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Chapter 11 Halbert Test#3

Total questions: 35

Worksheet time: 1hrs 10mins

Name
Class
Date
1.

A woman & her partner have experienced a miscarriage at 11 weeks' gestation. They desire information about miscarriages. The nurse explains that the most common cause of miscarriage is...

a)

Nausea & Vomiting in early pregnancy

b)

Prenatal Stress

c)

Chromosomal abnormalities

d)

Umbilical cord accidents

2.

The perinatal nurse uses the acronym "SPASMS" to teach a new nurse about preeclampsia. What does the "P" refer to?

a)

Pregnancy

b)

Proteinuria

c)

Pelvic circulation

d)

Pressure

3.

A women is making an appointment in the perinatal clinic after suffering a spontaneous abortion. The nurse schedules extra time for this patient because it is critical to provide what nursing action at this time?

a)

Time to listen to her grief

b)

Information about risk factors

c)

A referral to a high-risk obstetrician

d)

Appropriate contraceptive information

4.

A nurse is reviewing a patient's chart & notes that she has a history of "TORCH infection-T". What infection has this women had?

a)

Toxoplasmosis

b)

Trigeminal neuralgia

c)

Tricuspid insufficiency secondary to rheumatic fever

d)

Tetanus

5.

A nurse is teaching a woman who is considering pregnancy in the near future. The woman lives with her husband who smokes; she drinks 2 glasses of wine a day & has both cats & dogs in the house. What action should the nurse suggest to prevent acquiring a TORCH infection?

a)

Ask the husband to smoke only outside

b)

Stop drinking & avoid secondhand smoke

c)

Avoid changing the kitty litter

d)

Avoid blood & body fluids of other people

6.

A women is discussing becoming pregnant at the age of 42. What important information should the nurse provide to the women?

a)

Women older than 35 are more likely to experience obstetric complications

b)

Women older than 40 have SABs at 4x the normal rate

c)

Women do not have more pregnancy-related problems until they reach their 50s

d)

Women older than 40 should not consider having a vaginal birth

7.

A patient is scheduled to have a salpingostomy to treat an ectopic pregnancy. What information should the nurse teach this patient?

a)

The operation will prevent any further ectopic pregnancies

b)

It is an incision into the fallopian tube to remove the pregnancy

c)

You will have your entire fallopian tube removed in this procedure

d)

This operation has a high risk of causing infertility

8.

A nurse notes that a pregnant patient has 3+ reflexes noted on her chart. How would the nurse describe this finding to a nursing student?

a)

Average or normal

b)

Presence of clonus

c)

Brisker than average

d)

No response

9.

A women presents to the OB unit in active labor. She has had no prenatal care & tells the nurse that the baby's father has gonorrhea. She has not been treated. For what complication is the newborn at most risk?

a)

Pneumonia

b)

Skin lesions

c)

Blindness

d)

Intellectual disability

10.

A women with systemic lupus erythematosus (SLE) is being seen for her first prenatal visit. What information about SLE should the nurse provide to the patient?

a)

Cardiac problems in the newborn present the biggest concerns

b)

Labor & delivery will most likely exacerbate your disease

c)

If the disease flares during pregnancy, elective abortion if needed

d)

Medications for SLE are all contraindicated in pregnancy

11.

A woman comes to the L&D she is 36 weeks & 3 days gestation & experiencing contractions that are 2-3 minutes apart & her cervix is 6cm dilated, she is in...

a)

Active Labor

b)

Having a spontaneous abortion

c)

Preterm Labor

d)

Cervix incompetence

12.

Any risk factor that stretches the uterus out more than usual, are at higher risk for...

a)

A bigger baby

b)

Preterm labor

c)

A C-section

d)

A smaller baby

13.

If your pregnant patient's blood pressure (BP) stays the same as her pre-pregnancy BP at 20 weeks she is showing possible signs of...

a)

Chronic Hypertension

b)

Preeclampsia

c)

Hypertension

d)

Orthostatic Hypertension

14.

How is Preeclampsia managed...

a)

Delivery of fetus

b)

Magnesium sulfate (40gm/1000mL, 4-6gm over 15-30mins)

c)

Decrease CNS stimulation

d)

Assess for respirations, reflexes, CNS depression, I & O

e)

Tocolytics

15.

What is the antidote for Magnesium Sulfate Toxicity?

a)

Vitamin K

b)

Calcium Gluconate

c)

Glucagon

d)

Sodium bicarbonate

16.

What is a sign of Eclampsia?

a)

Elevated BP

b)

Seizures

c)

Proteinuria

d)

Edema

17.

