Obstetrical Nursing – Antepartum – NCLEX Quiz 5 | Attempts: 3668

2.

A 21-year old client. 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?

Bowel perforation
Electrolyte imbalance
Miscarriage
Pregnancy induced hypertension (PIH)

Correct Answer

A. Electrolyte imbalance

Explanation

Excessive vomiting in clients with hyperemesis gravidarum often causes weight loss and fluid. electrolyte. and acid-base imbalances.

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3.

Gravida refers to which of the following descriptions?

A serious pregnancy
Number of times a female has been pregnant
Number of children a female has delivered
Number of term pregnancies a female has had.

Correct Answer

A. Number of times a female has been pregnant

Explanation

Gravida refers to the number of times a female has been pregnant. regardless of pregnancy outcome or the number of neonates delivered.

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4.

Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?

Mastitis
Metabolic alkalosis
Physiologic anemia
Respiratory acidosis

Correct Answer

A. Physiologic anemia

Explanation

Hemoglobin and hematocrit levels decrease during pregnancy as the increase in plasma volume exceeds the increase in red blood cell production.

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5.

Which of the following symptoms occurs with a hydatidiform mole?

Heavy. bright red bleeding every 21 days
Fetal cardiac motion after 6 weeks gestation
Benign tumors found in the smooth muscle of the uterus
“Snowstorm” pattern on ultrasound with no fetus or gestational sac

Correct Answer

A. “Snowstorm” pattern on ultrasound with no fetus or gestational sac

Explanation

The chorionic villi of a molar pregnancy resemble a snowstorm pattern on ultrasound. Bleeding with a hydatidiform mole is often dark brown and may occur erratically for weeks or months.

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6.

A pregnant woman’s last menstrual period began on April 8. 2005. and ended on April 13. Using Naegele’s rule her estimated date of birth would be:

1/15/2006
1/20/2006
07/01/2006
11/05/2005

Correct Answer

A. 1/15/2006

Explanation

Naegele’s rule requires subtracting 3 months and adding 7 days and 1 year if appropriate to the first day of a pregnant woman’s last menstrual period. When this rule is used with April 8. 2005. the estimated date of birth is January 15. 2006.

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7.

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:

Assess the woman’s blood pressure and pulse
Have the woman breathe into a paper bag
Raise the woman’s legs
Turn the woman on her left side.

Correct Answer

A. Turn the woman on her left side.

Explanation

During a fundal height measurement. the woman is placed in a supine position. This woman is experiencing supine hypotension as a result of uterine compression of the vena cava and abdominal aorta. Turning her on her side will remove the compression and restore cardiac output and blood pressure.Option A: After turning the client on the side. then vital signs can be assessed.Option B: Breathing into a paper bag is the solution for dizziness related to respiratory alkalosis associated with hyperventilation.Option C: Raising her legs will not solve the problem since pressure will remain on the major abdominal blood vessels. thereby continuing to impede cardiac output.

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8.

Clients with gestational diabetes are usually managed by which of the following therapies?

Diet
NPH insulin (long-acting)
Oral hypoglycemic drugs
Oral hypoglycemic drugs and insulin

Correct Answer

A. Diet

Explanation

Clients with gestational diabetes are usually managed by diet alone to control their glucose intolerance. Oral hypoglycemic agents are contraindicated in pregnancy. NPH isn’t usually needed for blood glucose control for GDM.

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9.

Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?

Conception
9 weeks’ gestation. when the fetal heart is well developed
32-34 weeks gestation
Maternal and fetal blood are never exchanged

Correct Answer

A. Maternal and fetal blood are never exchanged

Explanation

Only nutrients and waste products are transferred across the placenta. Blood exchange only occurs in complications and some medical procedures accidentally.

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10.

Which of the following terms applies to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?

Epulis
Linea nigra
Striae gravidarum
Telangiectasias

Correct Answer

A. Telangiectasias

Explanation

The dilated arterioles that occur during pregnancy are due to the elevated level of circulating estrogen. The linea nigra is a pigmented line extending from the symphysis pubis to the top of the fundus during pregnancy.

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Obstetrical Nursing – Antepartum – NCLEX Quiz 5

The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity?

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A 21-year old client. 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?

Gravida refers to which of the following descriptions?

Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?

Which of the following symptoms occurs with a hydatidiform mole?

A pregnant woman’s last menstrual period began on April 8. 2005. and ended on April 13. Using Naegele’s rule her estimated date of birth would be:

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:

Clients with gestational diabetes are usually managed by which of the following therapies?

Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?

Which of the following terms applies to the tiny. blanched. slightly raised end arterioles found on the face. neck. arms. and chest during pregnancy?