Chapter 28: Care of the High-Risk Mother, Newborn, and Family with Special Needs

Chapter 28: Care of the High-Risk Mother, Newborn, and Family with Special Needs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The nurse alters the care plan to include interventions for:

a.	hyperalimentation.
b.	IV feedings and electrolyte replacement.
c.	hormone replacement therapy.
d.	vitamin supplements.

 

ANS:   B

Medical treatment is aimed at meeting nutritional needs and electrolyte replacement.

 

DIF:    Cognitive Level: Application             REF:    Pages 884-885

OBJ:    1                      TOP:    Hyperemesis gravidarum

KEY:   Nursing Process Step: Planning         MSC:   NCLEX: Physiological Integrity

 

2. A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. The nurse explains that if untreated, this condition could result in:

a.	a large for gestational age infant.
b.	anorexia nervosa.
c.	preterm delivery.
d.	maternal or fetal death.

 

ANS:   D

If untreated, hyperemesis gravidarum can result in maternal or fetal death.

 

DIF:    Cognitive Level: Application             REF:    Page 885         OBJ:    1

TOP:    Hyperemesis gravidarum                   KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

3. The nurse uses a picture to explain that twins who share a placenta, come from one fertilized ovum, and are identical are identified as:

a.	dizygotic.
b.	trizygotic
c.	genetically different.
d.	monozygotic.

ANS:   D

Monozygotic twins originate from one fertilized ovum and share a placenta.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 886         OBJ:    1

TOP:    Multifetal pregnancy                          KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. When assessing the woman who is pregnant with multiple fetuses, the nurse recognizes that the delivery will probably be:

a.	complicated by an ectopic tendency.
b.	difficult due to the fetal lie.
c.	a vaginal delivery.
d.	complicated by loss of uterine tone.

 

ANS:   D

Maternal and infant risks are increased when there are multiple fetuses because the delivery will probably be cesarean because labor will be complicated due to loss of uterine tone.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 886         OBJ:    1

TOP:    High-risk pregnancy                           KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

5. A patient is admitted to the hospital with signs of an ectopic pregnancy. The nurse modifies the care plan to include:

a.	long-term bed rest.
b.	episodes of extreme hypertension.
c.	surgery to remove the embryo/fetus.
d.	risk for dehydration.

 

ANS:   C

An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.

 

DIF:    Cognitive Level: Application             REF:    Page 888         OBJ:    1

TOP:    Ectopic pregnancy                              KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity