QUESTION When comparing symptoms of previa to abruption, which of the following is NOT
associated with placenta previa?
A.Dark red bleeding
B.Painless
C.Normal uterine size
D.Soft uterine tone - ANSWERA.Dark red bleeding
QUESTION A nurse is evaluating the findings on a client at 30 weeks diagnosed with a 10%
placental abruption who is receiving Magnesium Sulfate at 2 gram/hour. What is the priority in
this situation?
A.Increase the Magnesium
B.Continue to monitor the client and EFM
C.Administer 0.25 mg of SQ terbutaline
D.Discontinue the Magnesium Sulfate infusion
(HTN ppt, slide 15) - ANSWERB.Continue to monitor the client and EFM
QUESTION A client with a concealed abruption will have all of the following EXCEPT:
A.Increasing abdominal girth
B.Soft, irregularly shaped uterus
C.Severe pain
,D.Late decelerations - ANSWERB.Soft, irregularly shaped uterus
QUESTION In order to be eligible to be discharged home with a diagnosis of placenta previa at
28 weeks gestation, the client must meet all of following criteria. SATA
A.Biophysical profile score 8/10
B.NST appropriate for gestational age
C.There is a 3 cm area of bright red blood on the peri pad
D.The hemoglobin and hematocrit are stable
E.The client reports mild pain with her 10 contractions this last hour
F.The client has access to reliable transportation and a telephone - ANSWERA.Biophysical
profile score 8/10
B.NST appropriate for gestational age
D.The hemoglobin and hematocrit are stable
F.The client has access to reliable transportation and a telephone
QUESTION A nurse is evaluating the findings on a client at 30 weeks diagnosed with a 10%
placental abruption who is receiving Magnesium Sulfate at 2 gram/hour. The HCP is notified.
What is the priority recommendation?
A.Come and evaluate the client
B.Increase the Magnesium
C.Administer 0.25 mg of SQ terbutaline
D.Send labs for a Coomb's titer and blood cultures
(HTN ppt slide 18) - ANSWERA.Come and evaluate the client
(How does the nurse know this is a 10% abruption? Not until after delivery, look at how much of
placenta covered by clot)
,QUESTION A client is one-hour status post dilation and curettage. Which finding would
warrant immediate assessment and intervention?
A.The client reports her uterine pain as a 4 on a numeric 0-10 scale
B.Half of the peri pad is saturated with bright red blood
C.Blood pressure is 108/68 and pulse is 88
D.The client reports extreme sadness over the situation and is crying silently - ANSWER
QUESTION A woman G40210 is admitted at 12 weeks gestation for cerclage placement. Which
of the following long-term outcomes is appropriate for this patient?
A.The patient will gain less than 25 pounds during the pregnancy.
B.The baby will be classified as appropriate for gestational age at birth.
C.The patient will deliver as close to term as possible.
D.The patient will now have a normal pregnancy. - ANSWERC.The patient will deliver as close
to term as possible.
QUESTION A pregnant woman is being discharged from the hospital after placement of
cerclage due to a history of recurrent pregnancy loss secondary to an insufficient cervix.
Discharge teaching should emphasize that:
A.She will need to make arrangements so that she can be on strict bed rest at home.
B.She will need to deliver via cesarean section.
C.The patient will be placed on antibiotics throughout the remainder of her pregnancy.
D.The presence of any uterine cramping or low back pain should be reported to her health care
provider. - ANSWERD.The presence of any uterine cramping or low back pain should be
reported to her health care provider.
, A patient is admitted to the labor and delivery unit with vaginal bleeding. To differentiate
between placenta previa and placental abruption, the nurse will assess?
A.Abdominal pain
B.Fetal heart rate pattern
C.Pad counts
Hgb and Hct counts - ANSWERA.Abdominal pain
QUESTION There are many associated risk factors in the development of placenta previa.
SATA
A.Jogger with low body mass index
B.First time mother who smokes 2 packs of cigarettes per day
C.Registered nurse who works 3 busy 12 hour shifts a week on a med-surg floor.
D.A client who delivered at 32 weeks SVD with her last pregnancy due to pre-eclampsia
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections - ANSWERB.First time mother
who smokes 2 packs of cigarettes per day
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections
QUESTION A client at 24 weeks of gestation is admitted to the emergency department after
sustaining severe internal injuries during a motor vehicle accident. The nurse suspects internal
bleeding and placental abruption. The suspicion is supported by which finding?
A.Early decelerations are noted on the EFM
B.Kleihauer Betke is positive
C.Late decelerations are noted on the EFM
associated with placenta previa?
