Chapter 25: Complications of Pregnancy

Chapter 25: Complications of Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a:

a.	diuretic.
b.	tocolytic.
c.	anticonvulsant.
d.	antihypertensive.

 

 

ANS:  C

Anticonvulsant drugs act by blocking neuromuscular transmission and depress the central nervous system to control seizure activity. Diuresis is a therapeutic response to magnesium sulfate. A tocolytic drug slows the frequency and intensity of uterine contractions but is not used for that purpose in this scenario. Decreased peripheral blood pressure is a therapeutic response (side effect) of the anticonvulsant magnesium sulfate.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   523

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Physiologic Integrity

 

2. Which is the only known cure for preeclampsia?

a.	Magnesium sulfate
b.	Delivery of the fetus
c.	Antihypertensive medications
d.	Administration of aspirin (ASA) every day of the pregnancy

 

 

ANS:  B

If the fetus is viable and near term, birth is the only known cure for preeclampsia. Magnesium sulfate is one of the medications used to treat but not cure preeclampsia. Antihypertensive medications are used to lower the dangerously elevated blood pressures in preeclampsia and eclampsia. Low doses of aspirin (60 to 80 mg) have been administered to women at high risk for developing preeclampsia.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   519

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Physiologic Integrity

 

3. The clinic nurse is performing a prenatal assessment on a pregnant client at risk for preeclampsia. Which clinical sign is not included as a symptom of preeclampsia?

a.	Edema
b.	Proteinuria
c.	Glucosuria
d.	Hypertension

 

 

ANS:  C

Glucose into the urine is not one of the three classic symptoms of preeclampsia. The first sign noted by the pregnant client is rapid weight gain and edema of the hands and face. Proteinuria usually develops later than the edema and hypertension. The first indication of preeclampsia is usually an increase in the maternal blood pressure.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   521

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Physiologic Integrity

 

4. Which intrapartal assessment should be avoided when caring for a client with HELLP syndrome?

a.	Abdominal palpation
b.	Venous sample of blood
c.	Checking deep tendon reflexes
d.	Auscultation of the heart and lungs

 

 

ANS:  A

Palpation of the abdomen and liver could result in a sudden increase in intraabdominal pressure, leading to rupture of the subcapsular hematoma. Assessment of heart and lungs is performed on every patient. Checking reflexes is not contraindicated. Venous blood is checked frequently to observe for thrombocytopenia.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   529

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Physiologic Integrity

 

5. A nurse is explaining to the nursing students working on the antepartum unit how to assess edema. Which edema assessment score indicates edema of the lower extremities, face, hands, and sacral area?

a.	+1
b.	+2
c.	+3
d.	+4

 

 

ANS:  C

Edema of the extremities, face, and sacral area is classified as +3 edema. Edema classified as +1 indicates minimal edema of the lower extremities. Marked edema of the lower extremities is +2 edema. Generalized massive edema (+4) includes the accumulation of fluid in the peritoneal cavity.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   526

OBJ:   Nursing Process Step: Implementation

MSC:   Client Needs: Physiologic Integrity