Tiêu đề EVAL EXAM - ABNORMAL OB (KEY).pdf ✅

A. Two-hour glucose level less than 140 mg/dL B. One-hour glucose level less than 140 mg/dL C. Fasting glucose level greater than 126 mg/dL D. Fasting glucose level greater than 95 mg/dL 15. A nurse is educating a client on the physiologic changes in pregnancy. What is true about the pregnant woman's insulin needs at the beginning of a pregnancy? A. Insulin needs rapidly increase because of insulin resistance B. Insulin needs stay the same in the beginning C. Insulin needs first decrease then will increase later in pregnancy D. Insulin needs don't change during pregnancy Situation 3: Third trimester bleeding is an occurrence that poses great risks to both the mother and the baby. The most common causes of third trimester bleeding is placenta previa and abruptio placentae. 16. A 26-year-old female, who is 31 weeks pregnant with her second child, has uncontrolled hypertension. What risk factor below found in the patient’s health history places her at risk for abruptio placentae? A. childhood polio B. preeclampisa C. c-section D. her age 17. Which of patients below is at risk for developing placenta previa? A. A 37-year-old woman who is pregnant with her 7th child. B. A 28-year-old pregnant female with chronic hypertension. C. A 25-year-old female who is 36 weeks pregnant that has experienced trauma to abdomen. D. A 20-year-old primigravida 18. You’re performing a head-to-toe assessment on a patient admitted with abruptio placentae. Which of the following assessment findings would you immediately report to the physician? A. Oozing around the IV site B. Tender uterus C. Hard abdomen D. Vaginal bleeding 19. A patient who is 25 weeks pregnant has partial placenta previa. As the nurse you’re educating the patient about the condition and self-care. Which statement by the patient requires you to re-educate the patient? A. “I will avoid sexual intercourse and douching throughout the rest of the pregnancy.” B. “I may start to experience dark red bleeding with pain.” C. “I will have another ultrasound at 32 weeks to re-assess the placenta’s location.” D. “My uterus should be soft and non-tender.” 20. Disseminated intravascular coagulation (DIC) can occur in __________________. This happens because when the placenta becomes damaged and detaches from the uterine wall, large amounts of _____________ are released into mom’s circulation, leading to clot formation and then clotting factor depletion. A. Placenta previa, fibrinogen B. Placenta previa, platelets C. Abruptio placentae, fibrinogen D. Abruptio placentae, thromboplastin 21. The home care nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. At each home care visit, the nurse assesses the client for classic signs of preeclampsia, which includes the following except; A. Proteinuria B. Edema C. Low-grade fever D. Increased BP 22. While assessing a 29-year-old gravida 2, para 2 patient who had a normal spontaneous vaginal delivery 30 minutes ago, the nurse notes large amount of red vaginal bleeding. What would be the priority nursing action? A. Check vital signs B. Notify health care provider C. Firmly massage the uterine fundus D. Put the baby to breast 23. A client in the first trimester of pregnancy arrives at a health Care clinic and reports that she has beer experiencing vaginal bleeding. A threatened abortion' is suspested, and the nurse instructs the client regarding management of care. Which statement made by the client indicates a need for further instruction? A. "I will watch for the evidence of the passage of tissue." B. "I will maintain strict bed, rest throughout the remainder of the pregnancy" C. "I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad." D. "I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding 24. The nurse is performing an assessment on a client diagnosed with placenta previa. All but which of the assessment findings should the nurse expect to note? A. Bright red vaginal bleedin B. Soft, relaxed, nontender uterus C. Abnormally low funds in proportion to gestational age D. d. Fundal height may be greater than expected 25. Rho (D) immune globulin (Rhogam) is prescribed for a client before she is discharged after spontaneous abortion. The nurse instructs the client that this drug is used to prevent which condition? A. Development of a future Rh-positive fetus B. An antibody response to Rh-negative blood C. A future pregnancy resulting in abortion D. Development of Rh-positive antibodies Situation 4: Hypertensive Disorders during pregnancy 26. The nurse knows that preeclampsia tends to occur during what time in a pregnancy? A. before 20 weeks B. in the third trimester and postpartum C. after 20 weeks D. in the first and second trimester 27. our patient with preeclampsia is started on Magnesium Sulfate. The nurse knows to have what medication on standby A. Acetylcysteine B. Naloxone C. Oxytocin D. Calcium gluconate 28. 39 week pregnant patient is in labor. The patient has preeclampsia. The patient is receiving IV Magnesium Sulfate. Which finding below indicates Magnesium Sulfate toxicity and requires you to notify the physician? A. Deep tendon reflex present B. Respiratory rate of 11 breaths per minute C. Urinary output of 150 mL over 3 hours D. Patient reports flushing or feeling hot 29. A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to experiences a tonic-clonic seizure. Which of the following would the nurse AVOID during the seizure? A. Placing the patient in a side-lying position B. Holding down the patient’s head to prevent injury C. Staying with the patient and activating the emergency response team D. Timing the seizure 30. A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client determines that the magnesium therapy is effective if: A. Ankle clonus in noted B. The blood pressure decreases C. Seizures do not occur D. Scotomas are present Situation 5: Vaginal bleeding during pregnancy is always a deviation from the normal, is always potentially serious, may occur at any point during pregnancy, and is always frightening. The nurse is knowledgeable in assessing and managing bleeding at different points in pregnancy. TOP RANK REVIEW ACADEMY, INC. Page 2 | 4

women just gave birth. The nurse educator opted to conduct health education on postpartum hemorrhage. 46. Nurse Analyn explains to the mother indications of post partum hemorrhage leading to hypovolemia. Early manifestations include A. Pale mucous membrane B. Dizziness and Lethargy C. Falling blood pressure and rapid weak pulses D. Decreasing level of consciousness 47. One of the clients asked nurse Analynn what are the risk factors for postpartum hemorrhage. The nurse explained the following risk factors except A. Uterine atony B. Trauma C. Retained tissue D. Anteverted uterus 48. During a normal postpartum course, where does the nurse expect to palpate the uterus the day after the delivery? A. In line with the Umbilicus B. 1 fingerbreadth below the umbilicus C. 1 inch below the umbilicus D. halfway between the umbilicus and symphysis pubis 49. The nurse wants to assess the mothers’ level of understanding regarding post-partum discharges. Which statement from a client will nurse Analynn determines as in need of further teaching? A. “I know about lochia; I’ll use tampons just like I do for my periods.” B. “I admit I don’t like having lochia, but I understand its purpose” C. “I should wash my hands after I change perineal pads and before handling the baby” D. “I’ll watch out for the color changes occuring in my discharges” 50. Two days postpartum, Nurse Analynn assessed and performed massage of a mother’s fundus. What assessment finding should prompt the nurse to immediately refer the client to a primary health care provider? A. Fundal height 2cm below the umbilicus B. Uterus does not become firm when massaged C. Firm massages of the fundus results in pain D. Client reports afterpains TOP RANK REVIEW ACADEMY, INC. Page 4 | 4