Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 21: Pregnancy at Risk: Gestational Conditions
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Blood pressure (BP) increase to 138/86 mm Hg |
| b. | Weight gain of 0.5 kg during the past 2 weeks |
| c. | A dipstick value of 3+ for protein in her urine |
| d. | Pitting pedal edema at the end of the day |
ANS: C
| Feedback | |
| A | Generally hypertension is defined as a BP of 140/90 or an increase in systolic pressure of 30 mm Hg or 15 mm Hg diastolic pressure. |
| B | Preeclampsia may be manifested as a rapid weight gain of more than 2 kg in 1 week. |
| C | Proteinuria is defined as a concentration of (30 mg/dl) 1+ or greater via dipstick measurement. A dipstick value of 3+ should alert the nurse that additional testing or assessment should be made. |
| D | Edema occurs in many normal pregnancies and in women with preeclampsia. Therefore the presence of edema is no longer considered diagnostic of preeclampsia. |
DIF: Cognitive Level: Analysis REF: 626
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Diagnosis
| a. | Administration of blood |
| b. | Preparation of the patient for invasive hemodynamic monitoring |
| c. | Restriction of intravascular fluids |
| d. | Administration of steroids |
ANS: A
| Feedback | |
| A | Primary medical management in all cases of DIC involves correction of the underlying cause, volume replacement, blood component therapy, optimization of oxygenation and perfusion status, and continued reassessment of laboratory parameters. |
| B | Central monitoring would not be ordered initially in a patient with DIC because this can contribute to more areas of bleeding. |
| C | Management of DIC would include volume replacement, not volume restriction. |
| D | Steroids are not indicated for the management of DIC. |
DIF: Cognitive Level: Comprehension REF: 659
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning
| a. | Are a majority, because 80% of all pregnant women suffer from it at some time. |
| b. | Have vomiting severe and persistent enough to cause weight loss, dehydration, and electrolyte imbalance. |
| c. | Need intravenous (IV) fluid and nutrition for most of their pregnancy. |
| d. | Often inspire similar, milder symptoms in their male partners and mothers. |
ANS: B
| Feedback | |
| A | Although 80% of pregnant women experience nausea and vomiting, fewer than 0.5% proceed to this severe level. |
| B | However, treatment for several days sets things right in most cases. |
| C | IV administration may be used at first to restore fluid levels, but they are seldom needed for very long. |
| D | Women suffering from this condition want sympathy, because some authorities believe that difficult relationships with mothers and/or partners may be the cause. |
DIF: Cognitive Level: Comprehension REF: 641
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
| a. | Eclampsia. |
| b. | Disseminated intravascular coagulation (DIC). |
| c. | HELLP syndrome. |
| d. | Idiopathic thrombocytopenia. |
ANS: C
| Feedback | |
| A | Eclampsia is determined by the presence of seizures. |
| B | DIC is a potential complication associated with HELLP syndrome. |
| C | HELLP syndrome is a laboratory diagnosis for a variant of severe preeclampsia that involves hepatic dysfunction characterized by hemolysis (H), elevated liver enzymes (EL), and low platelets (LP). |
| D | Idiopathic thrombocytopenia is the presence of low platelets of unknown cause and is not associated with preeclampsia. |
DIF: Cognitive Level: Comprehension REF: 627
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Diagnosis
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