndrome.
A woman with preeclampsia has a seizure. The nurse's primary
duty during the seizure is to
Stay with the client and call for help.
Magnesium sulfate is given to women with preeclampsia and
eclampsia to
Prevent and treat convulsions.
,A laboring woman with no known risk factors suddenly
experiences spontaneous rupture of membranes (ROM). The
fluid consists of bright red blood. Her contractions are consistent
with her current stage of labor. There is no change in uterine
resting tone. The fetal heart rate begins to decline rapidly after
the ROM. The nurse should suspect the possibility of
Vasa previa.
As related to the care of the patient with miscarriage, nurses
should be aware that
If it occurs before the twelfth week of pregnancy, it may
manifest only as moderate discomfort and blood loss.
Spontaneous termination of a pregnancy is considered to be an
abortion if
The pregnancy is less than 20 weeks.
A 32-year-old primigravida is admitted with a diagnosis of
ectopic pregnancy. Nursing care is based on the knowledge that
Hemorrhage is the major concern.
The nurse caring for a woman hospitalized for hyperemesis
gravidarum should expect that initial treatment to involve
IV therapy to correct fluid and electrolyte imbalances.
, When assessing the fetus using Leopold maneuvers, the nurse
feels a round, firm, movable fetal part in the fundal portion of
the uterus and a long, smooth surface in the mother's right side
close to midline. What is the likely position of the fetus?
RSA
The nurse has received report regarding her patient in labor. The
woman's last vaginal examination was recorded as 3 cm, 30%,
and -2. The nurse's interpretation of this assessment is that
The cervix is 3 cm dilated, it is effaced 30%, and the presenting
part is 2 cm above the ischial spines.
The nurse would expect which maternal cardiovascular finding
during labor?
Increased cardiac output
The factors that affect the process of labor and birth, known
commonly as the five Ps, include all except
Pressure
While providing care to a patient in active labor, the nurse
should instruct the woman that