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 care plan should be altered to include which interventions?

a.	Hyperalimentation
b.	IV fluids and electrolyte replacement
c.	Hormone replacement therapy
d.	Vitamin supplements

 

 

ANS:  B

Medical treatment is aimed at meeting fluid 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. What result is the best response by the nurse?

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. How should twins who share a placenta and come from one fertilized ovum be identified?

a.	Dizygotic
b.	Trizygotic
c.	Genetically different
d.	Monozygotic

 

 

ANS:  D

Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.

 

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

TOP:   Multifetal pregnancy                       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance

 

4. What complication of delivery should the nurse expect with the birth of multiple fetuses?

a.	An ectopic tendency
b.	Difficulty with breastfeeding
c.	A vaginal delivery
d.	Loss of uterine tone

 

 

ANS:  D

Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not relate to the delivery.

 

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

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

MSC:  NCLEX: Physiological Integrity