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OB Exam 3

Terms in this set (170)

A nurse is caring for a client who is at 14 weeks of gestation and has hyper emesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (SATA)

-diabetes
-multi fetal pregnancy
maternal age greater than 40
-gestational trophoblastic disease
-oligohydramnios
-diabetes
-multi fetal pregnancy
-gestational trophoblastic disease
A nurse is caring for a client who has suspected hyper emesis gravidarum and is reviewing the clients laboratory reports. Which of the following is a manifestation of the condition?

-Hgb 12.2 g/dL
-urine ketone's present
-alanine aminotransferase 20 IU/L
-blood glucose 114 mg/dL
-urine ketone's present
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 25 mL/hr
-hyperreflexic deep tendon reflexes
-decreased level of consciousness
-flushing and sweating
-respirations less than 12/min.
-urinary output less than 25 mL/hr
-decreased level of consciousness
A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected?

-Nifedipine
-Pyridoxine
-Ferrous sulfate
-Calcium gluconate
-Calcium gluconate
A nurse is reviewing a new prescription for Ferris sulfate with a client who is at 12 weeks of gestation period which of the following statements by the quiet indicates 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"
-"I plan to drink more orange juice while taking this pill"
A nurse in the emergency department is caring for a client who reports abrupt sharp right sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states "I missed one menstrual cycle and cannot be pregnant because I have an IUD." The nurse should suspect which of the following?

-missed abortion
-ectopic pregnancy
-severe preeclampsia
-hydatidiform mole
-ectopic pregnancy
A nurse is providing care for a client who has a marginal abruptio placenta. Which of the following findings are risk factors for developing the condition? (SATA)

-fetal position
-blunt abdominal trauma
-cocaine use
-maternal age
-cigarette smoking
-blunt abdominal trauma
-cocaine use
-cigarette smoking
A nurse is caring for a client who is at 32 weeks of gestation and 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 subscribe?

-Betamethasone
-Indomethacin
-Nifedipine
-Methylergonavine
-betamethasone
A nurse at an antepartum clinic is caring for a client who is at four months of gestation. The client reports continued nausea vomiting and scant prune colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse expect?

-hyper emesis gravidarum
-threatened abortion
-hydatidiform mole
-preterm labor
-hydatidiform mole
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 reference range
-report of severe should pain
-report of severe should pain
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contra indicated for this client? (SATA)

-vacuum extractor
-oxytocin infusion
-forceps
-cesarean birth
-internal fetal monitoring
-vacuum extractor
-forceps
-internal fetal monitoring
A nurse in and antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (SATA)

-joint pain
-malaise
-rash
-urinary frequency
-tender lymph nodes
-joint pain
-malaise
-rash
-tender lymph nodes
A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse expect the provider will prescribe?

-ceftriaxone
-fluconazole
-metronidazole
-zidovudine
-ceftriaxone
A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (SATA)

-gonorrhea
-chlamydia
-HIV
-Group B streptococcus beta-hemolytic
-TORCH infection
-gonorrhea
-chlamydia
-HIV
-Group B streptococcus beta-hemolytic
A nurse manager is reviewing ways to prevent a torch infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching?

-"obtain an immunization against rubella early in pregnancy"
-"seek prophylactic treatment if cytomegalovirus is detected during pregnancy"
-"A client should avoid crowded places during pregnancy"
-"A client should avoid consuming undercooked meat while pregnant"
-"A client should avoid consuming undercooked meat while pregnant"
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