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MCN 538 Exam 2 Actual Exam Newest 2025/2026
Complete Questions And Correct Detailed Answers
(Verified Answers) |Newest Exam Version!!!
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? - Answer-Dehydration which impairs perfusion
of the placenta and electrolyte and acid-base imbalance.
(There are others but these are the two she said we
needed to know for the test).
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? - Answer-Incomplete
Abortion
What is a statement that gives an explanation of an
ectopic pregnancy? - Answer-When the fertilized ovum
(zygote) is implanted outside the uterine cavity.
An ultrasound on a woman who is 32 weeks pregnant
reveals the placenta implanted over the entire cervical os.
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What does the nurse understand best describes this
condition? - Answer-Placenta previa
What symptom presented by a pregnant women is
indicative of abruptio placentae? - Answer-Pain and
bleeding
What situation would concern the nurse about the
presence of Rh incompatibility? - Answer-Erythroblastosis
fetalis - Occurs when the maternal anti-Rh antibodies
cross the placenta and destroy fetal erythrocytes.
A primigravida in her first trimester is Rh negative. What
will this woman receive to prevent anti-Rh antibodies from
forming? - Answer-RhoGAM to be given at 28 weeks and
within 72 hours of delivery to the mother.
A woman seeking prenatal care relates a history of
macrosomic infants, two stillbirths, and polyhydramnios
with each pregnancy. What does the nurse recognize
these factors highly suggest? - Answer-Gestational
Diabetes Mellitus
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A nurse is providing prenatal education. The nurse will
explain that pregnancy affects glucose metabolism in what
way? - Answer-Hormones and the enzymes (estrogen and
progesterone) that are produced by the placenta have two
effects:
§ Increasing the resistance of cells to insulin
§ Increase the speed of insulin breakdown
Why does the woman taking oral hypoglycemic agents to
control diabetes mellitus need to take insulin during
pregnancy? - Answer-Oral hypoglycemic agents are
contraindicated during pregnancy.
A pregnant woman comes to the clinic stating that she has
been exposed to hepatitis B. She is afraid that her infant
will also contract hepatitis B. What will the nurse explain to
this woman? - Answer-Fetus may be infected
transplacentally or by contact with blood or vaginal
secretions during delivery. Upon delivery, the neonate
should receive a single dose of hepatitis B immune
globulin, followed by the hepatitis B vaccine.
A patient with gestational hypertension is exhibiting signs.
What should the nurse report immediately? - Answer-
MCN 538 Exam 2 Actual Exam Newest 2025/2026
Complete Questions And Correct Detailed Answers
(Verified Answers) |Newest Exam Version!!!
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? - Answer-Dehydration which impairs perfusion
of the placenta and electrolyte and acid-base imbalance.
(There are others but these are the two she said we
needed to know for the test).
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? - Answer-Incomplete
Abortion
What is a statement that gives an explanation of an
ectopic pregnancy? - Answer-When the fertilized ovum
(zygote) is implanted outside the uterine cavity.
An ultrasound on a woman who is 32 weeks pregnant
reveals the placenta implanted over the entire cervical os.
,2|Page
What does the nurse understand best describes this
condition? - Answer-Placenta previa
What symptom presented by a pregnant women is
indicative of abruptio placentae? - Answer-Pain and
bleeding
What situation would concern the nurse about the
presence of Rh incompatibility? - Answer-Erythroblastosis
fetalis - Occurs when the maternal anti-Rh antibodies
cross the placenta and destroy fetal erythrocytes.
A primigravida in her first trimester is Rh negative. What
will this woman receive to prevent anti-Rh antibodies from
forming? - Answer-RhoGAM to be given at 28 weeks and
within 72 hours of delivery to the mother.
A woman seeking prenatal care relates a history of
macrosomic infants, two stillbirths, and polyhydramnios
with each pregnancy. What does the nurse recognize
these factors highly suggest? - Answer-Gestational
Diabetes Mellitus
, 3|Page
A nurse is providing prenatal education. The nurse will
explain that pregnancy affects glucose metabolism in what
way? - Answer-Hormones and the enzymes (estrogen and
progesterone) that are produced by the placenta have two
effects:
§ Increasing the resistance of cells to insulin
§ Increase the speed of insulin breakdown
Why does the woman taking oral hypoglycemic agents to
control diabetes mellitus need to take insulin during
pregnancy? - Answer-Oral hypoglycemic agents are
contraindicated during pregnancy.
A pregnant woman comes to the clinic stating that she has
been exposed to hepatitis B. She is afraid that her infant
will also contract hepatitis B. What will the nurse explain to
this woman? - Answer-Fetus may be infected
transplacentally or by contact with blood or vaginal
secretions during delivery. Upon delivery, the neonate
should receive a single dose of hepatitis B immune
globulin, followed by the hepatitis B vaccine.
A patient with gestational hypertension is exhibiting signs.
What should the nurse report immediately? - Answer-
