WorksheetsChapter 11 Halbert Test#3
Total questions: 35
Worksheet time: 1hrs 10mins
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...
Nausea & Vomiting in early pregnancy
Prenatal Stress
Chromosomal abnormalities
Umbilical cord accidents
The perinatal nurse uses the acronym "SPASMS" to teach a new nurse about preeclampsia. What does the "P" refer to?
Pregnancy
Proteinuria
Pelvic circulation
Pressure
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?
Time to listen to her grief
Information about risk factors
A referral to a high-risk obstetrician
Appropriate contraceptive information
A nurse is reviewing a patient's chart & notes that she has a history of "TORCH infection-T". What infection has this women had?
Toxoplasmosis
Trigeminal neuralgia
Tricuspid insufficiency secondary to rheumatic fever
Tetanus
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?
Ask the husband to smoke only outside
Stop drinking & avoid secondhand smoke
Avoid changing the kitty litter
Avoid blood & body fluids of other people
A women is discussing becoming pregnant at the age of 42. What important information should the nurse provide to the women?
Women older than 35 are more likely to experience obstetric complications
Women older than 40 have SABs at 4x the normal rate
Women do not have more pregnancy-related problems until they reach their 50s
Women older than 40 should not consider having a vaginal birth
A patient is scheduled to have a salpingostomy to treat an ectopic pregnancy. What information should the nurse teach this patient?
The operation will prevent any further ectopic pregnancies
It is an incision into the fallopian tube to remove the pregnancy
You will have your entire fallopian tube removed in this procedure
This operation has a high risk of causing infertility
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?
Average or normal
Presence of clonus
Brisker than average
No response
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?
Pneumonia
Skin lesions
Blindness
Intellectual disability
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?
Cardiac problems in the newborn present the biggest concerns
Labor & delivery will most likely exacerbate your disease
If the disease flares during pregnancy, elective abortion if needed
Medications for SLE are all contraindicated in pregnancy
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...
Active Labor
Having a spontaneous abortion
Preterm Labor
Cervix incompetence
Any risk factor that stretches the uterus out more than usual, are at higher risk for...
A bigger baby
Preterm labor
A C-section
A smaller baby
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...
Chronic Hypertension
Preeclampsia
Hypertension
Orthostatic Hypertension
How is Preeclampsia managed...
Delivery of fetus
Magnesium sulfate (40gm/1000mL, 4-6gm over 15-30mins)
Decrease CNS stimulation
Assess for respirations, reflexes, CNS depression, I & O
Tocolytics
What is the antidote for Magnesium Sulfate Toxicity?
Vitamin K
Calcium Gluconate
Glucagon
Sodium bicarbonate
What is a sign of Eclampsia?
Elevated BP
Seizures
Proteinuria
Edema
What is HELLP Syndrome?
Hemolysis
Elevated Liver Enzymes
Low Platelets
Post-partum
Woman is clotting where she shouldn't be clotting & bleeding where she shouldn't be bleeding, she is at risk for...
Thrombocytopenia
Disseminated Intravascular Coagulopathy (DIC)
Thrombus
Coagulation
You can have 1 amnion, 2 chorion
True
False
What is contraindication of HIV/AIDS during pregnancy?
No breastfeeding
No c-section
No sexual intercourse
No blood transfusions
Women born between 1938 and 1971 who were exposed to DES *diethylstilbestrol) before birth (in the womb) & are now at risk for?
Preterm labor
Ectopic pregnancy
Spontaneous abortion
Stillbirth
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...
Cerclage
Cervical Incompetence
D&C
Episiotomy
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
Fetal weight
Fetal breathing movement
Fetal tone
Fetal position
Amniotic fluid volume
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?
Alpha-fetoprotein (AFP)
Lecithin/sphingomyelin (L/S) ratio
Kleihauer-Betke test
Indirect Coombs' test
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
Decreased fetal movement
Intrauterine growth restriction (IUGR)
Postmaturity
Placenta previa
Amniotic fluid emboli
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?
Missed abortion
Ectopic pregnancy
Severe preeclampsia
Hydatidiform mole
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
Fetal position
Blunt abdominal trauma
Cocaine use
Maternal age
Cigarette smoking
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?
Betamethasone
Indomethacin
Nifedipine
Methylergonovine
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?
Hyperemesis gravidarum
Threatened abortion
Hydatidiform mole
Preterm labor
A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?
No alteration in menses
Transvaginal ultrasound indicating a fetus in the uterus
Blood progesterone greater than the expected range
Report of severe shoulder pain
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?
Hgb 12.2g/dL
Urine ketones present
Alanine aminotransferase 20IU/L
Blood glucose 114mg/dL
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
Respirations less than 12/min
Urinary output less than 25mL/hr
Hyperreflexic deep-tendon reflexes
Decreased level of consciousness
Flushing & sweating
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?
"I will take this pill with my breakfast."
"I will take this medication with a glass of milk."
"I plan to drink more orange juice while taking this pill."
"I plan to add more calcium-rich foods to my diet while taking this medication."
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
Diabetes
Multifetal pregnancy
Maternal age greater than 40
Gestational trophoblastic disease
Oligohydramnios
What is the only difference between placenta previa & abruptio placentae?
Abruptio placentae has no pain & Placenta previa has severe pain
Placenta previa is less severe than Abruptio placentae
Placenta previa has no pain & Abruptio placentae has severe pain
There is no difference between the two disorders