What is HELLP Syndrome?

a)

Hemolysis

b)

Elevated Liver Enzymes

c)

Low Platelets

d)

Post-partum

18.

Woman is clotting where she shouldn't be clotting & bleeding where she shouldn't be bleeding, she is at risk for...

a)

Thrombocytopenia

b)

Disseminated Intravascular Coagulopathy (DIC)

c)

Thrombus

d)

Coagulation

19.

You can have 1 amnion, 2 chorion

a)

True

b)

False

20.

What is contraindication of HIV/AIDS during pregnancy?

a)

No breastfeeding

b)

No c-section

c)

No sexual intercourse

d)

No blood transfusions

21.

Women born between 1938 and 1971 who were exposed to DES *diethylstilbestrol) before birth (in the womb) & are now at risk for?

a)

Preterm labor

b)

Ectopic pregnancy

c)

Spontaneous abortion

d)

Stillbirth

22.

A pursestring suture that is put beneath the cervical mucosa at the cervical vaginal junction or at the internal cervical os is referred to as...

a)

Cerclage

b)

Cervical Incompetence

c)

D&C

d)

Episiotomy

23.

A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? SATA

a)

Fetal weight

b)

Fetal breathing movement

c)

Fetal tone

d)

Fetal position

e)

Amniotic fluid volume

24.

A nurse is caring for a client who is in preterm labor & is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity?

a)

Alpha-fetoprotein (AFP)

b)

Lecithin/sphingomyelin (L/S) ratio

c)

Kleihauer-Betke test

d)

Indirect Coombs' test

25.

A nurse is caring for a client who is pregnant & is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? SATA

a)

Decreased fetal movement

b)

Intrauterine growth restriction (IUGR)

c)

Postmaturity

d)

Placenta previa

e)

Amniotic fluid emboli

26.

A nurse in the ED is caring for a patient who reports sharp, abrupt, right-sided lower quadrant abdominal pain & bright red vaginal bleeding. The client states, "I missed one menstrual cycle & cannot be pregnant because I have an intrauterine device (IUD)." The nurse should suspect which of the following?

a)

Missed abortion

b)

Ectopic pregnancy

c)

Severe preeclampsia

d)

Hydatidiform mole

27.

A nurse is providing care for a patient who has a marginal abruptio placentae. Which of the following findings are risk factors for developing this condition? SATA

a)

Fetal position

b)

Blunt abdominal trauma

c)

Cocaine use

d)

Maternal age

e)

Cigarette smoking

28.

A nurse is caring for a client who is at 32 weeks of gestation & has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following medications should the nurse expect the provider will prescribe?

a)

Betamethasone

b)

Indomethacin

c)

Nifedipine

d)

Methylergonovine

29.

A nurse at a clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting, & scant, prune-colored discharge. The client has experienced no weight loss & has a fundal height larger than expected. Which of the following complications should the nurse expect?

a)

Hyperemesis gravidarum

b)

Threatened abortion

c)

Hydatidiform mole

d)

Preterm labor

30.

A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?

a)

No alteration in menses

b)

Transvaginal ultrasound indicating a fetus in the uterus

c)

Blood progesterone greater than the expected range

d)

Report of severe shoulder pain

31.

A nurse is caring for a patient who has suspected hyperemesis gravidarum & is reviewing the patient's labs. Which of the following findings is a manifestation of this condition?

a)

Hgb 12.2g/dL

b)

Urine ketones present

c)

Alanine aminotransferase 20IU/L

d)

Blood glucose 114mg/dL

32.

A nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. Which of the following indicates magnesium sulfate toxicity? SATA

a)

Respirations less than 12/min

b)

Urinary output less than 25mL/hr

c)

Hyperreflexic deep-tendon reflexes

d)

Decreased level of consciousness

e)

Flushing & sweating

33.

A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicated an understanding of the teaching?

a)

"I will take this pill with my breakfast."

b)

"I will take this medication with a glass of milk."

c)

"I plan to drink more orange juice while taking this pill."

d)

"I plan to add more calcium-rich foods to my diet while taking this medication."

34.

A nurse is caring for a patient who is at 14 weeks of gestation & has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the patient? SATA

a)

Diabetes

b)

Multifetal pregnancy

c)

Maternal age greater than 40

d)

Gestational trophoblastic disease

e)

Oligohydramnios

35.

What is the only difference between placenta previa & abruptio placentae?

a)

Abruptio placentae has no pain & Placenta previa has severe pain

b)

Placenta previa is less severe than Abruptio placentae

c)

Placenta previa has no pain & Abruptio placentae has severe pain

d)

There is no difference between the two disorders