Pregnancy at Risk NCLEX Questions

Pregnancy at Risk NCLEX Questions ScienceMedicineObstetrics Brooke_Lewis47 Save

Pregnancy Complications: NCLEX

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OB: Lab

38 terms nel A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement made by the client indicates a need for further instruction?

• "I will watch to see if I pass any tissue."
• "I will maintain strict bed rest throughout the remainder of the pregnancy."
• "I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad."
• "I will avoid sexual intercourse until the bleeding has stopped and for 2 weeks following the last episode of bleeding."
• "I will maintain strict bed rest throughout the remainder of the pregnancy."

The nurse is preparing a plan of care for a client who just delivered a dead fetus. Which initial action should the nurse include in the client's plan of care to meet the emotional needs of the client and spouse?

• Allow family members to name the infant.
• Encourage the client to talk about the dead fetus.
• Allow the client and the spouse to hold the infant.
• Assess the client's and spouse's perception of the event.
• Assess the client's and spouse's perception of the event.

A client arrives at the health care clinic and tells the nurse that her last menstrual period was 9 weeks ago. The client tells the nurse that a home pregnancy test was positive but that she began to have mild cramps and is now having moderate vaginal bleeding. On physical examination of the client, it is noted that she has a dilated cervix. Which statement, if made by the client, indicates that the client is interpreting the situation correctly?

• "I will need to remain on bed rest for 2 weeks."
• "I will need to take a full course of antibiotic treatment."
• "I will need to take tocolytic medication to halt the labor process."
• "I will need to prepare myself and my family for the loss of this pregnancy."
• "I will need to prepare myself and my family for the loss of this pregnancy."

The nurse is reviewing the record of a pregnant client seen in the health care clinic for the first prenatal visit. Which data, if noted on the client's record, should alert the nurse that the client is at risk for a spontaneous abortion?

• Age 35 years
• History of syphilis
• History of genital herpes
• History of diabetes mellitus
• History of syphilis

The nurse reviews the assessment history for a client with a suspected ectopic pregnancy. Which assessment findings predispose the client to an ectopic pregnancy? Select all that apply.

• Use of diaphragm
• Use of fertility medications
• History of Chlamydia
• Use of an intrauterine device
• History of pelvic inflammatory disease (PID)
• Use of fertility medications
• History of Chlamydia
• Use of an intrauterine device
• History of pelvic inflammatory disease (PID)

The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present?

• Soft abdomen
• Uterine tenderness
• Absence of abdominal pain
• Painless, bright red vaginal bleeding
• Uterine tenderness

An ultrasound is performed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruptio placentae is present. On the basis of these findings, the nurse should prepare the client for which anticipated prescription?

• Delivery of the fetus
• Strict monitoring of intake and output
• Complete bed rest for the remainder of the pregnancy
• The need for weekly monitoring of coagulation studies until the time of delivery
• Delivery of the fetus

The nurse is performing a prenatal assessment on a pregnant client. The nurse should plan to implement teaching related to risk for abruptio placentae if which information is obtained on assessment?

• The client is 28 years of age.
• This is the second pregnancy.
• The client has a history of hypertension.
• The client performs moderate exercise on a regular daily schedule.
• The client has a history of hypertension.

A 35-week-gestation pregnant woman is transferred to the maternity unit from the emergency department, where she was treated for minor injuries sustained in a motor vehicle crash. The maternity nurse's priority will be to assess for which complication?

• Placenta previa
• Polyhydramnios
• Abruptio placentae
• Gestational hypertension
• Abruptio placentae

The nurse is assessing a woman in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which findings should the nurse expect to note if abruptio placentae is present? Select all that apply.

• Soft uterus
• Abdominal pain
• Nontender uterus
• Firm uterus by palpation
• Painless vaginal bleeding
• Abdominal pain
• Firm uterus by palpation

The nurse is collecting data from a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which findings are associated with abruptio placentae? Select all that apply

• Uterine tenderness
• Acute abdominal pain
• A hard, "board-like" abdomen
• Painless, bright red vaginal bleeding
• Increased uterine resting tone on fetal monitoring
• Uterine tenderness
• Acute abdominal pain
• A hard, "board-like" abdomen
• Increased uterine resting tone on fetal monitoring

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

• "I should stay on the diabetic diet."
• "I should perform glucose monitoring at home."
• "I should avoid exercise because of the negative effects on insulin production."
• "I should be aware of any infections and report signs of infection immediately to my obstetrician."
• "I should avoid exercise because of the negative effects on insulin production."

A fasting blood glucose screening test is performed on a pregnant client. The results indicate that the blood glucose level is 140 mg/dL (8 mmol/L). The nurse should anticipate that which treatment measure would most likely be prescribed next for the mother?

• An oral hypoglycemic agent
• A 3-hour glucose tolerance test
• Humulin N insulin on a daily basis
• A sliding-scale regular insulin dose
• A 3-hour glucose tolerance test

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

• "I should stay on the diabetic diet."
• "I should perform glucose monitoring at home."
• "I should avoid exercise because of the negative effects on insulin production."
• "I should be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)."
• "I should avoid exercise because of the negative effects on insulin production."