Chapter 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter 7: Nursing Care of the Woman With Complications During Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse provides teaching for a patient with hyperemesis gravidarum and determines further teaching is needed when the patient makes which statement?

1)	“I will sip water throughout the day.”
2)	“I will call the provider if there is any blood in the vomit.”
3)	“I will be sure to eat three good meals a day.”
4)	“I will not eat spicy or fatty foods till I feel better.”

 

 

____     2.   The nurse teaches a patient with hyperemesis gravidarum when to notify the provider. The nurse recognizes clarification is needed when the patient says she will notify the provider for which sign?

1)	Dark urine
2)	Bloody vomit
3)	Inability to keep food down for 24 hours
4)	Frequent urination

 

 

____     3.   A pregnant woman presents to the clinic at 16 weeks’ gestation with lack of fetal movement. Ultrasonography reveals fetal demise. How does the nurse document this pregnancy?

1)	Threatened abortion
2)	Inevitable abortion
3)	Complete abortion
4)	Missed abortion

 

 

____     4.   A woman presents to the emergency department with a history of pelvic inflammatory disease after a medical abortion, with acute vaginal bleeding and abdominal pain accompanied by shoulder pain. What does the nurse suspect as the cause?

1)	Threatened abortion
2)	Ectopic pregnancy
3)	Gestational trophoblastic disease
4)	Hyperemesis gravidarum

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Discuss the nursing care of a patient experiencing hyperemesis gravidarum.

Chapter page reference:  82

Heading: Hyperemesis Gravidarum: Patient Teaching

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	This is a good plan to maintain hydration and does not demonstrate the need for further teaching.
2	This is an appropriate statement and does not reflect the need for further teaching.
3	The patient would be better off eating several small meals than eating three large meals, so this statement reflects the need for further teaching.
4	This is an appropriate statement because spicy and fatty foods increase nausea and vomiting, so this does not demonstrate the need for further teaching.

 

 

PTS:   1                    CON:  Pregnancy

 

2. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Discuss the nursing care of a patient experiencing hyperemesis gravidarum.

Chapter page reference: 83

Heading: Hyperemesis Gravidarum: Patient Teaching

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	Dark urine indicates dehydration and is appropriate to report to the provider.
2	Bloody vomit is a sign requiring notification of the provider.
3	Inability to keep food down for 24 hours is something the provider should be informed of.
4	Frequent urination is common in pregnancy and is not a sign that needs to be reported to the provider.

 

 

PTS:   1                    CON:  Pregnancy

 

3. ANS:  4

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Identify bleeding complications of early and late pregnancy.

Chapter page reference: 83

Heading: Abortion: Incidence and Risk Factors

Integrated processes: Communication and Documentation

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	A threatened abortion is demonstrated by vaginal bleeding and possible abdominal cramping that may or may not result in the loss of pregnancy; it does not apply to this situation.
2	An inevitable abortion occurs when the cervix dilates and the amniotic membranes rupture with the fetus and placenta expelled, which does not apply to this situation.
3	A complete abortion occurs when all uterine contents are expelled and cramping and bleeding stop without intervention, which does not apply to this situation.
4	This woman has experienced a missed abortion, finding fetal death during the first half of pregnancy without expelling the dead fetus.

 

 

PTS:   1                    CON:  Pregnancy

 

4. ANS:  2

Chapter number and title: 7: Nursing Care of the Woman With Complications During Pregnancy

Chapter learning objective: Identify bleeding complications of early and late pregnancy.

Chapter page reference: 84

Heading: Ectopic Pregnancy: Signs and Symptoms

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	The patient’s symptoms are serious and point to a diagnosis other than a threatened abortion.
2	The patient’s history and signs and symptoms all point to a likely diagnosis of ectopic pregnancy.
3	These symptoms are not expected and do not indicate a likely diagnosis of gestational trophoblastic disease.
4	Hyperemesis gravidarum does not present with the signs and symptoms described in this scenario.

 

 

PTS:   1                    CON:  Pregnancy