Chapter 6 Nursing Care of Women with Complications During Pregnancy - Leifer Maternity and Pediatric Nursing

Chapter 6 Nursing Care of Women with Complications During Pregnancy - Leifer Maternity and Pediatric Nursing NURSINGTB.COM 1. 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? a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy. b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. c. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum. d. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss. ANS: B Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta. DIF: Cognitive Level: Comprehension REF: Page 85 OBJ: 4 TOP: Hyperemesis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. 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? a. Inevitable abortion b. Incomplete abortion c. Complete abortion d. Missed abortion ANS: B Signs and symptoms of an incomplete abortion are similar to those of an inevitable abortion, but some tissue is passed. DIF: Cognitive Level: Comprehension REF: Page 90 OBJ: 4 TOP: Incomplete Abortion KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse? a. There is usually something wrong with the fetus when this happens early in pregnancy. b. Now there. You can try to conceive on your next cycle. c. Im here if you need to talk. d. You are young and strong. I know you can have a healthy pregnancy. ANS: C An effective technique when communicating with a woman experiencing pregnancy loss is to say, Im here if you need to talk. The nurse listens and acknowledges the womans grief. DIF: Cognitive Level: Application REF: Page 91 TOP: Dilation and Evacuation (D&E) KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 4. A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is confirmed by ultrasound. Which statement indicates that the woman understands the explanation of an ectopic pregnancy? a. The chorionic villi develop vesicles within the uterus. b. The placenta develops in the lower part of the uterus. c. The fetus dies in the uterus during the first half of the pregnancy.