Exam 29: Care of the High-Risk Mother, newborn, and Family With Special Needs

Following an abruptio placentae,the patient suddenly becomes dyspneic,complains of chest pain,and begins to ooze blood from her IV insertion site.The nurse assesses these as indicators of disseminated ______________ coagulation.

A 14-year-old pregnant adolescent arrives at the hospital in early labor.The nurse should recognize that the adolescent is at a greater risk for which problem?

Cognitive impairment,facial abnormalities,and growth retardation are characteristics of which abnormality in a fetus?

What is the usual treatment for severe postpartum depression?

The nurse explains that severe _________________ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension,Elevated Liver enzymes,and Low Platelets).

What percent of first-trimester pregnancies spontaneously abort?

The patient who has taken the ovulation stimulant clomiphene (Clomid),and who has been determined to be pregnant,calls the clinic nurse to report that she is bleeding and has passed a small grapelike object.From this information the nurse suspects a hydatidiform ____________.

The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ______ minutes.

What condition is a possible cause of gestational hypertension?

A primigravida is Rh negative and her husband is Rh positive.She is concerned about the health of the fetus.The nurse explains that there is little danger to the fetus if it is Rh positive;however,the mother would become sensitized during delivery.If this were the case,the mother would produce what in subsequent pregnancies?

What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?

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

A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn.What statements by the nurse are most appropriate? (Select all that apply. )

A pregnant patient who has type 2 diabetes (NIDDM)may require insulin.Why is the insulin necessary?

What should be specifically monitored in a patient who is hospitalized with gestational hypertension?

A pregnant woman visits a clinic visit during her 21st week of pregnancy.The nurse identifies edema,hypertension,and proteinuria.What condition does the nurse suspect?

When discussing toxoplasmosis infection during pregnancy,what should the nurse caution the patient to avoid?

A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit.To prevent further stress on the heart,what should the nurse anticipate to be ordered?

What test is used to identify the maternal level of Rh antibodies in the mother's blood?

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