Exam 25: Complications of Pregnancy

In which situation would a dilation and curettage (D&C) be indicated?

What history would lead you to suspect an ectopic pregnancy in a client at 8 weeks' gestation presenting with abdominal pain and bleeding?

Which assessment finding suggests that your laboring client's blood magnesium level is too high?

Which assessment finding indicates the development of preeclampsia in the antepartum client?

Which finding should be the nurse's priority in a client suspected as having gestational trophoblastic disease?

Which finding in the assessment of a client following an abruption placenta could indicate a major complication?

A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?

Which intervention would be the most effective if your client who is on magnesium sulfate has a respiratory rate of 10 breaths/min?

The clinic nurse is performing a prenatal assessment on a pregnant client at risk for preeclampsia. Which clinical sign is not included as a symptom of preeclampsia?

What is the value of the main line fluid rate for your client, whose total fluid intake is ordered at 150 mL/hr and who is also being given magnesium sulfate at 1 g/hr (1 g = 25 mL/hr) IV piggyback and pitocin at 15 mU/min (l mU/min = 1 mL/hr) IV piggyback.

Which finding could cause the nurse to suspect gestational trophoblastic disease in a client at 8 weeks' gestation?

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on which of the following?

A preeclamptic patient is receiving an IV infusion of magnesium sulfate. On assessment, the nurse notes that the patient's urinary output has been 20 mL/hr for the past 2 hours and her deep tendon reflexes are absent. The health care provider prescribes calcium gluconate, 1 g of a 10% solution. The standard rate of infusion is 1 mL/min. How many minutes will it take for the nurse to administer the prescribed calcium?

A client with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a:

The emergency room charge nurse calls the labor and birth charge nurse and reports the ambulance is en route with a seizing pregnant patient at 36 weeks' gestation. What medication will the charge nurse most likely direct the staff nurse to prepare to administer immediately on the patient's arrival to the labor and birth unit?

The nurse is monitoring a client with severe preeclampsia who is on IV magnesium sulfate. Which signs of magnesium toxicity should the nurse monitor for? (Select all that apply.)

Which explanation of a marginal placenta previa would the nurse provide to her client?

Which finding in the exam of a client with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?

A female client presents to the emergency room complaining of lower abdominal cramping with scant bleeding of approximately 2 days' duration. This morning, the quality and location of the pain changed and she is now experiencing pain in her shoulder. The client's last menstrual period was 28 days ago, but she reports that her cycle is variable, ranging from 21 to 45 days. Which clinical diagnosis does the nurse suspect?

In addition to obtaining vital signs and FHT, what is a priority for the client with placenta previa?