Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
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Chapter 7: High-Risk Antepartum Nursing Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
ANS: d
| Feedback | |
| a. | Monitoring contractions does not indicate magnesium toxicity. |
| b. | Magnesium sulfate will decrease fetal variability and not provide an accurate assessment of magnesium toxicity. |
| c. | Urinary output does not correlate to decreased deep tendon reflexes. |
| d. | Correct. Respiratory effort and deep tendon reflexes (DTRs) are involuntary, and a decrease in DTRs could indicate the risk of magnesium sulfate toxicity and the risk for decreased respiratory effort. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Pharmacological/Parenteral Therapies | Difficulty Level: Moderate
ANS: c
| Feedback | |
| a. | Multiple partners do not increase a woman’s risk of premature rupture of membranes. |
| b. | Genetics and client diet and weight are contributing factors to gestational diabetes. |
| c. | Correct. A history of multiple sexual partners places the client at a higher risk of having contracted a sexually transmitted disease that could have ascended the uterus to the fallopian tubes and caused fallopian tube blockage, placing the client at high risk for an ectopic pregnancy. |
| d. | Multiple sexual partners are not a risk factor for pregnancy-induced hypertension. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate
ANS: a
| Feedback | |
| a. | Correct. When the placenta attaches to the lower uterine segment near or over the cervical os, bleeding may occur without the onset of contractions or pain. |
| b. | The hallmark for abruptio placenta is pain and a board-like abdomen. |
| c. | Bright red bleeding could be related to abruptio placenta, placenta previa, or other complications of pregnancy. |
| d. | Pain is not a hallmark of placenta previa. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
ANS: a
| Feedback | |
| a. | A decrease in BP accompanied by bradycardia or tachycardia is an indication of hypovolemic shock. |
| b. | FHR with moderate variability can be absent of accelerations during fetal sleep cycles or after maternal sedation. |
| c. | Bright red vaginal bleeding is an indication of current bleeding. |
| d. | Oral temperature may fluctuate based on the client’s hydration status. It should be reassessed. Cause for concern is a temperature of 100.4°F or more. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
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