A.Dark red bleeding
B.Painless
C.Normal uterine size
D.Soft uterine tone - ANSWERA.Dark red bleeding
QUESTION A nurse is evaluating the findings on a client at 30 weeks diagnosed with a 10%
placental abruption who is receiving Magnesium Sulfate at 2 gram/hour. What is the priority in
this situation?
A.Increase the Magnesium
B.Continue to monitor the client and EFM
C.Administer 0.25 mg of SQ terbutaline
D.Discontinue the Magnesium Sulfate infusion
(HTN ppt, slide 15) - ANSWERB.Continue to monitor the client and EFM
QUESTION A client with a concealed abruption will have all of the following EXCEPT:
A.Increasing abdominal girth
B.Soft, irregularly shaped uterus
C.Severe pain
,D.Late decelerations - ANSWERB.Soft, irregularly shaped uterus
QUESTION In order to be eligible to be discharged home with a diagnosis of placenta previa at
28 weeks gestation, the client must meet all of following criteria. SATA
A.Biophysical profile score 8/10
B.NST appropriate for gestational age
C.There is a 3 cm area of bright red blood on the peri pad
D.The hemoglobin and hematocrit are stable
E.The client reports mild pain with her 10 contractions this last hour
F.The client has access to reliable transportation and a telephone - ANSWERA.Biophysical
profile score 8/10
B.NST appropriate for gestational age
D.The hemoglobin and hematocrit are stable
F.The client has access to reliable transportation and a telephone
QUESTION A nurse is evaluating the findings on a client at 30 weeks diagnosed with a 10%
placental abruption who is receiving Magnesium Sulfate at 2 gram/hour. The HCP is notified.
What is the priority recommendation?
A.Come and evaluate the client
B.Increase the Magnesium
C.Administer 0.25 mg of SQ terbutaline
D.Send labs for a Coomb's titer and blood cultures
(HTN ppt slide 18) - ANSWERA.Come and evaluate the client
(How does the nurse know this is a 10% abruption? Not until after delivery, look at how much of
placenta covered by clot)
,QUESTION A client is one-hour status post dilation and curettage. Which finding would
warrant immediate assessment and intervention?
A.The client reports her uterine pain as a 4 on a numeric 0-10 scale
B.Half of the peri pad is saturated with bright red blood
C.Blood pressure is 108/68 and pulse is 88
D.The client reports extreme sadness over the situation and is crying silently - ANSWER
QUESTION A woman G40210 is admitted at 12 weeks gestation for cerclage placement. Which
of the following long-term outcomes is appropriate for this patient?
A.The patient will gain less than 25 pounds during the pregnancy.
B.The baby will be classified as appropriate for gestational age at birth.
C.The patient will deliver as close to term as possible.
D.The patient will now have a normal pregnancy. - ANSWERC.The patient will deliver as close
to term as possible.
QUESTION A pregnant woman is being discharged from the hospital after placement of
cerclage due to a history of recurrent pregnancy loss secondary to an insufficient cervix.
Discharge teaching should emphasize that:
A.She will need to make arrangements so that she can be on strict bed rest at home.
B.She will need to deliver via cesarean section.
C.The patient will be placed on antibiotics throughout the remainder of her pregnancy.
D.The presence of any uterine cramping or low back pain should be reported to her health care
provider. - ANSWERD.The presence of any uterine cramping or low back pain should be
reported to her health care provider.
, A patient is admitted to the labor and delivery unit with vaginal bleeding. To differentiate
between placenta previa and placental abruption, the nurse will assess?
A.Abdominal pain
B.Fetal heart rate pattern
C.Pad counts
Hgb and Hct counts - ANSWERA.Abdominal pain
QUESTION There are many associated risk factors in the development of placenta previa.
SATA
A.Jogger with low body mass index
B.First time mother who smokes 2 packs of cigarettes per day
C.Registered nurse who works 3 busy 12 hour shifts a week on a med-surg floor.
D.A client who delivered at 32 weeks SVD with her last pregnancy due to pre-eclampsia
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections - ANSWERB.First time mother
who smokes 2 packs of cigarettes per day
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections
QUESTION A client at 24 weeks of gestation is admitted to the emergency department after
sustaining severe internal injuries during a motor vehicle accident. The nurse suspects internal
bleeding and placental abruption. The suspicion is supported by which finding?
A.Early decelerations are noted on the EFM
B.Kleihauer Betke is positive
C.Late decelerations are noted on the EFM
