Chapter 05: Nursing Care of Women with Complications During Pregnancy

Chapter 05: Nursing Care of Women with Complications During Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

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 79 | Page 82

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 84, Table 5-2 | Page 82, Figure 5-2

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.	“I’m 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, “I’m here if you need to talk.” The nurse listens and acknowledges the woman’s grief.

 

DIF:    Cognitive Level: Application           REF:   Page 85          OBJ:   4

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.”
d.	“The embryo is implanted in the fallopian tube.”

 

 

ANS:  D

Ectopic pregnancy occurs when the fertilized ovum is implanted outside of the uterine cavity.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 86          OBJ:   4

TOP:   Ectopic Pregnancy                           KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

5. An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?

a.	Low-lying placenta
b.	Marginal placenta previa
c.	Partial placenta previa
d.	Total placenta previa

 

 

ANS:  D

A total placenta previa describes a condition in which the placenta completely covers the cervical opening.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 88-89     OBJ:   4

TOP:   Placenta Previa                               KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease